15105 SW 89TH PLACE 15105 SW 89TH PLACE
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INSPFGTION NOTICE
City of Tigard Building Department
12420 S.W. Main S1.
Tigar 1, Oregor 97223
Phone 639 4171
Adr ress
— Permit #
Type of Inspection .__ ., r �
The following Building Code deficiencies are reruired W be corrected:
�.
Present-9d to
Inspector ---- -
Date
(ALL FOR RFI1kVEC'TI0N _-
0 VES El NO
n
0
) UVII"UIIVV lJ�'rHrlllYlCl�r, ItuHrlu
/ PLUMBING PERfwt f lel�T
holder of a valid plumbing contractors License is hereby
author zed to cause plumbing work as herein noted to be insiz' d in accordance v.ith the plurllbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the tirne 0 � installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner_ �t �_r i_.1 ��.`. Address����~ f?ate�i 1;
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office U� Only)
R E 5 1 Q E N TIAL
Singla Family-1 bath–each --
25.00 --
Duplex–Each t bathunit _ 25.00 _ '—
Addiaor3l bathrooms–each 10.00 --
Mobile Home Space–each 15.00 _ –
INDIVIDUAL FIXTURE FEES_ –
1 to 50 Fixtures in 1 building–each 3.00_ –
51 to 100 Fixtures in i building–each 2.50
101 to 200 Fixtures in 1 building–each 2.0_0 =�
_201 or more Fixtures in 1 buitrlin_3–each _ 1.50
NIISCELLAN E_OUS -----
Euildin2 Sewer-1st 50 ft. W 10.00
Sewer–each additional 100 ft. _ 10.00
Water Service to building _5.00 - -
irivate vva Systems–tach 1110 }t. 10.00
Other ISpecifvl: �
+ PEgMiT For Plumbing lnspecrir,nPhone 639.4171 `
U State �
-- c'--_��11 ! Plumbing Contractor By };%lf��-moi'
TOTAL_ J , ;t RECEIPT NO. Issued By
"J". iri_,allation Lam Riplare 0 Relocation F-1 Additicn Alteration DATE:
HEATING Imperial Mech. _ O'fIIJER Cinco Homes
CONTRACTOR ---— - `—
ADDRESS —
PQ Box 06327/97206 JOB ADDRESS 15105 SW 89th Pl .
PHONE --
-
777-3801 APPLICANT Imperial Mech. _
Heat Input Rating(BTU per Hour) _ 15. 5 PIJ —_ Vent Site._ _ Flue Size_
FUEL OIL U GAS LJ ELECT ®x. OTHER --
-. - -ITEM — fEE ITEM NO. FEE
Fer Issuance o1 Perrnit SEE BELOW _ Each Air Hen,:ling Unit or Duct System 7.50_
Ne.r uLto & incl. 100,000 BTU 6.00 Commercial Hood System 7.50
New 100 000 BUT's & over 7.50 Other Eqm
uipent • Each _ 4•y!�
Woociburnin Stove 4.50 1 T-ip Inspection 4,50
Wall Floor Suspended 6.00 Air Condition Co_npressor • up to& incl. 3 H.P. _ _6.:10_
Vent—ystem w/Fan 4.50 Air Condition Con oressor 3.1 to 15. H.P. incl. 11.00_
flca: _cc!irg __ 600
-- CITY BUSINESS LICENSE REWIRED SY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! _
PERMIT ISSUANCE 10.00 Comme its: ___ _— - ------ ---------
F E E S
SUBTOTAL
% STATE _� Issued By_.._
25"�PLAN CHECK �
TOTAL � REC. # —__.____ - —• —~-------
_ Skinature of Aoolicant
'r.S
BUILDING PERMIT APPLICATION TIGARD DATE _4/6f __19 T'1__ 3669
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 647—b6Rl
OR ' S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 3�-=r�t_CI7fdCS
OWNER Cinch HGtI!f15�_Inc. JOBADDRESS 1510: aW 9th Place - Nark Et3ttt91l1
ARCHITECT
ENGINEER
BUII OER f aMe ADDRESS Rt.3, Box 440 t HillsbusluSIGNER Dors Klover _
STRUCTURE CO(NEW ❑ REMODEL Li ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIPE DAMP.= L"-] DEMOLITION
00 RESIDENCE n COMM_n EDUCATIONAL_❑ GUV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -B-7-3—LAND USE ZONE N"7_BLDG.TYPE `��_ FIRE ZONE-_ -_-PLAN CHECK BY .. qWh HEAT_S_d, -
Construct Bingle family dwelling wlatteched garaige• _ 3 Bedrooms 1 Betho
he—Issue of Permit 3659 (11960 SW 122nd Court)
SCWERFEnmlTM 23312 - S75L',00 __--- c;arejo 395_ aq. ft.
__—_-
OCC.LOAD FLOOR LOAD 40_ HEIGHT 13 NO.STORIES 1 AREA 1017 NO,B_ DROOMS 3 VALu 421500.
BUILDING DEPARTMENT SETBACKS FRONT 40 REAR 37 LEFTSIDE : • RIGHTSIDE 51 i
PermitX166,OO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 10.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITh ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total_ 176.00' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE,SEPARATE.PERMITS P 'QUIRE-)FOR SEWER,PLUMBING AND HEATING.
State Tax 4"1 6.64
soc— y40[ .0U
Total $184".64
-
By PDCM I I l D iI•Q Q APPLICANT OR AGENT
�
Approved dwh Recelpt No. ADDRESS ----- -- PHONE A
1
DATE INSP. TYPE INSPECTION REMARYf_ PLUMBING DATE
Cont act Y!
Permit No. Z C5/ 7
Rough-in - —/-
Fixture
Final --- --
�j HEATING
Contracto l -1 I''// ,// Q
-- Permit No.� (e e W Y--1 741
Gas or Oil �J
R,ugh-in
----- final �- —
SEWER
Final
-- _ _ —.--•-- --
DRIVEWAY
---- - —`-- —.-_
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
�— Approach _
FLOG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final -
CERTIFICATE OCCUPANCY
v I , Lan ing Fina
IT7-/s(\I Zoning Final
- -� .. _ .-. ..�,.. -... .... ., .._.. - .. .. ._ - t
BUILDING PERMIT APPLICATION TIGAH:) DATE �
TF':_UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE6#/r�'.7 c y ZI
Oa AS SHOWN AND APPROVED IN THE ACCOM.PANYING PLANUS A.1p SPECIFICATIONS. G!1NER PHONE
W_r
I � .. ,
C ;EFCI�Ja:O `�/RRS�wC JGnADDRESS 1 SIC�S (;&-) LOT NU�(QS,C - gm4k t-9 C4
ARCHITECT
� +� '� AD �:� t``,%V ENGINEER
BUILDER DRESS (�
DESIGNER _ ` --
STRL!rTURE _beNEW ❑ REMODEL !j ADDITION _❑_ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T LD RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAG: ❑_SLAB❑ FENCE
OCCUPANCY � - �_,L1ND US,-ZONE A�J._-BLDG.TYPE - FIRE ZONE=—PLAN CHECK 13YHEAT��__
�e•�-mS�_�� Crmf S
SEWER PERMITN - (a/cl►-I � �S _ __� -
OGG.LOAV FLOOR LOAD p HEIGHT 13 NO.SIORIE�'�--� AREA%;�NO.BEDROOMS V,ALLU!+69
BUILDING DEPP.RTMF.NT
SETBACKS FRONT 40 _ REAR 3 _ LEFT SICE T.3 RIGHT SIDE ..�
P^rmlt lL-�!�• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZrJN!NG
- 0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, A";D IT IS HEREBY AGREED TRAY ''E
Pa,Check SfI� Ca WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C01APLIANL;E
WITH ALL APPLICAPLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV_
Sub-total ------ /�O- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURP,ENT CITY 6651NESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
SIeta Tax
Total �-- SDC— !c7 w1 �2110 ��1. !phG!> A�
PDC# AFF-L;::ANT OR AG --
By
Receipt No.
Approved —+ ADDRESS�— -- - -� PHONE
10C -- (��
LC
- S JI.- # l a
'EWER CONNECTION $ 7Z7
EWER INSPECTION
EWER SURCHARGE g ---
12