11670 SW 92ND AVENUE 11670 SW 92ND AVENUE _
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BUILDING DEPARTMENT, TIGARD D
PILUVWNG PERMIT N '
"RION & HELLUMS PLBG, INC,
3321 ��____� holder of a valid plumbing contractors license is hereby
%aorizecFC43"VWfPI iq9 o 2 rein noted to be installed in accordance with the plumbing code of
rd,Su,1 installations require Ins ectien by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations-are-reedy for inspection. City of Tigard Business License required
for all contractors and sub-contractors, � vb1
Owns_ . Address_ z�' /(1 C'S '() .q Daf,-,__
NUMBEn OF TOTAL
TYPE OF PERMIT ITEMS FIEF. ON EACH AMOUNT
bin le Famil —1 both—each
_Duplex—Each 1 beth unit 25.00
Additional bathrooms—each10.00 15_00
Mobile Home Snace—each r
h�
INDIVIDUAL FIXTUHBF3
1 to so Fixtures in 1 building—each _ 3.00
51 tq 100 Flxtures In 1 b_uildiE,9-each____.__ 2.60
101 to 200 Fixtures In 1 bullding—each 2.00
201 or mare Fixtt�rss in 1 building each i 1.50 i
MISCELLANEOUS
Sewer—each_edditional 100 1t. _ 10.00
Yater Service to building` _. 1_7 5.00 _
Other(Specify);
_PERMIT DC7 - For Plurnhing Inspection/'hone 639-4171
4%State Plumbing Contractor By
TOTAL �" _ . . RECEIPT N0. _. Iccunrt nu l
7 .M
BUILDING PERMIT APPLICATION TIGARD DATE _ 18 81 F .- 79,2
7/-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE _
OWNER TE-wrun Co. JOBADDRESS 11670 SU 92nd r,ut,.0 Lor Nola-Barbee Court
— --- I'Jo��.J ';.>+.0 C.IA`�Lr..l:'...r,,w�t", ►-tt.r. +)� ARCHITECT -- -------
BUILDER same ADDRESS 2-&7—A- AIiCd... _-{cs ENGINEER
Y 64`. I � y�1np DESIGNER Piercy Barclay
STRUCTURE Cl NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL_ ❑ FIRE DAMAGE ❑ DEMOLITION
X] RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
oca,-ANCY Y_R�' LAND USEZONE 725
RBLDG.TYPE _5N FIRE ZONE-----PLAN CHECK BY dWh HE_AT____1g_a__
.obstruct single family duelling w ralttached g_Ir»Iga. 2 _Qedrooni>, bet15.
CORRECTION SHEET ATTACHED. PLAN
SEWERPERMI'rM 23374 - 4~q �f30Q.(1 artiota_aa5 n .f t.
--G—,-- i
OCC.LOAD FLOOR LOAD GO HEIGHT 22 NO.STORIES 2 AREA 1172 NO.BEDROOMS 2 VALUiS43,1f3Qa.
BUILDING DEPARTMENT SET BACKS FRONT REAR 31 LEFT SIDE 5.5 RIGHT SIDE 5.5
Permit $169.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
r" REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREEr)THAT THE
Plan Check X4.50 1 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
Subtotal 253.50 RESTRICTIVE COVENANTS. CON'RACTOR AND SUB CONTRACTORS TO HAVE CUPRENT CITY BUSINESS
State Tax 4;; 6.76 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
,
_ SDC— i400.00 ;
Total S260*26 _ 9 � ► ��_�, ---
By P1 PDCN i $100.00 APPLICANTDI�AOENT -
Approved dWti Receipt No. 492 f _
ADDRESS - - PHONE
W WAMWI
DATE INSP. TYPE INSPECTION REMARKS
_ PL MBING DATE
7 zl-P - Contract
7-Jo Yp' ' Permit No.
---- 7-3o-F/
E ` Rough-in
9 " Fixture
41/ A � i -- - Final --
ATING ---
> — Contra`
Permit No.
—
Gas o,oil
Rough-in -
Final — - —-
— -- -- SEWER ---
------ ---- --- Final 2/ %I
----- —`._ -- DRIVEWAY I ---
- --- --- ----- - Final i
Storm Drainage
_ (Rain Drain)Final
-- -- _- Sidewalk _
Curb&Street Final
Approach -- ---
BLDG. DEPT. FINAL TEMPORARY- CERTIFICATE OCCUPAY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
SlJ1LDiNG FcP,1NA1TAPPLlGAT10N TIGA � DAre _¢��
THE UNDERSIGNED HEREBY APPLfcS FOR A PE'R.MIT FOR TFT,_WOHK HEREIN I MICATED BUILDER PHON26ep
OR�Aj�S;SHOWN AND APPROVED IN THE ACCOMPANYING PLAN ANO�PEClFICATlOtt5. Gr1;,Ea P;�O;;=
=' 1 �(R U R0 e7O. JOS ADDRESS 1140 70 Sw Q_�, L°T't°' -, ee
04
� ARCHIrECT
9UtL^cR Q.1"11`Q ADDRESS 61SIGNER ria
1�_, Ave./dueL.Q.L.O97� 3µo�sICNER•�
STRUCTURE NEW ❑ REMODEL ❑ REPAIR
C3RENEB'WAL ❑ FIRE CAMAGE Cl E)=?AOLITt_C
SIGENCc ��j CO tit?,1 ❑ EDUCATICNALL ] GOV-T C RELIGidUS tom_ PA-NO ❑ CARPOAT 0 GARAGE C'i SiOAAGF ❑ SLAS':' FENC
IAND USe ZONe 1�—�--BLDG.TYr�E * �..�FIRE ZON ""'
>�_ ___PLAN CHECK BY Hc�rM
—iel e
'1'� 4�Fa►r,°I
GM4
SfAERPFRMITIt ► _._
LOAC HEIGHT Z FLOOR LOAD 2
O N0.STORIES AREA ��,�, NO.BEDROOMS T
BUILCI`tG^,cPART�,!EN7 ,
/ SETBACKS FRONT REAR 31 LEFTSICE ,f.� RIGHTSIDE Jl:�
—
THI3 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILD`f a cor: �Op;;•l
°Ian C peck A 8y(,SO REGULATIONS AND ALL APPLICABLE CODES AND ORCLNANCES, AND IT IS HERc3Y AGP_ -
WORK WILL BE DONE IN ACCCPCANCE WITH THE PLANS AND SPECIFICATIOpt; AND I>'1 GO:.irL T
.3. ITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE = e • L1A.f�
"STRICTIVE COVENANTS. CONTRACTOR ANO SUS CONTRACTORS TO HAVE C R.qF DGES t;7T yya!�.
ENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUTMEIING AND HEATING UR�tN T CJT f cJ31tiEs
:::ate Tax 4 , � •7(p
Totat0, 2(o SD 6 f .la�..1t �orm�l�hl° •�Lt �'.
---Z& -- PDCB ���TS t b Iv�`��'
B APPLIGANTORAGENT ---- -- —____
Y
Approved Receipt No L 2 Oz
ADDRESS —
PHONE ---"'--'
5CC �� n� —
ocloo ,
SEWER MNNECTION S 72ts' Q� �`�• Sd �- 30�/
=EWER INSPECTION c -- --- 2S_,
SEWER SURCHARGE S
C c T m e n t s: �. G•!�_ P 6 t�':t � r ,G. T �s�.Crib� t
Tinura-00i 60
Awt� o aad�- c;o,.L
�a�►� V.., .2//Y.z4 Jr?to
rs
(car- -toor � � �s_ 23•.'r' t3!�,
�° .20-co x to :2aS-
y 1 q►,8o 8 d l l
y3 FOO
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City. ®f Tigard Mechanical Permit NO. __ ---
New In.._allation qx Replace f, Relocation❑ Addition — Alteration 1:1
DATE:
HEATING Imperial Mech. OWNER Tiburon
CONTRACTOR
ADDRESS PO Box 06327/Ptld. 97206 � JOB ADDRESS 11-670 SW 92nd Ave. (lot 10)
PHONE_ 777-3801 APPLICANT Imperial. Mech. / ,_,r _
Pleat Input Rating(BTU per Hour) Vent Size._ —_ Flue Size,__
FUEL OIL C] GAS M ELECT ETHERv ---
- -- J- ---ITEM NO. ~FEE — ITEM NO. —FEE
For Issitance of Permit _ SEE BELOW Each Air Handling Unit or Duct System A 7.50
New-tip to & incl. 100,000 BTU— tX 6.00 _Commercial Hood System 7.50_
New 100.000 BUT's_& over—__ 7.50 Other Equipment • Each _ 4.50 _
WcadburninLStove _ 4.50 1 Trip Inspection —,— d.5_0 _
W.i!I-Floor Suspended 6.00— _ 6.00 Air Condition Compressor _ up to& incl. 3 H.P. 6.00
Vent sy!tem w/Fan _ 4.50 Air Condition Com r�p essor-3.1 to 15. H.P. incl. 11.00
;cNo;r Hca: C::r;!ir3 _ _ 6 kip—
CITY
—� BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.0.0 Comments:
FEES ---
SUB•TOTAL_ .16.0
% STATE .64 Issued By
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