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CITY OF TIGARD BLDG. DEPT.
12426 S.W. MAIN STREET
TIUARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
All
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Date:_.- /�! ' �? � Permit No.
Inspec tor•-w-
CALL FOR REINSPECTION
CITY OF TIOARD BLDG". DEPT.
12420 S.W. MAIN STREE
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
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Date: _1� �s-7,�Permit No.__ _
Inspect _-
CALL FOR REINSPECTION
W WLW-LW= W >�
CITY OF TIGARD BLDG. DEPT
12420 S.W. MAIN STREET
TIGARD, C7—GON 97223
PHONE 639-4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
0
�i R I�L3t,o r K Ft RE w Liz
RAN nm vcAt r
Permit No. --- —
Inspector' _—
CALL FOR REINSPECTION
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26
BUILDING PERMIT APPLICATION "'y TIGARD DATE_ �" 19 7.�
,,j-37y4
THE UNDERSIGNED HEREBY APPLIES FOR APERMi I FOR THE WORK HI REIN INDICATED RUILDERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS UWNENP"0NE-- -h—:7-
��cc I I� .�j f 1 �-��•
LO i NC26
OWNER rpenLer, srflittl JOBADDRESS]5AI HOME ADDRESS
ARCHITECT
ENGINEER
BUILDERADDRESS � �_�/ ' —DESIGNER
nn
STRUCTURE _ I�;NEW ❑RFM_nDEL_ 0-AUDITION C3 REPAIR ❑RENEWAL v ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE U(--JMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIC'JS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE CJDESIGN REVIEW [:]COUNCIL A--FIOVFD ❑SIGNS
OCCUPANCY--LAND USE ZONE--l._ BLDG.TYPE �� —FIRE ZONE_ PLAN CHECK BYHEAT —
,struct biritJ10 family duelling tr ettschad arago. 3 U*Oiaum - I Rth.
SOI.1Eir Pgt_f1 1. A 22. - 1705.00
_ �-- �7DCr
)G --
._ I �— AREA Q5— VALUES43
Q
BUILDING DEPARTMENT SET BACKS FRONT ZO REAR LEFT SIDE " } RIGHT SIDE
Permit i'.t '. :',.O[! THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total Jo 00 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE. OF THIS PERMIT DOES NOT VIAIVE
— RESTRICTIVE COVENANTS. CONT9ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS NESS
Statu ax tj 2 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AN(1 HEATING.
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BYbbl ---- --- ---- --____
.� �� APPLICANT Oil AGUNT
Approved '1 �� Rerelpt No.
._.., ..o,r,..a.w r...... .,...._ ..,.... a...wr..y.w..,........�.:w.......c..,...W+.o.. :aswr.�r..--- - - - - .�..w.rrr...�,n....u+..
DATE INSP. TYPE INSPCCTION REMPRKS PLUMBING DATE
trikG — Contractor
Permit No.
Rough-in -----
Fixture
Final
/ HEATING
/f-.20' -�_ —T Contractor �y
�,� 1 �GCS�LT✓�'_O_Lt�r-_� Permit va i
Gas or Oilit V
-- — -_-^--- Rrugh-in
— ------- --- -------- Final
---- -- —� - SEWER' -
D, , 7 -
DRIVEWAY
Final
Ston Drainage
(Rain D, n)Final
Sidewalk
— Curb&Street Final
Approach
—— ---- -
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCI.1PANCY
CERTIFICATE OCCUPANCY Final i
Landscaping
Zoning Final
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BUILDING PERMIT APPLICATION "OF
TIGARD DATE.. TB?_ N° 287
THE UNE)EHSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUII.DERPHONFXJ��'379�_
OR AS SHOWN AND APPROVED IN THE AC( MIPANYING PLANS ANDS ECIFICATIONS. Cv.NLT7PIF`0NE-_. ____.__ .__- ..
h� I.0 r 140 - --s" A1(
!�_isAEPld1�/��yL.�OL . InFj,DURESS � �r� - _ ARCHITECT
ENGINEER
J6R ',DRESS DESIGNER _..-.__.
ICTURE UNEW _ RENinc,2L LJADDITION L'NEPAIR ORENEWAL ❑FIRE DAMAGE ❑DEMOL.ITiJN
DEN ❑COMM OEDUCATIONAI (]GOVT LJRELIGIQUSLIPATIO LUCARPORT OGAPAGE USTORAGE(ISLAS P :NZE
PA r„ v
AIR t_ArvDW" �' 7 tJLDG f�PE ' -A�. ._FIHE /ONF.-A PLAN CHECK BY K�. `__..., HEAT__ _.
C' civ s7,�v c,' 3i/1i F A r fAI++• ����1"C�tlJllSe___.�y„1�t�7�ICNE'fl G�'4R�7C F..._..
BIER_ PERMIT != ---
v,rJ L/.4,V Af SR
A hl Ol ;. ri ori RIE.$ I AMA-1"91 Nif 3 VAI,. y/ 70�'
_ i
BUILC,N� Gc �7
'• h,. � :cAR .moi S ✓ LEE; SIDE .10-f' vHT cn t �Q / _
nit _ le 3
•n SUBJFCT 10 THE REGULATIONS CONTAINFO IN THE BUILDING CODE 7()14:?Vr,
Check I ' In11S t.i.;; Al L APPLICABLE CODES AND ORDINANCES, AND IT IS HEPEBv AGREED THAT THE
I. SG DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CCtMPL14NCf WITH
.totalI 7 i ° LICANLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- --- a ;IVF C')VFNANTS CGNTRACTOR AND SUB CONTRACTORS TO HAVE CURPENT CITY EUSINESF
e Tc'txy�� „s,2 SEPAR.1t PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
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Avv,.,i ANI Up AGENT _ ...._.._ ._. .. -
lI QYF'd 6j1 No
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WER FnV I L_I ION
WER INSPECTION s ��
WER SURCHARGE "
mments:
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City, Of liooi cl Micc atiical Permit NY Ps:a►it- --S�.o�—_'
New lni'.aX tion �T R:c::d=e U Relocation =,d� t�c�n '
U A.,_rr'Ion ,J �( a%Slate • 28 _
CC'�772 r x /a�
CQ`:TRAG'COR OWNER, r%w7U y c
ADDRESS �'.)Sr S�. 9(Q.� F �� �t ! it«c(- WORK. ADDRESS
PHONE ��� l� `I _ APPLICANT_CL���
Heat Input Rating (BTU Per Hour) J ,Qdi✓ y Ven; Size `_ Flue Size -
FUEL OIL ❑ GAS ELECT O OTHER
ITEM NO. FEE ITEM
N0. FF'
For Issuance of Permit r, J•007 Air Condition Compressor o 30 HP j 10.0
New • Under 103,000 BTU ( 4.00 _Air Handling 10,000 CFN�_� � 3 U
New • 10:x,000 3TU & ov.r __ _-±::_-_. ___5.00 Air Handling Over 10,000 CFM j 5.0
Floor Furnace �.r -^q_0� ~Es_ap�rati�eCooler 3.0
Wall Floor p�nd
Su. ed _ _ - _4.00_ _Range Vent Fan - -`�
Install Vents Ont + 2.0
_ _ i _ •_ 2.00 _Ven;S�•strm
•
Repair Heat E_Cooling �� -� 4.00-' _ - 3.0
_ _ _ _ _ _Hood Commercial EEL ! 3 01
Air Condition Unitr 3 HP :,,00 Corr:rneraal Duc' System
,air Con lkion Comprimor 3 to 15 H' M j� -� - 7.50 j 10.(►
.:' m��_.:...rrr-sly_-�..�..:�t.=-'C:�:Sa•_:»_:41�.�� .. �•se_.:.. _.... aae�a.i:Ts-�...-.t r.rs.. - ---
INSPECTOR'S COMIN•EnT5_^=—
-' CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS 001 SUS-CONTRACTORS
t APPROVED BY_ DATE _�.._ .__..__ ISSUED BY _ GAT E - - —
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