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16025 SW 92ND AVENUE r :j ADDRESS: 5 9A#ib Av&j a rx: N } H m .o I:Vecc rdsVnlcroflm'largels\building.doc MELHANICAL ' CITYOFTIGrARD P E R M I I" WYOFTWARD PERMIT #. . . . . . . . MEC91-031"Z)2;' COMMUNITY DEVELOPMENT DEPARTMENT on 13125 SW Hell Blvd. P.O.ilm 23397,TORM,Oregon 97M(603J 6304176 C77 DATE ISSUED. SITL ADDRE5�,. . . 1601-7,'5 SW 92'ND AV PARCEL: 2c,'1 .,4AB-00100 SUBD I V I S I 01\1. . . . ZONING: R-4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . CLASS OF WC)Rj{. . :NEW FLOOR FURN. . . . - EVAP COOLERS: TYPE OF USE, . . . .ZSF UNIT HEATERS). . - VENT FANS. . . : OCCUPANCY GRP'. . :R3 VENTS WIO APPLz VENT SYSTEMS: STORIES. . . . . . . . : BOILERS/COMPRESSOR5 HOODS. . . . . . . : F7UE;— TVPES­---­-------- 0-3 HP. DOMES. INCIN: - /WIND/ 3-15 Hr . . . . COMML. INCIISI. MAX INPUT: BTU 15-30 HP. . . . RE[-.,AIR UNITS- FIRE DAMPERS?_ : 30-50 HP. WOOD5T0VES. . : 1 GHS PRESSURE. . . : 50+ HP. CLO DRYERS. . : 1\10. OF UNITS-------------- AIR HANDLING UNITS 01HER UNITS. : FURN < 1001; BTU: <= 10000 cf'm : GAS OUTLETS. : FURN ) =100K BTU: > iotaoo c.rm : Remarks : WOODSTOVE INSERT Owner-: FEES KAZEM NADERI----NEJAD f y P e -Amol.tnt k)v date r-e(zpt 15025 SW 92ND AVE '-'RMT $ 25. 00 JLH 12/16/91 — 5PCT $ 1. 25 JLH 12/16/91 — 1. TtrARD 1* 1601111 OR 9721:;", Phone #: CrIntr-artot-: --------------------------------- JOHN LER ICHE CONST 18073 SW BARCELONA WAY ALOHA OR 97007 Phone #: $ 26. c5 TOTAL. Req #,, . : 41.985 REQUIRED INSPECTIONS This pernit is issued subject to the reoulat,.ons contai-ed in the Final Inspection Tigard Municipal Code, St& e of Dre. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans, This pervit will expire if wov,w is not started within 180 days of issuance, or if work is suspe,id@d for sure than 180 nays. Pet,mittev Signati_tr-e :__11 CA11 for i -Nnpectaon 639--4175 �e job ` CITY OF T l GARD - REC F I PT OF PAYMENT RE.I"E"!E"'1' 140. 3 91 --220500 CHECK AMOUNT 26. Edi rdAMt NAD1-7.R!-•I c—,,Jfln, KA;'_k'.M CW114 AMOUNT 0. 041 i4DDF LsG a 16025 $W 4 ND PAYMENT DATE a 12110191 SUDDIVIS1ON T l(;ARh, OR 9Y2k-- OUPPOSE' OF PAYMU NT AMI.IIJNT V:,f)T 1? PURPOSE Or PAYME=NT AMOUNT ["Alt.) ;1ECNANICALµf~U IR5. 0V► ST. BUILD r-,EEt 1. 25 J WOOD51UVE I NGE:RT PERMIT TEJ'T AL. AMOUNT RAID - - -> 26. 25 mlifhli ��► OF OCC -ATC tJ CITY OF TIGARD OREGON Owner: Ken Bouman Permit No. Building Address _16025 SW 92nd Ave. Certificate is hereby given this 4 day of A p r i.1 19 78 that said building may be occupied and that j! } / it complies with all requirements of the I Building Code for the City of Tigard, as hl approved by the Tigard City Council. + N Bui ding Inspector ' ►r"� a �' � ,,y.� � a,..1 � naw, A, �.,� � ' .►w, � .w � Y' `2 "` k �` -4 K, 1.,s,. J t J CITY BUILDING PERMIT APPLICATION OF TIG ARD DATE THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE luu4j bw j1nu AVU. LOT NO. OWNER Ken BUum:,.,i i JOB ADDRESS S'QAQX$bI1XWtAXkaMXlts�' HOME_ADDRESS ARCHITECT ENGINEER BUILDER `t Q3PiE3 ADDRESS 3►fl6 DESIGNER-1 STRUCTURE ❑NEW OnLUMOOLL ❑ADDITION ❑REPAIR ❑RENEWAL OFIRE DAMAGE ❑DEMOLITION 0 RESIDENCE 11 comm ❑ECUCATIONAL ❑GOV'T ❑RELIGIOUSEIPAT,C ❑CAR PORT []GARAGE [I STORAGE❑SLAB ❑FENCE IO ]BOND EIMOVING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY!_LAND USE ZONE__ _BLDG.TYPE FIFlE ZONE : PLAN CHECK BY� ' HEAL_ _ 1-41dili--011 LIJ 176k—Lt:;Vk MUVt, Aii X .5:11 Only. taUcy ko hayci ^uncrejtc r 1nmr. Any structural chanlias in uxistinu tJUildu the;pE c:tud befurEs cuvi.r. Plumbing hvatinu ourmita rv(-,ujrgcj _ Tax `70i , .i1-1411 T1 r, L.,., 3112 i1.SS_QB_LOAD HEIGHT ___ NO.STORIES _ AREA NO.BEDROOMS —VALUE SUI'.DING DEPARTFf'NT I E' _._ _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AICD ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN A,XORDANCE WITH THI PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH SIILTtotal ALL APPLICABLE CODES AND ORr)INAN1-,[E. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax •tJQ LICENSE. SEPARATE PERMIVS REOUIREn FOR SEWER, PLUMBING AND HEATING, Total 0 evrANT OR AGENT -`� --- - Approved -- Receipt No. A01)R1 ", P"ONIF UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor ^^+ Permit No. I fir! 1`1 Z I "-e-.k Rough-in te- CgL�: 4-w �Clnc� Fixture _ t _4�cFinal -2 — t�-1 -V '0 HEATING C-OL 1i-, a v_ Contractor `( 2 Permit No. 9 i Gas or Oil r- Wol A"r or I NS U 6Mty Rough-in cn liJVLA J ✓ --qt . L 1( Final _— > SEWER Final m? DRIVEWAY Final Storm Drainage (Rein Drainj Final _ Sidewalk _ 'z Curb d Street Final A roach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final aAr!drE.��:� Nnmit !n. Permit char. yo ..._ 2 CV-t. =- Cnnnp t.ic)n foci 5_2.S do `i Paid by [pato norinnuLpi'I .�� ......._....____ f r,c E.r of c o n n w:+o t i n n ,...., _ _�...._.. Assessment , Paid .. .,.�. - /0//- fib, tl7 SEWER PERMIT M 13459 JfL =- Unified Sewerage Agency of Washington County CITY OF Tir.ard-_ DATE _— 6-ZEi-77 OWN[-R : Ken Bouman PHONE : 639-0236 OWNER ' S ADDRESS: — TYPE OF INSTALLATION: E BUILDING SEWER [--]BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ❑NEW © SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS 1 PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION , PLEASE_ REFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEF $ 256 CONNECTION CHARGE 575• SIDE SEWER INSTALLATION ---•— ISSUED BY OTHER F,nn. APPLICANT DATE SEWER PERMIT M' 13159 ADDRESS OF STRUCTURE ;CikQx£4JxJD)QxkxmxRal9 16025 SIJ 92nd Ave. TAX MAP 951 -14Q TAX LOT 302 SYSTEM fenno creek LOT BLOCK OF - -- - APPROVED BY DATE ISSUED BY DATE REMARKS bld❑ -- b , M M Z U U I \ zrr- � ' ; U Z "D Z icz LL (Y� V /1 f,4 ON �o Cl N N of Q0T V I O m Z r u' 0(5 U) JZH I� [ I u V) H W , A , ❑ C I O Z U C U 0 ' 1 2 w2 w U) W r r > .- t- ¢ V z w C7 (� Z v f� p � ¢ Q p � m¢m Oz � cSiti � r 1 = d I r2 2 W w d W W Z CL I w Q O I S N a > I W 2 O O H N 0 N C Q wO t7 w w 2 I w Z w N I ❑ > ~ Q H p = O m O ¢ W, Q I� Cl a y Ll-¢ `�. ? aLL y LINI � O2Q O vi Q Q m I w `tyww �p !- p i c7 U w V` in O U z Q on I ~ U v �' LL NZQJz ' j d V w u 2 w z O N p a 1 Z u�N w Q ❑ Qi `� I � x < it Z C� I O e 1 ^ O J I T w d Clr a w n a F I `_I Q ' 2w QO W U U w 1 F aNr- uU! 2 I. 1 = W 4 I W T Z Q U. 7 N I cr /1 Q �O uj N ` ` Cc, 2 0 y v. LIL /^� d a F- 2 w z w 1 ) 3 Qr w Q p I w o '� v a ,> a 1 7 W N rI1 a y u Q ~ m ;jOFC1 Ur,� c O ° ❑ �� w C W J v cl A (� n U O I c n ¢ 7 (U-:) 1 ~ �� H ' _d U< N J z N W F 2 Lit W I Z Q Q W � d fX 7 I p I u 1 F- F OQwUW w C] �, = Nn2 C) a v pa w e o D '� `-' o N < °opo `.7 Q U Q > Q 0 = LL NNCw7f wd cr Q ❑ l07 Zp Q! N td _i J > N o I� r � d W Y W ~ yo- Uui 1 C- u F CI o r `I�, �, a 7` QpcN z lv of a w CL d j_�CL Lit Cl o �j of ¢ 3ecr � a' u, F d > Oo U 2 I• �I f J m d �} Q W > W a Q f- F` 4 n N v O ui 0- n d I I 7 w r. I > w L >. OI o i s Ul CJ N s u l I I u n oro C ► C1� C w �) 7 N u UI �I 7 ...1 ,7 tn ° w 7I r1 I n x cr d u' a w ? u c Ut 1 v 2 J a � CL1 F ¢ 1 J Q I I! <� ,I y ro Yi o � cr I 0"-- � Z V ` i ° a- it f r-, r CITY OF TIGARD ORDINANCE #77-26 STREET SYSTEM DEVELOPMENT CHARGE DATE: - �' /'� ESTIMATED SALES PRICE APPLICANT NAME _ _TELEPHONE # f' JOB ADDRESS BLDG. PERMIT # � AMOUNT OF FEE FOR S. D. C. -- ' r DESCRIPTION OF IMPROVEMENT EXEMPTIONS -PER ORDINANCE #77-26 FEE RATES: A. Single family dwelling unit under $60,000.--------- $300.00 B. Single family dwelling unit over $60,000.--------- $400. 00 C. Mobile Home Court Space (New Development)---------- $150.00 D. Multi-Family Dewllings--per unit------------------- $240.00 E. Commercial, Industrial & Insi;itutional(Park. Space) $ 50.00 each F. Single family unit under $40, 000. ----------------- $250.00 J O a 1 J