16095 SW 92ND AVENUE 16095 SW 92ND AVENUE
a�
c
N
m
3
N
Ln
m
O
�D
r-1
G
ty Of Tabard Mechanical Permit Permit—
Fee—
New
ermit—FeeNew Installation ❑ Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 4 e State
HEATING �/ TOTAL__-Z
H
CONTRACTOR(�,; ,l�`i1,;9i,, „ V.L� , � 1 �.;r,' WNER
ADDR ______,4q0,_a_ WORK ADDRESS__
PHONE _ APPLICANT _
Heat Input Rating (3TU Per Hour) Vent Size _^ Flue Size
PUEL OIL ❑ CAS ❑ ELECT ❑ OTHER
ITEM NO. FEE
ITEM N0. FEE
nor I,suance of Permit SFE AKOV" Air Condition Compressor 15 to 30 HP
N,?W-up to & incl.100,000 BT ^� 4.00- Air Handling 10,0_00 CFM — 1000
>> • - — _ 3.00
w'- 100.001 BTU's & over- 5.OD Air Handling Over IU,QOD CF!l9 ~�� V 5.00
Floor Furnace _ _ �- 4.00 Evaporative Cooler
Wall • Floor •Suspended � � _�_ 3.00
4.00 _ Ra_nge Vent Fin 2 00
Install Vents Only 2.00 Vent System
,qapair-Heat& Coolin - 3.00
g �~ _ 4.00_ Hood Commercial _ 3_00
air Condition Compressor Under 3 HP 4.00 Commercial punt System --
Air Condition Compressor 3 to 15 HP - - — 10.00
7.50
,.NSPECTOR'S COMMENTS
:ITY BUSINESS LICENSE h 1UIRED FOR ALL CONTRACTORS OR SUB-CON
>PPROVED BY DATE _ ISSUED BY •: DATE 7
:iECEiPT N0. - -- —` �-
Signature of Applicant
1 BUILDING DEPARTMENT T�GARD __ +
P UMBING PERMIT N9
I' holder of a valid plumbing contractors license is hereby
authorized to cause plu ing work as hnoted to tie installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the Citj !r,spector who shall be notified not less than four I
(4) hours prior to the time the installations are ready for inspection. City of "Tigard Business License required � -
ior all contractors alp sub-contractors.
Job
Owner t f l Address133t _•�_.-
NUMBER OF TOTAL
TYPE OF PERMIT -- ITEMS FEE GN EACH AMOUNT
�.
R SID NTIA1-
Sime Fami1Y_1 bstlt-each 25.00 _ __ ��•.
Ouplax-Each 1 bath unit 25.00 — 1•�
Additional bathrooms-each _ _ _ 10.00
Mobile Home Space-each __ 15.00
INDIVIDUAL FIXTURES COMME T A -
1 to 50 Fixtures in 1 building-each 3.00__ 31
51 to 100 Fixtures in 1 building--each _ _ 2.50 -- —�_
101 to 200 Fixtures in 1 building-each 2.00
201 or more Fixtures in 1 building-each 1.50
MISCELLANEOUS
Sewer-e �— 10.00
- - --- - ---- — i
W iter Service to building — i— _ �— _- 5.00 --- i
_Othor (Specify)
PERMIT l 60 For Phirnhing Inspection Phone 639-4171
4 e4 State Plumbing Contractor By
TnTA1 orrriDT Mn a„ �J
iffm / / / / / /
AGDRESS PERMIT NO.
PERMIT CHARGE none
OWNER - CONNECT ION FEE o G,�_
PAID BY
1 PE OF BUILDING DATE CONNECTED
SEP,IIICE RATE ��' �
INSPECTION FEE
ZONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
�I'I 6 �
SEVIIER PERMIT
N" 15858
Unified Sewerage Agency
of Washington County CITY OF — Ti ❑aarf DATE _ 4-I.4-78�_
OWNER: Rniim,n-1 i 11gnagd PHONE :_._
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
TY�
'L >8UILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x�E 'NEW >❑�- INGLE FAMIi_.Y n COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MOLT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE :
PERMIT CONDITIONS: THE APPLICANT AGREES 1-0 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 FORFEITE) SHOULD
EXPIRATION OCCUR .
FEES :
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ETHER ISSUED BY
TOTAL $ 625'
/'—!! APYVICANT DATE
]TICE; %K'� :Ara N° 15858
JOO DATE, s BIER SERVICE SEWER PERMIT
GNraRt)E vJILL BEGIN MR THIS
ADDRESS OF STRUCTURE 16095 SW 92nd Ave.
TAX MA'-, 'TAX LOT SYSTEM nao creek
LOT BLOCK OF
APPROVED BY DATE ISSUED `0�
�` DAT
D. U. 'S 1 REMARKS bldg. #2030
ips"'!M
Irl 7 )
BUILDING PERMIT APPLICATION CO
F1TY TIGARDDAIE-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN ANO APPROVtD IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT
OWN..ER '.JU44A(". JOB ADDRESS 16095 $41 92nd Avec HOME ADDRESS
ARCHITECT
BUILDERS31111111iADDIESS 9290 SU Durham Hn. ENGINEER
DESIGNER
STRUCTURE CINEW R I'MA CIADDITION 0 REPAIR CIRENEWAL C:IFIRE DAMAGE ODEMOLITION
RESIDENCE CICOMM DEDUCATIONAL OGOV'T EIRELIGIOUSOPATIO OCARPORT 0GARAGE OSTORAGE OSLAB OFrNCE
DBOND 0MOVING 000NDITIONALUSE ODESIGN REVIEW CICOUNCIL APPROVED DSIGNS
OCCUPANCYLANDUSE ZONE R-7 BLDG.
— TYPE—,FIRE ZONE—_ PLAN CHECK B%' HFAT____..
j",0vo aiw place on concrete foundation ren*; &Aji�.416 family hu(jew not lu tyle
_Lc'('U0js6 1111til fif)61 *oProval Prom build4rig ana planr0m(� dept.
_L�nqC permit required*
wer-parralt 1:28�j13
CC,.LOA 40AREAVALU_
—Affislal— NILMRIU 2 25— _E40,R%.
BUILDING DEPARTMENT SET BACKS FRONT 50 REAR 36 LEFT SIDE RIGHT SIDE 21
Permit lb7.00
THIS PERMIT IS ISSUED SUBJECT TO THE mEGULATIONS CONTAINED IN TI'E BUIt DING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total .1J7.00 ALL APPLICABLE CODES AND ORDINANCES. THE v:;3UANCF OF THIS
PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SFPA �
26 ok . "J. PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
'Total 153.23 PeD,C*#2 $100.
By
APPLICANT OR AorN
Approved Receipt No,
I— _j
I
, I
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
r Contractor
Permit No.
oA
— -- --- --
Rough-in
----- - - ---•------- - _. Fixture _ -- -
---- ------ ----- Final -_
_ HEATING
— Contractor
�_ -- - - -- Permit No.
zT
- -- --- Gas or Oil S 70 11- -7 y
Rough-in N
Final -- --------------
SEWER -
- _-- —--- FinalS'/'�. ?
DRIVEWAY
—------ Final
!—_—_ -- —_ Stam Drainage
(Rain Drain)Final
Sidewalk
_ -- ---` - --, Curb&Street Final --�
_ Approach
BLDG. DEPT.FINAL` TC:MP Y CERTIFICATE OCCUPANCYCERTIFICATE --- --�
CERTIFICATE
_ATE OCCOCCUPANCY Final
Landscaping
Zoning Final