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40
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform 3uilding Code, the
following item(s) require correcting:
D at e Permit No.
Inspector 4-00�—
CALL FOR REINSPECTION
gur
Amin
ADDRESS �So� Ca � W L PC.RMIT NO. ? .�
PERMIT CHARGE none
I�
0I ";ER ,�', �Q, �? CONNECTION FEE
i PAID BY
TYPE OF BUILDING �/, DATE CONNECTED
i
SERVICE RATE INSPECTION FEES'. "
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
'— i -- -�_...-._..,t��n.`3!"1�"="_�Mw�"=- aul'..w.�crrn..:.a•._.,..•r,r........ � ._..-.._ ..
I
City of 1 . 0ciFd MCC 11Lit Iic(1l Pamit NTPermit. S-2-,Q Fee � 0
New InstallaTion 00100 Ren!ace Relocation F Add Tion Alteration J �•)k�Sate I .__�
TOTAL.- *,J..).-
CONTRACTOR OWNER 1yC',
ApnRESS
WORK ADDRESS LW�� S_L%).q�..
PHONE _ _�aE]_-"�. 1 __- ---- APPLICANT
Heat Input Rating (BTU Per
Hpnr) _�Q Vent Size . Flue.Size
FUEL
OIL G GAS ll�l EL.ECY ❑ OTHER
ITEM NO. FEE ITEM NO. FE
_ —�—
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP__ tO.0
`•`
New, Under 100,000 FTU 5.00 Air Handling 10,000 CF%l 3•C
New- 100,000 BTU & over 5.00 Air Handling Over 10,000 CFM �`_- 5.t
Floor Furnace 4.00 Evaporative Cooler 3
%Val' • Floor •Suspended _ 4.00 Range Vent Fen — r 2 L
Install Vents Only _2.00 Vent System ( 3(
Repair • Heat & Cooling _ _4.00 Hood Commercial _ _ �1 3 I
Air Condition Compressor Under 3_HP 4.00 Commercial Duct System
N,ir Condition Compressor 3 to 15 HP 7.50 W^
i.
-' INSPECTOR'S COI,IMENTS_ -- —._—.—.--� — -----
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
APPROVED BY__ DATE _ ISSUED BY ATE
RECEIPT NO. _
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� Y' � I� I■F 1f �
- .._.. _.... -,"'�iU14"' ,�.,,....,.._.___.M....,.,.__^,.�..,„,,•,A.�,.,.,mw„ .'�4m„•,y,�r�;fey,�'u”�n,+-"--..n.^..^--''�.+Ef"�----�---. _._......_.__..._..___...._._.
](0 P12"
BUILDING PERMIT APPLICATION 11 Y TAGARD DATE tc/ — 19 7{
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE+ _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLA�AND SPECIFICATIONS. OWNER PHONE
(� 4Vr- LOT NO.
OWNER 1U�1Etthan , JOB ADDRESS,,. Iii 11 4 HOME ADDRESS
_.�., ARCHITECT
ENGINEER
BUILDER _ ADDRESS ^^i
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION O
_ REPAIR ❑RENEWAL _OF IRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIG_N REVIEW ❑COUNCIL APPROVED DSIGNS
_OCCUPANCY A3 LAND USE ZONE_—--BLDG.TYPE FIRE ZONE..— PLAN CHECK By _ HEAT
Monterey Re-issue Samu 88t 1026tJ SW Urwonloof T43rrasca.
Framed Tgu;►l,gtjkk u w/attached i2prave. 2 Bedrooms - 7: bAt"ls.
S"sasr Permit 174'A " 662:;.U10
HEIGHT--- NOSTORIES �� NO.BEDROOMS 2 VALU���'
BUILDING DEPARTMENT SET BACKS FRONI" REAR LEFT SIDE RIGHT SIDE
Permit el .**LIL
THIS PERMIT IS ISSUED SUBaECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check 10.00 REGULATICNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
--' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total lt,700U ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Statr Taw) LICENSE. SEPARATE-j"AMI.Tf.REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total i. i`�. 61U09 ull
By P APPLICANT OR AG
St
t.{a 1 dt T Receipt No
Approved •
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
---— Contractor
Permit No.
Rough-in AP
i
i � � — � Fixture — —
Final
HEATING
Contractor
Permit No j(O ��� I q—
7q
Gas or Oil 0
— Hough-in
— —! � -- Final
^ SEWER
Final
-- —�_�__—�-- -- --- DRIVEWAY
-------- —.--_ ��" "_� Final
---- _._.___ ---------- —`---'-- Stontr Drainage
J'--��---`---�--�---i— (Rain Drain)final
--- — Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY %r/ //ter'
Landscaping
Zoning Final
Tw
xwx
nn ryry y� �p' y
' ,I ' CITY TIG, GATE-Y`�; N9
.� JILDiNG PERMIT APPLICAI"ION OF
.iF IINDE HSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICA-FED BUILDER NHON 3Q_3/01
AS 51-41-1WN AND APPROVED IN THE ACCOMPLANS AND SPECIFICATIONS. OWNER PHON
ULOT NO
u�����.-��iJL•_.Ia_JO9 ADDRES "2& a ___ HU_ ME ADDRESS
ARCHITECT
dr*,�.'f/��. ENGINEER
r _ _ ADDRESS_ _ _�M� DESIGNER
HW
E +`VS'�F _ �OREMODEL� ❑ADDITION ❑REPAIR T0_RENEWAL ❑FIRE DAMAGE � [:]DEMOLITION
F ❑ %w LJFU'1CATIONAL 0GOV'T ORELIr,IOU,OPAT10 ❑CAR PORT OGARAGE ❑STORAGEOSLAB (3FENCE
�- `NO OMOVING _ OCONDITIONAL USE ODLSICN REVIEW ❑COUNCIL APPROVED OSIGNS
E AND USE ZONE--9.7--1 BLDG.TYPE�_.�Sff_FIRE ZONE---PLAN CHECK By------
A U
Y_____w_ _ALS FIQ.QR152P1D._ ..
_ -.141,111-DING DEPARTMENT SET BACKS FRONT TM_ REAR LEFT SIDE RIGHT SIDE
THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
r) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
l.[ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Lit) tal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
;,•i Tax — - =2 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
by
APPI r .ANI OR AGF I
i ,pprc+ved r Receipt No. -----
_.
00
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