15225 SW 94TH AVENUE —.-15225 SW 94,nLli AVENUE
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ADDRESS /J � -r�_ �(/ 'Z. PEPNIT N0, 1 _--
PERMIT CHARGE none
A ,T
0� EP, = ---- CONNECTION FEE
PAID BY
TYPE OF BUILDING DATE CON':ECTED
SERVICE RATE �� INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION A E 'S ENT PAID
WE Of ff� WIN
I C. - A- V o 1 1031 ll
_ Fre
v' geala C L� n_I ' —
rV2ti': Ir:S;a1;aiion w OCntipn ❑ ..ddition El < hL,ation :M State
TOTAL—_J
C^,`:i R Ar T O Rf1 f E.fPJ4l.• 1.live."A.G1L..lal�_
AD R"�S _ `_-�p_/ �— WORK ADDkESS 1�'12� � ( t �
_
PHONE .--_JGlV= ;� .__^___ A??L I G A N T�.
Heat Input Rating (BTU Per Hpur) Fent Size __- �I Fiue . ize
FUEL OIL ❑ GAS L" ELECT- 13 OtH4R
;T
'- ITEM NO. FEE ITEM NO,' FE-
t' - For Issuance of Permit -A�- 3A0 _ Air Condition Compressor 15 to 30 HP
=�?~ New- Under 100,000 BTU ( 5.00 Air dandling 10,000 CFM
?' New- 100,0D0 BTU & over � 5.00 'Air Handling Over 10,000 CFM 5
- —— ----_
`:. Floor f=urnace _ _ _ 1 4.00 Evaporative C,aoler � 3.(
Wall - Floor -Suspended - 4.00 Range Vent Fan 2 j
Install Vents Only 2.00 Vent System �— -
_- Repair ---mood
Heat & Cooling _ T 4.0^ moodCommmrcu+l j
Air Condition Compressor Under 3 HP 4.00_ Commercial Duct System31
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air Condition Compressor 3 to 15 HP - 7.50 -- -I-'-
t INSPECTOR'S COMMENTS
^.ITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTOR
c" APPROVE=D BY DATE ISSUED BY
_ RECEIPT NO.
=' 7" Signature of plicitn
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BUILDING DI-PAR VIVILNI", 'I'WARD JOHN E. REINHARp? NU.
PLUMBING INC. PLUMBING PERMIT �
P.O. BOX 129
hulder of a valid plumbing contrao.)is lir.ensc is hereby
authorized to cause plumbing work as herein noted to be incalled in accordance with the phimbinn code Of
Tigard. Such installations require inspection by the City Inspector who shdll be nut.ifir!.; not Ier,S thin four
(4) hours prior to the time the Installations alt: ready fur inspection. city or nvrii niisirioss License required
for all contractors and sub-cortrnctors, 3G I r�
Owner Ad_ /lddrpss_./.�._
NUMItLn OF 107A1 PI7.11M1T NO.'S
TYI,r Or PERMIT ITFMS FCC ON EACH AMOUNT Ulllicu L)w Only)
51n le Family-1 bath-•eachDuplex-Each 1 both unit 28.00 _
Additional hathrooms-each w 10.00
Mobile Home Spore-each _ _ 18.00
INOIVIbUAL FINTUAF FEES
1 to 80 Fixturos in 1 buildin9_ench 0.00
81 to 100 Fixtures in 1 bulidinp_each_ x.80
101 to 200 Fixtures In t bulldin :epch _ 7..00
201 or more Fixtures In 1 building--each
MISCELLANEOUS
tlulldin Sewer-1st 50 It. , _ 10,00
8ewor-each odditional 1001t, _ _ _ -_ _ 10.00
Water Service to building _ _ _ _5.00 a_ _
Private Water Systems-tech 100 It. _..._� .._...._ 10.00
tERM1T For plumb/rlg Intowrinn phone 6394t9f ,
19� stater rfr, / a Plumping Contractor Ely
TOTAL RECEIPT NO. Iseued By
BUILDING PERMIT APPLICATION o f CITY 1p/�/TIGARD DATE ,is 72
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYINGPL,'.NS ANC SPECIFICATIONS. OWNER PHONE_
Q+� IL� ova LOT NO.
OWNER I Unlgktif) WiV• C,o.J03 ADDRESS1522J sw fFiOME ADDRESS
-- ARCHITECT
ENGINEER
BUILDER ADDRESS _ DESIGNER
STRUCTURE _❑NEW _ 0 R mnD_EI_ rr��YOADDITION — C3 REPAIR RENEWAL _❑FIRE DAMAGE CIDEMrT-001ION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL_000V'T CRELIGIOUS❑PATIO ❑CARPORT ❑GARAI-E ❑STORAGEQSLAB OFENCE
QBONO ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW LICOUNCIL APPROVED ❑SIGNS _
OCCUPANCY—!--LAND USE ZONE' *7 BLDG.TYPE FIRE ZONES PLAN CHECK BY. L TI, __ HEAT
ui,n)rt –iseua same sea 9622 a)U ',XU.)LI.JUjd P18Ce. —
F rumou Townhouea a/ettelchac1 La rt9 a.
5, war Permit -17455 %625.00
OCC, L ADF.t 44H.14�______.��_ f1L____._ NO.�S Ci4�$�_.___AR NO.BEDROQIM,%__. VALU --
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit $154.iJCi THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1�)�gi'1 REGULATIONS AND ALL APPLICABLE CODES ANC ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WI'!H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total U 4.Qu ALL APPLICABLE CODES ANO ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WANE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta>r tj.16 LICENSE. SEPARATE.PERMITS REQUIRED FOI; SEWER, PLUMBING AND HEATING.
Total si 70. it, IJUI- ¢,'2 – 411,jJ i.Iij
_ � I��► [PVI ICANT OR AGFNT----^
/Inn.nun• ^^ fi g'' Onmmn♦ Alm
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DATlt IMe;s TYPR' IN$PECTtON Fit"p►tlK5 �f
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CITY TIG,"A RD DATE- 14 ! � N?
iUILDiNG PERMIT APPLICATION of `o
4i oNC,E RFI(-)NEO HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF__
+• AS SHi�Wol' AND APPROVED IN THE ACCOMPANYI PLANS AND' SPECIE ICAI IONS. OWNER PHONE–• —
� • LOT NO. 6=1Y .-._.,.._
u 41�G1� �. ��
. . , JOB ADDRESSIr Z b,� HOME_ ADDRESS _
ARCHITECT
ENGINEER
ADDRESS — DESIGNER
;F ' OREMODEL ❑ADDITION ❑HI,PAIR _ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION
NCE OI.CIMM []EDUCATIONAL y OGOV'T ORELI000US OPATIO OCAR PORT ❑GARAGE O STORAGE OSLAB ❑FENCE
DMOVING ❑CONDITIONAL USE --�ODLSIGN REVIEW _ ❑COUNCIL APPROVED [:]SIGNS
LAND USE ZONE V.fQ!nj BLDG,TYPE._-F IRE ZONE.3 PLAN CHECK BY----- HEAT.. _
17 94/
/'�--- -
<. AU.--.. _...._.F 1 Q_QB l.48�_. — -- H€LG�!? —`–._�NQ- iIS2RIES --_.�►RE3�_�9y @EA.ROOA'l��Z...VALUE
_H_UILDING DEPARTMENT SET BACKS rRONT REAR LEFT SIDE RIGHT SIDE
-L-'�4 E— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS 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
uh I0te1 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- ---- ------ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
181E Tex (� LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
�In,
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_ AI, ICANTOR AG I T
approved Receipt No -
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