15235 SW 94TH AVENUE _15235 EW 94'.,H AVENUE —
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639-4171
'CONTRACTOR.
Pursuant to Section(s) of the Unif-orm I.-luilding Code, the
following item(s) require correcting:
rye- ---- -.�---.___--.--
Permit No. ---- _.�----
Inspector�X� ---_
CALL FCR REINSPECTION
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ADDRESS 17- 3 PE MIT NO.
PEP.?lI T CHARGE none
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OWNER � � �. CONr:ECTIOrd FEE
PA I D By R CPiL
T`'PE OF BuTLOING IlLSJ DATE CONNIECTED
SERVICE RATE INSPECTION FEE L-2k a .
CONTRACTOR PAID BY - DATE _
SIZE OF CONNECTION � A55ESSMENT � _ PAID
WM WL91WE
a.
C- -LN/ of Mechanical Per,nit Pe.,,nit 53.00
z , ] Fee
Ne,%, Ins*a,.ai on e: ace Reiacation Addition LAhi-�raiun t-j 4 -
State
TOTAL --
C--NTRACTOR OWNER
ADT)R ESS WORK
APPLICANT
PHONE
Heat Input Rating (BTL) Per Hpur) Vent Size obje.size
FUEL OIL ❑ GAS ELECT ❑ OTHER
ITEM NO.
FEE ITEM NO. FE
rc
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP 10.
4.00 Air Handling I N
New.. Under 100,000 BTU
New- 100,000 BTU & over 5.00 Air-Handling Over 10,000 CFM 5.1
4.00 Evaporative Cooler 31
Floor Furnace
Kampe-niied 4.00 Range Vent Fan V
Wall - Floor - —
Only Vent System 3.1
Install Vents' 2.00
Repair Heat & Cooling
4.00 Hood Commercial 3.1
-
Air Condition Compressor Undzr 3 PP 4.00 Commercial Dui System7.50 10
..Nit Condition Compressor 3 to 1 HP
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REOUIRED FOR ALI CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY ATE
RECEIPT NO._
KWKWJIm
JOHN E. REINHARDI BUILUING ULPAH rmLN'I , TIGARD N0.
PLUMBING INC.
P.Q. Box 129 PLUMLING PERMIT
NEWBFRG, OR. 97132 holder of a valid plumbing contractors license is hereby
authorized to cause plumbing wni k as herein nutud to bu installed in •lccordance with the, piumbin7 corle of
Tigard. Such installations require inspection by the City Inspector who shall be nwif;hcl ilot Icss 111 ul four
(4) hours prior to the time the ;Ilstaliatiuns art ready for inspection. City of TiUmtl (lusiness !_ic0'114111, re(a'i(e�t�
for all contractors and sub-contructurs.
Owner 9`>< tti,
� NUni11EN Of-
TYPE
F r iv I Ai _ r�-11M:i NO.'S
TYPE OF PERMIT 1'rrhis FEL ON EACH Y AMt711N r f;ca Usr Only)
Jr._ ._.._..-_. L.....__
ou lex-Each 1 bntl•, snit 215.00
Additional both morn tl-earh 10.00 10,00
Mobieach .--
INDIVIDUAL_FIXTUgE
1 to 50 Fixturoe In 1_buminp_eeeh _ .__ __.�_.. __.. 3-00 ------ ------
51 to 100 Fixtures in t buildlno-each
`101 to 20_0 Fixtuiet in 1 building-each . _ _—_ ____2.00 - --
201 or more Fixtuiet !n 1 building-each _. 1•S0 - --
MISCELLANEOU9
Building Sewer-tat 150 ft. �_ _ __ MOO _
Sew•r-each additional 100_ft. --
Water Service to bulldlnlL____-,,._._�
Private Water Yateml-each 100 ft.
SL __ _ 1n• _.___.._ - -
Other �tleJV): -
PEnMIT 06 For l'lumblng Irsprr flan Phone 6.79-4191 f
% Stet s Plurnbinq Cnntractor by��12��,(, --,1s, '1'�
7UQTA1. RECEIPT NO. Issuna try
tIw � � air
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BUILDING PERMIT APPLICATION 11TYTIGARD DATE 10/LC'/ .__.
3101
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILC✓;-R PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. GWNLT2PHONE
�y 4Y 7'A LOT rd0. _- --------
OWNER I''I� � 1 1 {7CI u JOB ADDRESS "HOMI'.ADDRE55
__ -_ ARCHIT'kCT�-� —�
ENGINEER
BUILDER ADDRESS _ DESIGNER
S7HUCTURE C1 NEW ❑REMnDEL OAODITION ❑^^REPAIR ❑RENE WAL ❑FIRE DAMAGE ^I ❑DEMOLITION
C1 RESIDENCE El comm ❑EDUCATIONAL ❑GOV'T CIRELIGIOUSI_3P4TIO ❑CAR PORT LDGARAGE ❑STORAGEL.JSLAB ❑FENCE
❑BOND ❑MOVING [:]CONDITIONAL USE LJ DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCI,UF'ANCY_ _LAND USE ZONE q-7 _BLDG. TYPE ` ! .FIRE ZONE PLAN CHECK BV_ ___. HE AT
Tit xw I a_J,,jAUe tame pass 1 128: Sial UrennjivinP ! . r race.
i t; mad Tounhuuus u/rattelched greliK+ 4s, i !?adxaJm - 1 I..aalul:�
UC��LS�A4Z.___e__ELq-Q1S?AP_ �.1SiF1T.._----_. _ _N9�SISLI33-T A1�8 t''�Y4�Qa�Q@QQN1�.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
�- THIS PERMIT 19 ISSUED SUBJECT T'O I NE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check V) 00 REGULATIONS AND ALL A✓PLICABLE CIDES AND ORDINANCES, AND IT IS HEREBY AGREED THATTHE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal `1 AL.I APPLICABLE CODES AND ORDINANCF..S. THE ISSUANCE OF TMS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS- CONTF'ACTOP AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Taxi LI¢INSE. SEPARATQ P UMIT5pEOUIRF.D FOR SEWER. PLUMBING AND HEATING
Total 00C 02 $10060L
0L
By ----- — -
--- APPI tCAN 1 OR AGE N:
rj
DAT[ INSP. TYPE INSPECTION REMARKS `i PLUMBING DATE
Z— _ft -- Contractor -- —
Z�.G1c� r�
---- ---- ParmitNo. 34►,4D 1A-1.7 7s- V
Rough-in�-_— _-2_n_-D1 V _
Fixture
Final --- --- -
HEATING
Contractor
Permit N L / 26 �—Ll-77
— -----�--__ .� Y'�' I 111
Gas or Oil
Hough-in
— --_� �.-- Final — _--- ---
_.--�_._---------- — SEWER s
Final
-- DRIVEWAY
Final
Storni Drainage
(Rain Drai:4 Final
Sid9walk
Curb&Street Final
Approach
BLDG.DEPT.FINALA TEMPORARY CERTIFICATE OCCUPANCY —� —
G CERTIFICATE OCCUPANCY Final—�� ----
Landscaping
Zoning Final
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IN PERMIT APPLICATION CITY TIG,A,RD
BUILD G E RM IT AP G ATI N 0 LIF
,JNDE HF!GNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHON X39-31U(
AS SH;1WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECI ICIATIONS. OWNER PHO..
LOT NU.
�1 tca.la �2 �, JOB ADDRESS' �X' HOME ADDRESS
ARCHITECT
ENGINEER
ADDRESS DESIGNER
ARE - .'SEW iORFMODEL ❑ADDITION `—QRErAIR ❑_RENEWAL_❑FIRE DAMAGE- _❑DEMOLITION
r r rE F "AMM ❑EDUCATIONAL DGOV'T ❑RELIGIOUSI.JPAT10 ❑CAR PORT ❑GARAGE ❑STORAGE OSLAS ❑FENCE
MOVING �DCONDITIONALUSE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
I AND USE ZONE— BLDG.TYPE_<&_FIRE ZONE _PLAN CHECK BYW_�.�—�� HEAT __
- a�
r,u F49.D_R_19A�_,— __._.!!E_�HT..---- — N4_;:zQp1Es_._��►A�3�j...3�_Q. j;IEQQM�.�rYA14 _ _3
14011 ICING UE PART ME NT SET BACKS FRONT REAR LEFT SIDE. RIGHT SIDE
�-��—� THIS PERMIT Ib to �iFD 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
t, Intal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- — RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TC HAVE CURRENT CITY BUSINESS
Ialr Tax — — LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
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APPI ICANI 0 A NT ..T---.^.-----
I
.I 1 • �r1 —._—_ Receipt No —
AUUNE55 v- PHONE
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