11945 SW 95TH AVENUE 1.1945 SW 95TH AVENUE
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CITYOF'T11 ARD
WASHIN 37ON COUNTY,OREGON
DATE: 4-27-83
OWNER: Brenda Friday PERMIT#: 2736
ADDRESS: 11945 SW 95th, Tigard, Oregon 97223
On 82 a permit was issued for the installation of
c a wood :.stove in your residence, As of this date records do not:;'itldfcate
an inspection of such inst illation, . as rea .fired by igard Municipl�l° ipt
Code.
Please inform this department as to the status of your project 's0 a: time
can be' set for an inspection of your unit.
Sincerely,
Brad Roast
`.: Building Inspector
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— — 127.55 S.W ASH PO. BOX 23397 TIGARD, OREGON 97223 PH:639-4171
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City of Tigard Mechanical hermit
New Installation E] Replace F A Relocation FJ Adcition ❑ Alteration DATE:
HEATING
CONTRACTOR �, — ._ OWNER_ � .
ADDRESS JOB ADDRESS �'•< ��_
PHONE �L" APPLICANT --
Heat Input Rating(STU per Hour) Vent Size Fiur; Size
FUEL 0;1_CJ GAS ❑ ELECT n OTHER _
ITEM — NO. FEE —� ITEM R NO. —FEE
SEF BELOW
For Issuance of rmit _!
Each Air Handlin�Unit or Duct System
— 7.50
_New•up tc & incl. 100,000 BTU 6.00 Com,ie_rcial Hood System --- 7.50
New 100,0 0 br_1T's & over —_ 7.50 _Other- u ma ent Each ,_ — _ W4.50
141oodburnin9 Stove — _4.50_ 1 Trip Inspc—tion — 4.50 —
Wall-Floor- Suspeed_ _ 6.00 Air Condition Compressor - up to incl.3 H.P. —_ 6.00
nd
Vent System w/Fen_— — 4.50 Air Co_ndition_Compressor-3.1 to 15.H.P incl. 11.00^_
Repair-Heat Cooling —_ _ 6.00
CITY BUSINESS LICENSE REQ AREO BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMITISSUANCE — 10.00 Comments:
FEES
SUB-TOTAL
% STATE Issued By.(
25%PLAN CHECK
TOTAL REC.
_ nature of Applicant
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CITY OF IU-20 7 .. o 0.xr .3.3 3
BUILDING PERMIT APPLICATION TIC ARD DATE_ —_ ,19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
OWNER Mllini,;� ADDRESS a.1i�45 5*Us 9t)th Ave.
-�_ ___.. BUILDER PHONE _
ENGINEER
C1 V IiI r'f1
EUILDER ARCIiITECT DESIGNER _
STRUCTURE _ ❑NEW OREMODEI_ OADDITION �OREPAIR ❑RENEWAL OF19E DAMAGE ODEMO�. TION
EIRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ORELIGIOUSOPATIO ❑CARPORT ❑GARAGE OSTORAGEOSLAB OFENC:E
❑AOND
1:1 MOVING ❑CONDITIONAL USE ODESIGN REVIEW OCOUNCIL APPROVED OSIGN,-
-Y�7- 5-1 r1 -
-_ --
O4CUPANCY__—a LAND USE ZONE- BLDG.TYPE _ FIRE ZONE_ PLAN CHECK BY— _ HEAT�_,�
t.siEll t s:ti:+ 1d delux 8 x. 18 aluminum pdtle,
UBC 2576 --
QCC. LUPJ FLOOR LOAD ^� 4EIGHT___ NO.STORIES _ AREA VALUE. 300
BUILDING-DEPARTMENT SET BACKS FRONT REAR LEFT SIDE i RIGHT SIDE
Permit — --��
THIS PERMIT IS ISSUED SUBJECT TO 'HE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 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
Recording ALL APPLICABLE CODES IND ORDINANCES. T14E ISSUANCE. OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State ,� j LICENSE. SEPARATE PERMITS REQUIRED FOn SEWER, PLUMBING AND HEATING.
Total ?'
By _ r IF
"---
APPLICANT OR AGENT
Approved Receipt No.
ADDRE55 '-----------...-_�—
DATE' INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
P,rmii No.
Fixture
Final
HEATING
Contractor
Permit t No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Fii
Sidewalk
Curb&Street �inal
Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
-an(scapirig
ZoninC mal
/j
Adc!ress__,/ y3KS S, 'V, 475 �Z� Permit No.
p �� Cra
Nameof Occupant e f Permit charge
Connection fee
-_._____.__ _.- raid by /
Date connected
Type, of Building �
Inspection fee—/()
�
Service Rate Paid by,64 Date `
Contracicr_ �)2 k-� Assessment_ _Paid_,_,___
Size of corinectio a ocr
.............
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard .unitary District, to abide by and compl; with 0< ordinances, :equlations and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from time to t-me when due and before such charges become delinquent.
I fully understand that all unpaid sewer service charges become a lien upon. the
' property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made by bonded contractors anal/or
bonded and licensed plumbers.
Owner
APPROVED BY
Superintendent
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 685 DATE
1`ERM1T I5 GIVEN TO / J'7 �.4 :( �h Y. / ✓Q1�1- xs4/l A
,
OF
TO CONNECI A
TO THE SYSTEM OF TIGARkD SANITARY DISTRICT
AT
THIS PERMIT MUST RE POSTED ON THE DESCRIBED PREMISES UNTIL.CON-
NECTION 1S MADE AND INSPECTION OF CONNECTION VIAS BEEN COM-
PLETED.
PERMIT FEE PAID $._. .........................TIGARD SANITARY DISTRICT
113,
reww��mow. .wwrww wraw�
CONNECTION INSPECTED AND APPROVED
--'
Date Sup rin endent