11135 SW 106TH AVENUE 1
11135 SW 106TH AVENUE rr
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ADDRESSII 3-3 �, (1) ��>�> _ PERMIT NO.
_11 � — � 7
PERMIT CHARGE none
OWNER CONNECTION FEE
PAID BY QCfr1C�
TYPE OF BUILDING ---- DATE CONNECTED
SERVICE RATE 6 �� � INSPECIION FEE
CONTRACTOR PAID BY _ DATE
SIZE OF CONNECTION ASSESSMENT PAID
{ BU11_DING DEPr;RTAr1E�IT� TICAR.D
i M
PLUMBING PERMIT •
j /y� rs___ holder of a valid plumbing contractors license is hereby
1!�ay.
authorized to taunt plumbing wr' as herein noted to be installed in accordance wirh the plumbing code of i
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four i
li (4) hours prior to the tinea the installations are rec-d•; for inspection. City of Tjgar Business Licens,: required )
for all contractors and subcontractors. I() 3 j s� 1 0
b
Owrer�21S(_VL (MCI Addres,
NUt.13FR bF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITE`.tS FEE ON EACH AMOUNT (Office Ute Only)
Sime,-Ia Family`t ba.h-anch -_^ 25.00 Od i
Doole.t-Each 1 bath uni_ 25.00 s}
fy Addirionnl b_rthroums-aach -__ _ 10.00
Mobile Worr;e Space_each ---- 15.00
INDIVIDUAL FIXTURE FEES_
�1 to 550 Fixviro}t in 1 builddrq-arch -i - - 3.00 ,-
�' 51 to 100 Fixtur•!t in 1 buildiry-each 2.50
101 to ?rf0 Fi,.tu.,gs in_1 b r ldirv'-each 2.00 )L
201 or more Fixtures in 1_bu1rfin9_each`_ _ ._ _. ._ -� 1.50
. MISCELLANE0US --,-
aui!eir; saver-1, 50 ft. _ 10.00_
Sewer-each edt:itional 100 ft. - 10.00
warer 5 mite to bui1dir,5• i _ -- _ 5.00 - 5 800
Privrtq 1';.ttar Svsterrc-etch 1GrJ ft. ^_� ------ --10.00_-- _--�-- -- --
PErZ�rtlT_ Q For plur;rhrnq in;;c ^^Phonp 639.4171
o stat,_ �� Plumbing Contractor By
TU1"A _ RECEIPT NO. Issu;� By
P
i
" .�...q�lF,_- -....e+..+,.�...•..---ar+.-•.w-�-�...�.._._-...�_.. - - ...,.,...r---....�.__ ..��-..--.�-�,�,,,___... -....-_•-.n._ -__._....--��+.-•-• - ---wry ---- �
BUILDING PERMIT APPLICATION �o Y TIG/s•::v DA IE -_--_ . 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDEt?PHO1 IF
OR AS SHOWN AND APPROVED IN THE C O PANYING PLANS AND SPECIFICATIONS. OWNER1'HONF'
OWNER 5 t iO V4) Ol p(bi 6 3 i0i )DRESS i �I �i M HOME AD'1RESS
7
ARCHITEC'i
9ENGINEER
BUILDER ADDRESS��J `�`� at,
� DESIGNER _
STRUCT'1RE ONEW UnumDEL ❑ADDITION [:]REPAIRLJRENEWAL [:]FIRE DA._IAGE []DEMOLITION
❑ RESIDENCE ❑COMM ❑Et UCATIIONAL (3GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE C)STORAGE❑SLAB ❑FENCE
❑BOND ❑MOV ING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE _BLDG.TYPE___-� FIRE ZONE
a PLAN CHECK BY_=___- NEAT _
!:,.jcwtruct .it.. i wnily nacre?.ilrlb w/,;It'Lacha(I ;;,Ir- , --
--- t.®aUr.uump tiath
:. uwar jr 17' 76 ^mount ',()25.[)U_
Plumbing & heatinU permit rie4uirwd
QCT I nAD _FLQOR LOAD--- HEIGHT - —ISL(-$IIZP-I�_�._.._._AREA �3 a�1 NQ.BEDROOMS -) VALI�f, _i-
BUILDING DEPART MENTI
SET BACKS FRONT � rI' REAR ,'i� LEFT SIDE { t RIGHT SIDE
Permit L. 7.(71 _._�--- —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONT..INED IN THE BUILDING CODE, ZONING
Plan Check 78, jU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND Il' IS HEREBY AGREED THAT THE
WORK WILL eE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total 1354 111 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax- t_,. :.1. LICENSE. SEPARATE PERMITS REQUIRED FO R, PLUMBING AND HEATING.
P d
Total R'::r1.7F1 �r+►-,�.I.w / 1^-0. v-6
BY WP-PI.iCANr OR A(.F Ni ----._..�------ - ----'�.--------- -_
Approved Receipt No / ���
IF W i IWA
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
222-7$ 13 JTom.3 , W Contractor
Permit No. /70.,5
Rough-on
/,7'). '72 Al . e��Z, f,— -L5
J Fixture
Final
o;; HEATING
Contractor
Permit Nu. 399
Gas or Oil
Roulih-in
la,
SEWER
Final
DRIVEWAY
Final
Stoll Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCC C" Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
,
jJILDING PERMIT APPLICATION 'UF {C. '%RD DATEe___�) ac2_,t9.%e!!. No
J OND, 4F)IO�'ED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON&Zyfs-Q-S-?�P
AS SHOWN AND APPROVED IN THEACC,pMPANYING PL ANS AND SPECIFICATIONS. OWNER PHON`
; �i/�/7 LOT NO.__.
a Jop ADDRESS (/ HOME ADDRESS
ARCHITECT
ENGINEER
t R ADDRLSS -----DESIGNER _
UNE _-MNEW - ORE MODEL DADUI TION QREPAIR- -ORENEWAL DFIRE DAMAGE ❑DEMOLITION
x iC!-NCF -DCOMM ❑EDUCATIONAL--DGOVT OREL (-,IOUS[JPATIO ❑CARPORT_-DGARAGE DSTORAGEDSLAB ❑FENCE
1P0ND DMOVING DCONDITIONAI USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS a_�
_'Y,.'�LwLAND USE ZONE _BL DG T vPF - L1/F IRE ZONE 2- PLAN Cl-ECK BY.._ _ HEAT.�!of
F_L94AJ4!►D_ ..Q_.. . HEI�Ht _ _.—_NQ�I.QAI _�... AP-�P_�'3.� NS2 A�DR001'A5 3 VALU_ �d
BUILDING DEPAHTMEW. SETBACKS FRONT y REnR n LEFT SIDE RIGHT SIDE Ci
:lei mit ���^�
/// THIS PEPMIT IS ISS;IED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �� �r 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 COMPL IANCE WITH
Subtotal `S ro ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
2
LC RESTRICTIVF COVENANTS. CONTRACTOR AND SLIB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
oe Tax f/�; f� LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
Pv ---------------_-- ----- - ------ --..._. .____
Arlp,ovedRFceipt No
- -
en
low
r_�� L7
1 �J)
I .
r,.i t y of Tigard Mechanical Permit � ' Permit___��,QO 14
New Installation El Replace �.� Relocation [A Addition 11 Alteration ❑ State
GO T CTOR _
N R/��
"�►r L _ OWNER
ADDRESS_ J�5,3,1. S X WORK ADDRESS J S 4"1 Q 4-��
PHONE7 7"1 XD I APPLICANT 7 c. _
Heat ltiput Rating (BTU Per Hour{_ S'__ E Vent Size p Flue Size
FUEL OIL ❑ GAS ❑ ELECT ❑ OTHER
ITEM NU. FEE ITEM NO. FEE
For Issuance of Permit rL� 3.00 Air Condition Compressor 15 to 30 HP 10.00
New•Under 100,000 BTU _ >e,_~ 4,00 Air Handling 10,000 CFM r 3.00
New- 100,000 BTU &over 5.00 Air Handling Over 10,000 CFM 6,00
Floor Furnace 4.00 Evaporative Cooter 3.00
Wall - FlooT Suspended _4.00 Range Vent Fan _ ;.� _ 2.00
Install Vents Only _2.00 Vent System __ 3,00
Repair. Heap.&Cooling _ 4.00 Hood Commercial 3.00_
Air Condition Compressor Under 3 HP+ 4.00 Commercial Duct System _ 10.00
Air C inditirm Compressor 3 to 15 HP 7.50 r
iNSFECTOR'S COMMEN TS
CITY BUSINESS LICENS(: 71EQUIRED FOR ALL CUNT9ACTORS OR SUB-CONTRACTORS
APPROVED BY� DATE — ISSUED BY DATE �.
r'IECEIPT NO.
74 'Signature of Acplicant