10875 SW 108TH COURT-1 ! w / / /
10875 SW 108TH COURT _
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ADDRESS loe-76, `C5 PERMIT NO.
PERMIT CHARGE none
OWNER ��✓c� � Leyz�xzl- Lk" CONNECTION FEEPAID B Y
TYPE OF BUILDING _ f DATE CONNECTED
SERVICE RATE INSPE':TION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION 7 45SESSMENY PAID
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Cl Ly Of I IL��ji�� Mcchawcal Per.mi 'N, 9
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Fee
Neve Ins:al;at on '�Rea!ace V relocation ❑ Addition ❑ Alteration ❑ 4 �State_
TOT A I_"__���s'S t-•"____
CONTRACTOR �_��J1�fL?,i► }z.n���_L OWNERIegaci vA JAM
ApnRESS_ �_ ,tr _. J C WORK ADDRESS1o4!"t .UJI, o® ? �___
PHONE APPLICANT
Heat Input Rating (BTU Per Hour)��Qr�GX�_ Vent Size � FIue.Si7e ^
FUEL OIL E GAS � ELECT U OTHER -- :_____
ITEM NO. FEE ITEM NO. FE
For Issuance of Permit `T 3.00 Air Condition Compressor 15 to 30 HP
• New - Under 100,000 BTU 4.00 Air Handling 10,000 CFM _ �3.
New• 100,000 BTU&over L_ 5.00 Air Handling Over 10,000 CFM _ _ _�5_t
Floor Furnace 4.00 Evaporative Cooler ( _ 31
Wall • Floor •Suspended 4.00 Range Vent For - 2.1
,
_ Instalt Vents Only 2.00 Ven: System —- 3
7,- _R•pair • Heat & Cooling � 4.00 Hood Commercial _- "l 3
! it Condition COWDressor Under 3HP �- _ 4.00 Commercial Duct 3ysiem R 101
lr Condition Corepressor 3 to 15 HP 7.50 _
INSPECTOR'S COMMENTS_ _ -------_ —
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE , ISSUED BY DATE
RECEIPT NO-
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., k 1 9
BUILD NG PERMIT APPLICATION COF
IT TIGARD DATE_
THE UNDERSIGNED HEREBY APPLIES FOfl APE RMI T FOR THE WORK HEREIN INDICATED BUILDERPHONF
OR A'L SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 1Q
LOT NO._y
OWNLF',rruwheed Deva (70 JOWA60RESSHOMEADAve-
_ DRESS
ARCHITECT
1.57 b SLI 116th A V tp. ENGINEER
BUILDER l96J(tlli; ADDRESS DESIGNER
SST ;
STRUCTURE .+ W1vEW ❑Rf'MCIDEL ❑ADDITION_ ❑REPAIR ❑RENEWAL _ ❑FIRE DAMAGE ❑DEMOLITION
CyRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑ E'
GARAGE PORT L GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE C1 DESIGN REVIEW ❑CO'JNCIL APPROVED [:]SIGNS
OCCUPANCY LAND USE ZONE —.—BLDG. TYPE_ FIRE ZONE. P'_AN CHECK BY _ HF
framed tdwell.L% w/ettechud gerags 3 tjutir :yam 7 bo ch
gerrs;ia j2U reissuts of 13605 5U Croom, --
e9wer psrmit,' 15986
QQC. L01Q FLOQR LOAD _._--_.1IEIStIjI —__NO.STQ(jIF 1 1>REA'L,, Si�—f�`Q @EQIQOMS 3 VALUE 401'llJi,
BUILDING DEPARTMENT SET BACKS FRONT Z!j REAR 20+ LEFT SIDE I I RIGHT SIDE 1 U
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Che0 1Q'•OQ 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
Sub-total 162.00 ALL APPLICARLE CODES AND ORDINANCES THE ISSUANCE OF T141S PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 6•l o LICENSE. SEPARATE PERMPTS REOUIRED FOR SEWER, PLUMBING AND HEATING
Total 1F�t3.Hf1 C1400L' S30(),
n•U„C. 11 $1000
By ---
APPLICANT OR AGENT
Approved Receipt Na. 1,_,I'`�/
ADDRESSPI.1'�0INIV
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DAT(E'> INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor n
Rough-in
�-"e" ,- Fixturr ------
��� Inal
HEATING
i
1-r ,L, Contractor
J„1 Permit No, z 0� — ���•. L
' Gas or Oil
Rough-in
-29 Fine.
_ SEWER --
Sf Final - _,
DRIVEWAY
Final
Storm Drainage
(Hain Drain)Final
Sidewalk
Curb&Street Final
i Approach
�6L[Xi_DEPT. FINAL TtMPORARY CERTIFICATE OCI:UPANCY
If 'PTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
i
,_,BUILDING DEPARTMENT, TIGAHD
i A PLUMBING PERMITI
__4 holier of a valid piumbing contractors lir•ew:c; is hereby
authorized to cause, plumbing work as herein not(!(! to be installed in accordance with the plumbing code. of
Tigard. Such installations require inspection by the City Inspector who shall be outificcl not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contr;- dors and sub-contractors. �1 p
Ownel ,� ��_—__-- Ad(Iresl/0 ��`J..
NUMHUR OF It-,IAL prfiMll NO.'S
TYPE JF PERMIT ITEMS I Fr_r ON EACH AMOUNT' (Offwe Use. Only)^
Sinfllo Fornily.:71 bath---each 1,;011 �S
-----__ -----------
Uupiex_Eoch 1 hath unk. — 7:;.00 --- - --~ ----
_At,drtlonal bathrooms—tach y tn.nn �I
Mobilo Homo 5 ace_rarh 15.n0_
INDIVIDUAL FIXTURE FEES
_1 to 50 rlxtures in 1_buildina—each1,00��
—61 to 100 Fixtures in 1 building—eoch __,._—.—_•—,_-
101 to 200 Fixtures in 1 buildin —each
201 or more rixtures in 1 building—ench
MISCE_LLANEO_US _
(lulldinr5ewor--1st 90 ft. 10.00 __ —.--- ----
Sewer—eoch additional 100 ft
Water Servieo to builrlinZ__- 5.00
Pfivate Watnr-antems--each 10.0 ft.
Other f9reeif _ ___._._•...1_� --_� ---._ __._..—..I
_PERMIT �_. ( for Plumbing lnsPectiort Phone 6394191
% Humbling to °'
_.__ Humbling C(mtroctor By
TOTJIL _ ( (� RECEIPT NO. I!sur:i Cy