10895 SW 108TH COURT 10895 SPI 108TH COURT _
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tti��•: InS:�I 3:iOn Rl:l'a_C ❑ Relocation ❑ ;dditlOn _1 L,lftratiOn 10 '40'iState L25 _-_
_IOTA! _ � _1.11 �__
CONTRACTOR� fJtAi� �.►Z.��,� L �_— C'�';P:cR �p .�� � � i
WORK ADDRESS �
PHONE _ ��L C' 32L- -- APPLICANT_ �• 'FJ41=�t�k,)flSy
lieat Input Rating (BTU Per Hour)- ` 1 C7jclhf � Vent Size LLQ Flue Size
FUEL OIL J GAS ELECT L] OTHER..,.__
ITEM NO. ~l:r ITEM NO. FE
?�-
; or Issuance of Permit -3.00 Air Condition Compressor 15 to X HP 1� 10(
New • Un"r 100,000 BTU 4.00 _Air Handling 10,0_00 CFM 3r
iTew• 100,000 BTU &over 5.00 Air Handling Over 10,000 C.-M
F=loor Furnace 4.00 Eva,orative Cooler 34
:0 wall- Floor .Suspended �L4.00 Range Vent Fan — 2.(
Install Vents Only 2.00 _ Vent System 3.(
Repair • Hea_t & Cooling 4.00 _Hood Commercial
yA.',• Air Condition Comprtr•sor Under 3 HP _4_.00 — Commercial Duct Syst^m
:lir Condition Compressor 3 to 15 HP 7.50 —
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3` INSPECTOR'S COMMENTS W
:x CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SLIB•CONTRACI7RS
-+�_ APPROVED BY DATE ISSUED BY, _�. DATE
3.." RECEIPT NO.�
Signature of Wplican
�r _r•��—'�'^'_ ----- _ .. ��'=^";. �JMMgMN1 lAjryV_•'Js4
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JOHN 1. REii;�1;'G' Pi!'`!fl,u�, i'.+i IF
BUILDING DEPARTMENT, TIGARD N0.
P. 0. OIX .:9 PLUMBING PERMIT i
tiE1!US"I. !'1131 holder of a valid plumbing contractors license is hel,O)y
authorized to cause plumbing work ar herein noted to be installed in accordance with the plumbing code of
Tigc.rd. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Bl slness License required
for all contractO177 sub-Contractors.
d�l�('iLxr Ji �/
Owner Address �y CU 1t1 �� Date___,LL�
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)_
Single FemIIY 1 beth--each _ 25.00
OU lex—Each 1 bath unit 25.00 _
Additional bathrooms—each _^�� 10.00 60 _
Mobile Home Space—each _ 16.00!
{NDIY'nUAL FIXTURE FEES ��
1 to 50 Fixtures In 1 building_each _ i 3.00
t to 100 Fixtures in 1 building—each 2.50
101 to 201 Fixtu.,.11n + building—cath 2,00
201 or more Fixtures in building—each 1.60
MISCELLAN"OUS
Ruildf Sewer-11t 50 ft. 10.00 _ T
Sewer—each oddttlonal 100 ft. 10.00 +'
eter Service to building „ ^+✓5.00 —_t-!'Tic_
f Private Water Systems„-each 100 ft. 10.00
PERMIT (j 0 For Plumbing Inspection Phone 6394191
0% stat@4 Plumbing Contractor By i
TOTAL RECEIPT NO. Issued By
I
1
i
�� ^w.M,N"`wAla.-n...*R•q�,-q�ty�MF'WN'77..A,�'.'�T't"�':�9^1i'T'7�+�CF{:'74�7_•n7„'.
BUILDING PERMIT APPLICATION 1�FY TIGARD GATE '�/3/ la
THE UI,4DE HSIGNFD HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS di')O/N AND .�,PPHOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERF'HQNF-
LOT NO.
OWNER �: i7QNe 6i,.•JOF3 ADDRESS 1'U+ qL� L013� t1
------ HOME ADDRESS
ARCHITECT --
BUILDER game ADDRESS lIi ltl:; SW 116th ENGINEER DESIGNER fiub Kn1tlht
--
STRUCTURE ONEW LJRFMODEL ❑ADDITION ❑REPAIR ❑RENEWI—AL ❑FIRE DAMAGE [:]DEMOLITION
El ❑COMM ❑EDUCATIONAL LIGOV'T ❑RELIGIOUS❑PATIO ❑CARPORT []GARAGE ❑STORAGE❑SLAB ❑FENCE
_❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
UCCUPANCY 1""3 LAND USE ZONE R-7 _BLDG,TYPE AFIRE ZONE-- PLAN CHECK BY HEAT I
Construct single Femily dwelling w/attached garA49. 3 F;Iar,r,,.Jlar�
SEE+ CORPECTION SHEET ATTACHED,
Sower PurmaL• ,i18767 - %625.011 98,11, 11 ,11 be aqvi4w
-�-
A0 13 1 .:2 3 441,91G�
Qg�.LOAD _t_l,ll S2EJL49R�. —_ HEIGHL__�_..-_1���$S4E ARES ��Q.BEDA001�►,�__VALUE ---
BUILDING DEPARTMENT 20 31.60 l3, 13
--- ET BACKS FRONT 20 LEFT SIDE RIGHT SIDE
Permit $163.()Q - --_--
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 81.5u REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND I1IS HLREBY AGREED THAT THE
WORK WILL BE CIONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 2A4.4',IJ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICIIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Sts Tax L,, ;a LiC4E. SGPART,It,"JtIA1_TS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Toter $7;11.02 P)Dc 1. $100.00
By P1
APPLICANT OR AGENT !--
Approved _ ' Receipt No./'r
DATE INSP. TYPE INSPECTION REMARKS PLUMFJING DATE
- _ Contractor
ys Permit No.
y-7 liough•in
Fixture Y —
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-In
Final
SEWER
Final
DRIVEWAY
F i.,al
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCjfiqkcy
CERTIFICATE OCCUPANCY Final
Lendscaping
__---� Zoning Final
31JILDING PERMIT APPLICATION CITY 'FI ARD DATE L — .�,19 79.` 1�2
UF
"'FIC
ARD
UNDERSIGNED HEREBY APPLIES FOR APE HMIT FOR THE WORK HEREIN INDICATED 6UILDERPHONI —6,19 (,"j„�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICAl IONS. OWNKFI
LOT NO 1 4 _—
,,cv, 9. Arrowhead Deo. JOR ADDRIESS 10895 SW_108th�Alve _-_HOME ADORI:SS B aek Bull1 Par cc
ARCHITECT
ENGINEER
8�►->?�DF�.Se.mee nnoFress I f3S 51a.�(�b� _ . tiEs!rNFFtr Bob-A.night_
1�NEW ❑REMG'DEL OADDIIION - L.�REPAIR — ORENEWAL trFIREDAMAGE ❑DEMOLITIOl'
URE r� nn t-1
X SIOENCE (]COMM ��COMM uEDUCATIONAL ❑Gov't-O pitwj1OUS,OPATIO Or.A4PORT rIGARAGE i36YORAGEOSLAB OFENCF
L-IROND OMOVING OCONDITIONAt USE ODESIGN HF VI EW OCOUNCIL APPROVED []SIGNS
'CUPANCY-._SFR LAND USE ZONE R��� HI DG IvPF Y N_��FIRF IONE_� PLAN-CHFCK BV,
+--— — -- - A _ —
(T.C..-LOADll-AQiI9—RlJ9$ 1. ;EA�3 _No..9E I{_:i_._VALl&��9/�•
__BUILDING DEPARTMENT_[ — SET FLACKS FRONT 201 REAR-_32.681 LEFT SIDE 31 RIGHT IDE 131
Permit ` •e W� '---- - --- ------- ---
THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, 20NIN(
Plan Check atm RECL'LATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 1E HEREBY AGREED THAT THi
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE W171
SubJlOtal 7�� _ .� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT 0011 NOT WAIVI
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES'
Matt ]x (j. Z LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING,
total ,Zs o t
9Y Pres.
Appi-ICANT OQ Ar.Lr4T
Approved Receipt No. ARRO
'— 1>dUPESS DEV.
15785 S. W- 11 ra+h •-
TIGARD, OREGON 97223
PH. 639-0243
SSG 400
'-i C 100 it �
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