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12695 SW 111TH DRIVE 12695 SW 111TH DRIVE _. 1 Li U CE rl ► d 2 r 3 cn ul M qo N 1 I ❑ Ali } iFee_ T/geo'ace 0 Relocation ❑ stale Nr%-v Ins:a :ation �Gxl TOTAL C t-VuL. �_.llNSC&VUA� gM C rt.CTOR �ra�_ IVORY, ADDRESS U,(n9S w. l 1 lADF) PHONE Y� _ ©� APPLICANT p;�n N E — TU Per Hpur) \tL'1© 4n,=—__ Vent Size _ � " Flue Size Beat Input Rating (i3 —r— FUEL OIL ❑ CAS 1'' ELECT ❑ ----- ITEM NO. FEE ITEM NO. FE For Issuance or Perm": v I 3.00 Air Condition Compressor 15 to 30 HP r1U.( - -- ��'I 5.00 Air Handling 10,000 CFM_ _ 3•( Under 100.000 BTU - --- fr• N•w• 10U,000 BTU & over t -� 5.00 ''Air Handimg Over 10,000 CFM 5_( -r 4.00 Evaporative Cooler _ 3.( Floor Furnac" _------- q,00 Range Vent Fa_n 2•( - \4rall - Flooc 5_^ usPended_ 2.00 Vent System 3 Inftall Vents Only -- 4.00 Hood Commercial 3 i, Repair • Heat & Cooling r — -- 10.( s Compressor Under 3 HP `4.00 Commercial Duc. System Air Condition Comp _ 7 50 �'` Air Coad"tr�'n COmp'.essor ,to 15 HP _ — INSPECTOR'S ,.nMMENTS -. ,--' _ '* CITY BUSINLSS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS DATEISSUED BY DATE r. � APPROVED BY RECEIPT NO_774 Sionature of Ap6licad, u Cs'd, .WeM''P/M•�R .. � �.��. �.�, �.a. - - �-._-...^r-r-("1^f;Nr- -�"t +°►7 f BUILDING PERMIT APPLICATION 1NO o Y TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR APE RMITI FOR THE WORK HEREIN INDICATED BUILDER PHONE_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONC — LOT NO.— OWNER O.OWNER m Lutter JOB ADDRESS '.269�� Su Ilithl P! HOME 4DDRESS — ARCHITECT ENGINEER LIUILDER _ � ADDRESS L26Y# `i, JIwk. DESIGNER STRUCTURE ❑NEW ❑RI MODE L ❑_ADDITION REPAIR [:]RENEWAL ❑FIRE DAMAGE ❑DEMOLITION Q RESIDENCE ❑_COMM ❑EDUCATIONAI ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE`❑STORAGE❑SLAb ❑FENCE ❑BOND ❑MOVING 01;ONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _ OCCUPANCY-------LAND USE ZONE.----.-----.BLDG.TYPE..__.-_ _-__FIRE ZONE, PLAN CHECK BY HEA1 �— construct singis t°cllmily dwallin,4 w/at,tw-had 4 steyri. 3 ± wur;,um� - �Itl+•,. ,.'FF CORRUTION SHEET ATTACHED. FI OOR LOAD ( _._!i�lGHT 14 �N9.:LQH!f�.. 1[I AREA 1 U N9,_�€RAQ4M5 YA1JV_F - BUILDING DEPARTMENT SET BACKS FRONT 11 REAR �} LEFT SIDE _ RIGHT SIDE Permit ;. !Ju THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 8L't.DING CODE, ZONING Plan Check 4. j0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERFdV :.nREEO THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AF D IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEP(f!T DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTR'%CTOR AND SUB CONTRACTORS TO HAVE r.URR%NT CITY BUSINESS State. Tax 7. 36 LICENSE.. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATIN i. Total !1.06 JUC, I iiuoluc) P1 - —'-- - --- -- By APPLICANT OR AGt N T Approved "a' f1 Receipt No ,( r -- ------- — .,....,....__.-.._�,.....�.v DATE INSPP, TYPE INSPECTION REMARKS _ PLUMBING DATE Contractor Ptrmit No. liol `T—,q--7 Hough-in Fixture L—zk:—; _D4/ � oVo QST Final A, -- HEATING B✓.d=79 = Contractor q -- _ - permit No. 16-33 3oyC Gas or Oil 1 Rough-in SEWER Final — --- — - -- — — r DRIVEWAY Final — Stom Drainage (Rain Drain)Final Si lewelk Curb 6 Street Final ---- —�--_ _r -- ---- - Approach -- -- BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUP NCY CERTIFICATE OCCUPANCY !7, 1 U Final_ - — �5 �'( Landscaping Zoning Final 'ry BUILDING PERMIT APPLICATION c,F TIG����3 DaT£�� THE UNDERSIGNED HEREBY APPLIES FOR APER.10IT FOH THC%vop,< I•IEREIN INDICATED BUILOERPNGWF`39-YVQ`L___ OR AS SHO-,';14 AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OIYNEPPHori- _ ' ' 4ALOT O�yN_R '3/Q� �Q � 109 ADORE53 /I '�?,:f ---P/610—#W ARCHITECT / e ENGINEER eUIl_Dcq I! AOOREW. II(OI S_1_8_ Le_._&M DESIGN=R R STRUCTU5 NEWC3y FIEynOEL Q_ADolr_IO_N0 _ _ PEaAln ❑RENEViAL OFI��FI-I11E OAMACE -- ❑OEMOLI i"I,CN _FtcSID£NCE CCOti!h, ❑EOUCATIONAI ❑GOV'T ❑R@LI,!OU�UPAr10 L7cAaPoFI* ❑GARAGE t�ISTORAGE{,..JSLAB ❑FENZ CC;CU?Ar_—y-R-1.-.ANO USE 20N"c q--'O__GLOG TYPE S ,FIRE ZONE A PLAN CHECK BY _- 3-k MEAT_. Aga 4 6t SEWER PERMIT -- ^ _r_ AO_G4I)P LOAC __.. FIEIGh11' Jti1).z 1A!="; AREA Va SUILCIN, DEPAFIr iNT - 5E t'BACKS FROM' 22. F1EAR .fit LEF'SIDE (p RIGHT SIDE 13 _ Permit l;oov THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN 514n Check yy—b REGULATIONS AND ALL APPLICABLE CODES AND OFIDINANCES, AND 1 IS HERESY ACFEEO THAT TH �-- 60FIN WILL EE GONE IN ACCOROANCE WITH THE PLANS A.*i7 SPGCIFICATIOP4S ANO IN COM-PLIANCE Y:I i t `',u5•tOtdl IJO ALL APPLICABLE COOES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT VIAIV t RESTRICTIVE COVENANTS. CCNTRACTOR AND SUB CONT RAC,"ORS TO HAVE CUaRFt4T CITY SUSINES I S.3te Tax S�I LICENSE. SEPARATE PERMITS RaGUTAED FOR SFWEA, PLUVEIING AND HATING. Teta! p� SDC2-9 — a; PDC# Appruved Receipt No SDC - 44-0 o roc - T /oo SEWER CONpdECTION S Gr00 SEWER INSPECTIO�J S SEWER SURCHARGE S Comments . z 2 x 27 s��f C� x 3.s— 2 S' ,x 2n-L /03 27 / 33- 2 le,17