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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following itern(s) require correcting:
Date:-/ 7 - 7 — Permit No. _ -- --
Inspector
CALL. FOR REINSPECTION
sis snsr Irrr ■w ul� .w � sssr. �
%,-It)/ of fio.-I d Mech afi)CQI Per),If � 0 Permit----
_
Fee S.90
New Ins;a!Ia:,on —lW ;,°:,'ace l._J nP.IpcaLOn El HOClitiOO _J Al;ara:lOn � 16,ii.Stab
CONTRACTOR �^ �
P* CaA-�_ T-UtZrJ4C.ii1. 2s OWN ER�l�1�t..�al-�
ADnRE.SS_ O. i�cic 'J L��+Q�CIK-.� �t.�"e, WORK AGDRESSIM4RPHONE
.� Ln Cyt: APPLICANT__
Heat Input Rating (BTU Per Hour)— �tv- Vent Size Flue. ize
FUEL OIL OIL EJ GAS [it' ELECT [] OTHER
ITEM NO. FEE ITEM NO. FE
Issuance_o! Perms —� 3.00 —Air Condition Compressor 15 to 30 HP 10,;
-1 ,4ew• Under 100,000 3TU 4 - - _ - 1—----1 —
- __ __ � .00 Air Handling 10,000 CFh1
!
�_._L=:i' New• lOG,000_BTU &over -_ — JO "Air Handling Over 10,000 CFM --� _W 5.i
Floor Furnace _ _ _ 4.00 Evaporative Cooler ( 1-3 4
Wall • Floor .S,lspanded - 4.00 — Range Vent Fan --�.— I 2,
Install Vews Cnly _ 2.00 Ven; System_
----�- .. �- _ T Ji 3�
Repair - Heat & Cooing 4.00_ Hood_Commerc.al- ��_""- 3j
Air Condition Comp,essor Under 3 HP v�--� �4,00 Commercial Duc- System
Air Condition Compressor 3 to 15 HP -7-- 7.x,0
l" INSPECTORS COMMENTS
T' CITY BUSINESS LICENSE REOLIIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
�R
:r APPROVED BY - -_ DATE _ ISSUED BY - TE _
- r _
s RECEIPT NO
ee� air waw raer e� ear ear wrr
IOtIN E. REI"N4!iQ1 PIl!'i"IiC,I�w BUILDING DEPARTMENT, TIGARU N0.
P. 4 10M 1119PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
autllori2e::: :o cause plu ribing work as herein noted to be installer in accordance with the plumbing code of
Tigard. Such installatijns require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to thfr, tame the installations are ready for inspection. City of Tigard Business License required
for all contractors dnd sub-contractors.
1. f ` e Addes
Owner '� �
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FE! ON EACH AMOUNT ()ffice Use Only)
V 2��Q0
Si is Famil �1 beth--each — — `
Du lex—Each 1 both unit _ __ 25.00 1000
—
Additlonal bathrooms-each
Mobiie Home
INQIVIDUAL FILATURE FEES
1 to 50 Fixturos In 1_building—each
61 t 100 Fixtur3s in 1 bulldin —each 2'50
101 to!u '-ixtuns In 1 building--each 2'00 1
201 or more Fixtures in 1 building each —__ '.60
MISCELLANEOUS -
Bu Idln S+wer-tet 60't. �__ _ 10-00 _
L_a_�___
Sewer—each additional 100 It. 10.00
Water Service to_buHdlr�_ 16.00 -_ —
Privete We ter S�rteme�each 100 Lt..- 10'OP---
Ocher SLtcJ1xL ----------
PERMIT � �D For crumbing lnspecrian Phone 639.4191
9b Statin°s�1_wJ..b 1Plumbing Contractor By _..
TOTAL !, RECEIPT NO. Issued By _ --
Msr:aewereP
.•J
BUILDING PERMIT APPLICATION cOF TIC ARD DATE.-,Ysa1y 415 _-, 19-"--
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED EIUILDERDHONE ..OR AS SHOW11' AND APPR'TVED IN THE ACCOMPANYING rLANS AND SPECIFICATIONS OWNERPAOM94 .F;y
y LOT NO.—
OWNER
'.i,.�j..� '.'IJ!'r'eV +• t.17'• ���/.� .ani ',i�ftilai�r.� I'tY`•
JCB ADDRESS HU,ME ADDRESS
--- — — `—
ARCHITECT
ENGINEER
BUILDER --^^ ADDRESS _DESIGNF.I:r-� _R
STRUCTURE O ❑NEW _ RF'M_OD ..
_EL _ ❑ADDITION REPAIR ORENEWAL JF" E DAMAGE - (JOEMOLITION
U RESIDENCE []COMM _❑EDUCATIONAL UGOV'T URELIGIOUSOPATIO ❑CAR PORT UGARACE- D STORAGE DSL AB ❑FENCE
EhOND 0MOVING _ [-]CONDITIONAL USE DDESIGN REVIEW `[]COUNCIL APPFrOVED ❑SIGNS
OCCL1PANCY—LAND USE ZONE—
f�-BLDG.TYPE 54 —FIRE ZONE__. PLAN.11ECKBy._— — - HEAT^____,,
with asta gst*4P _
2 txtttL'rv'K)1rt 2 hath '.larsrs 441
4 136V41v *Ito 399564.
OCC..LQJM _----_. FJ.QS2L��.S?IsP __1�fa1SiF1T — ►�14.� I48!F ---- —tBEA NN OO••BBE�S►SLNLz_._ ---YA
BUILDING DEPARTMENT SETBACKS FRONT REAR I-FF T SIDE -- RIGI.T SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check —r 1 •(ltl REGULATIONS AND ALL APPLICABLE CODE.' AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL ISE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal °lei"' ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO" WAIVE
--- -- �' — RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REOIARED FOR SEWER, PLUMBIN(. AND HEATING.
Total •C ..too,
By APP9_ICANT OR AGENT
Approved Receipt No
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4
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
�. -- Permit No. 3 bi r7_/3'r
Hough-in `
Fixture
Final
HEATING `
Contractor
narmftNo.
Gas or Oil
W � Rouv�:tln
Final
SEWER
DRIVEWAY
Final
T Stor/n Drainage
(Rain Drain)Final
Sidewalk
—�-- —-- — Curb A Street Final
Approach
BLDG. DEPT.FINAL T TltMPORARY� CERTIFICATE OCCUP/1NCY Final
CkRTInCATE OCCUPAh,r /Y �7 1 --
Landscaping
Zoning Final
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