12915 SW HAWK'S BEARD STREET s
1.1915 SW HAWK'S BEARD STREET
F-
W
Li
X
H
cn
0
m
Q
w
m
D
a
z
3
ul
un
rn
r�
� I
LAW
Z' gfi�^ y�
^.tii•rr t '�AwFsr �A' A`vn JrY"A�'1t.`4 •. ,r� „r. ti y k ft
rl 14
WAN
by�•J�� "� .'�a"C� '�'J�'�fin��=.c�A,vy�ay�4+LR9��P�fi^�✓Rat�^T.�,t�5�i :,;L,;,'n_,. .�vvaF"a'vvTr""'�.' .a 1A� iA�
CN
t.0 Ln
rp
fA
h o amu"
. . v
0
;J' W 'J ~ 'y r� 1Y
.N a
.j o
U �
ow
Of
rc
Ix
IC
IT �t 41 PIC
a �
U
xEnC4
'C .110, I
� Ln
a u a
43 �
�j cd w
a cu 03
S
t � '•d�a^5'r3uu�B'a c:+ �a� .........�..��.:.c��vur,.;..r�rr
-- PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
zuthorized to cause plumbing work as hereir, noted to be installed in accordance with the plumbing code of
-Cigard. Such installations require inspection by the City Inspector who shall be notified not less than tour
(4) hours prior to the time the installations arp ready for inspection. City of Tigard Business License required ; •
for all contractors and sub-contractors. t
Joh
Owner i/(!o� AddressL-?`1/J ,S�J i�J&41t
NUMBER OF TOTAL
-- ---TYPE OF PERP11T ITENIS ,FEE ON EACH _ AMOUNT
R F S I n ill T I A I_
5in�!e Fnmit 1 hath-•each `- �/ _ 25.00
_Ouplax_-Foch 1 bath unit 2:.00____ i
_Additin(W bathrooms-each -„ --,� -- 10.0
Po!ohil-• Hom:,;•a�,�-ouch __ _ _ 1!',,00 - � i
:.r._�.____._-�-- - - ---_----- •----- -_---_.._ - --_ -_.. . 1.
INnIVIDUAL FIXTURES I;0(`1f�EHCIf1
-- _._L_________ -.
1 to 50 Fixtures in 1 buildin_ --each _ 3.00 j �
i•Y�r
51to 1c0 rixtures in 1 building_each _ 2.50
101 to 200Fixtures1n 1 building-rich _2.00
201 or more Fixtures in 1 buildinl-each _ - - +1::,u
RI ISCELI.ANEOUS
_Sewur-eeath additional 100 It. -
_Water Service to buildiny— _.- _____ Y- _ 500 _ -___ ---__ _ _ �_---_--• - I
_Otho. (,Eec{Iy3; w- 17
PERMIT_4�5-p U For Plumbing Inspection^bone 6.79.41%1 1
1--ITAL
State_ j`c7 Plumbing Contractor By
q6 40 RECEIPT 'JCS. Issued By __-----__._.-,---
YrN
City of Tigard Mechanical Permit NO.
NewInstallatlo Replace ❑ Relocation❑ 'lddition L] A.1mration 1_1 DATE: _
HEATING /� r• OWNER�15 �,Cc �^���► T.'?::1
CONTRACTOR „L�_1�-Z-- _ '••
p �
ADOF �_`l 1Z�� �s� / /)JOB ADDRESS
APPI
Heat Input Rating(BTI.) per }lour) rL�O �' Vent Site Flue Sizo
FUEL OIL E] GA ELECT J OTHER
ITEM ____��U. FEE IDEM 1 NO, FEE
Eo `
r Issuance ofrmit PeGEL' BELOW Each Air Handlin�Unit or Duct System �� 7�0
New-upto & incl. 100,000 BTU P.00 Commercial Hood System 7.50
New 100,(100 HUT'S & over 7.50 Other Egiiipmont • Each 4.ii 0_
Woodburning Stove 4,50 1 1 Trip Inspection _4.50
Wall-Floor- Suspended 6.00 _Air Condition Compressor - up to&Incl.3 H.P. 6,66-
Vent System w/Fan 4.50 Air Condition Compressor-3.1 to 16.H.P.Incl.
�11.w"rn
Repair Heat Cooling_ 6.00
CITY BUSiNE.'a'S LICENSE REQUIRED BY ALL CONTRACTORS OR SUB.CON'T RACTORS !
PERMITISSUANCE Comments:
F7ES 3n
SUB-TOTAL 0 7
% STATE r,� Issued By _
J§%PLANCHE K
BUILDING PERMIT APPLICATION TIGARD DATE _1 - ts_.�r 3562
THE UNDERSIGAED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTN0.A QLk Amar�-
OWNER I rLaUamLrk Haines JOBADDRESS129i!j bW Huwks Heard 5trest _ � Summer Lake
ARCHITECT
ENGINEER
BUILDER Sams ADDRESS 7100 SLI Sandburg St. DESIGNEE, Trademark
STRUCTURE iX NEW ❑ REMODEL fA ADDITION ❑ Re-PAIR ❑ RENEWAL L1 FIRE DAMAGE ❑ DEMOLITION
U(RESIDENCE [I OOMM n EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Cl PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABLI FENCE
0 CUPANCY _R=3_LNND USE ZONE t7I'D BLDG.TYPE _5rI_FIRE ZONE —__PLAN CHECK BY _dWh HEAT
Cunstruct ningle family dwelling w raattached garage. w 2 6edruams 3 Ei _--
SEE CORRECTION 54{EET nTTACHED.
SEWER PERMIT#23256 — $750.00 --
OCC.LOAD _FLOOR LOAD AG HEIGFfr V 23 NO STORIES_ AREA NO.BEDROOMS_2 VALU$5d,l O(l.
BUILDING DEPARTMENT SET BACKS FRONT _ REAR LEF'SIDE RIGHT SIDE 1
Permit t.1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEn IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES, AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ i 0,r'. du WORK V.ILL BE DONE IN ACCOFIDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES 4ND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total307.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 'I, 8020 sCc * tuo.��" 'i'MAF(IjWCUt' AP( E: OF $060,00
Total $315.70
F, GN I $100.(3jPL
r. ICANT OR AOEN—l
' --- --- _
By 1
Receipt No. =
Approved dwh cx �� AODREBS PHONE
DATE INSP. TYPE INSPECTION RE94ARKS _ PLU BING `
DATE
Contractor
` `s -�/ �.7 -S•� — ---�----___�._�._�� Permit No. �
Rough-in
y `� d;.r.• 70�r v s Fixture
Final
HEATING
Contractor /� `0.-
GH _ i had' P44,nQX t314r, �Z-/1-�/ Parmic No.
Gat or nil
Rough-in --
__ Final _
SEWER
�. Final T/
—_ DRIVEWAY _—
Final
Storm Drainage
(Ram Drain)Final
Sidemilk
Curb&Street rinal�_
A{., ouch
BLDri.DEPT.FINAL TEMPORARY CERTIFICATE OCC7ANCY
CERTIFICATE OCCUPANCY Final
Landscaping
�- i Z,,ning Final