8800 SW HAMLET STREET 8900 SW HAMLET STREET
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Pe;mit-- S3.00
City of Tioc1rd Mechanical Pcrnil \TO
Fee
Nero' Instellat or, Fea!ace L� relocation ❑ Addi-ion ❑ Alteration � 3;i.State
TOTAL._ :7 �___
CO`.TRACTCIR�_ �l/�f'� J'�l�il'.!'1;�_'�_h;A1
y Ot1'IvcR -- 1 �LNr��✓ /70r01F�
ADnRES5 � • �UX `� �`.$� /I, *�,�,� WORK ADDRESSG / .l5,� L
PHONE�..����2� _ , APPLICANT_.._�' —
Heat Input Rating (BTU Per Hour) n Vent Size FIue.Size
FUEL OIL G GAS ELECT ( OTHER
ITEM NO. FEE ITEM NO FE
- For !ssuance of Fermo, _ ^j 3.00 Air Condition Compressor 15 to 30 HP T10
- r4ew• Under 100,003 BTU4,00 Air Handling 10,000 CFM f�.�_ —L 3_(
New• 100.000 BTU & over ( 5.00 Air Handling Over 10,000 CFM
-� Floor Furnace4.00 Evaporative Cooler 3(
; = WallFloor •S--5ed 4.00 Range Vent Fan
Install Vents Only 2.0_0 Vent System ( .31
Repair
. Heat & Cooiing _ 4.00 Hood Commercial ---�-� � i
Air Condition,Compressor Under 3 HP 1� 4.00 Comrnerc ial putt System
••Nir Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S C01,4MENTS _.
I.- CITY BUSINESS LICENSE REQUIf FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY '_' - - -- ISSUED BY _ DATE
RECEIPT NO.
ADDRESS^_
PEHMIT CHARGE none
J
0U.vER CONNECTION FE(_ --
__ PAID OY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE fir ' INSPECTION FEE
CONTRACTOR M. PAID BY _ DATE
SIZE OF CONNECTION A5SE55t1FNT _ i PAID
? kj0 ' 7oV kkvo `.
BUILDING PERMIT APPLICATION CITY TIGARD DATEr
THE UNDERSIGNED HEREBY APPLIES FOR APf F,,v111 FOR THE WORK HEREIN INDICATED BUILDE11-FHONk"6_9'2'J'+
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO. rcLJt0
OWNER 'SIA � �JflywFl �Yt3t i 11 JOE ADDRf_S41F "" til,; iftjrn;,tl11„ HOME ADDRESS
� ARCHITECT
ENGINEER
BUILDER' ''U+ _illr}L?t ADDRESS DESIGNER EU1116t
STRUCTURE LINEW ❑RE'MFIDEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEM�-OLITION
❑ RESIDEPICE ❑COMM ❑EDUCATIO-1NAL ❑GOV'T ❑RELIGIOUS❑PATIO LICARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑QOND ❑MOVING ❑-0NDITIONAI. USE ❑DESIGN REN IEW ❑COUNCIL APPROVED ❑SI SNS
OCCUPANCY;__LAND USE ZONE �M BLDG. TYPE----' _FIRE ZONE`'— PLAN CHECK BY w ._ HEAT
6.L iL le ij.ly dwsliint i u/otL4che_ d jo�jr �c,,v Lri _
LLit Clta.
At :17j76 — 662h,00 -- Gerequ — A4 _
ARcA...
BUILDING DEPARTMENT SETBACKS FRONT 201 REAR 41 t Z<'1 LFFT SIDE RIGHT SIDE..
Permit I 1 _f) -- — -- — — _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cheek , V REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
"--"'-� - WORK WILL.HE DONE IN ACCORDANT:F WITH THE PIANS ANDSPECIF,CATcONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE Of THIS PERMIT DOES NOT WAIVE
-- -- RESTRIC.IVE COVENANTS. CONTRACIOR AND SUB CONTRACTORS TO HAVE CIIRRENT CITY eOAINESS
StaIP, Talc . LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HFATING.
Tett) r_,.._...- rli.)1 � Vw49\' 7
IJY l e I
---- --- - APPI.If ANT OR AC.F NT
Annr,-tvod Hv�,-iI,1 No
ae� nw
t
DAT[ !'NiR TYPE INSIPECTION REMARKS PLUMBING DATE
Contractor
Fermat No.
Rough-in
Fixture —
//� Final
HEATING
Contractor
Permit No. Is-7
Gn or Oil
--- — ---- Rough-in
Final
�-
------ -- Final
-- — —� DRIVEWAY
..— -- ----- — —�--�._ Final
_ Storer Drainage
---� — — --- (Rein Dnin)Final
~� .• .^� Sidewalk
—� — Curb Si Street Final
Approach
ELDC.DEPT.FINAL TEMPORARY — CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY — --
LandwAping
Zoning Final