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JOHN E. RUNH,4H01 PIUuBiilr,, J^C,BUILDING DEPARTMENT, TIGABO, i
P 0. BOX 129 PLUMBING PERMIT
__ IiEWBEf�, Gft[GOfi 91132 -
holder of a valid plumbing contractors li nsh is-.hereby—
authorized to cause plumbing work as herein noted to ba installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City inspector who shall be notified not Tess than four
(4) hours prior to the time the installations are ready for inspection, City Of Tigard Business l.icensa required
for 711 contractors and sub-contractors
OwnQr_y t/ _ AddresSIL'6 6`
_TYPE OF P;. NUMBER OF 70TAL PERMIT NO.'S
RMIT ITEMS , ON EACH AMOUNT ;Ol
� llca Uu Only)
A
_ Single Fomlly-t_Lh-etch �—
DUCIex-Each 1 beth unit - --- -
-- 25.00 a
Addltlonelbethronms-each t0no-
Mobllu Homo S tea-etch -
� IN.R;i;`ifly AL FI;:TUBE FEES - 1b.00
1 to b0 Fixtures in 1 bulldiMzaech "�
G1 to 100 Flxtures in 1 building-each 50
- ---
103 to 1 b
700 Fixtures In ulldln •-oath _ �—
201 or more �Ixtures 1111 bu. �t.00
a�lr>g-esch ---
f.1ISCEl.LA14E0US
Sewer—lit 50 ft. — —
1
- 5er•er-each additional 100
_ ft _ 10.00 ,_
Water 5er.1ce to buildlM _ J
_ _
-------'� 6.00
Prlveta�Wator Sy"-M_- -each 1(0 It
10.00
Othor mac f ---w-�- _
~
PERMIT J '�` l ng Inspertion Ph no 639.4191
state �0 '�, ,•'?
TPlumbing Contractor By
_ OTAL AECI IPT NO. Issued By `�'—'-----
wl
c;I_>)G,,. H--3
BUILDING PERMIT APPLICATION TIGARD DATE _"' ,is_B0 3210
THE UNDERSIGNED HEREBY P PPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-,51,01
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
.0'4co 6'v'6 0-Ts LOT NO.
OWNER Tua1. 09y, Co., JOBADD,9ESS4.tkb'z' SW M6rhLuwbrook Dr1VE? __ •�/v
ARCHITECT
ENGh 1EER
BUILDER Same ADDRESS I b,')00 SW 116th DESIGIIER
STRUCTURE XXNEW Cl FIEMODEL (J ADDITION 0 REPAIR D RVj[:vvAL ❑ FIRE DAMAGE ❑ DEMOLITION
1311ESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT D GARAGE C) STORAGE ❑ SLAB FENCE
OCCUPANCY --T--- LAND USE ZONE ._R'r BLDG.TYPF - aN FIRE ZONE-1—PLAN CHECK BY r I W_HEAT E GC• —
r.'ollstruct 2 aator_y condamin*Lim_- "A1° units) all per plans and Code,
3 Bedrooms -- 8 bathu,
-- -- (F'o–Issue of10660 5— .1sadowbrook Drive) - -
SEWER HERMIT M 21.930- - t41475.00
OCC.LOAD FLOOR LOAD 417 HEIGHT it NO.STORIES 2 AREA '=040 NO.BEDROOMS Li VALIIVII6
E
BUILDING DEPARTMENT 4SFT BACKS FRON15E PLAIlI�9EAR _ LEFT SIDE RIGHT SIDE
Permit O+35 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check jB f�0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH At.L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 40. u�j_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stnte Tax l 6.Oj
LICENSE.SEPARATE PFRMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
4i`
SDC- a.j,' `:�c .i,s.1J ++ �`
Total $476, Sia _.Jt�.,Q , (' ) ,
PDC#I I 460ICANTORAGENT }
ETU Receipt No. 7 ADDRESS PHONE)
Approved ` ��,��
t
DATE INSR TYPE INSPECTION REMARKSPI.UMCING _— DATE I
Hco1''act,,
�-!/- �U rr• w l �tsm. .tM� At Parmit No.
y-IY- w• S/� ---- Rough-in ---
,:kl,yy LoW-tom•- Fixture —
9 Final
`Z-
%_A_ HEATING
_
2 /b � { Contractor --
Permit No.
Gas or Oil
Rough-in— --
Pinel
SEWER
--� Final 7-/O'L0 t�(,
DRIVEWAY —`---
___�-- Pinel
Sterm Drainage
(Rain Drain)Final
Sidevaik
Curb&St :et Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OC NCY
CERTIFICATE OCCUPANCY Final _
-
Landscaping
Zoning Final
�1 3
LITY pAT E - —: 19`x' D
BUILDING PERMIT APPLICATION OF TIGA2D
HF ONDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
BUILDER ONE--
L-R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAT IONS. LOT NR PV�oNE _
I Q r Yr �O�JJ LOT NO._�*e�.�Se�^x' r
i_p (�'f,� ��►Ip9 AODRESS �MOhIE ADDRESS —
++ ARCHITECT
1 ' ENGINEER
1 �! _ ADDRESS,-1 ,7Oy'� S.►.1JJ y� J •DESIGNER
_IC`fURE W ❑REMODEL ❑_ADDITION ❑REPAIR O]RENEWAL OF IRF DAMAGE ODEMOLIT-ON
'IFNCE ❑COMM ❑EDUCATIONAL OGOV'T DREUGIOUSOPATIO ❑CAR PORT ❑GARAGE OSTORAGEOSLAB ❑FENCE
QCIND ❑MOVING ❑CONDITIONAL USE ODLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
:.CUFANCY vi IAr,D L•'SE ZONE - BLDG, TYPE "-FIRE ZONE-Ii ,AN CHECK B HEAT.��' � �-
-4L-Q!►Q F199�3_l.4fiD_ (�--F-E`4..UgAiEZ.�t�"�NQ-BEDROOMS S VALUE�U�i d
-_BUILDING DEPARTMENT SET BACKS FRONT `�� AA� ✓ LEFT SIDE RIGHT SIDE -
elmrt - 3�
-' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
plan Check r 0 :10 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
lub•lotal� �- ;3s ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
;isle Tax LICENSE SEPARATE PF RMITS REOUIRED FOR SEWER,
--, PLUMBING AND HEATING.
`�C
--- Ly n Q LC�
,�
foul
---- APDL ICAN7 OR AGENT
%pploved Receipt No. -1Sbat7 'L-►V.W • t l�- ` _� �
- -- ADDRESS
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