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11900 SW MORNING HILL DRIVE
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A00R 35I ��_ PERrl1T N0
PERMYT CHARGE // none
0u%,ER _�° '�J .� CONNECTION FEE lPN�J
PAID BY �¢ .
TYPE OF CUILOING ti.�-� DATE COF;^;ECTE0
SERVICE RATE I� c�f' INSPECTION FEE
CO%TRACTOR r PAID BY DATE
SIZE OF CONINFCTION ASSESSMENT' __ PAID
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MILL UXIE IP!UMPING co.1, UcP","T !ENT. TIC?AFiD fi t
t HSKIG S1. 82rd DR. PLU,,'�l:,;•3 PERP,:IT ��� 1•
WCAAMAS. OREGON 9201
-+jam._.__ ho!d!:r of a val*d p,umbing Contractors lice-Isp is hereby
2f ff d I, CO C:t1_:' p!Un'f7irlJ 'iiGr herei(i noted tc. be Instj!!zd In 2C('Or
Y� dance with the plumbing cods o:
Tig,:ro. Suc`I ir,sta!I;:;iws rznquirelnspertinn by tha Cicy Inspector % ho sha!I be, notified not less than four
(YI hours pr;,; to the time the installations are �r�"Y for inspection` airy OF Tigard Business License required
for all contrac-nr, and sub-contractors. L ��1��
. � o Fu `t.� i-
C'�ner_.�fes -' ??f�? ' ��L1dres
s .-• Uate ;
NONI,3FR OF f !
TOTAL PERMIT NO.'S
TYPE OF PSP%'.II' ITEfN3 FEE O! u
ON EACH EL+.iJU�fT
C_"c-5.t OF _T 1•a i __.__ _. r__.�4_ _.�_�� 5 (Oflic+ Use Only)
f 5iny'• ( ,i r,i��l 5th-e_rf1 _. _- - ---I �_` __.__
zs•oo a p k
j v Duolax—Each 1 both unit �_ r ----- ---- 2_5 00
a �4ct�isi�oral b...h.�^m;-•?.;ch_ r�`~
{ IPI O IV I n U F I X r U f•+ . F E
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51 til - - .� - --_—3T00__�-- --- �_
101 tr: :�•l , . in , hu�! I �--�_—_. _....,....__-- �.-_�.._ . ......
to Oil
-
r1 7 a
oG
P ,v ) ' _
for Pl,rrrrbing In,...'c f.'�• 53! !;/j
_ •�..',' iF,'
TO f •I- / ''�/. R:CF:I�I' PlC1• Is�u ! f , .__._ .____� _
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN S1 REET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
Xz
Permit N o.
Inspector
CALL FOR REINSPECTION
__-.�._<.,........_.-.....may......._ _ . , ......_.,_.._.. _
BUILDING PERMIT APPLICATION 11T TIGARD DATE_.' ,/ ____ _ , tfl�►__
THU UNDERSIGN I-D !!EREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-_-__._.._..
OR AS SHOWN AND APPROVED IN THE ACCOMPt.NYING PLANS AND SPECIFICATIONS. OtSN-.RPHONE _
y n 1J X 1 ,r t LO i NL_ --- - --
OWNER, i 7df rir_►mr.Ps0 1jrW6 ADDRESS 11900 bw 4�1ogninL; �.��OME ADDRF'SS
ENGINEER
BUILDER -^`_ A�D4ESS DESIGNER
STRUCTURE f�❑NEW ❑RENAnDEL ❑ADDITION _❑PEPAIR ❑RENEWAL OFIRRF 'JAMAGE -❑DEMOLITION
C3 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PA°IO ❑CAR PORT ❑GARAGE 0 STORAGE❑SLAB ❑FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY^-:_L-LAND USE ZONE__-- —, BLDG.TYPE tiN FIRE ZONE! PLAN C IECK BY rti' HEATT,
,_U11Li,rULL aii..'j1rc twl;ili (juej,li,1'11,1 with (L0,✓;3CLftG jr;j 'H. .7 bedro4: o
Lij LI Lit' !-IUingricps rA tfiuntil
is houked up.
----
OCC. Q — -- FLU.9P_L4.AD _ ��Lta�iL �� ST4HJ�� AFif�.liCZ JL4s1 t�R9&�IS_' Vg141. _ ,- .
_BUILDING DEPARTMENT SET BACKS FRONT . REAR LEFT SIDE 2U RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINS CODE, ZONING
Plan Check of REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 276,lag ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOl WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTHACTORS TO HAVE CURRENT CITY CUSINESS
State Tax 7.32 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total $2LJIs 34
By P1
nr>Pr ,cAN7 ')h AGENT
Approved F• We den Ri-cei f No
1
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE. 1
ll-,6)-7a �� p ! ' O Contractor -7
//3 l rscdd `_ Permit No.-
o.
Fixture - -- � -
Final --
. HEATING
' Contractor t-
t} 1 ` �.2L�' Permit No.
(�`/ ! ��' --11 --/ U►f° N t--- �rt�LL Gas or Oil
/Cnr 5/t/" 1?'o AAo�O c � � Rough in - --
S`lia/►� �/{Mv t /N /P/nOt?M nA jL.�t]L[1. Final --
SEWER
Final
DRIVEWAY
Final -- -•- --
Storm Drainage
j l (Rein Drain)Final.
T— Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORAR CERTIFICATE OCCUPANCY —
clnal
CERTIFICATE OCCUP. NCY
Landvcnping
Or/ I �� 1\ Zoning Final
3 Jll DING PERMIT APPLICATION cOF fG '*RD DATE19 71 N929
I H' '( NED HEREBY APPLIES F--GR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICAT IONS. OWNER PHON
Lar No_ �.._�_
--- JOB ADDRESS IS�i �'IIGC'W1�4 4 U� I.1'F'HOO�ME ADDRESS
ARCHITECT
ENGINEER
kR - _ADDRESS DESIGNER
URE '- NEW i 0REMODEL T O
❑ADDITION � REPAIR� ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
"!NCF ❑COMM ❑EDUCATIONAL ❑GOV'T Ca RFI ,GI('USCPATIO 0CARPOR7, ❑GARAGE 0STORAGECISLAS []FENCE
POND ❑MOVING ClCONDITIONAI USE [:IDF.SIGN REVIEW []COUNCIL APPROVED ❑SIGNS
F1aNCYR1 " LANI?USE 20NE! BLD; TYPE.. `".. FIRE ZONE-41PLAN CHECK BY �- HEAT—._—_��
�A
� -
r":c L(?AQL.L.D AQ -�ElSa► ---NQ.STOSS_I._---_P_B.E.A/hga._N_52'9uD�A1. E �O V
i BUILDING DEPARTMENT SETBACKS FRONT y� REAR_ f I_ LEFT SIDE ?lt2 RIGHT SIDE
THIS PERMIT IS ISSLIF.D SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINId
1 Plan Check RFGULATIONS AND AL L 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
`uI Ic,lal 1
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
--- — RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
`lc'le Tax n �D LICENSE. SEPARATE PERMITS NEOUIRFD FOR SEWER, PLUMBING AND HEATING.
Total -� -
By
Ar-ps oved P'CIpl No APPI ICAN1 OQ AAE NT
_ __. - --------- L ADURESb
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City ®f Tigard Mechanical Permit jja Emit _ _�.00 . .
New Installation ® Replace ❑ Relocation ❑ Addition ❑ AItt ration ❑ -L
TOTAL 31
CONTRACTOR ,�.1t } I� �.+ .,Cj - OWN Ek__. W rd � M r f ---
ADDRE~aS �`1yY -( l i �.�{ /y.y! ��✓; } / + 2P 71c t WORK ADDRESS 1i y<C / L
PHONE 1 3 Y- v(,// APPLICANT
Heat Input Rating (BTU Per Hour)_100, gac Q t W Vent Sire__ Flue Size &L __
FUEL OIL n GAS KI ELECT ❑ OTHER_ -
___ ITEM NO. FEE ITEMNC1. FFEFor Issuanceof Prrmit }T --3.00llcrs Over 50 HP �r___________ 25 OC
New Under 100 C00 DTU ` 4•0_� r Flandlin 10,000 CFM 3.f7C
New�C`ver 1U0,a00 E3TU �_ 5.00r Handling Over 10 000 C FM . tea=Igor Furnace 1.00a orative Cooler3OC
W0 -FlFloor - Su�nded �� 400jVA
nt Fan _' ;2=0r,
_ 2,003SKInstall Vents3 0C
Repair - Heat & Cooling 4.U0od _�_3oilers Unrler 3 Hr 4.00omeytic Incinerator ,�5•�1CDoilers 3 to 15 HP I 7 50 omm. Incinerator _ r ���1I20.O(
i0
Boilers 15 to 30 HP
~� o00� ) her Not Listed
Boilers 30 to 50 HP •---i
INS PECTOWS COMMFNTS• _
CITY BUSINESS LICENSE fIEGU1RED FOR-ALL CONTRA TOt1S OR SUtt CC?.
APPROVI D RY DAT'' ISSUE n DY DATE •�/ .d
-- 77
RECEIPT N0.774
Signnba o{ ,�pplicnnt