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11985 SW MORNING HILL DRIVE-1 11985 SW MORN'LNG HILL DRIVE i m N 0 ► cn c 4 c N 0 3 ul co rn I I DEED RESTRICTION (REMUVAL NOTICE) Be it known by these presents that I (we) hereby acknowledge that all conditions placed upon property located. TN I Tax Map: - Tax Lot: h as recorded $_ �. C Q r� `3 in the deer records of Washington County, Oregon,, have been duly completed and approved. Therefore the City of Tigard, Oregon, Building Depar-m!nt hereby authorizes removal of said deed restriction from the aforementioned address. Signed Date Building Official --� � .L Date` Building inspector Date ZZ--/s"- Y., pt;9 R� v � .r/rk ""` fi_�..:^�'w'a" *� � ✓^`k` °'. �4Q,p► tk a r�,r �K'w �M���f~_i• 4 '°w.r 1 .7 y�n. AN' y E, AANw 1,ry� a � ... �f'•�;;,It , �p �+R �'� ' � — ..- _ �r•:vvmc_ ,crn^-r--,--,;s,�^.;:�:r.--- 7-I" Ail Lr tg « + k �a► ��' may, �. �, � v� �. \ � V •a i 1, 4�, w Q ►'� m � bq � yrry91 ry ♦ V " 1�rt q►� Lr 41 40 �• +� 41z 01 k7 a`�'� �� - - - - `cr��yar.�aa's'�ra�e�e.•�r,e:�.._ _ - - - ��.i �{�r�� yl+ i,,• .� ,�r,. »{, i „ •y. � '^fr'f', 4 " t i Y'., pr:`^.Yi ;t .�r,cn +G 'r,j4y !: .�S,C�t�,''ll. •,4;' a1' .+. +t, -iP^qy ,:.Y ,_,v•Lf �Na!,,`"•,` "r ry�t '��_..;. ,I?`��IIj?77�.:,y4�_y�q�i'h\,�%�e�i^`e•�.w'`i�'r ``a�"'�p'.�C%�u�A��. �A ri_,•�y.+.1. MA«,,, !�� fi BUILDING PERMIT APPLICATION TIGAHD DATE 19' THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT Fon THE WORK HEREIN INDICATED �PHONF. OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE : LOT OYINERJOB.- �t h•, 7" ADDRESS - ! ._ �1� ..7 ..�4-/ :s'i Jr-�1lVti f✓' C c. '1. /'1�.:itiiwr.' iflC��: ARCHITECT ENGINE".R BUILDER � ��i�j.,' ADDRESS DESIGNER STRUCTURE O NEW / EMODSL ❑ ADDITION ❑ REPAIR _Cl RENEWAL ❑ FIRE DAM C-L ❑ DEIAOLITIOI -- -- (3 RESIDENCE 0 COMM ❑ EDUCATIONAL 7 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT U GARAGE ❑ STORAGE ❑ SLABU FENCI OCCUPANCY <' ",.ANO USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT SEWER PERMIT M OCC.LOAD FLOOR LOAD e/C HEIGHT _NO.STORIES AREA ." NO.BE0s0OMS ,,..-'" VP.LUE wo BUILDING DEPARTMENT SET RACKS FRONT REAR LEFT SICE RIGHT SIDE THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,Z _ REGULATIONS AND ALL APPLICABLE CODES AND ORRINAHCES, AND ITIS HEREBY AGREED TY.AT TH IPlanCheck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC' r W11 N ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV Su5•tow ni;.` •RICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES: i U. .";ISE..SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. j:hate Tax i ictal c"> _ POC;' APPU ;iNT_ OP AGENT A rOvr7 !� i' w_J Receipt No. ADDRFSS Pt101:f i-- SGC - __------�—_— P 0 C 5_I_WER CONNECTION 5E WE(7 • INSPECTIQN 5 E W E R 5;IFCHPRGE i �_ BUILDING PERMIT APPLICATION TIGARD DATE-- g.- 4624 TI—IF UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORE.HEREIN INDICATED BUILDER PH01'R (A.1-3151 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIGNS. OWNER PHONE A6---24d �ira.tlila;� OWNER Man Gita JOB ADDRESS 119P5 SI-i tioxninir ...ill orivr-r LOT NO. krill _ ARCHITECT — ENGINEER BUILDER Owner ADDRESS DESIGNER STRUCTURE ❑ NEW [;-d REMODEL. 11 ADDITION ❑ REPAIR G RENEWAL ❑ FIRE DAMAGE ❑ UEMo ITION Q RESIDENCE ❑ COMM U EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE L7 STORAGE F-1 SLAB❑ FENCE OCCUPANCY _ ;�LAND USE Z(.NE k-7 Pf)BLDG.TYPE_"' FIRE ZONE — PLAN CHECK BY -- HEAT 1-I.nissb attic space to Eaedrorno ^----- --------- �— kcd rvntiiction for this unfinished stere to be rcn.:ovpd ,Por,. fiiial — SEWERPERMITM�+ �- OCC.LOAD FLOOR LOAD "U HEIGHT N0,STORIES AREA NO.BFJROOMS VALUE BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit i" .ail' THIS PERMIT IS ISSUED SUBJECT TO TF REUULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE -- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total _ '`•�"" RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAV►= CURRENT CITY BUSINESS State Tax LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. � SDI j! 'q Total - PDCN APPLICANT OR AGENT By _ Receipt No. Approved " ADDRESS ----' PHONE --- DATE INSP. TYPE INSPECTION REMARKS PLUMBING PATE Contractor Permit No. --Rough-in Fixture - Fixture Finn �-HEATING Contractor _ Permit No. — -_-- Got or Oil --- - Rough-in - ---- ----_-._ Final -- ...___ _ SEWER -----___ Final _ DRIVEWAY Final -_ Storm 0rainagr ---- __�.. (Rain Drain)Final Sidewalk - -- -- -____ Curb&Street Final Approach 9LD-. DEPT.FINAL�rV TFWI;ORARY i CE�R7IFICAT[ OCCUF+ANCY �' - - �r'h'RTP-s:ATE OCCI;Pn.,!•.;� F!nai ILendscnping _ - - � 'Zoning Final A w w Alan Gits 11985 SW Morning Hill Dr. Tigard, Or 97223 January 23, 1983 attn: Don Howick Tigard Building Inspector. City Hall 12755 SW Ash Tigard, Or 97223 Re: Occupancy Permit, lot M9 I am requesting a 12 ;month extension to my temporary occupancy permit. The room oven• the garage (designated storage only') is, as yet, unfinished. I expect to .file for a building permit and complete the work by Fob 1, 1984. Thank you for your assistance in this matter. a nn 1 1 v wont % our- �e 2 � g 0 A Ljr CIIT* (NROArta) b96 FP7 q 1- 315-1 � .. tom•• .t It`. ...a ,,..:.,�. `...f'r� � o.....Rtrq .y§ t r .. � � .�!"" ...r< +�� � � "'�.• �ti aU1F�•� I�ilj�1���llh i ar�Alll�o�{�� �� ��b ill���tFsi1�`��Na� � y +C + r / FA V ticm Ln all'n v y ! •4-J u� ` U by o. � V •�o,l " 4" bc / O w j a : � O r 0Ur 14 pn to � CI y D�� •.r '�'j it . ��' �� i i { 1 F� Gy� H••� ��+ ;� I � O a oa y/ -4 rn U41 0! cz Vo w cd a 1 r+r `�'^��,}. �'1 ` Luiw,.LG 4..� rd1.w1... U.3'r'M'f1b- dd�d L::Ti __ s '•T*:rr�'T - + 6� ��� • �'�.>• *,�a'���"(��,�' ai�..� Vii.;; {{�,,��, ��, �a� ��J' �'U� "�� ,- .� t"m.�,i•��+?t fp ,�h�}r,��lq+h'.."r w�".r� '}' �"• 'lyl�"'�` �,� a� '^'' +fig, �� 4 f'rNA `a�yy�a�!! �IIW`� , ���'^�, L��f n�,,{ � , s �,++�►�t�. }• .;� �,. ,'f"�i1 ".���e � dt� ill t .. 1`Syyy tr.+o- � eo:t �r n°rti.. ..�wry'.., � 4t n'• �.. a aSb�'r '•�, ��7f +lam Ift�. yf�4�r a DEED PESTRICTION I Be it known by these presents t:iat I (we) here')y acknowledge and agree to the following conditions with respect to construction on property located at UE'1NTC.- - �C �____M�' 1►���111 tel?�D1V1E�i �l�A P , �00 1^.�The Temporary Certificate of Occupancy Permits use of bnly � those portions of the structure which comply with all j requirements of the City of Tigard Uniform Building Code. 2 . Use of the unfinished portions as stipulated below is not permitted. 40akZ SIL lQT�3„� kc,_ 3 . This instrument is to be executed, notarized and delivered to the City. The Owner shall pay all applicable fees , and the Building Official ;hall cause this instrument to be recorded in the deed iec-ords of Washington County, Oregon . 4 . Occupancy of the unfinished portions is conditional upon : a . Application for a Building Permit . b. Sati-factory completion of construction pursuant to the Building Code wit(iin .7e...__ months from the date hereof . c . Final inspection by certified Building Department personnel and issuance of a Final Certificate of Occupancy . 5 . When all conditions for completion of the unfinished rortions have been ,atisfi.ed, the Final Certificate ,;f occupancy shall be issued and this Deed Restriction released . Signed: Owner (s) _ L -- Date_. eLZ3 Bui ldr . Datei, Notary y`',!� ___ Date_--" ? INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St, Tigard,Oregon 97223 Phone: 639-41"1 Type of Inspection --------_--.- Date Requested, 1_h__ Time_ __ A.M. P.M. / \1 Address _..__ _--(( plu S�. /i�'N�1�/ l _ Permit Owner _ _ _ Lot # l Builder �� ��rL_ rr • ^�'-' ` 1 The following Building Core deficiencies are required to he corrected: - - i rG lu:.C^�.G C Ea...W.f. c�_...✓t_�,,,� J ,-�r, :���. ""'f.tea-ti l ---�-'�-�•,r-•.��-2�� �r �1... Gc �!.�� ,`-vii' .Y I r i �...fS'R'.Ca�d r• ..� 'a.. � GL7..` --•�dE•�G.iy�-'� ' .R _.�f-r.,�.-•LAS i f - kPresented to _.._ n Approved Inspector , disapproved Date CAL.', F0 y REINSPECTION Es ❑ NO E?UILGINC PERMIT APPLICATION TIGARD DATI E THE UNDEhSIGNED HEREBY APPLIES FOR A PERMIT-FOR fHE WORK HEREIN INDICATED BuILUER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO.-_ -- --_ OWNER ,00cl ffllme€ i InGWADDRESS ;ornino i4ll ARCHITECT v�irrc 9175 5 f"F* TiVtl).�'i 11€—71WI ESIGNER �MGC°cytn'4t 1t1 BUILDER _----_ ADDRESS � .-. STRUCTURE 0 NEW ❑ REMODEL P ADDITION ❑ REPAIR G RENEWAL ❑ FIRE DAMAGE U DEMOLITION ❑ RESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS O PATIO ❑ CARPORT 0 GARAGE ❑ STORAGE i..l SLABO FENCE OCCUPANCY — LAND USF.ZONE F ,lg __BLDG.TYPE�5.U_FIRE ZONE . — PLAN CHECK BY HEAT._• . ^tract. sincale family dwe llinq w/attact,r-1 e mr;a- . ',r'es'rncle g? SEWER PERMITN1'V�Ce`_ i)t f 2303) __� ta'' �t1i:: r'�r SI�•���__.�_ ___ OCC.LOAD FLOOR LOAD HEIGHT2 I' NO.STORIES AREA A " NO.BEDROOMS VALUE J BUILDING DEPARTMENT � nn� SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN A';CORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH 'ALL APPL:CABLE CODES AND ORDINANCES. THE iSSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal i RESTF!CTIVE COVENANTS. LONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS - LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC— LBy aiPDC# Af'PLICANT OR AGfRT Receipt No. I Approved ADDRESS DATE INSp TYPE INSPECTION REMARKS PLUMBING DATE Contractor` T— - 71 -- — ©��^- —�—_ Permit No. Rough-in fixture 09- Final -�TjCom!� � Qi s2 JJ a Contractor g p j�J �]j'+•�"�' ---�-,�— 1 Permit No. +nc Gas or Oil Rough-in Final SEWER - Y-- - fMai' _....___ DRIVEWAY �_.---- _._. L � final -'------.__ . J a Storm Drainage (Rain Drain)Final Sidewalk Curb R Street Final Approach _ BLDG.ViPT.FINAL _ -TEMPORARY CERTIFICATE OCCUPANCY final CFRTtF'ICATE OCCUPANCY Landscaping to Zoning Final BUILDING PERMIT APPLICATION TIGAFiD DATE TH UNDFRSIGNE'D IIEREBY ArPuES FOR A PER'M T FOR TtiE WORK HERE;N INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ~ CAINIE,!V, _ !0f5eAnon_sS 01 W6.0 or>"Iw I v LOTr:o._1d- ARCHITECT Q C p ENGINEER BUILe ADDRESS /D,'� 7V 811 f, DESIGNER MI STRUCTURE NEW ❑ REMODEL 0i ADDITION ❑ R[PAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEM.OLI T ION NESIOENCE COMM ❑ EDUCATIONAL ❑ GOWT ❑ RFLIGIOUS G PA NO ❑ CARPORT ❑ GARAGE ❑ STORA E ❑ SLAS❑ F"NCE OCCUPANCY LAND USE ZONE 2-2PDgC LG.TYPE _„Z- IA _FIREZONE �PN CHECK BYHEAT SEINER PFRMIT U _—.�4 r'A. 4L+ OCC.LOAII FLOOR LOAD 40 � HEIGHT .20 N0.STORIES .Z AREA NO.BEDROOMS 3 VALUEfpi,)* 6lJILCING DEPARTMENT _ � 7 i� -- (� SETBACKS FRONT .20 _REAR �.,�� LEFT SICE1g. ' RIGHTSIDE f P�,mlt _ ��!'_p� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE: BUILDING CODE,ZONING ,p REGULATIONS AND ALL P„•PLICABLE CODES f ND ORDINANCES, AND IT IS HEREBY AGREED TEAT 7HE h_e_C Flnn Ck to O. WORK WILL EE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C011 PLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PE-Rma DOES v;T WAIVE L ,iib-total - �O• �O RESTRICTIVE CGVE NANTS. CONTRACTOR AND EMB CONTRACTORS TO HAVE CURRENT CITE SUSINESS I-��-~ - LICENSE SEPARATE PERMITS REQUIRED FCR SEWER,PLUMBING AND HEATING. Stat.®Tax Q� " Total ---.-��� �._ SDC— _l�e�Kk fie. k���__�___ �►�� By PDC# APPUrANT OR AGENT _ --- - F-r. :pt No. Approved � -----� `--- AUDRE;S -------- - PHONE r . SEWER_ CONNECTION 5 �_._ _. ��• 3'�3 ' �� SEWER.—INSPECTION S SEWER 3URCHARGE: S _ r nmrian!-o : Red._--'2(A K/Q_` 1 ' 1 !/L4t _ Y __- 8 ry��s�•D a//t at S sZ$ �d'�4` 1 qS� 11 i es- 'Do.. l��er•� ,/,��«+.° I�l-tn. Ago- r-ilrsl Dour- x a4 &4 x /3 to f FP 6-7w Z 13 -'< `x 2 if 5e4oj .29&.1c &- r k /-yo '2 (/4f + C e, 2�- 4 x z n �3s` /9. a° Lp ev. BUILDING DEPARTMENT', TIGARD O ,AILWAUKIE PLUMBING Lo . PLUMBING PCAMITavp?? r gdu93 holder of mi ; `Y- contractors license Is hereby r authorize&fS 0 fW drk as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspectiun City of Tigard Business License required for all contractors and sub-contractors. Job 4" ,� //L/)/-,- Owner, .N a ,� Address //_ _3.3' Dat ' NUMBER OF TOTAL TYPE OF PERMIT ITEMS FETE ON EACH AMOUNT - Single Femiiy-1 oath—each _ 25.00 _Duplex—Each 1 bath unit :15.00 At •1 Additional bathrocmr—each 10.00 Mobile Home Space—each 15.00 _ INDIVIDUAL I=IXTURECIAI 1 to 50 Fixtures in 1 building each 3.00 51 to 100 Fixtures in 1 buildina7 ach 2.50 101 to 200 Fixtures In 1 building—each _ _ _2.00 201 or more Fixtures in 1 building—each 1.15.0 MISCELLANEOUS Sewer—each additional 101 1t. 10.00 —Vhler Service to buildin 5.00 z M _ Other (S ecif0: �� t _MIMIT 11"o .�a % for Pkrmbing Inspection Phone 639-4171 ! w �i o State 61 el Plumbing Contractor Ry ,,6 RECEIPT NO. Iscu:?d Rv L_ LE _ ADDRESS_ � -Nus-'--- PERMIT N0 . PERMI r CN,.RGE noine OWNER � ��� CONNECTION FEE (Q_" . ..__ PAID BY TYPE OF BUILDING _�o•�' AGATE CONNECTED SERVICE RATE INSPECTION FEE S CONTRACTOR PAID BY DATE SIZE OF CO:NECTION _�____ AISESSMENT _ PATO Ev' 'ILDNVG PERMIT APPLICATION `'o� TIGARD DATH _ —. 19—19 L 4 THE UNDKSIGNED HEREBY,ANKIFS FOR APERM IT FORRK IIEREI{� (i:6TC ��-- U��b����T� OR.AS SHOWN AND APPROVED IN.THS;1>�tCOMPANYING PLANS A1�tt1-SPEC1FiC74TtONS. kip --t--- _... .. LOT Nqq. C-NNF :`r I :S- JOB AUhJ�i �;,�9�1'., '�a`" �� #� � Li I. HOME ADDRESS �--- 10p; ,iI ENGINEER I BUILDER ADORM _-- STRUCTURE ❑NEW ❑RI'MODEL r©ADDITION ❑REPAIR__ ENEWA fkt AMAG DEMOLITION ❑ RESIDENCE EICOMM ❑EDUCAT16N`AL ❑GOV'T ❑RELIGIOUS❑PATIO ❑C'AR VOR GARAGE ORA ❑SLAB ❑FENCE QBOND ❑MOVING ❑CONDIT40NAL USE ❑DESIGN REVIEW COUNCI OVED aaJ LGNS OCCUPANCY_—_._..LAND USE ZONE___"_..U"BLOG.TYPE_ —.FIRE Z0NI. _`_PLAN C -- 7 .:. ;,, + it;,r�.`1:� •�+.:+11� � ��lyh't kdfyyYl:ji+'}etxzi , ,k't _t� .— ��_�.�...;_ i _ -- — �' OCC,_l Q/�.L). —_ ,_MOOR LOAD— �_.�i�l _NSIa $...._ N01 ..BES?fiS?.S�M�___ —V_81� — -------- BUILDING DEP AR ENT SET 9AC'K 'rRONT_ REA EFT SIDE P.IGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TU THE RF.GUL TIONS CONTAINED IN THE BUILDING CODE, ZONING Plan ChecP. REGULAT'IbNS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- -- WORK WILL-BE DONE IN ACCORDANCE WITH THE 1'I ANS ANDSPF.CIFICATIONS AND IN COMPLIANCE WITK Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTPIICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE.iSEPARATE PERMITS REnU1RED FOR SFWFR, PLUMBING AND HEATING. Total By - --.. APPLICANT OR GENT Approved Receipt No .123 C3 I i e rr r DATE INSR TYPE INSPECTION REMARKS PLUMBING IDATE�— v Controctrn ..L�33G/1 et/ � •� C, T-- Permit Ne.^ — — Fixture Fines _ HEATING Contractor Permit No.�SJ� Gas or Oil — Roughmin • '— Final -- — —_--- — SEWER --- — `. Final DRIVEWAY — — Final Storon Drainage (Rein Drain)Final. Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY — CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY — Landscaping Zoning Final TLW.VIG PERMIT APRLICATIGN CUFY ' RD DATE__.—� _..__, 19-.__.1-, N2 BUILDER PHONE- � S 'E "v".:RS'CNED HEREBY APPLIES FOR APERMIT FOR THE WOPK HER; !ry INDICATED - _[5.2.__ -4 A5 S1CWN AND APPROVED IN THE ACCON",P: _�!JILUING PLRMIT APPLICATION `U Y .� RD DATE- ---__- 19 No --IE UNDF HSIGNED I-IfREBY APPLIES FOR APERMIT FOR THE WORK HERFIN INDICATED BUILDERPHONE aR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICA110NS. OWNER PHONE—­­ LOT HONF ..-LOT NO. RJDB ADDRESS HOME ADDRLSS .�_—. -- ARCHITECT ENGINEER L.W - w___ AQDRESS —�.DESIGNER URE_ ONEW 0REMCDEL- OADUI'tION- ❑REPAIR -L.JRENEWAL OF IRF DAMAGE _ ❑DEMOLITION 61D'NCF ❑COMM ❑EDUCATIONAL OGOV'T ORELIGIOUSOPATIO ❑CARPORT ❑GARAGE OSTORAGEOSLAS ❑FENCE _ :n- POND ❑MOVING OCONDITIONAt USE ❑DESIGN REVIEW_ ❑COUNCIL APPROVED OSIGNS 'uPANCv__.__ - -LAND USE ZONE------,.11 DG TYPE — __--F IRE ZONE. PLAN CHECK flc�-1QAQ --_-F1.S?Qt31.S29D I.Sty?_--- NQ�Y4.8E€5...__­._AMA- BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE RFGULAIIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND Al L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1HAT THE -- -- --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. C:ONTRACIOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINESS State Tax LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMRING AND HEATING. T otal 3V - — -- ..--- — -- ---- _____...—„_.._._ _ APPI (CANT OR AGENT Approved Receipt No ADDPt55 PHONE i W.A wALw_A125T w w City Of Tigard Mechanical Permit ji0 1 1 Permit 00 New Installation 0 Replum ❑ Relocation ❑ Addition (3Alteration ❑ •` `'"'-- Fw r �� 'li'OTAL ��3 CONTRACTOR u4jj r _ v CG . _ OWNER &jee*1,&g j jQ&,j - 'e J- ADDRESS 91/q___'J L rRowe// /v Cl- WORK ADDRESS: /_ /�J" WCL#. PHONE , uy-Qua APPLICANT S a i fe i-Fr cf Com Heat Input Rating (M Per Hour) ' /000 9.0 O Vent Site ___-� Flue Size 4 FUEL OIL ❑ GAS ® ELECT ❑ OTfER TEM NO. F ITEM NO FEE For Issuance of Permit jff7a.661 T 8:dlar!�v_er 50 HP _ 25.0 New- Under 100.000 OTU 4.00 Air Hund 10 000 CFM 3.0C New - Over 100.000 BTU Air Han lirx vlr 10_,000 CFM5 OC Floor Furnace 400 Ev rative Cooler 3.0r Walt - Floor • Su"nded 4 00 Vent Fan 2_0( Install Vents � 2 00 Vent System 1 3.0C Repair- He,1 & Cooling 4.00 Hood _ 3.0( BoilersUnder-3 HP 4,00rµDomestic Incinerator SOC Boilers 3 to 15 HP 7.50 1 Comm,Incinerator Boilers 15 to 30 HP 10.00 Other Not Listed 3.0( Boilan 30 to 50 HP 15.00 INSPECTOR'S COMMENTS. CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY DATE ISSUED BY DATE RECEIPT NO. 774 Sitjneture of Applicant -----���.tt.%T�_ -----------... � Permit �3J24_ .... A � K Y of T i v �I d� • — Nl,w Installation Replace. 1 Relocation EI Addition Alteratio'i 7 EILALING f _ _-- � 'P ONN C,ONTRACTOR of Z WORK ADDRESS_ ADDRESS—�� c- f u /�a.rva�+ LLd[_lyda ___�� a nor _ APPLICANT PHONE —__jecq � -- -- `— �i .---_ �. Flue Size_ Vent Size.,------- - — He3t Input Patina (BTU Per Hour) o o .► .__._.,_____ ----- FUEL OIL ❑ CAS ELECT ❑ OTFIFR_-__�_______�_T_.---- ____.___.------__-- _ _�_' NO. FEE ITEM NO. FEE Air Condition Com ressor 15 to In Hp For Issuance of Permit _ F, ABOVE _ �. P-__ - _-_- 4.0 Air Handling 10,000 CFM _ -_y 3;00 Now-Up to ,S��inc1 .100�000 BTU _ — - 5.00 Pier-�JO_0�001 BTUs &—over __ _ 0 AirHandlingOver10000CFf�1� _ _ _ ;r _ _ 4.00 �Evaporativt Cooler 200Suspzndad __ .00_ __Ran_gc Vont Fan ___ _�__ 2.00 Vent System �_ ____ ____� 3.00i-ins-1ll Vent.Only - --- -----`�"—'"�` 4.00 Hood Commercial 3.Ot etiHeat& fooling _ 1000 A,r -.o,nli ran Compressor Under 31•IpCommercial Duct System. _ 7.60 Comprr:ssor 3to 15I-IP __� i IIdSPEC1'OR'S COMMENTS-._ CITY BUSINES; LICENSE REQUIRED FOR ALL CONTRACTORS OR SUS CONTRACTORS BY ISSUED DATE AP►'fiOVE:D BY _,_____-�___ DATE: _ - _- , r RE:Cl:lrf NO._ _ _ ipnature of Applicant >>a