12150 SW MERESTONE COURT 12150 SW MERESTONE COURT
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 91223
P Hr.)N E R3^-f,171
CONTRACTOR,
Pursuant to Section(s) of the Uniform Building Code, the
followir,g item(s) require correcting:
Permit
lnspecf0-�rK-----
CALL FOR RFINSPECTION
N W W it w IV
CIT`! OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR.
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
---__- L`-E D—_U.5 Ll31--E—.-SLc.�6?---�'YAaAreC--4resr[1S__-.—��.._1`3.l.LL.=� Iro/' �P�c T. c7✓� C�.n.Or1f"aE
T--d E'er ji u nt'n Com_
CLcLr .__.c�E__
Date:,__Z Permit No.
Inspect _. . -. --- • -
CALL FOR REINSPECTION
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CIiY i IGARU DATE19_��'-
BUILDING P'"RMIT APPLICATION f��
IN INDICATED HUILDEFTPHONE—
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE. WORK HERE
OR A5 SHOWN AND APPROVED IN THE ACCO PIANS AN ' SPECIFICATIONS. OWNERF'HON YE61l64 :i r1+� r
LOTNO.._
I ' 3w I"IC t:w5tontI 14OME ADDRESS
OWNEF'_ I'r8l):'.rjiY Hou sse-Y JOB ADDRESS ARCHI'TEC'T'
ENGINEER, �jsrkle
1iTli' ADDRESS
� 4'll�y�'f�l.j.dlt3� 61�:r DESIGNER y
BOIL.DEFt
STRUCTURE LJNEW ❑RFMCIDEL CIADDITION ❑REPAIR ❑RENEWAL ❑FERE DAMAGE ❑DEMOLITION
t ��yy r-1 ❑STORAGE SLAB ❑FENCE
❑RESIDENC-. LJCOMM ❑EDUCATIONAL 0(;OV'T ❑RELIGIOUSLJPATIO C�CAR PORT C�GARA(a� _ -^
- T-� ❑SIGNS
UBOND ❑MOVING OCONDITIONAL USE _ I�JDESIGN REVIEW ❑COUNCIL APPROVED
HEAT ��
�7 FiRE TONE PLAN CHECK BY
BLDG.TYPE._ _ .-----
UCGUPANCY ~ LAh1D USE 20NE -_�--
�ti�at ul a: iriy�lu family dwlfaelltnp v/latched verage. a+ws�i�rt�umla 4,as�thl!f. —�
ATTACHILU*
56wel Permit i2036b�
JJ - 161013
4 � PPFg
Q .0Ap � E
__—--
ll:ta LEFT SIDE ' RIGHT SIDE —
BUILDING DEPARTMENT— SETBACKS FROM REAR . —=
Permit tr�� ���!.00 'lJ
THIS PERMIT IS ISSUED SUBJ[rT TO 'i NE FlFOl1LATIONS CONTAINED IN THE BUILDING CODE, 20NiNC3
Plan Check _ r�•�� REGULATIONS I ANs Fr)AtA aPPLICARL_F COFTES ANO ORDVNANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE AND IN AC..0 L DANCE WI TN. TL1[ PI ANS AND SPECIFIC1,TIONS AND IN COMPLIANCE WITH
Stotal ��?�r. V ALL APPLICARLF COt)[S AND ORDINANCE` TNF 13SiIfiNCE OF THIS PERMIT DOES NCIT WAIVE
7 R STRI TIVF i_t TE PERMIT OREQUIRFLUTFOR SEWER PLUTAR NO AND HEATING. RRENT CITY BUSINESS
ub
State Tax •
(JC a4U(J.,U1.
Total 4"7Ae, 410n.UU
APPLICANT Oq AUNT �---_!'•-- —
APProved
DATE INSP. TYPL INSPECTION �v REMARKS PLUMBING _ DATE
�� -- �- _ — —v------ --- Contractor — —
��®�
Permit Nc 213 !re,#d i D-l'7
Rough-in v
la-w 741 C Fixture ^�
f _ 77 TLS w Final
�— r HEATING
/./4-Srb t AAe Nere,
Contractor
,j:tl=� l� 41M.� o f
1'ermitNo.
Gas or Oil
-- - Roughdn — 2a
Final
SEWER
---- Final
DRIVEWAY
Final —•--
Storm Drainage
— V (Rain Dreinl Final
Sidewalk
— Curb&Street Final
Approach
BLDG.DKPT.FINAL TCMPORARY CERTIFICATE OCCUPANCY
CERTII-ICATF_OCCUPANCY Final
Landscaping
Zoning Final
I I
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BUILDING PERMIT APPLICATION SOF TIGARD DATE. �_ 21 -7 _ �' • 213
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN IN aTED BuILVLR PHON.Gf 7-2300
OFt AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICA 1 IONS 00.'NF I?; �+
! l�j �/I•� LOT No..if IAS S 41,e
_AOURCSS '. rIO .. 11��Of
STRUCTURE NEW ❑REMODE L OADOITION ❑REPAIR 0F NFWAL L.1F11?F. A6 I
RESIDENCE OCOMM ❑EDUCATIONAL OGOV'T E)RFJGIOUSLJPATIO L._iCARPORT GARAGE []STORAGE❑SLAr �I-FW,
G
OCCUPANCY ^+ lANC1_L'V R' / rYPE f•AV �HEA.T
ell 0apov
5ELIES .PER_M?T.
4LOCI' 1 /20 Flr_ICF11 ARI 1600
6lillOrNiDcr _.
BALKS FRONT REARHI(,HiSIDE
PFRMIT IS ISSUED SUB.IECT TO THE REGULATIONS CONTAINED IN THE 801tDINGCOr.)14. ZON:+.
II.ATIONS AND ALL APPLICASt E CODES AND ORDINANCES, ANC IT IS HEFE9Y A.GRcED Tt9A:T TF
fff h WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC-IF ICA TIONS a6iD IN COMPl_IA.NC,f-
�Suti�total` �-a 7 0O I.L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DIAL'S NOT V�A1�
•,G• 'STRICTIVE COVENANTS. CONTRACTOR AND SSB CONTRACTORS TO HAVE CURRENT r TY
�i:BtA Tax ��. !i.FNSE. SEPARATE ^ERMITS REOUIRED FOR SEWER, PLUMBING AND HEAPING
_inC --
_.__._ APPLICANT Op AGENT
ArrpruvFd j ev No
�l
J D C -
if WER CONNECTION S �0 _
SEWER INSPECTION 5
SEWCR SURCHARGE ,Zg, Lm-,
Comments: No k*. f
_.�>to_ �•.._ ' � _. _ � ___..__ ___...
4SV Au—,
17 x 260 4q 2
3lo ro 4
F 6 'ji—
-14x /0.4 zµ
-- (r)c 7-43)
2-0 Y f 0 .200
�,�AGoo
r
HUILMNG DEPARTMENT, TIGA11D N°
PURADING PERMIT
holder of a valid Plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to he installed in accordance with the plumbing coda of
i'igard. Such installations require inspection by the City In:,pectol. who shall be notified not less than four +
(4) hours prier to the time the installations are ready for inspection. City of Tigard fiusincss License required
for all contractors and sub-con tractors, -lob
Addresses Li
O�,vner.G
NUMBER OF TOTAL I
_TYPE OF PERMIT ITEMS 1=EL• ON EACH AlAOUNT
iii S 1 b F.N T LA I
_ 5ir..tg Famil 1 bath••each �_—_ _ _25.00
_DC 25.00
1 �1th unit _ ___ _ _ 25.00
Additional bathrooms-each I _ 10.00
_ --
�,1Slt3C±•-auh '- _.._.._.._
.. ____. 15.00
INDIVIDUAL
_1 to 50 Fixture In 1 bu;lding-rich l�- _, 3.00
EI tc+ 100 FixturJ$ in 1 butldiny-- ch _ 2.50.-----
�10'. to 200 Flxtu.as in 1 buildin�aach _ _,�.�_ _ 2.00
. � 1.50 ..v-....._
201 or more_Fixtures in 1 bulldin earh _��_ _._.- —•-- — - — _-- —
h1ISCELLANE0U5__
Sswur•-each additional 100 ft.
'Nater Servict_; to huildlnp ���._ _r. - HI
I1
Otho r (Sp _ _ --- ---- -- -- 1
PERMIT For Plumbing Inspection Phone 639-4 111
4 o State~ _ Plumbing Contractor By -�-_--
IOTA1. RECEIPT INC. Issued By
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city ot E ioar( Mechanical Permit hre
5 Fee-_
New installs+ion Replace LD Reloration 0 Addition ❑ Alteration ❑ q $°r state ^5'__
TOTAL.__ '. j 2—
CONTRACTOR L�� GCD_ Xkot,_ __- OWNER
ADDRESS�S ,�"��� �W"6WORK ADDRESSJ21,5��/
PHONE -_,�,•-F-=-._�� 0 %t APPLICANT ,r�< 'e__ _
Heat Input Rating (BTU Per Hour)/cVent Sire _ _ Flue Siz��e
FUEL OIL ❑ GAS ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
w Issuance of Permit �r-�_�_ 3.Q0 _Air Condition Compressor 1E to 30 H_ P 1000
New- Under 00
100, 013TU 4.00 _ Air Handling 10,000 CFM_ � �_ 3._00
New• 100,000 B7U &rover 5.00 Air Handling Over 10,000 CFM
Floor Furnace _ _ 4.00 Ev,jpuretive Cooler� _310_
Wall . Floar Suspended, - -- - 4.00 Range Vent Fan - - _2.00
Instal! Vents Only _ Ven_t Syrtem _ 3.00
Repair- Heat& Cooling _4.00 Hoot'Commercial_ 3.00
Air Condition Compressor Under 3 HP _ _4 00 Commercial D_uct System 10.00
Air Condition Compressor 3 to 15 HP 7.x:0
INSPECrOR'S COMMENTS_
Y
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY _ _ _ DATE ISSUED BY -M DATE
RECEIPT NO. _
nature of Applicant