14565 SW MCFARLAND BLVD i
14565 SW MCFARLAND BOULEVARD
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 6394171
CONTRACTOR
Pursuant to Section(s) of the Uniform Buk;ldihg Code, the
following item(s) requimcorrecting:
low/rAd le-7-
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F
r)ate:z ;Zolrf, r- Permit
lnspector"
CALL FOR REIN%")'.PECTI(JN
i
i
CITY OF TIGARD BLDG. DEPT. k
12420 S.W. MAIN STREET
"1IGARa, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
fullowing item(s) require correcting:
_2?[3_•�1"r r _-o� Is 'CIO _ aA nt Favi
e Z AV o'„3 0�� 1 e►e%/fir=--'�t as -
Date: Permit No._____.
Inspector - !7 _
CALL FOR REINSPECTION
ISA C11 WX Mi
Pe--it-----S3.00
G �-y o f tioard Miechimical Pcrnit
L ZD Fee
Aheranon �J State Ne,.%- Ins%kiiion ;elacation ❑ Adch',011 .4;r,;.
TOTAL-
C:CANTRACTORC, � OWNER
WORK ADDRESS k4 e-raw% Awo ,
!Q'q grraAPPLICANT IAA--2%L) 11)Z rz/
Heat input Rating (BTU Per Hour) L on Vent Sire Flue ize------
FUEL OIL GAS rv- ELECT F-1
I T F.Ivi NO. FEE ITEM N.O. FE
Air �oncfitjon Cornpressor 15 to 30 HP
For Issuance o! Permit 107
7 Now. Under 100,000 BTU 4.00 Air Handling 10,000 CF%i
New- 100,000 BTU & over 5.?0
'Air Handling Over 10.000 CFM
Floor Furnace 4.00 Evaporative Cooler 3(1
Wall - Floor - Suspended 400 Ra ige Vent Fan 2.1
Install Vents Only 2.00 'ven', System 31
Repair Heat & Cooling Hood Commercial
A
Air Condition Compressor Under 3 HP 4.00 Commercial Duc: SystemAir Condition Compressor 3 to 15 H. 7,50
I N SP E C'0 R'S C 0 M,Y.E N T S
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTOPS OR SUB CONTRACTORS
�
APPROVED 13Y DATE 1.;SU7
RECEIPT NO
- ----------
i
DUiLDING DEPARTMENT, TIGARD i
JOHN E. REIPiNAflC1 PlgM81AG, IhC. NO.
P 0. OIX 119 PLUMBING PERMIT
NEWOR1,1, ORION 91131 holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be instailed in accordance with the plumbin,l code of
Tigard. Such installations require i.,spection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection, City of Tigard Business License required
for all contractors and sub-contractors.
' � �Dan'
-N_-
-29
Owner_ QTY NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Lite Only)
_a Es DENTAL__
Sin�11e Family-1 bath`each _ _ ___25_00 _�^
Dulp ex—Each 1_I•eth unit 25.00
_Additional bathrooms—each 10.00
Mobile Home SP,ace—eech_ 16.00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building--each 3,000
1 51 to 100 Fixtures in 1 building—each 2.50 _^
} 101 to 200 Fixtures in 1 building--each _ 2.00
201 or more Fixtures In 1 building—wh 1.50
MISCELLANEOUS
_Ouiiding Sower-1st 50 ft. 10.00
_ I I
Sewer—each additional 100 ft__ __. 10.00_,
Water Service to building 5.00
Privets Water Sums_-each 100 ft. 10.00
U_ner S If :
PERMIT 0' for Plumbing ingwtion Phone 639-4191 j
9i State P ci Plumbing Contractor By , ,ZZ ��
TOTAL % RECEIPT NO. Issued Py _ 77
�! I� W I J�
np PERr1IT NO .ADDRESS
PERMIT CHARGE none_
W ti
FEE
E R
CONNECTIO J
PA I0 8Y -
�_ DATE CONNECTED ____ _---------
TY PE OF BUILDING
jN5PECTION FEE
SERVICE RATE _ _._r `� --
PAID B Y __ P A T E
C0NTRACT0R ASSESSMENT PAID
SIZE OF CO,,;,j_CTION
7 i
ciTY TIGARD DArE. 1;,°`+�'
BUILDING PERMIT APPI_IC 1N OF
THE UNDERSIGNED HEREBY APPLIES . APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHGNF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPhIOr�� —
LOT�
!Vd.
OWNERi'E'4111tin ClQM00 1LOO LADDRESS;, ��1E±t1Ll HOMEAbDRESS — --
ARCHITECT
ENGINEER
BUILDER _
ADDRESS DESIGNER
STRUCTURE DNEW on,EMnDEL`_ OADDITION ❑REPAIR —❑RENEWAL OFIRE DAMAGE DEMO-1LITION
1-1 RESIDENCE ❑COMM DEDUCATIONAL OGOV'T ORELIGIOUSOPATIO ❑CARPORT []GARAGE OSTORAGE OSLAB ❑FENCE
D.BOND Oh:OVING EICONDITIONAL USE C3 DESIGN REVIEW ❑COUNCIL APPROVED DSIGNS
pl PLAN CHECK BY HEAT
OCCUPANCY_'—LANG USE T NE`_7 BLDG.TYPE FIRE ZONE.L — —
rUl.clfaff,Ljy dwelling m/ettac:hod YSrA S i3r dcrxc�m t,h.
— ��— _BHeA.t VALkr 2 n u.
JCI;, I<.Q&U FLOOR_.LQgCL _.I E _ � _—L��SToRIESZ
--
BUILDING DEPARTMENT SET BACKS FRONT 3b REAR rn a LEFT SIDE >,0+ RIGHT SIDE
Permit $?.D1.�3I1 -' -- �._.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 101,60 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
Subtotal 304. ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax A- k .1i LICENSE. SEPARA,TEEUF�"Il S REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total k::'�.1.��; E� �� ;: i lili3.C}C�
By Pi APPLICANT UR AGENT
r
Approved Receipt No .,......,..,,.. .»..�w.. ... .. ».. .�._.�..s .._..... ...;�w .�..�w.
i
Ulu U U U
DATE INSP. TYPE' INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. -/0 6-l/-7
Rough-in
LL2 pi-,nA Fixture
Final
HEATING
�40 Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
AEOV?W& AWrAW- Final
A"Afr, 31 M Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPA Y
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
�I_IILDING PERMIT APPLICATION CU Y r�C-" RD DATE�_��—T_3 —. t�2 - No
-II oV) .HF,IGNED HEREBY APPLIES FOR A.PERMIT FOR THE WORK HERE II' INDICATED BUILDeRPHONE�CU w140t
a 2 S�(`vJN AND AP ROVED I THE ACCOMPANYING PI_A*MS AND PECIFICA11ONS. OWNERPHONE
LOT NO /If. ---I---- -
1 r 1C4J �(,l1 pY-1� Q j'y
ADO S �.l��Rj - —_HC7ME ADDRESS — .r S� �. e I /
ARCHITECT
ENGIN:ER
tR ADDRESS — _ --.--DESIGNER
URE NEW ❑REMODEL OADUITION RE PAIR T ❑RENEWAL ❑FIRE DAMAGE _ ODEMOLITION
\ NCF F] OEDUCATIONAL OGOV'T ORE[ G,OUSOPATIO ❑GAR PORT OCARAGE ❑STORAGE OSLAB []FENCE
1FOND []CONDITIONAL❑MOVING Y CONDITIONAL USE OQFSIGNRkVIEW [:]COUNCIL APPROVED, uSIGNS
— BLDG ivnF FIRE ZONE PLAN CHECK BY _ NEAT
c tNCr LAND USE ZONE --- --_ --!
c+!:� LQB4 .__.__.. F_LQQR_L(?9Q- _7_ �?_-_--HE!.SrHT_Z-Ci!_._._.N43.LQ�31F, �_1r A��9fiNS23- ROOMS _ VALUE4 7�•�
BUILDING DEPARTMENT SET BACKS .I.F+QNf- ��--^REAR _vr+ LEFT SIDE RIGHT SIDE
e.Im it
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Chick /� �"' REGULATIONS aND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERFRY AGREED THAT 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. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY ROSINESS
Stele Tax tf t LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By APPI
Appioved _ Receipt Ni
NuumFSS
.SP�.II�r• � � C� Q—
z
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