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1457C SW MCEARLAND BOULEVARD
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97k23
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
� A'OU err v✓�___._ _ _ _. r_
Date: Permit No.
Inspector
CALL FOR REINSPECTION
BUILDING DEPARTMENT, TIGARD
P MBING PERMIT D
holder or a valid plumbing contractors.licer'se is hereby
authorized to cause plumbing work as I real no_�ted to be installed in accordan, : with the plumbing code of
Tigird. Such installations'requ;re inspection by the City Inspector who shall he nutified not less than four ,
(4) hours prior to the time the installadins are ready for inspection. City of Tigard Business License required
for all contractors and sub-.contractors. a
_Owner _ ,?, _ Address ../�/S ��.`u' L�'1_^ �3 -_� Uate�i._� _',,_.
!
NUMAcR OF TOTAL
TYPE OF PERMIT ITEMS FEE ON F.AC•H AMOUNT +
9 10 EN TIAL
Sinale Family-1 bath--each .M 25.00
Duplex-Each 1 bath unit _ d _ 2500
Additional bathrooms-each -� _-Y 10.00 ��i ^� � lot
_Mobila Home Space-each 16_0.0 _
INDIVIDUAL FIXTURES cQMMERCfhi ,�^ —�
Ito 50 Fixtures in 1 building--each _ 0.00
_51 to 100 Fixturet in 1 building- ach ^ 256
101 to 200 Fixtures in 1 buildin -each y — 200
201 or more Fixtures in 1 buildin _-each _-�, -� 1.50
IRIISCELLANEOUS
Sewer-each additional 100 ft! 10.00
Water Service to building ~~^ _ 5.00
l PERMIT _V— -- –__ For Plumhirld Impertion Phone 679 4171 T'
I 4 } State _ Plumbing Contractor By
( TOTAL _r RECEIPT NO. (sued By
1w wF IX w
`4
74
CITY
BUILDING PERMIT APPLICATION of TIGARD DATE_
THE UNDERSIGNED, HEREBY APPLIES FUR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-.`aao....-------
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHON ,...---
i L
--
OT NO._�
Yt
OWNER ji1 ohn jisQ JOB ADDRESS..' 70 %j f cf*rland HOME ADDRESS
ARCHITECT jAl& Building Plan
1 7 ENGINE R
BUILDER i..iorsin HJrirlCri-1rUrI6t*.f►DDRES9S t,"1 I'lux 1b1C �IWIsborg DESIGNE{Z[]FIRE hlrrui:'J� --
STRUCTURE DYJEW ORFMODEL �-1 ❑ADDITION []REPAIR []RENEWAL DAMAGE ❑DEM[O�LITION
lJ RESIDENCE OCOMM ❑EDUCATIONAL CLIGOV'T ORELIGIOUSOPATIO ❑CAR PORT ❑GARAGE OSTORAGE.OSLA13 OFE.NCE
�OBOND ❑MOVING LJCONDITIONAL USE ODESIGN PcVIEW _[:]COUNCIL APPROVED ❑SIGNS
40 _FIRE
NE�1_ PLAN CHECK BY. I•rl���� HEAT � 1
OCCUPANCY
AND USE ZONE—_ BLDG.TYPE -
Construct side family dw4jjinu watt AOI@q. Uarong•
---_-- S C CORRECTION 3HEE:T ATTACHC J.e._-___ —_
Q(3 H�IG}�T —_N.9.$TC(it .7� AREA ,J _d_�Jx QHQO�S.._x—rYALUTA1 Off
cQ F.LQQL3 Ap-_- — -
BUILDING ARTMENT BACKS�_ ( 2 I_.a_ RIGHT SIDE _ ;J
DEP _
_ 5ET FRONT .Ja REAR '� LEFT SIDE
Perm144
d;a.�.L1[-
THIS PFRMI'T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF. BUILDING CODE, 'ZONING
Planl�cb. "�� REGULATIONS AND ALL APPLILABLE CODES AND 6RDINANCFS, AND I1 IS HEREBY AGREED THAT THE
WORK W1 L.BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLICNCE WITH
Sub-total r�• ALL APPLICABLE CODES AND JRDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTI`ACiun AND SUB CONTRACTORS 70 HAVE CURRENT CITY BUSINESS
Stat10112 LICENSE. SEPARATE PERMITS REOUIREO FOR SEWER, PLUMBING AND HEATING.
yUL: �- a°tUi -00
Tot :�►�4�1 pQr 1 $1.UU.00
�Ap
~� � APPI I(.iaNl ()H ACIENT
provers Receipt No 3� 7 _
DATE INSP, TYPE INSPECTION REMARKS — PLUMBING DATE
_ — L Contractor
el Ile-7- 7� � d�C Permit No.
Rough-in J
r�.t' f9a,/? C9o�si— fcri Fixture - —
+— final
HEATING
Contractor
Permit No.
Gas or Oil
/�F,h
Rough-in
ro v�0 -- -- ---
/f2-d'79 Final — _— —
SEWER
Final 1_i3 p.7-
�— DRIVEWAY
Final
StorNi Drainage
(Rein Drain)Final
Sidewalk
Curb d Street Final
Ll — Approach
_BLDG. DEPT.FINAL TCMPORARY CERTIFICATE OCCUPANCY Final
CF.RTIFICATEOCCUPANCY
Landscaping
7oning Final
CITY -
BUILDING PERMIT APPLICATION OF
TIGA�tD paTE `��'�, t9Z�
THE UNDERSI INEO H•EPESY APPLIES FOR APERMIT FOR rHE woRK HEREI^J INDICATED SUILOERP4 7 -2 75'
OR AS SHOV.N AND APPROVED IN THE ACCOMPANYING PLAINS ANO SPECIFICATIONS. O'.INIZIRPH.Otir
- ` 1457 � t� i/ � LOT NO
Ow,�E>rt p� h L'-�"9___._ JOO_AOORff53 D I rFF
/
ffNGIrJEER ARCHITECT
eull OER � � G L
l �„F r rvI CONS aooRcs /i( Kt DESIGNED,
STRUCT-UP S �IE'N ❑FEkll00EL •--t1 ClADglr_ioNt[I1REPAIR _[�_a 'J=_�Jn�L ❑FIREOAMACE ❑nEN
N1OLIri..�
`�ESIOEPICE MCO-AM ❑EDUCATIONAL OQOV'T ❑RELIGIOUS L.JPAT'IO LICMR PORT ❑GAR,AGE ❑STORAGE • c'
Lrl_UPArI:'v — -3-LoNO USE ZION 0-26 -OLD(LT YPE t .&,--DIRE ZONE_ PLAN CHkCK aY�y � y
SEWER PERMIT# -
_F
_F A .
I SSUILOIr:, 0e PARTNIcIVT /
F` SE r BACKS RE .ZZ LEF.-SIOE- RIGHT SIDE -_i;-
Permit 25' 3. 00 AR _
THIS PERMIT IS ISSUED SUBJECT TU rHE REGULATIONS CONTAINED IN THE BUIL OING CODE, ZONING
Plan Check 1 z4 , O REGULATIONS AND ALL APPLICABLE. COOTS AND 0801NANCES, AND IT IS HERESY AGFEED rHL.T THE
'�
60RK WILL BE DONE IN ACCUROANCE WITFI THE PLA145 AND SPECIFICATIONS ANG 1?4 COMPLIANCE Y;ITP
SU5-to(dl -
71. SO ALL APPLICABLE CODES AND GROINAN(.45. rH=_ ISSUANCE OF THIS PERMIT LOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR ANO SUI CONTRACTORS TO HAVE CURRENT CITY BUSINESS
i Ste Tax ! /0 - /L LICENSE. SEPARATE PERMITS REQUIRED POR SJ;'h'EA, PLUMBING AND HEATING,
T•.)r3! - - [oL SDC -
' a• � POCK ��.•,�r. /�Y
APPLICANT OP AGENT
Approved II -* � Receipt No �7
FlFiS PHONE
SDC - GV
PDC - 1 #
SEWER CONNECTION S &00
SEWER INSPECTION S «.J
SEWER SURCHARGE _
Comments . _ VP.nZ)l .JtMCA.? v? ��•S"J� - ' ��„r
�0140 �?G;A#V AURMWO R�:�Yoj
Opi,v I3 W /�` F*.V l ivice Rlv4p.
/ll�cYe �(oo : .>-f x GO
Fp ,2 -.S' k /7
Le.sa (,f- - zo ./6 7 7
Lowes Cove .2 Q, x 6o a410-00
Fp �_ r x 7 7
c►nQ�� • 2��� .2� � ,�`''!� yea es: �' g,��.o
'DIP 930
Ute S-0 0
City of Taaard Mechanical Perm* „ Fee
flaw Installation LJ Replace ❑ Relocation [� Addition ❑ Alteration ❑ % State
HEATING � TOTAL
CONTRACTOR OWNER
v
ADDRESSLl �� �(.tr���F� � WORK DDRESS
PHONE q6 -3 q15^ _ APPLICANT -
He4t Input Rating (RTU Per Hour) 0-100 Vent Size Flue Size
rIJEL OIL ❑ GAS C❑ ELECT a OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit _ — SEE ABOVE Air Condition Compressor 15 to 30 HP 10.00
- --
Ne-A-up to & inc.100,000 BTU's 4.00 Air Handling 10,000 CFM `-;00
Nett: LOO,001._BTU & over-- 5.00 Air Handling Over 10,000 CFM 5.00
Floor Furnace _ _ 4.00 Evaporative_Cooler 3.00
O'lall - Floor -S-ispended — _ 4.00 Range Vent Fan
Instali Vents Only 2.00 Vent System
_ 3.00
RZ it - Heat& Cooling -�_ 4.00 _Hood Commercial _ 3.00
Air Condition Compressor Under 3 HP _ 4.00 Commercial Duct System _ 1Q.0C
Air Condition Compressor 3 to IS HP 7.50 7
INSPECTOR'S COMMENTS
'ITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY_--_— _____ DATE �- -�—_ ISSUED BY � DATE
RECEIPT NO.
Sinnariiro nF Annfie't