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11950 SW SPRINGWOOD DRIVE 11950 SW SPRINGADOD D1IIVE 1 N 0 TJ O U :{ 01 C f-� CL Ln 3 Ln 0 Ln rn 1-1 14 At i � •-ti ii '.. � /'1, � /� � /'•� e., :'� •-� ,�, l~. /•"ti, r� ice. �..� • t A/C), co, CITY OF TIGARD OREGON >` 11 He11icksun 67 3 ` ......Permit No... 3 11950 SW Spri.n.4.wood-..Dry................. . )' •r �.- Building Address. ............................... . ........ . . Certificate is h-reby given this.....1. ........flay of... ,.Ap.r4............... 19_77.... k tr at said building may be occupied and 4C` that it complies with all requirements of i the Building Code for the City of Tigard, as approved by the Tigard City Council. > +Q Di ildinit L. jwclor aj , yrr IN$PEDT;C1N T,M : �w?41 T NC. :�-- � CWVF;;8 NA).A'Gc- ;-- ' TEST : 'T: I T1 ia, V SPEOTOR DATE ;wg; �•t.;;► ; ^'� wental test data here!^J BUILDING DEPAR T MERfT, TIC:ARD NO. PLUMBING Pc:Pr,IT Tualatin Valley Flumbing & Heating Inc. holder of a valid p!,-Imbing contrac,ors iicense is hereby authorized to cause p!urnbin3 work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the :Ly inspector who s )jil be notified not less than four (4) hours prior tr, the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Tigard Owner Wayne Helli ckson Addresi L930 ll Ser ingiynod-D-r_ Date h-21-76 NUMBER OF ! TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Oniv) � RESiDENTIA Single Famiiv-1 bsth—east: I 1 25.0025. 00 Dui3lex—Each 1 bath uni; 25.00 Additiona! bath rooTs—escti 1 10,00 � 10. 00 l l Moaile Home Space—each 15.00 INDIVIDUAL FIXTURE FEES 1 to 5C Fixtures in 1 e uildi —each 3.00 51 to 100 Fixtures in 1 budding—each 2.50 101 to 200 Fixtures in t building—each 2,00 2C1 cr more Fixtures in 1 buildia —each ! 1.50 MISCELLANEOUS Buiidino Sewer—%t 50 t. 10.00 �--Se—w.--each 3dditiunal 100 ft. 10.00 I.—Wale,r Service to bui!dpN 5.00 I Private Via P,S stens—each 10C ft. 10.00 Other i5 i. I: PE R W T 35. 00 For Plumbing in-gwt7on Phone 6.39-4191 '% State 1. 0 5 1 Plumbing Contractor By( �G' ✓� [_TOTAL 36- 05 ! RECEIPT NO. Issued Py WuW"c^'ra •ww.aw�wrsiw�R CITY OF BUILDING PERMIT APPLICATION TIGARD DATE june rs ---- » '� H° 0873 TNF UNDERSIGNED HEREBY APPLIES FOR APFRMIT FOR THE WORK HEREIN INDICATED OWNEFJPHONb 640-7566 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIQNbr OWNER v.ueyns HIiIlLckmun ADDNESS :;i.)2 N*E:o itith ft1118LIurc BUILDERPHONE____ ENGINEER I .)on Alexander DESIGNER 911H— SameQfY18 AR;HITECT�11.QF. tt STRUCTURE Lrr��!!JNEW _ ❑REMODFI_ 0ADDII'ON ,^OREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION RESIDENCE UCOMM OEDUCATIONAL ❑GOV'T ❑RE:IGIOUSOPATIO_OCARPORT ❑GARAGE ❑SIORAGEL.ISLAB ❑FENCE eBOND []MOVING ❑CONDITIONAL USE DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS r —�- I I OCCUPANCY I LAND USE ZONE � BLDG.TYPE-. __FIRE ZONE� PLAN CHECK BY ET HEAT ,;unutruri x•`J"!l uq. ' frame 1;Jt,e1-1.1IIE,j w/ ettaeohed garage No tIga emilnt t1e�-1�ssu�r I bedraumax 1571 OCC. LOAD 5 FLOOR LOAD HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT2n1-0 36,M 12*939 _ fig--0 _SET BACKS FRONT REAR LFFT SIDE RIGHT SIDE Permit 133,00 -_-- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 10,0111 F:EGULA'rIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF WORK WILL BL DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State 3199 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. . Total 146.99 BY ---------- - __ •,Y_ n!'� 'ANT OR AGENT Approved Receipt No. AnUnrEss —��-- HON: R`�MARKS PLUMBING DATE DATE INSP. TYPE INSPECTION — — —� - Contractor 7/z 17 Permit No. Fixture �— Final _ _ __--.--- HEATING ootractor 2 �! j74 yf Permit No. � ' � Gas or Oil Rough-in --- Final SEWER a7 ; Final_ - DRIVEWAY Final _ -- Storm Drainage (Rain Drain) Final Sidewalk Ctna b&Street Final h_ _ BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY _ CERTIFICATE OCCUPANCY —ing (� inal C I TIN CITY OF BUILDING PEWIT APPLICATION TIGARD DATE, THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYINGEIFIC S. OWNER PHONE OFN_VER�_�/✓W_!�J J /C�ADDRESS .3 e�/��E_�sT/� N/�a. UIL.DCR PHONE D ENGINEER _ ;tiJll J?ER -��' ------___--------A�1ET TE ,�STTRRULrUHE _ !_JNEW OREMODEL -OADDITION OREPAIR ORENEWAL FIRE DAMAGE ❑DEMOLITION hJRESIDENCE [COMM OEDUCATIONAL�OGOV'T ORELIGIOUSC1PAr10 OCARPORT OGARAGE OSTORAGE OSLAS OFENC5 _QBOND , _-DMOVING ❑rorwITIONAL USE ❑DESIGN REVIEW— ❑COUNCIL APPROVED _ CISIGNS- OCCUPANCY----Ir_LANG LSF e-ONE.�_� .--_._BLDG.TYPE� _ FIRE ZONE PLAN CHECK BY HEAT— A. Q_QC,LFl,OOR.LOAD �1 HEIGHT + � NO,STORIES AREA ?I VALU 'J_ BUILDING D T1Al10}'^ SET BA_CK5 _FRONT /� HEAR Q� — V LEFT SIDEy� RIGHT SIDE Permit �� - -- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE DUIL7ING CODE, ZONING Plan Check r1 C1!J 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 Recordin-, ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONT %A,;TOR AND SUB CON'rRACTO.46 TO HAVE CURRI.NT CITY BUSINESS State G9 LICENSE.SEPARATE PERMITS W ktUIRED FOR SEWER, PLUMBING AND HEATING. Total By APPL.ICAN?OR AOFNT Approved r Receipt No. ADDRESS ^P-NO'VE `ll� ONY �S7l P. 6 A A' ?I., rNs COV.P�lve S.w 1-�S* V. %-V,le,Ye n if 7 s I I City of Tigard Mechanical Permit ��I° C��J' Permit $3.00 s;as New Installation Replace n Relocation ❑ Addition ❑ Alteration U Fee TOTAL 3 J CONTRACTOR _ �1 OWNER_Is��/�'tC-�T�%l'�ic -Y c_)P, ADDRESSeO WORK ADDRESS /L�7 �—L' S./_.I S.•�/'t1`' DUU1 �12, PHONE <<`� — I�5 APPLICANT Heat !nowt Rating (BTU Per Hour) Ven:Size s Flue Size FUEL OIL _1 GAS 2' ELECT G OTHER_ ITEM NO. FEE ITEM NO. FEE For Issuance of Permit 3.00 k Boilers Over 50 HP 25 0 New - Under 100,000 BTi 1 4.00 Air Handling 1G,000 CFM 3.00 New - Over 100,000 BTU 5.00 I Air Handiing Over 10,000 CFM 5.00 Floor Furnace 4.00 Evaporative Cooler 3.00 Wa I - F'oor - Suspended 1 4.00 Vent Fan 2.00 install Vents 2.00 Vent System ' 3.00 Repair - Heat & Cooling 4.v0 Hood 3.00 Boilers Under 3 HP 4.00 11 Domestic Incinerator 5,00_ Bailers 3 to 15 HP 7.50 Comm. incinerator A 20.00 Boilers 15 to 30 H.P 10.00 Other Not Listed _ 3-00 Boilers 30 to 50 HP It 15.00 !NSPECTOR'S COMMENTS CITU BUSINESS LICENSE REQUIRED FORALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY DATE ISSUED BY DATE RECEIPT NO. /1 "' Signature of Applicant L �4 C7 PERMIT • ov UUNF:R .T� --��,� ,� C0NNEC7ION FEE - PAID BY TYPE OF BUILD114G DATE CONNECTED SERVICE RATE �/S;l�_�_____ INSPECTION FEE CONTRACTOR PAID BY DATE _ _� __ __ _�.___._ SI1_E OF CONNECTION _.. ASSESSMENT - PAID ISO -3r