15725 SW STRATFORD LOOP 1572 - SW STRArFORD LOOP
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City of Tigcirdl Mechanical Permit
DATE:
New Installation L-1 Replace ❑ Relocetian❑ Addition ❑ Alterations ' -'—
HEATING
OWNER_ ' �•_.�'
CONTRACTOR .: -1--. --.' ' --' 1 ,
JOB ADDRESS 4;
ADDRESS- __.i. - ----- i-•-�-�-'� } "'
PHONE____-._ ' _ APPLICANT-_ -
Heat Input Reting(BTU per Hour)
Vent Size Flue Size_ -----
FUEL OIL❑ GAS ❑ ELECT OTHER -y ; -� �•�'
PCO. FEE ITEM NO: FEE
ITEM —� - 7,50
For Issuance of Permit~� FeE BELOW Each Air Handling Unit or Duct System 7.50
New_into & irci. 100,000 B_!7i;__ __ ._�-[ 8.00 Commercial Hood Sy aam 60-
New 100,000 B11T's& over _ _b0 Other E u�ment ..ach 4.50
Woodburning Stove _ - 4.50 1 Tri Ins section -_
Wall Floor suspended__ 8._00 Air Condition Compressor- up to.�incl.3 H:�. _8.00
4.50 Air Condition Comprassor�3.1 to 16.H.P,incl. 11.0(?
Vent S sy tem w/Fan 8.00 - ----- --
Re�r-Heat Coolie
CITY BUSINESS L SE REQUIRED tsY ALL CONTRACTORS OR SUBCONTRACTORS ! ! _
PERMIT ISSUANCE 10.00 Comments:
FES -
S'JE'-TQTAL
_' % STATE,_ Issued By.__ —
25%PLflN-
HE. —___._
REC. # -- 51gn-
"" a:ure of Applicant~
�r
City- of Tigard- Mechanical Permit NO.�
New installation ® Rcplace U Relocation f-1 Addition L] Alteration r-1 DATE: �'' 3o
HEATING �7 r
CONTRACTOR 1,r„����2 Ft" ��'�� N G OWNER �c�Nre�4 �FIP�z—
ADDRESS - 3( S W L oK p? �I K'- 7 �% J06 ADDRESS '514-12 S� 1IeA
`' MRcG
PHONE 'may- ("06 0 APPLli:ANT���42 Plus-It !� PA` ;P� _
Heat Input RatinglBT'.; per Hour) ..__ —_ .- _ Vent Size ___ Flue Size
FUEL OIL GAS [] ELECT OTHER
ITEM NO. I FEE ITEM NO. FEE
For Issuance of Permit_ _ SEE BELOW . Each Air Handling Unit or Duct-§1 stem Y —7.50
New-up to & incl. 100,000 BTU _ 600 _Commercial Hood System _ ___ _ 7.50
N_e_w_100.000 BUT's & over 7.5_0_ Other Equipment - Each _4.50
Woodburning Stove 4.50 1 Trip Inspection _4.50
Wall-Floor- Sus enuerl 6.00_ Air Condition Compressor - up to& incl. 3 H.P. 6.00
Vent Systcm w/Fan _ 4.50 Air Condition Com ressor•3.1 to 15.-H.P,inc;. 11.00
Repair -Heat Cooling __ 6.0_0_
Ai
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR S IxTRACTORS ! !
PERMIT ISSUANCE 10.00 Commen>s:
FEES ''C
% STATE g Issued 8%,,-
25%
;°25%PLAN CHECK
TOTAL FEC. #
`-- �- Signature of Applicant
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A .1•-_ OC=:;A � {LST l
CITY OF Z x,�ARD
b � OREGON
i'. Owner: T.E. Laxton Permit No. 2272
18670 S. Pacific HW West Linn 9re. 97968 'x`3:
Address: Y• $ 3
cY - 15725 S.W. Stratford Loo
Building Address: P � l
R-3 TT R-7 5-N
Occupancy: Land �e[.or_c._ Bldg.Type -Fir e Zone:3
Comments- `
=A Certificate is hereby given this 6+h day of Iia r c h ,29 7 9 �=
that said building may be oceupizd and that it .3
#� _) complies with all requirements of the Build-
ing Code for the City of Tigai as approved J `
-j;•. by the Tigard City Council. - <
Builaing Inspector
Building Official
r
Post Certificate in Conspicuous Place
A —•'per- ------- - ��t�,_s' .w_----- -- ----.�... - ._ -- - -- .-.. e. _ —,•r:. a.
- „ :14:1 — -�'' s t-.•- 7` ' r3� -:z"4 �'OY. - - „ �i
4 11t �� ,�i' r•�� �:. �' "iii- �'- �,Y - 94-ez,:t �F � ”"91�' ,�:�"' ;, qc '� �s- +�'• .o �
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''` ?y.,r+M° ' 'ii�, �+4y aY" vYs' '?.4� d � s?s 'j► �" �;rt .�* :rir.' s -��
BUILDING PERMIT APPLICATION 11 Y TIGARD DATE,�:,,�, -
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED BUILDER PHONE--
OR
HONE.OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPI-ONE._—,
LCT NO..
Z.BIIGrai'; Corit,r • ':erat(OT-J "I'00
OWNER " JOB! )DRESS _. � HOME ADbRESS -
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE ONEW 0RFMODEL OADDITIGN ❑REPAIR ❑RENEWAL GFIREUAMAGE ❑DEMOLITION
O RESIDENCE ❑COMM ❑EDUCATIONAL GGOV'T DRELIGIOUSOPATIO ❑CAR PORT DGARAGE [:]STORAGE.❑SLAB ❑FENCE
❑BOND ❑MOVING [:]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
OCCUPANCY---_--.-'-LAND USE ZONE —BLDG. TYPE FIRE ZONE._.._ PLAN CHECK BY^..Lljw HEAT—_
oC�,_LQAQ�__�C.1.44FLLOAD 4t1 HEIGHT _ALo BE_DR0�2Mi_'-----XB1. E- Imo`
BUILDING DEPARTMENT SET BACKS FP )NT 1 REAR �" :EFT SIDE fi r� RIGHT SIDE S
Permit -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TI4E BUILDING CODE, ZONING
Plan Check • REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
`�- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFI:ATION.1 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 CUPI,-NT CITY BUSINESS
State Tax LICENSE.. SEPARATI: PERM1 iS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By ,---------
APPLICANT OR AGF.N T
Approved Receipt No.
_2�,4,t•-
DATE INSP. TYPE INSPECTION REMARKS _ PLUMBING DATE`
Contractor
permit No. • (� —
' Rough
-�
'Fixture
ffinal
HEATING
Contractor 901 —
k1,4A
y_� —
/ Permit No.
• CAI& e00,r-1 • — GasorOil
Rough-In
Final
SEWER
Final
-- DRIVEWAY
Final
Stoll Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
St.DG. DEPT.FINAL i'}RPORARY CERTIFICATE OCCUPANCY Final
CE'4TIFICATF_OCCUF 4NCY _ --
Landscaping
Zoning Final
i
1
PERMIT N 0•
ADDRESS
PERMIT CHARGE non,a
CONNECTION FEE
OWNER —
PAID BY ��•
TYPE OF BUILDING DATE CONN ED
SERVICE RATE �c� [ - • INSPECTION FEE
CONTRACTOR _ __.._
PAID BY _ DATE
SIZE OF CO'J'JECTION _ ASSE55MENT PAID