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Citi/ of Tigard Mechanical Permit 29 �01
New Installation ❑ Replace Relocation 0 Addition n Alteration ❑ DATE:
HEATING
CONTRACTOR _ OWNER
ADDRESS .108 ADDRESS ---- _.
PHONE_. APPLICANT��._..�._W__._._—__.
Heat Input Ftating(BTU per Hour) __� _�,_ Vent Size _ _ Flup Size_
FUEL OIL l� GAS E1..ECTEjOTHER
ITEM NO.NO. FEE _ —�ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct_S_ystem_` _ 7.50
N_aw-uP to & incl. 100,000 BTU 6.00 Commercial Hood-
sy tem �^ 77.50_
New 100,000 BUT's & over _7.50 Other Equipment Each y4.50
Woodburni g Stove 4.50+ 1 Trip ji]! ction _ 4.50
Wall-Floor- Suspended _ 6_.00 _ - Air Condition Compressor • up to& incl.3 H,P. _ 6.00 -
Vent Svstem w/Fan _ — 4.50 _ Air Condition Compressor_3.1 to 15.H.P, incl. 11.00 -
Repair-Heat Cooling_ _ 6.00
CITY BUSINESS LICENSE REQUIRED BY Al_L CONTRACTORS OR SUB-CONTRACTORS! !_ _
PERMIT ISSUANCE T10.00 Oomments:
_FEES_ _
SUB-TOTAL
% STATE Issued By__ ._
2696 PLAN CHECK_,____
TOTAL y__-- REC.
Signature of Applicant
INSPECTION NOTICE
i
City of Tigard Building Department j
12420 S.W. Main St.
'Tigard,Oregon 97223
Phone: 638-4171
-..,✓
Type of Inspection
4 jDate Re uester! -
_ Time A.M. _.P.M.
jAddress CZ -� _ ._rni .570, Permit #_
f -
I Owner__---_-- ---_ Lot # _
Builder __.�---- --_ — -_—
I The following Building Code deficiencies are required to be corrected.
.-_��L��._1-.-r•.�..t��,[ �a�.��-�-•.Las ..�/�.�
- l
\
Presented to_---------------- ------- ----�_..'—�
-- - - -- l� Approv cl
Inspector / L�j�
-- ❑ Disapl wed
Date
CALL FOR RF,INSPECTION
Cl YES 4 NO l
a
�f
S D
T �
� t
1 L S`
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested ..sL= Time A.M.— P.M.
Address �� u� �Lf� eS ,-s-. Permit # -------------
Owner _ Lot
BuilderThe following Building Code deficiencies aro required to be corrected:
- lo - ----- — �-�-
c
Presented to __ El Approved
Inspector '_��" 19,1 Wapproved
Date
CALL FOR REINSPECTION
YES (--:] NO
r
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested. J ` y��i TimeA.M. P.M.
Address __ ! CD -�-�'1� - -_ Permit #��✓�
Owner --- --- ---- - ----------- Lot # ---
Builder -------.-
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector D-approved
Date
CALL FOR REI SPECTION
El Y1 ( NO
- 4341
�
BUILDING PERMIT APPLICATION TIGARD DATE_ °!etch Rth - ----
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.—, LAQdiW,
OWNER Tayyiller h1ditd• JOBADDRESS_ 16300 7,.;t. Sylvan roUru —
ARCHITECT
caret PO Box 23291 T1'7ard DESIGNER ENGINEER Piet•cy Barclay
BUILDER ADDRESS _— --- - — -
STRUCTURE L15NEW ❑ REMODEL ❑ ADDITION 0 REPAIR ❑ RENEWAL_ O FIRE DAMAGE ❑ DEMOLITION
M(RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO O CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB E-1 FENCE.
OCCUPANCY "____LAND USE ZONE 1+�_ ' BLDG.TYPEk_ ._FIRE ZONE�iPLAN CHECK SY _HEAT
cWlstmct ein%,le f&mily 1.1weellirig w/attachrd ,ara-e _
seas correction sheet attached
SEWER PERMIT# 2 idt+:?— �.- -- 4 rtt,a-4wj-
OCC.LOAD FLOOR_OAO _ _ HEIGHT ;'_ NO.STORIES 2 AREA 1381 NO.BEDROOMS 1 VALUE
BUILDWG DEPARTMENT SET BACKS FRONT Y REAR LEFT SIDE RIGHT SIDE
Permit 313•UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
203.4c REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
1����{� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
h LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex
`�2 1
Total . SDC— 'itH).Ul)
-- PDC# 1(,10 00 APP—15R ENT
By
Receipt Na ADOREt38 PHONE
Approved - — ____ _
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DArm '
Contractor A �tJa'YI ZyU-G�fBS-
- :Z j Permit No.
/ �4 Rough-in =f
�y Fixture
Final -
L HEATING
Contractors
- Permit No. ;L -
Gas or Oil
Rough-in -
- - Final
-- `� SEWER
Finel
DRIVEWAY
fnal
Storm Drainage
--�— -_-------- - --_ (Pain Drain)Final
Sidewalk
-� Curb&street Final
Approach
BLDG.DEPT. F IAL -- TEMPORARY CERTIFICATE OCCUPANC.' Final
CERTIrICA'1 E OCCUPANCY
Land+caping
— - —� -_ Zoning Final
BUILDING PERMIT APPLICATION TIGARD DAT�� te03
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER,PH E
rOL 1�l/Q{. JOA ADDRESS A Sj LOT NO.
O'rIN E R J I�fir" ` �„ '` �h�Z--I����.y� ARCHITECTTr ENGINEER
�I�+'1'ttP _ ADDRESS 90 Go ( 23241 "t -1+I(.D
BUSLDER ESIGNER r1�1"T •I�Q Y�GI9A,
_ '—'C ]�
STRUCTURE NEW ❑ REMODEL ❑ ADDITION �❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
f RESIDENCE ❑ COMM CJ E.OUCATIONAL ❑ GOVT ❑ RELIGIOUS C1PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE ❑ SLAB❑ FENCE
iCh;C' iiPANChh
Y '•� _LANE)USE ZONE �J..�BLDG.TYPE S N FIRE ZONE—=—PLAN CHECK BY At—HEAT`=
6A U
SEWER PERMIT N _ L40'?
OCC.LOAD FLOOR LOAD HEIGHT 2 O NO.STORIES I�, AREA I g NO.BEDROOMS VALU«EV.609
BUILDING DEPART MENT _ SETBACKS FRONT REAR y? LEFTSIOE RIGHTSIDE
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE RC:GULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG
ys•• REQULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE)THAT THE
Plan Check 020. WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su�tofal
4-16 •#S-' RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEF'^RATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
itata Tax
--
Total SPC—
„S Z�•
PDc# APPLICANT OR AGENT
BY
Receipt No.
Approved ADDRESS — ^— PHONE
i -
SDC — 4100 -
PDC -- S j--
ILI0
SEWER CONNECTI'JN S _ 8z�r•
SEWER INSPECTION r4i�_
SEWER SURCHARGE S
3 &0
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