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12050 SW LINCOLN AVENUE 12050 SW LINCOLN AVENUE �1 V1 R City of Tigard M,,!chanical Permit r�_ 3 � 4a Now Installation, Replace Relocation CJ Addition Alteration DAT E: HEATING CONTRACTOR .— �/ _-_- --- OWNER ADDRESS__.__/_ o►�_(ef�_ L JOB ADDRESS_ PHONE. _���5-/� br. PLICANT _ Heat Input FlatinglBTO ner Hourl Veit Sire— Flue ize____—_ — FUEL OIL EJ G/,S E] ELECT OTHER 17EM NO. FEE _ ITEM -- NO. FEE— For Issuance of Perm't SEE BE .Ow Each Air Handling Unit or Duct System New-up to A incl. if.0,000 BTU —` 6.x'`0 Commercial Hood System x.50 New 100,000 BUT's & over 7.60 - ---- 7.50 Other Equipment - Each 4.50_ Woodburnirt9 Stove 4.60 1 Trip Tu —W — Wall-floor- Suspended 4.50 6.00 Air Condition.Compressor up to&incl.3 H.P. 6.00 Vent r-Heatemt Cooling 4.60 Ai•Condition Com ressor-3.1 to 15.H.P.incl. 11.00 Reppir-Heat Corali- nom_ � 6� -_ CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS ORti_UB-CONTRACTORS ! ! ------------ PERMIT ISSUANCE 00.00 Comments: FEES SU -TOTAL ----------- - -- —._ — _ 96 STATE Issued By 25 PLAN CHECK \ RE C. ignAture of Applicent _ - i z ,u (7wxwN q V z� H >ui F w I I z adlz_� J U- O d w Z 7 $ E-1WIZ► w N ppdp > D m z w O -1z� .J �O7 Q vw-j ui �w J OyI CJ ❑ * > O zou �. 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Z4 d OJ z ° C] -1 I a C#s ul 0 C' 7 W Q 2 W z v O u m e' CQ 0- U) n O m U a N s o Q Q CIC�1 V C U A L ~O T a tm n 0 O e. Q CITY TIGARDDATE -AUQU•t 2L, 19 76 Ilia BUILDING PERMIT APPt..ICATIQN of — THE WORK HEREIN INDICATED BUILDERPHONF THE UNDERSIGNED HEREBY APPLICS FOR APERMIT FOR OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF Lor No._.--_.------ ,.1 JOB ADDRESS ,I,L[�.)01 51J Lincl.ilca HOME A,70RESS -- OWNERjutin Eduard9 ARCHITECT ENGINEER qD.. _SSDESIGNER BJILDER -- O--11 STRUCTURE ❑NEW L REMODEL C3 ADDITION REPAIR ❑RENEWAL. ❑FIrRE_DAMAGE_��•11SLAB ❑FENCE DDEMO�!TION RESIDENCE L.JCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSO-ATIO ❑CARPORT 0GARAGE 01 STORAGEIJ D ❑MOVING []CONDITIONAL USE IJDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _ — �,CCUPANCY _LAND USE ZONE-.— --BLDG.TYPE —FIRE ZONE_ PLAN CHECK BY__ _� _. HEAT= install rigor and interior 9'inieh.— fe6>";�ruVf. wJ111 ta6ltete�►n gss�dye !4 living raoa�._ _- - ttlamove garago floor. Install wells v now firePIace —.— _ -- VALUE f_L49f3_LQ�� HEIGHT N_9�;.I4fl!€�_--- A �O.BE�RQW5- "Q LQAQ -- - RIGHT SIDE BUILDING DEPARTMENT FRONT REAR _ LEFT SIDE _ Permit 12.0(1 THIS PERMIT IS ISSUED SUBJECT TO THI' REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 'T IS HEP.EE nl GREEDANCE THATINI E Plan Check WORK WILL BE DOIJF IN ACCORDANCE W'TH THE PLANS AND,PECIFICA'.;ONS AND Sub total _ ALL APPLICABLE CODES AND ORDI'JANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONIHACTOR AND SUB CONT.. IOIAS TO HA'/E CURREnf CITY BUSINESS State Tax .36 LICENSE. SEPARATE PERMITS PEOUIRCD FOR SEWER, PLUMBING AND HEAI ING. Total 11.36 - BV _ APPI-(CANT OR 4-G0-4 —i_ Approved —Te TLI' Receipt No. ---- — HONE _ ADDRESS ..- C17V O' — BUILDING PERMIT APPLICATION TIGARD DATE s s �s N° 0271 THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ ____ -.-- QINNER � �a ADDRESS 12050 S.W. j.. n"Oln BUILDER PHONE ENGINEER 1 H11LLUR C�•..�r _� ARCHITECT DESIGNER STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR []RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM 0EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CAF PORT ❑GARAGE OSTORAGE❑SLAB ❑FENCE CBONC ❑MOVING ❑CONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS Q!_CUP/',P;CY _LAND USE ZON BLDG E _ FI ONE—___ PLAN CHECK BY HEAT _ approxi.mst*ly 16 squa rou ^AEA OCC. LOAD FLOOR LOAD HEIGHT NO.STORIESVALU' BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit - -- -- _ - - -- - THIS °ERMIT IR ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGUL.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE_O THAT THE -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State •0, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total ! • — By APPLICANT OR AGENT Approved Racelpt No. ADDRESS rl n)NI DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-ii Fixture Final _ _ — HEATING -- Contractor Permit No. --- _—— Gas or Oil Rou h-in — -- Final SEWER —_-- _; Final _ 1 DRIVEWAY Final Storm Drainage_ (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping IZoning Final W W W w !� _nn r Address_. �_�J.._ � ` --- Permit No._ Name of Occupant_ ---. Permit charge — Connection fee —— -- -- --- Paid by - Date connected- 7— 1 Type u; Ruilding Inspection fee Service Rate---2, Paid by - ___. - _ ----- -- --Date Contractor„-__ As.,essment—___ Paid- i Sue of connection - L,�. (✓�______ _--_ __-_ INSPECTION NOTICE City of Tigard Build;ng Departrne It 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639.4171 Type of Inspection — /Z .� Time__ A.M. P. . Date Requested_ 1�--`` r >' Y Permit Address Owner —— ------ — Lot aF ---- Builder ___—.------— ------ - — The following Building Code deficiencies are required to be corrected: - - I Approved Presented to ------ _ _ Disapproved Inspector Date - CALL FOR REINSPECTION El YES �e NO