16175 SW Royalty Parkway 16175 S.W. ROYALTY PARKWAY 1 OF 1
KING CITY
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16175 SW ROYALTY PARKAY
KING CITY
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} MY JAY'S PLUMBING INC. BUILDING DEPARTMENT, TICARD ,, ,
_ 'Sorg Fl F ri''tl AVE. � O
POATL? •1 ,N 971156 PLUMB1N'3 PERMIT LI . i oki 1 tto ^ '
. �.. > lny , SAE-. , holds of a valid plurrbiny contractors Iicens'i is hereby 1
authorize,) to Eause plumbing work as herein noted to be installed in accordance with the plumbing cods of
Tigard. Such installations require inspection by the City Inspector who shell be notified not less than four I
e
(4) hours prior to the timthe installations are ready for inspection. City of Tigard Business License required 0
for all contractors and ub-contractors.
3.'5 we is d e l t„q t'o, /11/1.4 5 iy 10 0b/df .9ssa o)
Owrer Z. Addres:Cir/ZSSALI: 4 ti.rk.1,ID1 Date.__I--�!�-79
NUM3F.R OF I TOTAL PERMIT NO.'S
____ TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT w
—• (Ofliea UOnly)
. .:S1Q£NTIAL. _j .
sinal, Fatuity-1 ba h-exh ---_- 1 25.009;lrty
Ono1e4-E•i.h I batt unit 25.00
Addriui ,I h,•hroumt-rich 10.00 —! —•
Moody Home Sat.-each — 15.00_
NOIVIOUAL FIXTURE FEES
1 to 50 fixture►in 1 buiidirq-farh 100 —
51 to 10:1 Fi*:'j•e{in 1 builkir -feet _ _ 250 --
1C1 w:"J F;Aw,ec i.i 1 L_•rajiry-_cn _.. 20C
201 or mar.. .L -rep in 1 buiM:n2`alch - _1.50
MISCELLANEOUS
Bol!etir^Sf.rtr-In 50 ft. _ 1000• _
Sewer-e!ch ad.',cional 100 !t. ' 10.00
WIN?SW4irie to bu,td:Ni • 5.00 F
PrivI!*fern: Svutrre—rich 100 IL. 10.00
ia. t•.1� -�.._ — -- �—_—_ i
Other (S
' PFrS,',fIT s-41") For Piur. Slog In:....•!:.ter. P'1. '? 639.4111 /
�j' fIGT S / 3
_?!' --_. .,/De ._ Plumping Contractor By .. /
' 1
TOT:Al__..�brOQ _ nECEIPT NO. brurl•.1 By I
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i'JII.DiNG PERMIT APPLICATION CITY
UF II.,.',RD DATE_ _ _ ,19 `i' NO /2-v4
F ,'.,^E k,:IGNFD HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER rr♦ONK S -04/6
AS-11-WN AND APPROVED IN THE ACCOMPANYING PLANS ANU SPECIFICATIONS. 3ERPHoN`
�/ �L tdt _ � y. LOT No
R 1 _ 2 _— ��JpB ADDRESS/4/7S S tk) COME ADDRESS S h4,1
ARcill lel
t JCiJ CO iv ire✓c 7 y 4DDRESSJ 9,g0 N E^ v _-- DE5IGNE
.IWF riNEW 0REMODEL DUITION °REPAIR °RENEWAL °FIRE DAMAGE ODEMOLITmON
. ,f' ICF IJC'_,MM OFDUCATIONAL--❑GOV_T ORE I'GIOUSDPATIO °CAR PORT °GARAGE— °STORAGE°SLAB EN_E
' 1r.:)NU MOVING DCONDITIONAt USE DD SIGN REVIEW DCOJNCIL APPROVED IGNS
PAN. LAND USE ZONE_ 4.-,4:__It DC. TYPE
FIRE Z PLAN CHECK BY_ �..- HEAT--- �
. ....._ .._. _ __,L )( /'�— / 4e-, --- ---
_._ -` - - / 6 # -�"_-..-=-_-
SISS.
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t '.0 II.?AL FIOO!1LQAD__ HI)(jH ��2.._�LD�IQHlEffl/S[rr--ARE NS�.DlJ?81�MS I�YAi.�lf.//5++'_____
FInl , .NG DEPARTMENT SET BACKS I LR 1N DIy $ REAR S. ( Lilt SIDE / R T SIDE 30 '
�rlm,t I ` '� ,
- ---`-- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Checl V4.3RFOULATIONS AND ALL APPLICABLE CODES AND ()ROMANCES. AND IT IS HEREBY AGREED THAT THE
- --- --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI LANCE WITH
' .it)Intal I ALL APPLICABLE CODES AND ORDINANCES. THE ISSU..NCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
f, TAx I 7 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMyNO AND HEATING.
By I (A4 --___ —
p P� ICANI On AG[N1�
Anr'coved— �� �' -" ', _ '� /IYp`Cl -L�c __._.L_r --- -01/ S
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N9 124
BUILDING PERMIT APPLICATION KING CITY DATE 1/'7�/ ,q _
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 1`J.0-041 l
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE _
ire. hazel forks: 1617b SWRalt
o Pku LOT NO _
OWNER JOB ADDRESSRoyalt ADDRESS
AR':HITECT
BUILDER ( bnEltr• _ ADDRESS 1836 NE 82nd ENGINEER
nccila
STRUCTURE ONEW ❑REMODEL °ADDITION OREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOL'TION '
0 RESIDENCE DCUMM QEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑G:,RAGE ❑STORAGE❑SLAB ❑FENCE
L1BO.MD ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
Q c_uPANGY...�.- LAND ME ZONE_ "..7
_BLDG. TYPE AFIRE ZONE_3 PLAN CHECK BY_ Tl) HEAT ____
L.,netruc.t addition to exLetin4 aiowie family uMelliny 12 x .1.',
_._ Al._ 1 Redxoom and t both.
plumbing Permit Required.
UCQ,�LOAD_ __FLOOR LOAD 1�3.�1 y
_-- _..__._ HEIGHT _____ __.Nm—S10IIEI.` l ARIA_1g0
NO,SE MOM_ VALUE7 a AO.U�
BUILDING DEPARTMENT SFT BACKS FRONT DNA REAR 33 I 1'1
Permit $44400 -- -- —��LEFT SIDE 30
— _____
RIGHT SIDE uu
Plan Check + 1 j,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WIL L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 66.00 ALL APPLICABLE CODES AND ORDINANr;EE THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINECS
State Tax 4 : 1. 76 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING
Total $67. 76
By M
PI
-1: I,t•+tl dirft. APni a r,Nt mi At;l NT
Approved Receipt Nu
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/, Contractor
- , \ 0,e_ !'1� Permit No. /7 2Ad
• `,
Fixture f —
Final
HEATING
—_�_--_----_----�--- !Contractor
Permit No.
I Nsor011
Rough-in
~—• ---_ � Final
SEWER
—`-'--
Final
-- ---- ------- ----------- DRIVEWAY ----
--- -----------— I f anal
Stonh Drainage
IRaln Drain)Final
Sidewalk
Curb 8 Stmt Final
Approach
17LD0. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY final
Landscaping
Zoning Final
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