10715 SW HIGHLAND DRIVE-1 10715 SW HIGHLAND DRIVE
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City Ofj lard �'��iecfi.mical Permit '-\79
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New Ins;al;ation d :4e`,,ace i� Rei.ocation J Addition Al;�•ra:ion ❑ Stat• __ -
TOTAL
CQ":7 RACTOR C'cs_i�g_�•AL t"��,► !. <' — O�1'hcR -LAS-hI=_4h1 .r ---•---
AE)nRESS be ,- �� ,� ,�,� WORK ADDRESS 10:11- !&,U). 44 ,
APPLICANT---+
PHONE (�
Heat Input Rating (BTU Per our) i�Y�-,__- Vent 5ize — " FIue.Sire
FUEL OIL EJ GAS ELECT ❑ OTHER
ITEM NO. FEF ITEM NO. FE
For Issuance o' Permit Air`Condition Compressor 15 to 30 HP_
New Under 100,000 BTU I 4.00 Air Handling 10,000 CFM I 3.CI
New- 100,000 BTU& over L_5.00 Air Handling Over 10,000 CFM -�� �— t
Floor Furnact _ 4.0_0 Evaporative Cooter TI----_� 3
1'Vall . Floor -Suspended iY I �_� 4.00 Range Vent Fan ' `__ I _ I 2
2.00Vent System
Install Vents Only ---- _ - _ 3 I
_ _ L_- _
Repair • Heat & Cooling — I_4.00 Hood Commercial_ 3
Air Condnion Comp�essoUnder 3 HP r - 4.00 Commercial Duc S�seem
r Air Condition Compressor 3 to 15 HP I7.50
_--_
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: * INSPECTOR'S COMMENTS - _ _ -- ----- �-.�� _ -. ------- --
CITY BUSINESS LICFN'SE REOUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
* APPROVED BY DATE _ _ ISSUED BY _ DA E
ty RECE IPT NO.
ae ssr ss� ssss� aae ase air iesr
TIGARD
;CNiI E. R'"IHS"itl Pl'"!f}',11�, I;iG BUILDING DEPARTMENT, NO.
P 0. Ph["i. '.9 PLUMBING PERMIT !
_ NEWSM, 9]132 holder of a valid plumbing contractors license is hereby
authorized to G3use plumbing work as herein noted to be installed in accordanrc with the piumbing code of
Tigard: such installations require inspection by the City Inspector w'10 shall be notified not less than four
(4) hjurs prior to the time the installations ;re ready for inspection. City of Tigard Business License required
for el! contractors and sub-contractors.
i
Owner � � i ---?VV— Address-)-d 7/
� NUMBER Jr TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office JW Only)
SI le Fam I —1 bath—s„', t. 7`'00 —Duplex—Each 1 beth unit _ ______ 25-99—
Additional
5.00—Additional beti. oomr-each ._� _ 10.00 UC
Mobile Hcme Space—each 15.00
INDIVIDUAL FIXTURE
1 to 50 Flxtumi in 1 build in _tech 3.00 _
51 to 100 Fixtures in 1 building—each 2.50 ---
101 to 700 Fixtures In i building-!&,.h_ _7.00__ -
701 or more Fixtures vi 1 building—each 1.64
MISCEI.LANE01!6 _
Buildlnq C-�,c —Ist 60 ft, _ ----Lo')0 _
Sewer—each additional 100 ft. 10.00
Water Service to building
6.00
Private Wster Systems—each 100 ft. �—
Other (Specify):
PERMIT For Plumbing Inspection Phone 639-9''91
9G Statta �
Plumbing Contractor By
TOTAL `" RECEIPT NO. Issued By
BUILDING PERMIT APPLICATLN CFV TIGARD DATE ?" �`�" 19
THE UNDERSIGNED HEREBY APPLY.`; FOR A'HERMIT F )R THE WORK HEREIN INDICATED BUILDER PHONE__
OR AS SHOWN AND APPROVED IN THF ACCOMPANY,NG PLANS AND SPECIFICATIONS. OWNER PHONE_
LOT NO.-----
OWNER T 061a tin
O._.—_--OWNERT06leltin nGV�t,1'r JOB ADDRESS ), Highland ',,!.HOME ADDRESS
-- ARCHITFC'1'
ENGINEER
BUILDERr�--11 _ ADDRESSS t DESIGNER
STRUCTURE _ ONEW ❑RfMr1D_EL. OADDITION0
_ _ ` RFPAIR� ❑RENEWAL ❑FIFFEDA'AAGE ❑DEMOOLITION
[3 RESIDENCE ❑COMM EhDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CAR PORT ❑GARAGE E)TORAGEOSLAB OFENCE.'
�OBOND v C3 MOVING ❑CONDITIONAL USE 0DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_ __-LAND USE ZONE_ Q-7 BLDG,TYPE FIRE ZONE PLAN CHECK.B'Y_.— � HEAT_
family L:$1ddo.11ift'j W/nt.t,oc,hwri CrL1F:aM!,.'m uat.h• -
-la; u► tStigllNi-a& 15; Swr SummerVield Lori&
lower Permit � 1887- 117-fil-'.00
tMC I� 69__-__e_F199R1OAL) d0 _—L�I� 20 1!IU�^ ?...__AREA. 4���
BUILDING DEPARTMENT _ SET BACKS FRONT REAR U4 LEFT SIDE 4 RIGHT SIDE 4t 9"
166,00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF- BUILDING CODE, ZONING
Plan Check iii,on REGULATIONS AND ALL APPLICABLE CCCcS AND ORDINAN ES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE "LANS.AND SPECIFICATIONS AND IN COMPLIANCE. WITH
Sub total 176.00 ALL APPI ICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINFS,;
State Tax 6,64 LICENSE. SEPARATE PERMITS REQUIRED F017� SEWER, PLUMBING AND HFATING.
Total lb1.a4 iI" 114:i")0*0 0
By P1
-- 0^ A� 'LICANi QpA{3 �
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Approved I ;Ipceipt No. �
J
._ nnnaru � rlu�Nr
Ire
— PLUMBING DATE
DATE INSP. TYPE INSPECTION RLn.ARK1i —
---------' Contractor _
Permit No. Na/'-- 6 "10
/ C ciSY +B ALV — Rough-in
Fixtwe
Fins
HEATING
7-�- �9 4. �11 �/"�!�S�`1h1 L•Q Ali" — Contractor
Permit No. �,� 3Y Y� –71 /r
---_– Gas or Oil
--- Rough-in —
Final _ —v
-- -- J —SEWER
---' --- —.--- ------P Final
—^ -- -- — DRIVEWAY
�—__ — --- — ---- Final --
- Stonh Drainape
(Rain Drain)Final.
— S idewa l k
-- Curb&Street Final _-
— -- _—_—�_ gPProach —__
—BLDG. DEPT.FINAL T@'MPORARY CERTIFICATE OCCI P�gNr —
CERTIFICATEOCCUPANCY Irn� `�l
Landscaping
Toning Final
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