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10835 SW HIGHLAND DRIVE
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of �i��i�'� �ecf�l-n�c��rJ Permit � Fue_
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Nara In§tallaticn � Replace I_! Qaiocatio.t ❑ Addition EJ Alteration L 4 % Stat. .- 7
HEATING TOTAL _'.
CONTRACTOR 6"s -._ uR,r.1,4-GL �� � DINNER l' C!, , 4.)y— !
ADDRESS �Q. x � i ��,4t.�c�►,MA.� WORK ADDRESS IGf3'2_9!Z �L'jj�).
PHONE (o5pj;� -- APPLICANT____ !t. IRAV
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He:,t Input Rating (BTU Per Xpur) 3C C= Vew Size � " Flue Size„_,__ -
'UEL OIL 0 GAS 02" ELECT ❑ OTHER
ITEM N0. FEE ITEM NO. FEE
'-or Issuarc:e of Permit SEE ABOVE— _Air Condition Compressor 15 to 30 HP 10.00
`:a,,s-up to & irc.1.00, 000 Bff _ 4.00 Air Har•lling 10,000 CFM _ 3.00
`�z4"L
_100,001 BTU & over 5.00 Air Handling Over 10,000 CFM 5.00
-1.»r Furnace _ 4.00 Evaporative Cooler _ 3,00
'!all -Floor-Suipanded 4.00 _Range Vent Fan — 5Tn
nstall Vents Only __ -- 2.00 Vent System 3.0C
lap dr-Heat b Cooling _4.00 Hood Commercial _ __— 3.00
sir Condition Compressnr Under 3 H? 4.00 Commercial Duct System _ — 10.017
sir Condition Compressor 3 to 15 IAP —C 7,50
' SPECTOR'S COVVENTS
!TY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS !
?PROVED 3Y w DATE ISSUED BY ) OATE �
cCEiP T NO. � �
sw WKWALneer ase etas a
lOHtl E. f1[! 4!,1P0T PCUNBIRG, INC,BUILDING DEPAKTMENT, TIGARD NO.
P. 0 BOX A PLUMBING PERMIT
– NE1'iCEfiS, GRCGO)1 97132 __._..� holder of a valid plumb.'ng contractors license is hereby
authorized to cause plumbing wor,- as herein noted to be installed ir, accordance with the plumbing code of
Tigard. Such installations require Inspection b" the City Inspector who shall be notified lot less than four
(4) hours prior to the tima the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner_ �fi! r h) i Z? Address_r'L'b '�S w La are Datc��C_i
NUMBER Or TOTAL PERMIT NO:-
E Or PERMIT ITEMS FEE ON EACH AMOUNT IOffi(;n I114 Only)
Ingle FemIIY-1 beth-each _�- rV
Dupisx-r,�ch 1 beth unit
Additional bathrooms-eachr 10.00 ll '0
Mobile Home Spece-each _ -� 11,.00
i"!n!`iDUAL FIXTURki ' EES t
1 to 50 rlxtures in 1 bu_il_ding-eac-h- —� 3.00
BI to IGS ixtures in 1 building-etch `r 2.50
101 to W Fixtures In 1 buttdin _-each ( 2.0
201_or more Fixtures In 1 aulldtng-each ____ r 1.50
MISCELLANEOUS__ _
Bullding Sewer-lit b0 ft. _ _ 10.00 —�
Sewrr_eech additional 100 ft. 10.00 f
Water S,irvlca to buticlirtg _ 5.00
Private Water Systems--such 100 ft. 10.00
Outer S f
PERMIT For Plumbing ln.rpev,don Phone 6394191
Plumbing Cratfector By
TOTAL , RECEIPT NO. Issued Ey
— r�
,..�„y w.. ....,..w•.+.,., I.e ,A.�4 14 t 41 k AA" RA��t[t" `�1 .4�j1Me/ Y':�' V�1�'/,._'�
,� �.ipl-„...r,, time'',.. or 14 1 '.^'e"'qr w''Wi►roY��t4�i��`"i9�""'���CY
CITY � ,S'✓ d1 �
BUILDING PERMIT APPLICATION OF TIGARC� DALE___ �X__, is�`
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILM'R PHONE _ .
OR AS SHOWN AND APPROVED IN -iHE ACCOMPANYING PLANS AND SPECIFICATIONS, OV,NERPHONE_,,..,,,.�,,,,,_
LOT NO.
OWNER Tune atin Dey. f u. JOB ADDRESSinp'.',., SLI Highlan _ I "NOME ADDRESS
ARCKITECT
A19MG E.JGINEER
7
BUII ER _ ADDRESS n--,IGt IER
STRUCTURE TRUCTUR ❑NEW C3RI'MODEL ❑ADDITION C1 REPAIR ❑RENEWAL— ❑FIPc DAMAGE []DEMOLITION0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAUE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑COND-IITIONAL USE "DESIGN REVIEW F]COUNCIL APPROVED ❑SIGNS
OCCUPANCY LANG U5E ZONE _BLDG.TYPE-----FIRE ZONE PLAN CHECK BY--.-- _ HEAT
9ri$tIuct 9ir'1. i o It a`#rni 'y dws!ll.it� 'IJ sttat,hwd (4sI•aiEgio• t IJSI.1LoLJm d
(Ounthurps) Ut COIMELTION WIT ATTACHE06
,ever Pormit 18691 - 7(r...00 .�
Q0JLQ U. FLOOR LOAD._ .__ ��IGliLNo.STofl �_ —.AREA NSI.,_@.EAB.4.2MS
BUILDING DEPARTMENT SET BACKS FRONT REAR 1� LEFT SIDE RIGHT SIDE
Permit --
THIS PERMIT IS ISSUED SUBJECT TO TIIE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check . 00 F IEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND I”COMPLIANCE WITH
Sub-total dl .11-, ALL APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT ODES NOT WAIVE
– RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax _ --_^ LICFNSE°.SEPARATE Pf,wM1jP JEOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY _
APPI.ICANI OR AGENT �—�.—� � ------
Approved t I Receipt No. 3 (/
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DATLr INSP. TYPE INSPsCT10N REMARKS PLUMBING DATE
7' Contractor
Permit N�_ 646
aptlk• •---� O - Rough•in
9! tr OIC Ow�/
(21 Fixture
Final
1. E N�rf Sh..l � 61t. HEATING
Contractor
_ Permit No.
Gas or Oil
-! - Rough-In
Final —..
SEWER
Final -
DRIVEWAY
Final _
StoMn Drainage
__. IRain Drain)Final.
-�'
I:S:iddewalk
Curb&Street Final
_------
Approach _
_ BLDG. DEPT.FINAL TEMPORARY CERTIFICATE �CCUPA CY Final
CERTIFICATE OCCUPANCY (/ r1� -------
6 Landscaping
Zoning P;.al
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