10925 SW HIGHLAND DRIVE-1 10925 SW HIGHLAND DRIVE's
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CITY OF TIGARD Plumbing Permit
Budding Department 110.
Residential [] Commercial
New InstallationRe P �
Ince �� Addition [] Alteration Date____I< q" __--
Licensed
Plumber 41�'Q lllrirt _ ���, ------- --- Owner
� ) ' � -- Job Address
Address 6� ,33 o � --- ...._ - S!,► —_
Phone __—�? _ ? �—__—� Applicant��R4CTOVS
CITY BUSINESS LICENSEPEQUIRED O A AND SUB-CONTRACTORSITEM NO. FEE IOTA EIW NO. FEE TOTAL--
Fixtures-Traps -v 7.50 w irs! 0 It. ---� 30.00 _
i_
DishwFsher — 7.5 ab l,d � 0 __..__15.00_
-t - 7.50
Garbage Di 1posal_ - 7.50 Eject Pump -
Water Hep.ter 7. N r:Flist 10 — -20.00
Backfloi v Preventer _ r` 0 ch Addit.200 ._ _Y_ 15.00 —
Stor , 8 Rain Drain:Firs'100 ft. 30.00
-- — -^----
Each Addit.200ft._- '-- -15.00 --
Mobile Home Space — - 25.00
Other Specit ): Rain Drain_Single yam.Dwelling
PERMIT
FEE Issued By:
Comments�_------_- __ ------ ------ ------- __ .-
--
, -4 AQP'cant _ �
TOTAL l a �t%t/ Jignature
—_ - i-cr Plumbing Inspection Phorte 8.'39-4171
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L Rty- Of Ti9ard ltllrechankal PermIt NO.
Pow Installation Replace L__J Relocation❑ Addition C] Alteration 13 DATE:
HEATING
i:ONTR CTO k--, Z-t J F`.I1 '--OWNER�.L��C ►^� .1J��3_ �2iiii -----
ADDRESS_ � JOB ADDRESS IC22IS:
FNONE APPLICANT.—��"
Neat input Rating(STU per He •rl��'' L_ Vent Slid Flue Size
FUEL OIL 0 GAS VI.- ELECTU OTHER
_ ITEM NO. FEE _ ITEM _ NO. FEE
For IL. ,, :e of Permit SEE BELOW _ _ E- dh Air Handling Unit or Duct System
New-up to & ind. 000 100, uTU M��6.00 4:ommarcial Hood S stem
Now 100`000 BUT's & ovpr 7.60 Other Equipmemt Each
Wmelburning Stow 4.50 1 Trip Inapeetion x.60
We'll-Fioor- Suspenciad 6.00 Air Condition Compressor;. w&in�:l.3 H.P. b.00
etLrn w/Fn4.50 Air Condition Coanr 3.1 to 16, ''.P.Ind. 11.00
Rspalr Hest Cooling 6.00
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CITY BUSINESS LICENSE REQUIRED BY ALL CUNTRACTORS OR SUB-CC,NTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments:
FEES -
>� T9TAL
i- %-MTE Issued By_
AW
T '' RIcC..# _ __
alipp
�'4 -- 7,
BUILDING PERNUT APPLICATION TIGARD DATE 5/15/_.__ ,18_81_ 3743
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639—.1101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ..—
LOT NO.A�N 2
OWNER Tualatin_( qgj, GOt10BADDRESS 10925 S J�"ig 1 rid nrive_ -- aP f�f–LL 14
ARCHITECT
ENGINEER
' BUILDER saMs ,v ADDRESS 15300 SU 116th — DESIGNER _ TQC
STRUCTURE XXNFW Cl REMODEL ❑ ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE L-J ')EMOLITION
IXI RESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS 0 PATIO FJ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
O-CUPANCY LAND USE ZONER SPO v BLDG.TYPE_ N._.__FIRE ZONE PLAN CHECK BY _-_-dwh HEAT _-
_ z Construct single-family dwellin9_w/ettachad garage.._ 2 Bedrooms 2 Bathe. -
SEE CORRECTION SHEET ATTACHED.
SE-VVER PERMIT M 23349 - $7:10.00 _- ------- -Qax'409 660 s..f.t%l 4p
OCC.LOADFLOORLOAD 40 HEIGHT 13 NO_ST_O_RIE_S__^ 1 _AREA 1231. NO.BEDROOMS 2 VALUESbAj_ 00.
BUILDING UL. 1RTMENT
SETBACKS FRONT 1 O REAR 47 LEFT SIDE E"i RIGHT SIDE
Permit _ X191.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILC,wG CODE, ZONING
REGULATIONC AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
Plan Check WORK WILL Bc 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
Subtotal JQ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIR 9 FOR SEWER,PLUMBING AND HEATIOG.
State Tax 4 ?•64
sDC— $400.00
Total $294,14 ! l ,plr'1[ I/ :`
f'DCIf
11 $1U0.00 APPLICATVT OR AGENT __
By
At+�r;,ved
G�t.lt1 Receipt No AD6RE93 J�— �� — PHONE
■Ils■I�
DATE INSP. TYPE INSPECTION REMARKS PLU ING DATE:
Contractor A4 A JQs
,-
�- Permit Nn. �� � ..�!'j�l
. — - - ---- --A-PVT—/�i�.w fi/��i Rough-in
• /, �� Fixture
Final
7•ye- / /4 NE 71N0
C.in:rector
Permit No. a (r - %Z
Gas or Oil
_~—w`-- Rough-in
Final
SEWER
Final Z -
^ _ DRIVEWAY
Final
Storm Drainage
(Rain Oraln)Final
Sidevolk
_ Curb&Street Final
Approach
SLOG. DEPT.F1' AL_ 'VEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE.OCCUPANCY r� _
Landscaping
Zoning Final
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JUN E. RLMMAR01 PIUMBIRG,INC BUILDING DEPARTMENT, TIGARD NO. I
P. 0. BOX 119 PLUMBING PERMIT 1
NEWBEEIG CR ON 91132 _ ; holder of a vilid plumbirg contractors license is hereby�v
authorized to cause plumbing work as herein noted to be installLd 'n accordance with the plumbing code of
Tigard; Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installation,- are ready for inspection. Cit y of/Tigard Busin-uss License raquired
for all contractors and sub-contractors.
Owner L) Address` — — Date__ _
NUmnEn OF TOTAL, P'RMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) I -
S -
Singlo Fjimlly 1 beth—each _�•— 25.00 25 )�
Duple)—Each 1 bath unit
Additional bathrooms—each — 10.00
Moblle H_om mace—each 16.00
INDIVIOVAL FIXTURE FEES
1 to 50 Fixturas In 1 building-ench�_
61 to 100 Fixtures in 1 building—eech 2.60
101 to 200 Fixtures In i building—each 2.00 _
201 or more Fixtures in 1 building—eech 1.50
MISCELLANEOUS
8uIIdIII Sewer-1st 50 It, 10.00
Ss ver—tech additional 100 It. 10.00
Water Service to building 5.00 < _
Prime Weter Systoms—each 100 ft, 10.00
Othe, Spgclfy _4
'P_!:;t_MIT �Q, C>L) For Plumbing hl.enection Phone 6394191
% State Plumbing Contractor By
TOTAI 'D RECEIPT NO. I�tun{ Rv