10935 SW HIGHLAND DRIVE 0935 SW HIGHLAND DRIVE
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11ELWJILNWX OWA..W ,W
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 6:39.4171
Address / ', .;, -, - ---- -` ;�,. y� — Permit 'il►.. —�
Typ: of Inspection
The following Burling Code deficiencies are required to be correrted:
Presentad to _ Inspector
Date —
C4LL FOR REINSPECTYON
0 YES F-1 vn
rity'- of Tigard Mechanical Permit NO._Now Installation Replace Q Relocation E] Addition `J Alto ation DATE:
HEATING
CONTRACTQ •tom, t�v — OWNER
ADDRESS V-10, BOX
jpq ADDHE� _.
PHONE ^ G a,:aA APPLICANT..
Haat Input gatinglBTU ^er Hour) _��`s� � —.— Vgnt Sita
Flue Size---Z-"
FUEL OIL 0 r,AS Q ELEC f [3 OTHER
ITEM N13. FEE ITEM NO. FEE
V. , Issuance of Permit SEE BELQW Each Alf Handlin Unit or Duct S stem — 7
Now-up to & ind. 10.4,000 BTU _ 6.0U Cornmarcial Hood System 7
SO
Now 100.000 BUT's & ow 'rn Other E i mant • Each _ 4.
50
Woodburnina Stove ,0 I Trie Inie!ction _ ,,.50
Wall-Flax-Sup,,wnded 6.00 Air Condition Compressor • up to&incl.3 H.P. 600
Ver. Systcm w[Fpn 4.60 Air Conditlon Compns�ar•3.1 to 15.V.P.incl, a 1.00
Repair Haet LoolinQ 8:00
CITY BUSINESS LICENSE REQUIRED BY AI.L CONTRACTORS OR SUB-CONTRACTORS! !
PERMIT ISSUANCE 10.00 Comments: _
FEES
�Il�
TOTAL _ REC.0
I�a>,
7R eli es � �{ ai �pir 'if 1
101111 E. REINNAROI Plum,514,1NC BUILDING DEPARTMENT, TIGARL NO.
P. 0. BOK 129 PLUMBING PERMIT !�
HMER", OREGON 91132 solder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in nccorddnce 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 thr, time the installations are ready for inspection. City of Tigard Business License required
for all contractors arid sub-contractors.
A_ddres �ac� j(�! Kl�(..`�i.�lkryJC� Date` �
NUMBER OF TOTAL PERMIT NO.'S
��— TYPF OF PEnMIT ITEMS 0EE ON IilwH AMOUNT (Office Use Only)
- - �--------r--��
Single Fn2lly-1 both—each __._5_00 _
Du lex—Each 1 hath unit _ 25:00
Additional bathrooms—each �__� _ 10•0�_� i �' .C}O _ --
_Mobile Home Sp -@—each __ 16,0 ------
INDIVIDUAL FIXTURE FEES
1 to 60 Fixtures in 1 building.—each ---}� _ 3.00
to 100 Fixtures in 1 bullding—eech I 2.50 Y
101 tk, 200 Fixtures In t building-each 2,00
201 or more Fixtures in 1 buildin —each 1.50
MISCELLANEOUS _
Building Sgwer—ls, 50 ft. _ _ 10.00
Sewar—each additional 100 ft. 10.00 ' --
Water Service to building— , 5.00
Private Water Systems—each 100 ft. 10.00
OtherSregt.°•X.1_.r_
PERIv1IT `�� 0 For Plum Inspection Phone 639.4191
State °IICW,0 U Plumbing Contractor By t-tt_U-S L1_'VL� `
TOTAL REC.FIPT Nn 1<<, r� pU
PF iE!_D VISTA 5703, !�c ,.
BUILDING PERMIT APPLICATION TIGARD DATE___ � 11/ ts__D1 �i'l`S
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILr,ER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO._ 7Q3v___ ;
OWNER Tued ')evo CO. JOBADDRESS 103!:j SU High.l.o1w Drive _ 5umme7:p1aY(l �.4
ARCHITECT
ENGINEER
BUILDER same ADDRESS 1' 1013 SIJ 116th DESIGNER T ,,G
STRUCTURE NEW F] REMODEL [7 ADDITION L❑ REPAIR ❑ RENEWAL U FIRE DAMAGE ❑ DEMOLITION
131 RESIDENCE ❑ COMM Cl EDUCATIONAL 13 GOVT 0 NELIGIOUS U PATIO FJCARPORT O GAR%Gr 7 STORAGE G SLAB) FENCE
R ,PO 5-N
— .._ _ 3wFi.`-__ g+ss
OCCUPANCY _LAND USE ZONE -..BLDG.TYPE _ FIRE ZONE__—PLAN CHECK BY HEAT_
, Construct rein lt PgMi4y dwelling iiZattached gars. 3 Bedrooms 3 Bathe*
SEE CORRECTION SHErT ATTACHED. Fie--Issue of Ps.,jit #369b IrL Cj S1J Highland)
SENIEPPERP-AIT_M '3329 57;aO , Q _ uara.rQ__
OCC.LOAD FLOOR LOAD 40 HEIGHT _20 NO.STCF;iES 1 AREA 207 ca NO.BEDROOMS 3 VALUE671 '•. 111.
�— BUILDING DEPARTMENT SET BACKS FRONT 1 10 REAR LEFT SIDE 4.L� RIGHT SIDE .
Permit 1231.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
_- �� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HErIEBY AGREED THAT THF
1D
Plan Check •0 F WORK WILL BE DONE IN ACCORDANCE W;TH THE PLANS AND SPECIFICATI' NS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS HERMIT DOES NOT WAIVE
Subtotal _ 241.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRE)FOR SEWER,PLUMBING AND HEATING.
State Tax 4'+! _ 9.24 1 400.011
l�tJ.`�i sDc—
Total $ _
PDC;N I I S100.00 APPLICANT OR AGENT
By pY
dwh -_ Receipt Na.
Approved ADDRESS a PHONE
DATE INSP. T-PE INSPECTION REMARKS PL GING DATE
Contractor"//
Permit No.
Rough-in
Fixture
final
HEATING _...-
1� Contracto
✓d'
arm Permit No.
Gas or Oil r �'
Final - —
�oIF 1 �� SEWER
Final
- D^.I V k WAY
Final l
Storm Drainage
(Rain Orsini Final
Sidewalk _ I
Curb&Street Final
Approach
MIXDEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
b 1 Zoning Final
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