10945 SW HIGHLAND DRIVE 10945 SW HIGHLAND DRIVE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 6394171
Permit
Type of Inspectiov
The following Building Code daficioncies are required to be corrected:
Presentee. tO Inspector
Date
CALL FOR RE1WFM00V
L] YEs 5 1-10
City- of Tigard Mechtanical Permit NO.�._.._._
W.v Installation Replscz [:] Relocation n Addition � Alteration rl DATE:
HEATING " '
CONTRACTOR � �— OWNF-R_. l•*rn.4J._�
ADORES- '�� � _... JOB ADDRE
s �-►
PHONE 65&_ APPLICANT 2:
Most 'nput Rating(BTU per Hourl„ "I , `��'L'3-- Vent Size _._oma_____._ Flue Size
FUEL OI LC] GAS La ELECT [] O-I'H F Il -------------r—
_.___—t',^ir1 —_ ~�_v NO. �FEE ITEM �—r_,•--' NO. FEE .-
For Issuance of Perm't SEE BEL014V Each Air Handling Uciit cr Uwe^ %stain 7
to do inch. 100,000 BTU 6.00 Cummercial Hood Slatem _ _ _ 7.50
100.000 BUT's b ovpr
oodburning Stove 1^50 Other E�uipmant Each
4.50
� 4.50 1 Trip Inspection x.60
Well-Floor- Swspendad 6.0100Air Condition Compressor -_up to&incl 3 H.P. 6,00
Vent System w/Fan a�__ Air Condition Compressor•3.1 to 15.H.P.incl. 11.00
Repair _Meat Cootinj
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUR-CONT RACTORS ! !
PERMIT ISSUANCE 10.00 Cnntrnentn:
FEV-3 _
$TATE lnuod By _ ,
)TAL REC. 0 _ _ r
I
f
IONN E. REIlIHARD1 PII!NBiNC, INCBUILDING DEPARTMENT, TIGARD
P. 0. Ux 129 PLUMBING PERMIT N0,
I
NEWSIU, OEEGON 91132 holder of a valid pl,lmbing contractors lice,lse is hereby---
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Cuch installations reauire inspec►ion by the City Inspector who shall be notified not less than four
(I hours ,prior to the time the installations are ready for inspection. City of Tigard Business License required
for 911 contractors and sub-contractors.
OwnJlr���f .r �,�. ` ,l,,JZ.0 � � Addressi�'�� � (�_� �� �tSate
NUMBER OFTOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH v AMOUNT (011ice Use Only)
�.
Single FemH�t_both—each _ 25.00 J '
Du lex--Each 'i beth unit_i _25.00
Additional bathroems-each _)1,00 7"0 c1 _
Mobile Home Space each )5.0b
INDIVIDUAL FIXTUrlE FEES
1 to 60 Fixtures In 1 building-each 3.00 i
'1 to 100 Fixtures in 1 bu:ldin -each 2.50 _
a 101 to 700 Fixtures In 1 buildino-each 2,00 _
_201 or more Fixtures In 1 bulldlN---aech _ 1_50
MISCELLAKSOUS
8ulldln Sewur-1st 50 ft. - i
_ _ _ 10.00
Sewer-each additional 100 ft_ 10.00 4
Water ServIce to bulldlng_ 1_-�� _5.00
Private'Nater�ttems—uch 100 it, Y— 10.00
Ut!,e•r S •I(�c
Plj,".IT ao,00 For Plumbing In:p*ctfon Phone 639-419f �
�% Stats - o Plumbing Contrec r gy -C-40
TOTAL nFr:FIPT Nf! :.. •,-r t „
IELD &TSTA b700
BUILDING PERMIT APPLICATION TIGARD DATE 4 L211__19 61 3655
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THF WORK HEREIN INnir.ATFD BIM nFR PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND`SPECIFICA TIONS. OWNER PHONE
LOT tia. 7(10 _
OWNER Tual, N
.)ey* Co.Co• JOBADDRESS 10945 SW Highland Driva -ya merId -4
--Y.- � ARCHITECT
ENGINEER
BUILDER S0I110 _ ADDHESS 1 500 SW 116th DESIGNER TCS:
STRUCTURE "NEW ❑ REMODEL I—' ADDI7I0N ❑ REPAIR r] RENEWAL_ J FIRE DAMAGE ❑ DEMOLITION
1l (RESIDENCE ❑ COMM L] EDUCATIONAL ❑ GOVT E7 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGF ❑ STORAGE 0 SLAB❑ FENCE
OCCUPANCY � LAND USE ZONE _ CPDaLDn�,TYPE 5N _FIRE ZONF;_ PLAN CHECK BY __ dwh HI=AT_ 8
Construct single family dwailing w/attached garage. 3 Bedroama Bethro
�^ SEE CORRECTION SHEET ATTACHED. - - ___.-----
SL'NEIiPL'RMITN 23321J_—�7aQ.U0 -- ___ e-- -- c�eTage_40`0 ft•
OCC.LOAD FLOOR LOAD 40 HEIGHT 20 NO.STORIES 2 AREA 207`' NU.BEDROOMS = VALULS 710 500.
BUILDING DEPARTMENT SET BACKS FRONT 10 REAR 12 LEFT SIDE 91 7: a RIGHT SIDE 4• 1
Permit _X231.0 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING} CODE, ZONING
REGULATIONS AND ALL APFLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Checl, 1154 a0 WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFIC'ATIINS AND IN COMPLIANTS
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS , 7RMIT DOES NOT WAIVE
Subtotal 7546.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE C'IPRENT CITY BUSINESS
State Tax q 22 4
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
�1, _ •
Total $351x.74 SDC— $400.00
—-�
By PDC#I I S100,00
APPLICANt Op AGENT
Approved dwh Receipt No. _
--��-_.._-- -- ADDRESS— PHONE
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,}> 2 ; 1 75
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor n
S r- ---- _ Permit No. -101
Rough-in
Fixture
Final _.-
'�1• HETING
Contracto
L�1 d I!.�r-ate. •— -- Permit No.
Gas or Oil (f
R nuph-i n
r-incl
SEWER
----------_----._- Fir I
4 DRIVEWAY
- --- _ - - _----------------- Final
- ------ _---
Storm Drainage
— - — (Rain Drain)Final I
Sidewalk I
Curb&Straet Final
Approach
BLDG.DEPT.ANAL TEMPORAF "!
CERTIFICATE Ot. .JPANCY Final
CERTIFICATE OCCUPANCY - -
C Landscaping
(� Zoning Finrl
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