10955 SW HIGHLAND DRIVE 10955 SW PTrPLAND DRIVE
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7
V
IWPF_CTION NOTICE _
City of Tig,ird Building Department
'12420 S.W. Main St.
Tigard, Oregon 97223
°hone 639-4171
Address
Permit #------— —_
Type of .nspection
The following Buiiding Code de:iciencies are required to be corrected
Presented to_------__.-- - --._------.— -------s_.____—_. Inspector
Date .--- --
CALL FOR REIWF_MON
❑ YES ❑ NO
INSPECTION NOTICE
';ity of Tigdrd Building Department
1242.0 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
r '
AddressPal Mit #
Type of Insr+:.00n
The following Building Code defirient,ies are required to be correct d: "^0 --
y
r
Presented to � Inspector
Date _—
(;,ALL FOR RE11VVEMON
Q YES n NQ
- n
INSPECTION NOTICE
City of Tigard Building Dnpartwent
12420 S.W. Main S'.
Tigard, Oregon 9722 i
Phone 639-4171
Address
Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected:
5; i.
r
Presented to -_ _ _ Inspector
Date
CALL FOR RVAISPECTION
G YES n NO
r�aaa�
Cd'tyw ,f Tigard Mechanical Permit N0._..__
New Instalir.lon 0 Repla,:e C] Relocation❑ Addition Alteration ❑ DATE:
HEATING ,c� •3 ;,� ) Ik�4' _
L)t'C2ky tv�'R Q 1.-c �, AW N E R . �.Jf�rl
CONTRACTOR = �°� - 1 ! -T�
ADDRESS- JOB ADDflfSS-1 - = 1,l.09,4J0.J.V?,-
PHONE Q3- APPLICANT `k
Heat Input F4vtiny(BTU per Hour) I n Ta'1��'; tent Size�_ - Flue Size
FUEL 01GAS 0 ELECT OTHER
ITEM NO. FEc — ITEM _ NO. FEE
For Issuance of Permit SEE BELOVO Each Air Handling Unit or Duct tem 7__,SQ--
New up to & incl. 100,000 F3TU 6.00 Ccmmercial Hood System ._ 7.60
7.50 O1.her E ui�ment Each _ 't'�n
New 100.000 BUT's & over— --- y,r,U
Woodburnin Stove 4.50 1 Trip lnxpection
'Nall-Floor Suspended 6.00 Air Condition Compressor up to&incl.3 N.P. 6.011
Vent _
4.50 A,!r Condition Cmpresso
or•3.1 to 15.H.P.incl. 111.00System w/Fen
fair _nest Caollnp 6.00
GITY-BUSINESS LICENSE REWUiRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments. ---- -- --
� FEES ------ "'.
SUB 7Q�AL ' B
!_ ' 76 STATE ' cued By
2§ PLAN CH C
I
ar aaaaaar_
.w Bear +ew sw +� swr set? etas OF
JOHN E. REIHHAROT PUJNBiNG, (NC.BUILDING DEPAR TME,vir, TIGARD
P. 0. BOX 129 PLUMBING PERMIT NO.
__ NEW6Efi�, OREGON 9113? ____, holder of a valid plumbing contractors license is hereby
aut,-,oriied to cause plumbing work as herein noted to be inb,alied in accordance with the plumbing code of
Tigard. Such instatiations require inspection by the City Insp.,-tor who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigarri Business License required
for all contractors and sub-contractors.
Ownet�.�L.Cc'�I) in JL Address/ LJ f, 5(.0 /
�ll� Dataf3//.(/�
NUMBER Or-7TOTAL PERMIT NO'S
TYPE OF PERMIT ITEMS – :EE ON EACH AMOUNT (Office Use Only)
Sfn�IL1Q-UIILTJAj b
25.00 J _
Duplex–Each 1 both unit 25.00
Additional both roomr--each _ 10.00
Mobile Home Space–each 16_00 –
IND_IVIUUAL FIXTURE FEE.-
1 to 60 Flxturea In 1 building–eech 300 "--- i
51 to 100 Fixtures in 1 buWin –eech ___ 2.50
101 to 200 Flxtur l In 1 bullding_each 2.00 _
201 or more Fixtures in 1 building–each 1.60 ~
hgISCELLAK_EOUS ------
nullding Sewer-16: 50 ft. 10.00 _
Sewer--oech additional 100 ft. y
10.00 "r
Watar Service to buiiding
Private Water Systems–eoch 100 ft. 1000 a
Other (Secif ;
PERMIT For Plumbing inspection Phone 639-4191
% Stats _ Plumbing Contractor BY(3eL 1-(-Q_e
I OTA L.
-
REL;EIP7 Nn. Icsua-f P.v +
BUILDING PERMIT APPLICATION TIGARD DATE— 4/1(1/ _,, 3678
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORE;HEREIN INDICATED BUILDER PHONE 639--3101
OR AS SHOWN AND APIPROVEn IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
OWNER TLC. � XnC, JOB ADDRESS 10�5J 5W h.� LOT NO. 699 "�S{JI ML'7'fi8lG
- hland Drive 14
ARCHITECT
ENGINEER
BUILDER i_ some _ ADDRESS 15300 SW 116th _ �)ESIGNER TDL" _
STRUCTURE X] NEW (-1 REMODEL ❑ ADDITION _ ❑ REPAIR _❑ RENEWAL Ll FIRE DAMAGE ❑ DEMOLITION
[A RESIDENCE El COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT CJ GARAGE I I STORAGE ❑ SLAB❑ FENCE
OCCUf ANCY LAND USE ZONE ROD BLDG.TYPE �N FIIIE ZONE"" ._PLAN_CHECK BYWh HEAT
Construct single feraily_dwe111ngw/mt;,tasch_ad �aa� r�e�. C Bedrooms 2 Baths.
SEE CORRECTION SKEET AIJACHED.
SEWERPERMITM
OCC.LOAD FtOORLOAD dC HEIGHT 12 NO.STORIES_ 1 AREAl50U NO.BEDROOMS 2 VALE&bl,00
BUILDING DEPARTMENT SETBACKS FRONT 11) REAR In _ LEFTSIDE 7 RIGHT SIDE d. `
Permit _ $209.010 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATICIrS AND ALL API-LICARLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
F'Ian Check 10A,50 WORK WILL BE DONE IN ACCORDANCE WITH T14E PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
S,lb•total 313. IX RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRAC TORS TO HAVE CURRENT CITY BUSINESS
State rax 4, 6. 36LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 311.AG SDC- $400,00
_ t1 r: ✓� . �._..�
By
PDC#I 1 $100. _0 APPLICANT OR AGENT `—
Receipt No
Approved dwh ADDRE88 -� PHONE - -----
DATB INSP. TYPE INSPECTION REMARKS PLU GING _ DATE
ContrjctM
WE Permit No. d i�i r/
A*"' �'��r Y� Flouph in
Fixture
S=r7a-N •�s prr 9a•�w-� .� --
S Final
HEATING
/� � Contractor �
�2- s Permit No.
y�� --- Gas or Oil
Rough-in
Final -_
SEWER
Final
- DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
_ Sidewalk
Curb&Street Final
Approach
--B[:—DG.DEPT.FINAL TEMPCSRARY CERTIFICATE OCCUPANCY Final _
CERTIFICATE OCCUPANCY --
0
Landscaping
Zoning Final
3
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