10695 SW HIGHLAND DRIVE-1 10699 SW HIGHLAND DRIVE
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�GM T?ArTOR �..ILI�.� -� � ` �- O1tNcR UC1i-J�y��is1:
ADDRESS r-. s.-I�Cic->i. r�-"� WORK. ADDRESS
PHfINE _ t�n _6�c O "3/� APPLICANT, l -
Heat Inpamt Rating (SITU Per Hour) 21p [30nVent Size _ t° Flue Size_ -------
FUEL OIL Cl GAS '!3' ELECT CJ OTHER
ITEM NO. FEE IT►:M NO. FE
For Issuance of Permit 3.00 Air Condition Compressor 15to 30 HP ^� r
_ 1(1.
New-Under 100,003 BTU _ 5.00 Air i-iandlmg 10,000 CFM
New• 10U,000 BTU &over r A�� � 5.00 Air Handling Over 10,000 CFM - _� 5
Floor Furnace _ ( 4.00 Esaaorativ_eCooler 31
Wall-Floor -Suspended 4.00 Range Vent Fan2.
Install Vents Only _ ' _ 2.001 __Ven! Syste-,_ 3r
(
Repair- Heat & Cooling —� f 4.00 Hood Corr_m_ercial 3
- -� __ 3(
Air Condition Compressor Under 3 HP 4.00 Commercial Duc: system _
Air Condition Com ressor 3 to 15 HP 50 — —"- --- _ 10_1
INSPECTOR'S C(.;' NTS
CITY BUSINLSS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED I)Y---- DATE ^__— _ ISSUED BY DATE
RECEIPT
774 Sicr;at-ire of Ap Kant �/
JOHN t. REI"NAROT PILIMBINS, INC,BUILDING DEPARTMENT, TIGARD
P. d BOX 1419 PLUMBING PERMIT NO.
i
NEb�'B[RG, OR(GON 97131 h0der of a valid plumbing contractors license is h?reby __
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installati,-)n7 require inspection by the City Inspector who shall be notified not less than 'our
(4) hours prior to the ane the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner ,La Ca Address_ , s2xAfite_
NUMBER OF lo,rAI. +�^ERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT IJffice Use Only)
E N T IA
+I. le Femlly-1 beth-eedt 1 _ 25.00 C)O
Duplex-Etch 1 beth unit _ _ 25.00
Additional bathrooms-such 10.00 ~
Moblle Hame SDece-each 15.00
INDIVIDUAL F 'XTURE FEEF
1 to 60 Fixtures In + bulldinp-.each
I
I! 61 to 100 Fixtures in 1 building-each I— - 2.50
101 to 200 Fixtures in 1 building-each _ 2,00_
` 201 or mn,. "xturvs in 1 bu_llding-each_ __ 1.50
kMISCELLANEOUS
Bullding§ewer-_1st 50 ft. T — r 10.00
Sewhr-sech additional 100 ft,
10.00 r
Water Servla to bulldIiN T — ---
6.00 }
F'rlvate WeteL§y stems-each 100 ft 10.00 �-
ther S If _ - --
PER IT._ ,� 1jL for Plumbing lnwecdon Phone 63.94191
1% staildly 1.46 Plumbing Contractor By t'
TOTAL C RECEIPT NO. ItsuRd Ey
ar lla �
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CITY , -,
V
BUILDING PERM!T I APPLICATION o f TIG ARD DATE r 7
THE UNDERS;riNFD HEREBY APPLIES FOR APERMIT FOR THF WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVr_D IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_ _
1 LOT NO.._.�i
OWNER ;-JL C k3 J.f L$U V o ;
.-..._._._.—.-..._.-.__..._�.._...._.�._.....+�•�«wrww�.#rp�F�,rrwM}, .r�r..",r` �� � ..-......�_...._..... •u..L.r. _—
DATE INSP. TYPE INSPECYION REMARKS — PLUMBING DATE
Contractor —
�_�_1 ..T��'+! --- -- ------.--_ Permit No. � g;/O
J
7g ) JAM Rough-in
Fixture
ydr
Final
HEATING
Lo—s—79 —
lContractor n
• o.
/o-S s4 — — — il
Final
£EWER
—� Final
------
DRIVEWAY
--- Final
---- -- Storks Drainage
(Rain Drain)Final,
y-- - —� — Sidewalk
—� Curb&Streat Final — r--
--_�—V
Approach
t31.1�.DEPT, "V AL TEMPORARY CERTIFICATE OCCLIPA — sinal —�—
CERTIMCA'YF OCCUPANCY 11-36 ,72y/f—36 ,72�J —_— --_ ,—— --
7 I-endccaping
U Zoning Final
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