10835 SW HIGHLAND DRIVE-1 10835 SW HIGHLAND DRIoE
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Na- lnsulla.icnFee 6.ott,
Replace i Relocation [J Addition ❑ Alteration [] i
HEATING __ % State__,,,,
TUTAL.
CONTRACTOA���Z.�A.t_ �V � t ''� • U'NNER-1.�9r�'Ct�__L��.,,1. �1 +Jc,•,
ADDRESS____��
PHONE WORK ADDRESS
APPLICAP•1T`^-- - ,id,
Haat Input Rating (5TU Per Hp�t)____ _ Vent Size SiZe
/ Flue
71JEL OIL F1 GAS V ELECT ❑ O7HER � "'�----
_____
ITEM NO. FEE ITEM '
N0. FEE
For Issuance of Permit ;E ABOV Air Condition Compressor 15 to 30 HP
�V41—up to & inc.100,000 BTU �_� 4.00 Air Handling 10,000 CFM — 10.0_0
1��' L 100L001 BTU &_ fiver 5,00 Air Handling Over 10,000 CpM..._— 3.00
�Ioor Furnace 4.00_ Evaporative Cooler
.tali • Floor •Su,pended 4.00 Range Vent Fan
nitell Vents Only/ -2 000 2.00
_ Vent System
19oii, •Hear& Coolinn _ _�— --�'-- —4.00 Hood Commercial 0c
?ir Conclitio_n rompres,iar Under 3 HP 400 - 3.0C
air Condition Cn npy es,or 3 to r H Cornmerclal Duct S;stem 10.0c
';SPECTOR'S COyMMENTS
ITY BUSINESS I ICENSE REQUIRED FOR ALL CONTRACTORS OR S'JB-CONTRACTORS
PPROVED FAY _ CATE ISSUED BY
ECEIPT NO, DATE .4
I
N E. PE�i1N�ZOT PIBt,1BINC,Ii�G,BUILUING DEPAHTMLNT, TIGARD
P. 0. BOR 129 PLUMBING PERMIT NO. �
NEWBERG, ORK111,1 97132 holder of a valid plumbing contractors license is hereby
authorizr,d to cause plumbing work as herein n )ted to be installed in arccrdanc:e with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified rot less than four
!4) hours prior to the time the install ,,i�.ns are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Lwne• .r :;r: _ Address /uh,4 3_.�G.1�'
NU.M.A OF TOTAL. PERMIT NO.'t5�1
y TYPE OF PERMIT ITEMS FEE ON EACH AMOUR'T iGffice Use Only)
SirtSle Femlly—I Ach _ _ ._..,_� _ 25,00�r * X•' -
Duplex—Each 1 bet.. Al —� 2!,,00 w
Additional bothrooms—each _ 10.00
Mobile
m
Mobile Hoe Sj a,�e—eech _ 16,00
INDIVIDUAL. FIXTURE FEESr—
_1 to 50 Fixtures in 1 buildlr,a—eech _ i 3.00
_—E,1 is 100 Fixtures in 1 building—each 2.50
101 to 200 Fixtures In 1 building--eech r 200— 201 201 or mor, Vixtures In 1 bullding_eech_ _- 1.4u
0ISCELLANEOUS
b.,illdina;ewer-1st 50 ft. 10.00 -
$elder—ekch additional 100 ft. _ _ -- 10,00
—Water Serrice to building 5.00 -
pr'iste Wviter Systems—each 100 ft. _ 10.00
ther S It . -____ ------
— OPERMIT Ij0 for Plumbing Inspection Phone 63.44 � �
!6 State r Plumbing Contractor By ' ILL— .._ .
TOTAL_ _ _ RECEIPT NO. Issued By , i "
BUILDING PERMIT APPLICATION IIT T IGARD ' -
DAIS,— 15
OF
THE UNDERSIGNED HEREBY APPLIES FOH APEPMIT FOR THE WORK HEREIN INDICATED RUILE)ERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH0NF._._ —
IOT NO...
OWNER lU"10t-1 C1 I�19V« I,ci« JOB ADDRESS�• �N 11." 112 ��i�i:iCl(.i �,'K OHOMEADDRESS
ARCHITECT
116th ENC INET R
BUILDER 31317113 ADDRESS i`113p 00 % _ DESIGNrZR _
rrS--TItRUCTURE ONEW ❑RFMnDEL ❑ADDITION ❑REPAIR [:]RENEWAL — ❑FIRFGAMAGE 6_,rDEMOLITION
[3RFSIVENCE ❑COMM ❑EDUCATIO--NAL ❑GOV'T ❑RELIGIOUSOPATIO OCARPORT CIGARAGc QSTORAGEOSLAB ❑FENCE
DBOND OMOVING LJ'JONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPIICVED ❑SIGNS
OccurANCY r-`_LAND USE ZONE.__ – BLDG.TYPE FIRE ZONE PLAN CHECK BY 1° HEAT � 8
instruct rjr1<:tjs taMlly dwelLinyl w/attached !�slrsge, 2 Hsuarlr�Ma 2 Meths.
- -r A14 22 - PE-155U£ some as! 103b: 56i hli{ htiscid t.)T1v6.
1Caowsir• V alit 20324 - $70° .??Cl -
OCC 14 f2 _J_._E..1.4.0.8�4ALZ._ U---_11EIStLir___ 1SEA 1222NO•@.EIZFIRaMS 'c LUE"i3"'M';7�5.
BUILDING DEPARTMENT SET BACKS_FRONTZl REAR 10 LEFT SIDE 3!, RIGHT SIDE
,, 0 J
Permit 'r4`,:;«C) _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 8!1ILDING CODE, ZONING
Plan Check l0,CU REGULATIONS AND At.L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLAkf AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 1,jti f 00 ALL APPLICABLE CODES AND umLJ%INANC=S. THE ISSUANCE OF THIS PFRMIT DOES NOl WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR /,NO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stater Tax .3C.I LICENSE. SEPARATE PERMITS REOUIRFD FOR SEWER, PLUMBING AND HEATING.
Total S1600 bu *a(:ps:. 2lCiC�•fill
i By -- -- --nl— --
----- APPLICANT OR AGE NI
I e
Approved r RP(I, ht No
! i
7172i�� i
p
y_— PLUMOING DATE�—
DATE INSP. TYPE INSPECTION REMARKS —
ontractor ,
e1 C Permit Nu.
Fixture
Final
HEATING
Contractor
Permit No.
Gas or O(1 v
Rough-in -
- Final --.
---- -- — ------
SEWER
Final
DRIVEWAY
Flnal
StoMi Dralnep -- '
(Rain Drain)Fir al
Sidewalk
Curb&Street Final
Approach
OL.DG.--DEPT-FINAL TKMPORARY CERTIFICATE OCrUPAyFY Final
CERTIFICATE OCCUPANCY /y 3 r e�
Landscaping
Zoning Final
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