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15765 SW HIGHLAND COURT
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Andress 0 Permit No.
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Permit charge 2
7Wner
Connection fee
Paid by
1 Y je of building Date connected
:ervict? rate 'g
�s- 'Ile Inspection fee
Contractor Paid by
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Assesarnent paid
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME:' ,,, � PERMIT NO. : i
DATC: ...(rs_ URZ4 DANE ISSUED .—_L_L._
OWNERS NAME , _.�_ 1,;,._..
ADDRESS:
CONTRACTOR
TEST ' Air [j, Water Q Vfeuo! Laboratory p
RESULT. Approve X nisopproved P-ndinq [] I
SKETCH.'
I
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!NSPECTOR DATE
' h•I ,! ,ch u� p'A'^.erfnl f�$f t#p` ; Ay, 'c. � � ( � I
1011id E. RINIVOT PLBIBING, INC, BUILDING DEPAHTMLNI , TIGAHD
P. 0 BOX 129 PLUMBING PERMIT NO.
HEWER, OR[CON 97132
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in -,;cordance 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 the time the installations are ready for inspection. City of Tigard Business License required
for all co tractors and sub--contractors,
0wn ��G4&!l� }KLf-�- ��j — Address `� /ut .C�. ��•
(-
LA L ITE
TYPE OF PERMIT NUMF3ER Or TOTAL+ PERMIT NO.'S
MS FEE ON EACH AMOUNT IOfrice Uw Only)
Single Family-1 both—ench
-- v�
Duplex—Each 1 bath uni• 25.00 --
25.00 `—
Additional both roorns—each 10.00 `—
Mobile Home Space—eoch — -----_— _ I
INDIVIDUAL FILATURE FEES 1500
1 to 50 Flxturos in 1 bulldina—ench `— ------
51 to 100 Fixtures in 1 buildin 3.00
9—each 2,50
101 to 200 Fixtures in 1_,_building_each —
2.00
201 or more Fixtures in 1 building—each
MISCELLANEOUS 1.50
Building Sewer--1st 50 ft.
Sewer—each additional 100 ft. 10.00 —
Water Service to building —~— __ 10.00 _
Private Watar S stemt—each 100 }t. 5.00 _ --
Other S ecif _ — -- 10.00
PERMIT '3r DU For Plumbing 1:1:Pection Phone 6394191
, 1% State /. D gr— Plumbing Contractor By
T-- U— TAL rJ RECEIPT NO.
Issue:i ey -
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: _ -1 ZLL74 DATE ISSUED ._. / /
OWNERS NAME : -T'DC -
ADDRESS:-O` `-0/3
CONTRACTOF; : —.— --
TEST ' Air p, Water[] , Visual ❑ , Laboratory r I
RESULT' Approved, Disapproved 0 Pending p
SKETCH. 0 I
_.___.__J_
INSPEC DATE
CNnTE: Attach nuoDlemAmtrI tett data berct� I
CITY OF .� ,. rd [�]� 0783
-96*DING PERMIT APPLICATION TIGARD DATE -- ' 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT) S. OWNER PHONE
I_. .51 _
OWNER I "- ;I+1 si t,S r; .49t/kJ �rJ lilC'�ii t• ""'ADDRESS I l ;, i,�(�fi.�,�t'ri� t. L . BUILDERPHONE
ENGINEER
13WILDERC�yyt"I' Ix ARCHITECT DESIGNER
STHUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO OCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
�1�CUPANCY _.LAND USE 20NE BLDG.TYPE _FIRE ZONE_ PLAN CHECK BY HEAT--
Lcnstruct 1,192 sq. ft. 1'YRms dwelling with attached yeraye.
"a basement,
_ bodroum
OCC. LOAD FLUOR LOAD __ HEIGHT NO.STORIESI ARF_A_ ► q7 VALL10 21 200
BUILDING DEPARTMENT SETBACKS FRONT L`1 REAR x91j, LEFT SIDE I RIGHT SIDE
Permit — •� .-.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �n REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE.IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1'9c,State 3. 30 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1 . 3U I nspoction .00
RY
-- APPLICANT OR AGENT —!—
Approved r i'r) Receipt No.
ApbRE55 i _� � HON
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DATL- INSP. TYPE INSPECTION REMARKS PLUMBING
Contractor
Ir`1-76 / "d'i ILt-��l�jc'-� - — Permit No. �'3 4/6 7 31,
Rough-in
Fixture
Final —
,� > { HEATING
Contractor
Permit No. 6,� 7-21 �G
"76 vC LC/ Gas or Oil
_
Rough-in
Final
SEWER -------
Final _
— _-- - _�� --- DRIVEWAY6;�-
Final 10--
_-_ Storm Drainage
_—_— (Rain Drain) Final
7—.--
-- — —. _—_..--_--_-- Sidewalk
Curb&Street Final
Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATF.OCCUPANCY
CERTIFICATE OCCUPANCY Final
( lLJ
6.0e,7
Landscaping
7�J
ti Zoning Final
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