10670 SW GARDEN PARK PLACE 10670 SW GARDEII PARK PLACE
i
m
U
(0
c.
�C
f�
R1
CL
c
n)
v
N
ti
3
cn
l'J
�O
Q
I I
far
%:
.... ... ..
V.
41
Ln
04 r_
c
171
cu ho
f
L�n0
bb
In
7-
(D
_0
-cs
LO z
A
4_j 4�
'an)
C'j
4 J
C
0
-Y
0 Ir 'Vf llh;ll
tn
tj
C '01
4-J
m C
TV
J),
IR,
_he-
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT
�" �_s�1L'L.�.....s�..'_�i. .__.
---.----, holder of a valid plumbing contractors license is hereby
ajthorized o use plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations regr!ire inspection by the Cita" Inspector who shall be notified riot Icss than four _
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
0wnt3•tl'e�C h/f, 'I'V
,Address � 10- f alleto _44- Date-2 -jam--2J .
M NUM9ER OF TOTAL PERMIT NO.'s�
TYPE OF PERMIT _ ITEMS yFEE ON EACH -AMOUNT (Office Uss-Only)
Single Family-1 bath-each 75.00 _—
_ Ouplrix-Each 1 bath unit 25.00 +
1ditl_On" 211rhr7r�mr each _ _ I i Ofl
t.,odile Ncme Space-each 15.00
INDIVIDUAL FIXTURE FEES_
-__t to 50 F,;turns in 1 building-each 3.00 �~
51 to 100 Fixtures in 1 building-each_
-- 101 to 2,30 Fir.twe-i in 1_ u�uing-each 2.00
_201 or more Fixtures in 1 building each _ 1.50
MISCELLANEOUS
puildiny Sewer-Ist 50 It. -_ 10.00
Se_ver�each additional 100 It. - - ^ 10.00 --�
_Water Service to building_ �^ 5.00 --
Private_Water_ysterns=each 100 ft.� - -- 1000
Other (Specify)_:
PEPMIT For Plumbing Insnecrion Phone 639-4171 �' r
_ _-- 9 805 N.E. FOURTH H AV
3%State Plumbing Contractor By __CA_N Y C 99014- ' )
TOTAL ,44�� RECEIPT NO. Issueu BY -_______—._ __.-_-�Q`.3_`Z�6•�nQ�
Cit of Tigard Mechanical Permit 4, hermit_U09
Y FP.H_�_ �_____—�
New Installation Did Replacs ❑ Relocation ❑ Addition ❑ Alteration ❑ 3%State _
r
TOTAL__
�1 �•
GE
CONTRACTOR
OWNERO/U _1�� _ ,_—r
ADDr?ESS9q5s�v-_.aa1171�(S�G e0 — W0 ADDRESS.�06_.�LD- ,
PHONE � _�1 _I _ —_----_ APPLICANT---- --
Heat Input Rating (BTU Per Hour)..___ .' �_1 U_Q� Vent Size _ Flue Size
FUEL OIL ❑ GAS I.1 ELECT OTHER
ITEM NO. FEE ITEM NO, FEE
Fur Issuance of Permit 3.00 _Air Condition Compressor 15 to 30 HP 10.00
New- Under 100,000 BTU J 4.00 Air_Handling_10,000 CFM — 3.00 �f
--
ew 100,000 BTU—&over _ _5.00 1 Air Handling Over 10,000 CFM �— 5.00
N
Floor Furnace_ _ _ _ 4.00 Evaporative Cooler _—_ —3.00
Wall • Floor •Suspended _4.00 Range Vent Fan _ 2 00
Install Vents Only__� _ 2A0 Vent System 3.00
Repair - Heat& Cooling _^ — _ 4.00- - Hood Commercial__—____ —,— 3.nq
Air Condition C_mpressor Under 3-PP 4.00_ Commercial Duct System_
Air Condition Compressor 3 to 15 HP _ 7.50
INSPECTOR'S COMMENTS_
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
APPROVED BY _ DATE ISSUED BY DATE
RECE IPT NO.
774 Signature of Applicant _ ~
i
s
r
�i
3
1'
I
1,
�f
BUILDING PERMIT APPLICATION "'Y TIGARD GATE__--_.,
i
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN IN BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANIS AND SPECIFICATIONS. OWNERPH(JN
]l�
OWNER Iak Will In W-. "Ida
"Ida ADDRE40670 5tj Garden ai +` HOME ADDRESS LOT NO.
ARCHITECT
BUILDER tCUt1li17 trd c 3v3J1 5F 60th, i•�tlo. ItNGINEER
ADDRESS --DESIGNER----
STRUCTURE
""""-^DESIGNERSTRUCTURE ❑N13W—_❑RI MnDEL. ❑_ADDITION _ C1 REPAIR _❑AENE_WAL__[:]FIRE DAMAGE ❑DEMOLI'TION
CZAgESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑ ^PATIO l ,ICARFORT ❑GARAGE ❑STORAGE❑SLAB UFENCE
❑BOND — ❑MOV ING—` ❑CONDI TIONAL. USE _❑DESIGN REVIEW_ ❑COUNCIL APPROVED ❑SIGN'
),1 Y f'.J.u 1..
OCCUPANCY ==, LAND U � � _FIRE ZONE-- { PLAN CHECK By===,.-- HEAT_
arta Iu1:t,���ii ,i/altt�achoO (jera"9b. 2 dedroima — 4 —
T)I sat: 3. hour , cg Wall r r3fyuirvri 6atwl>btitn buildings,
Sewiir Pwrmit. 816627 -- $625.00 _ �tA reyg 281
QQ&—LOAD FLOS?R LOAD 40 t—_1�I5? L9F31F,$ 1 -AREA 91'11 NQ BEDR4QM__
ALUE
BUILDING DEPARTMENT 22�.� is 1,
---- —. SET BACKS FRONT REAR LEFT SIDE RIGHT SSIDEIDE
Permit 1 0 0 —
THIS PERMIT IS ICSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check f1t1. -, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
Sub-total WORK WILL BE DONE IN ACCORDANCE WITH THE Pt ANS AND SPECIFICATIONS AND IN COMPI-IA14CE WITH
_ %Lt. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—4'1— RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
Total 186,34
=J—��i
By p].
- .zI . 1�.,;
REMARKS PLUMBING DATE
DAVE INSP. TYPE INSPECTION -
- Contractor
z�-L�=--- Permit No.
10
Rough-in -
-� Fixture
—
ll HEATING _`---
--
Contractor (�
- _ - Permit No. �� L_ 7. /0 91 717 Q
-- Gas or Oil
_—_— ---- -- -- Rough an
— — J--- --- Final
— - -- ---- SEWER
Final (9 .Z _.
DRIVEWAY
_ _ _ _--_ --------- Final
—J Storm Drainage
(Rain Drain)Final.
— Sidewalk
Curb&Street Final
--- ------_ -- Approach -
BLDG. DEPT.FINAL �'EMPORARY CERTIrICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
//-P;'l
Landscaping
Zoning Final