10690 SW GARDEN PARK PLACE 10690 SW GARDEN PARK PLACE
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City of Tigard Mechanical Permit _ ; Permit__
t Fee___ -I
New Installation D� Replace ❑ Relocation 1-1Addition LJ Alteration FA 3%State
TOTAL-
CONTRACTOR
OTAL
CONTRACTOR �C- /N. �/ 6 _ OWNER _ 'a ., _
4DOREni, LwX_�_. `'�1. _ff �` 0�-0 WO K ADD E5S�/I�_.fQ_� _Ll�. ��4Rp NJ-049 K
PHONE _� _/ APPLICANT_ _
Fleat Input Rating (BTU Per Hour)_ ,j��p0 _ Vent Size _ Flue
FUEL OIL ❑ GAS ❑ ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit _ _ 3.Ot' Air Condition Compressor 15 to 30 HP _ 10.00
New-Under 100 000 BTU � 4.00 Air Handling 10,000 CFM
�+ 3,pp
New- 100,000 BTU &over _� _ 5.00 Air Handling Over 10,000 CFM 6.00
Floor Furnace _ 4.00 Evaporative Cooler 3.00
Wall- Floor-Suspended _ A _ 4.00 Range Vent Fan 2.00
Install Vents Only �_ 2.00 Vent System 3.00
Repair-
ReHeat&Cooling __ _ 4.00 Hood Commercial _ 3,00
Air Condition Compressor Under 3 14P _vV 4.00 Commercial Duct System _ � 10.00
Air Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
.4PPROVED BY DATE ISSUED BY^ _ DATE`
RECEIPT NO.
"' Signature of Applicant
■
ter•.-. -•r-..---•., ..� ,.,..---- _.*,�
°spa 29
BUILDING PERMIT APPLICATION. COF TIGARD DATE to 07—
THE UNDERSIGNED HEREBY APPLIES FOR .APERNIJ FOR THE WORK HEREIN INDICATED BUILDERWNEP HONE
OR AS SHOWN AND APPROVED IN 'THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOTNo.
OWNER ''Ilk SlIlL !y''' `? '�r`�ADDRESS } Gartion P�XIk NOME ADDRESS
ARCHITECT ---
ENGINEER
_ _ADDl7Err5T5 DESIGNER-•
BL'iL!�ER
_ rr-��
S1AUCTURE ❑NEW ❑•'iFMnDFL []ADDITION _ t[]—(REPAIR ❑RENEWAL OFIRE DAMAGE — ODF-MOLITION
'T ❑RELIGIOUS[]PATIO QCAR PORT []GARAGE ❑STORAGE❑SLAB ❑FENCE
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GdV
❑BOND []MOVING []CONDITIONAL U'.E ❑DESIGN REVIEW — []COUNCIL APPROVED
[]SIGNS
A—f•�--� FIRE ZONE= PLAN CHECK By C"� ' HEA1_�__._—__
OCCUPANCY_--LAND USE ZONE_ BLDG.TYPE — —
t �ar► l f +$�aily 4��,tti1L1,_ ��� - circum J
--------— �►— tau . ►r 6 W o'k).
N4:-.&I�}3.i� AREA...___�_.��_R�4QM�---.YAlSIL_ —L�--�
!Ii
BUILDING DEPARTMENT SET BACKS fRONt REAR LEFT SIDE RIGHT SIDE
Permit •. •�•r+I.1 � —�-
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ,(�„' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANrF_WITH
Sub-total A a o ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax — !�. LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
_By
APPLICANT OR AGENT
Receipt No t'
Approved II �— —
M
PLUMBING DATE
DATE: INSP. TYPE INSPECTION REMARKS
Contractor
Fo a i f� G Permit No.
19 "?2vr I
Rough-in
Fixture
Final
HEATING
A-1
Contractor
Permit No. c7
Gas or Oil
Rough—in—
Final
SEWER
Final
DRIVEWAY
Final
Stoms6 Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE 0CCUP7C Final
CERTIrICATE 0C1_*UPANCY Landscaping
Zoning Final