10750 SW GARDEN PARK PLACE 10750 SW GAIDEN PARK PLriCE
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BUILDING DEPARTMENT, TIGARD N9
PLUMBING PERMIT L�
,� ho',4of a valid plumbing contractors license is hereFly
authorized to cause ,vorK `is herein noted to btu ilistalled in accordance with the plumbing codr, of
Tigard. Such installations require inspection by the City Inspector who shall he notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Susines: License required
for all contractors and sub-con tractors.
Addre,sll��'z�D �l� (*a eiJ ft_1t'L__
LNUMBER ;JF TOTALTYPE OF PERMIT ITEMSFEF ON EACH mAoUNT
Sinaid Famil —1 bath--each `_��_„ _ _��.�..— - 25,.00
25.00
Uu
plax=Each 1 bath unit _ -- ---
_Additional bachrooms—each ._.,,,,_.,,,_ _
10.00
M1tab3ce—each 15.00__ _ .___._—r._.._...-
INDIVIDUAL FtX_TURE9 COMMERCIAL _^ ----
1 to 50 Fixtures In 1 building_each —_ 3.00
_
51 to 100 Fixtures in 1 building-_each __., _ 2`'�
_
102.001 to 200 Fixtures in 1building—each _
IX01 or more Fixtures in 1 building_—each _ 1,50
�f• .SCELLANE0U5
Sew•r—each additional 10_0 it. 10. 0 .--
_ Water Service to building ' 4-00
Other ISoirif ►:
_PERMIT 3 J, o For Plumbing Inspection Phone 6394171
4d State_ __LSC Plumbing Contractor By
+ _TOTAI. RECEIPT NO. Issued By
City of Tigard Mechanical Permit
New Installation Replace 0 Relocation L:j' Addition 0 Miteration 0 3%Stete
TO i A L
CONTRACTOR /&P/'m NS OWNER -1�3TSAj a rg,:�: vc—-/s
A '4 f--Q-r,7 PA
W61fK DAESS 01 nZ.LU�
j
Pti')NE APPLICANT--
Hea* Input Rating (OTU Per Hour) J7C� Vent Size
Flue
FUEL 01L F-1 GAS ❑ ELECT OTHER__.--_--.,-_-_
ITEM NO. FEE ITEM NO. FEE
For issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP 10.00 �41'�4
New- Under 100,000 BTU 4.00 r Air Handling 10,000 CFM 3.00
New- 100,000 BTU &over 5.00 Air Handling Over 10,000 CFM 5.00
Floor Fu,nace 4.00 Evaporative Cooler TWO-
Wall- FIc or -Suspended 4.00 Range Vent Fan 00
Install Vents Only2.00 Vent System 3.00
Repair - Heat& Cooling 4.00 Hood Commercial 3.00
Air Condition Compressor Under 3 HP .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
APPROVi'D DATE ISSUED BY DATE
REC, :IPT NO.
114 Si2natwe of Applicant
mac? �,
CITY a a '�g 1
f
BUILDING PERMIT APPLICATION of TIGARD DATE 19
THE UNDERSIGNED FIEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO.
OWNER • I l i L IL i wi t r. ' 1db ADDRESS1J 7_J ;1 v1 (ju;uIul) 0441- HOIIv1E ADDRESS _
y ARCHITECT
t,in,,r I d:'f' 8g3J. SL Iif th, -!1�1« ENGINEER
BUILDER -^_ ADDRESS DESIGNER
STRUCTURE I❑� NEW ❑R1 mnDEL ❑ADDITION _-OREPAIRr, E_RENFWAAL _ ❑_FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE `.�rC,OMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSCOPATIO ❑CAR PORT OGARAGE ❑STORAGE SLAB ❑FENCE
OBOND L_.1MOVING 000NDITIONAL-Uoc ❑DESIGN REVIEW CICOUNCIL. APPROVED ❑SIGNS
01000PANCY_—�LANO
USC-ZONE J�..�^BLDG.TYPE FIRE ZONE.___. PLAN CHECK BY CdA E%) HEAT_
-unit.> ,: .;.. einyle family dwell.ir Ij/atttach,,,, tjmrs ,w. -Aidruim - 7 Al.
;;pe „I I Ro-Y scuta - Lot 33. I.-Hour I I x•ma,e l l a L ca ilm:m property l inl .
vww► Permit 20300 - 705,UO -
-- ----- 1 1 f1::,�.�
QCC IQA.Q__-__--_F_LQ�B_L-QA_r—._ _._ _RG_T_ 2.__ U NQ.ST R155 2 LREA� NQS@Ef?H9�Jh95 —
BUILDING DEPARTIAE_NT7n 2111 2a
SET BACKS FRONT REAR LEFT SIDE. RIGHT SIDE
Permit �`AL"�.Ll[? `-`�`v -•=_ -_..���.�______�--�_.—_..__�__ - _.
—�-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING,
Plan Check 10000 R-GULATION", AND ALL APPLICABLE CODES AND OROINANCFS, AND IT IS HEREBY AGREED THAT THE
- WORK WILL R► Dobe IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 137,011 ALL APPL ICAIBLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE CONIEVANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total �142.V�`. 7l�t' 4xX�'X:K1�►� It tIK--p l
By -pl
@hc 4 slat?.ou
t T7 ATP, ,(-nNl OR A G F N T �— _--
Approved Receipt No
�4 I
DATF INSP. TYPE INSPECTION REMARKS PLUMBING DATE
8–/6--79f
r -rWCContractor_& , – I
Permit No.
_j
2
Rough-in
-44 01 Fixture
Final
ZZ h�;%, HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Stoft Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Finao
Approach
19LDG. DEPT.sr'NAL TEMPORARY CERTIFICATE OCC
CERTIFICATE OCCUPANCY Final
Landscaping
1Zoning Final