10770 SW GARDEN PARK PLACE 10770 SW GARDEN PARK PLACE
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1` BUILDING DEPARTMENT, TIGARD NO
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PLU`AB1NG PERMIT
holder of a valid plumbing contractors license is hereby
authoriatJse plumbing work asIierein noted to be instilled in accordance 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 con actors and sub--ontractors,
Ow.ler �Tv,�c�.rd.�.s.__� _ � Add�ss.L_D.11�
L NU,18cfi OF H 1 TUrAL -..�
TYPE OF PERMIT ITEMS f-Ek ON 'cACFi A141UUNT
Sinole Fami'Y_t hath each 25.0_0
l?x-Each 1 bath unit _�
25.00
Due
AgdMonalbathrOCm7`each �_ 10.00 GD• o U q
_ htobiie F;ome Space_each_ 15.00
INDIVIDUAL FIXTURES COMMERCIAL _
1 to 50 Fixtures in t building-oath _ _ _—_ 3.00
51 to 100 Fixtures In 1 building-;each _2.50 _ s
101 to 200 Fixtures in 1 buildin -each 2.00
I_ 201 or more Fixtures in 1 building--each1.50
1MISCF.LLANE0US_
Ssw each additional 100 ttT_
Water Service to buildiny_ _ _ _5.00 ._-..-_ f_
1. �`..�
~ Other
C PERMIT J �_.• r For Plumhin.J Inspection Phone 6394171
4';State D -�- Plumbing Contidctoi By _._--
I TOTAL jb, y C' «_� RECEIPT NO. Issuet' By ___-_-
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City of Tibard Mechanical Permit _ � Permit_____��o�_ --{{
�( _ Fee_.
New Installation Y Replace LJ Relocatian ❑ Addition ❑ Alteration ❑ 3%State
_ TOTAL .. . .__
CONTRACTORWe-0it' ll_ /yFp7/ ly L OWNER_� ON w_F �
ADDRESS_�y�1 �__3L �[ �ae� CORK ADDRESS/Q7 �
PHONE_���_tl 5' v_ APPLICANT___
Heat Input Rating (BTU Per flour)___ ?0QVent Size _ Flue Size__„
FUEL OIL ❑ r,AS ❑ ELECT [ OTHER
ITEM N0, FEE ITEM NO. FEE
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP _ 10.00 `
New. Under 10e,000 BTU_ 4.00 Air Handling 10,000 CFM u 3.00
New- 100,000 BTU &over � 5.00--- Air Handling Over 10,000 CFM5.00 �
Floor Furnace 4.00 Evaporative Cooler _ 3.00
Nall - Floor -Suspended _ 4.00 Range Vent Fan T 2.00
Install Vents Only _ _2.00_ Vent SystemY _ 300
_Repair • Heat& Cooling _ _ _ 4.00Hood Commercial V` 3•00W
Air Condition Corepressor Under 3 HP _ 4.00 _ Commercial Duct Systeme _ i 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.
74
Signature of Applicant '�
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CITY 2
BUILDING PERMIT APPLICATION of TIGARD OATS /f �
THE LNDEPSI GNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF _
I
1 h�1 �f�ry LOT NO.
OWNER I$k mill Inywut�:0C9ftADDRESS 10770 SL tiwgu6n Ira; HOMIt ADDRESS
ARCHITECT_—
BUILDER Stone ri i1go ENGINCER
`ADDRESSDESK NCRI—� _
SSIRUCTURE ❑NEW _ ORI MnDEL _ ❑ADDITION C3 REPAIR _RENEWAL _ OFIRE OAMAGE ^_ODEMOLlTIDN
O RESIDENCE DCOMM DEDUCATIONAL OGOV'T ORELIGIOUS CJPATIO ❑CAR PORT OGARP4E D STORAGE C)SLAB D'INCE
_❑BOND ❑MOVING OCONDITIQIJAL USE ❑DESIGN REVI-W ❑COUNCIL 9FPROVED USIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE E FIRE ZONE PLAN CHECK BY I TW HEAT Was
A.ongt runt single family dwelling w/alttechad 4,arsgu. 2 Bedroom 2 Both.
TYPE "C" Rk-Isllsltis. 1-Hour t.;sawsll tat cummon pr6perty linty.
Ps:d)it 1441a8919 — 576. 56
2 f27a�0t .
OCC J OAD�__f�,gQFt LOAD 1I. 1St�I__.._._..__—_ lY9�S]Qfi{F�_�__AREA NO.BEDRQOMS __yALLlE—
9UILDING DEPARTMENT SET BACKS 1'RONT REAR LEFT SIDE RIGHT SIDE
Permit
-HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1U.U0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK VII_L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 00 ALL APPLICABLE CODES AND ORDINANCES, TIE ISSUANCE OF THIS PERMIT DOCS NOT WAIVE
RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stdte Tax '' "Q.�� LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total9 135.t3�d ,R X �XX� 04� 4.�el
By �� F'U
-- APPLICANT OP AGENT ---
ApprovedReceipt No. �G19
.r.. ..... ......,,�... wr -
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. 197l2
/o J�7f o Rough-in -
- Fixture
Final
HEATING
Cori tractor
-- Permit No.
Gas or Oil
.—— - — Final -- _--�
- ---- SEWER --- --
-- - - _--. .,--- Final 9���• ?�
--- -- --- -- DRIVEWAY
Fin I
Storon Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
Bl.[-.. DEPT.FINAL TEMPORARY CERTIFICATE OCC Y Final
CERTIFICATE OCCUPANCY /, -
--' Landscaping
Zoning Final