10810 SW GARDEN PARK PLACE 10810 SW GARDEN PARK PLACE
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BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT l�O
holder of a valid plumbing contractors license is hereby
authorized to cause plum`bin work as herein noted to be Installed in is ordanre with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall he notified not less than four
(4) hours prior to the time thea instaliations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. Job
Owner �� f� :_ _ Address.,�.�_/1� �Z�! ItdC �lDate-� 2�_
_
FUMUR OF 10TAL
--! TYPE OF PEFMIT ITEM. t_:F UN EACH AMUONT _ -� -
Single Family-1 bath-e%.eh 25_.00
D�lex-Each 1 hath unit ,-�- _ - - 25.00
._r
'Additional bathroom.—tach__. 10.00 _ /(,1, p t)
h'=hi!e Hame_§pa_e-each 15.00 -----__.
;NGWIDUAL FIXTURES COMMERCIAI
I to 50 Fixtures i_r 1 bui!dir!179ach -_ 3.00
F_5_1 to 100 Fixtures in 1 buildirg�each ~ - 2.50
1 101 to 200 Fixtures in 1 building -each _ _ 4.00
201 or more Fixtures_in 1 building-each _ +- 1.50 -
� 1.11SCELLANE0us
Sewer—each ad_oitionsl 100 ft.- �_�-- -+-_ _ - 10.00
Water 4ervice to building !_- E.00
[—PERMIT ,"r �� ��' For Phrmhing Insnection Phone 6394171
I 4%State Y_O�^ Plumbing Contractor 6V—
I TOTAL RECEIPT NO. Issued By
I City of 1-ic- ard
Mechanical Perim(t N (joY Fee_
0-0 b—
New lns,E.1:a,.ion NZ RC:)!a::e IJ Relocation ❑ Acjj,-ion A!',i,-'raLK')n y. 1 3,� State -
TOTAL
C';NITPIACTOR PC Ova,Ep. AIJ
To, ld G 7
A )RESS KR#
I WORK AD .ESS
D &L�445-6.E'. IP&0_2� A
PHONE APPLICANT
Her., !npul Rd-ong (BTU Per Hour) Vent Size Flue
FUEL O;L ❑ GAS D ELECT OT,-,ER
ITEM NO, FEE ITEM NO. FEI
For Iss-janct ma of ,' 3.00 Air ;�d iC — --
iTon Compressor 15 to 30 HP
New- Under 103,000 STUAir Handling 10.000
CFIV,
—4.c)o— —— 1 3.0
New-—1 tTb_.0 F0 FliTU & v v e r 5.00 Air Handling Over 10,000 CFM
5•p
Floor Furnace 4.00 Evaporative Cooler
10
Wall - Floor - $uspjended 4.00 Range Vent Pan2.0
mtavi nts Only
2.00 Ven:System 30
Repair - Heat & Cooling Commercial
30
Air Condition Compressor Under 3 HP 4.00 Commercial Duc; System
---.F
fir icn Compressor 3 to 1:) 7.50 a. 10..
0
INSPECTOR'S COMMENTS-______
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE __ ISSUED 13Y DATE
R'•�'(A I�r'�Y�[' ^' �'��71tTF'(L:A:'1H'+"R' ANI.Y:,�A'iwA '0�'t.l�lil�n.�if h.;{.�1�-�I�,.{��.f�"i{Y.,y�M'IFIIi1Yi . .,,,.... .. ,. , . {lrN �•
� .
(BUILDING PERMIT APPLICATION 11 Y TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDER PHC NE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF —
�tpa LOT NO.
OWNER fli i llil/t 8tr S..lID1B ADDRESS1QQ10 3Lf L,art9atl Petk Abut,ADDRESS _
ARCHITECT—
ENGINEER
BUILDER ;C.:)flf:a i d q ADDRESS — DESIGNER _
STRUCTURE ❑NEW ❑Rf MnDEL n^.;:DIT ION --_❑REPAIR ❑RENEWAL ❑FIRE DAMAGE e❑DEMOLITION
❑_RESIDENCE._ ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND !�❑MOV INGp ❑CONDITIONAL L!" ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS —
OCCUPANCY 9 _ 'LAND USE ZONE___ `-- BLDG.TYPE =FIRE ZONE_ PLAN CHECK Bv_,..__, _____,_. HEnI___-_.
�'Jneti ur. : mingle family fiwalling w/at L4Lhvd vara qw— t.--- lar .I.:W
TYPL "C" L -Hour Firew&I.L at cummon praeortty �.Iof)'
-- `)wwer pocmit liSra - $7nb*00
96
OGS.LOAD A._ -- -9EJ?HSZQI�
BUILDING DEPARTSET BACKS FRONT
MENT REAR LEFT SIDE RIGHT SIDE —
_ Permit a:1.;C1.�10 M �_.�--- ----
TRIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE TONING
Plan Check I'll 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 17 IS HEREBY AGREED T HAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIA14CE WITH
Sub-total 131.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRIC'iIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax i; ' 4.94 LICENSE, SEPARATF PERMIT% REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total _.__. 9135�8� ��l�nX�l•tX9t.�t�t�litd� usv.M�►6
.i� PUC #1 1100.00
By P1 APPLICANi OR AC.ENS -- _
Approved C TQ Receipt NO. 3611) —
WMIRK
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATF
6-is-79 Contractor
Permit No,
Rough-in
?-/!V-7-22 j?CI-e 1. 't
Fixture
Final
HUATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final 6?
DRIVEWAY
Final
Stnnin Drainage
(R)in Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCC Y Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final