10820 SW GARDEN PARK PLACE 4
1( ,820 SW GARDEN PARK PLACE
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BUILDING DEPARTMENT, TIGARD _
PLUMBING PERMIT --
-- '_j� ��1►a f.-�w"_L.�. holder of a v slid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by die City Inspector who shall be notified not less than four
(4) hours prior to the Cme the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
r `
Owner _ Add ress_!.+ _ -L / Date(—, r
NI.1I�BER OF TOTAL ` PERMIT NO.'S
TYPE OF PERMIT —ITEMS FEE ON EACH AMOUNT (Office U .a Only)
Single_F8MqX7 1 hath—each 2500 -- �
Duplex—Each 1 Lath unit — _-- —^ 25.00LO. G► n
Additional hernr.;oms—s gh
I Mobile H,me Spice—each 15.00 _
INDI' IDUAI. FIXTURE FEES
1 to 50 F,xturee in 1 bu Wing—each _ 3,00
51 to 100 F.xtures in t building—each — _ 2.50 —
101 to 200 Fixtures in 1 building—,%,h 2.00
201 or mof_e Fixtures in 1building—each1.50 —
MISCELLANEOUS
Building Sewer-1st 50 ft, —� `^ 10.00 —
Sewer—each additional 100 ft.n _�_�. 10.00
_Water Service to b-illdi ��'— -- --
- ---_-- 9
Private Water Systems—eact. 100 ft. ---
Other 5et-cify):
PERMIT_ ,C). �, cr — for Plumbing Inspection Phone 6394171
State �'ta Plumbing Contractor By CA £ff, OR 97013
TOTAL C' RECEIPT NO -�
Issued By --- - - �3H;3-216='26z)ri--_
,•.,vroIF��RIMxJi°H"r-•..,�,.,,,�1.,.,;�, ,*u�,�,r,..,•...,,�,'„ ........_.._,�... ...._._._ , ,�..y..,,,••r...r �F 1'J � s:h �
BUILDING PERMIT APP!IVAIIQ" N eerO Fy TIGARD DA 1E _______.__.. 79-��s----
THE UNDERSIGNED HE-REBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUtLDERPHONE 777-A33
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P►PN „r. + K
LOT NO.
OWNER 1 tJ lr�' �' JOB ADDRESS HOME ADDRESS
• ARCHITECT
CaEt��, .i t.`S•1J. ! 0' 1 iF 140th I-Itl d. ENGINEER
BUILDER —� ADDRESS DESIGNER _
STRUCTURE ❑NEW ❑Ri mnDEL ❑ADDITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DFMOLINON
L RESIDENCE [:]COMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE uSTORAGEOSLAB [:]FENCE
❑BC-.V ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW [:)COUNCIL APPROVED ❑SIGNS
CUPANCY______: AND USE ZONE- __ BLDG.TYPE_ _FIRE ZONE_ PLAN CHECK.BY HEATi`_____
1 k1•-loruu o,' Pwrmit #2311 (Lot 9 — i0910 SW Gaudon Work Place) ---
-. s:In"truct .Uplgx W/attaGtlod Q'Irs ;o- 4 Wl idrouMs •+ '► • — --
Parp1.tCc-
Sly. _LQ&D— FW-QB_LQAP ,_—___HE_ 1cT____—._.ND_5 F31E _—_ AREA NO,BEDR QML __VALU1---------
BUILD NG DEPARTMENT SET BACKS FRONT 2Q REAR LEFT SIDE RIGHT SIDE
Permit 4.07,.00 -- — __ --------
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING;
Plan Chect. 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THC
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUb•total 21.1.00 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 ' 1`° LIG NSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
-- I L k�4 i.:.-. _t U
Total • ?' p0c.;l 3120*DO
.. rt'.---.
APPL!CANT OR AGENT
Approved -- Receipt No
1
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I
DAVE
IN SP. TYPE INSPECTION REMARKS PLUMBING I DATE
j�zi �. � v------ - Contractor
d�.7.,,v ✓� c� �.L'F'�s�, �------ -------- Permit �, 6'/�"� IK
— ------- - -- Rough-iI —
lot U,
6, ^79 —^`eov Fixture
Final
HEATING —�
^� Contractor
Permit No.
Gas or Oil
----- ---- Rough-in -- —
Final
SEWER �—
_� Final
I DRIVEWAY -- —�--
- — Final
Storm Dralnepo
(Rain Drain)Final.
Sidewalk
Curb&Street Final
Approach
SL.DG. DEPT.FINAL TEMPORARY CERTIFICATE OCCU"NCY Final —
CER`1FICATE OCCUPANCY )n
Landscaping
Zoning Final