10840 SW GARDEN PARK PLACE A �
10840 SW ,ARDEN PARK PLACE
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PERMIT NO. �.�
A 0 0 R E SS� .
PERMIT CHARCE none
0LJ ER U �� r' �`rt•, J' C0"1 ECTION FEE
a�L__ ._ ------
PAID B Y
� DATE COt,^:E.CTED _
TYPE. O F E3 U I 1.D I N G G _.r.
/ INSPECTION FEE ,a J-• __
SERVICE RATE
CONTRACTOR ______ "--
PAID BY DATE _.
ASS SSMENT PAID
SIZE O f" C 0`J rJ E L T I U N _ ___.____�� � - �`
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BUILDING DEPARTMENT, TIGARD , .
/ PLUMBING PERMIT +•
Leo � 4Y '_.._y�.___ hcic 'r of ? valid plumbing contractors license is t�o�r!�b�r
authorized to cause plumbing work as herein noted to Lie installed in accordance with the plumbing code of
Tigard. Stich installations require inspeci;en 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 co tractors and sob-contractors. Lor
OwAdd -WeL-- Date 7 9
NUMBER OF TOTAL PERMIT NO.'S
TYPE. OF PERMIT ITEMS FEE ON EACH AMOUNT (Office IJse Only!
Sirnld
Family-1 hath-each — 25.00
I) ex-Each 1
bath unit �_ 25.0
Cil! Home waca-e3c. —_ 15.00
INOI'/IDUAL FIXTURE FEES
to 50 Fixtures In I build_ng-_each - -- 3..00
51 to 100 Fixtures it 1 bvildi beach _ -� 2.50 -
101 to 2U0 Fixtures it 1 buil.!,ng_erch - -- ____-__-_ -_2.00
20�or more Fixtures in 1 building••each -,� _1.50
PAISC_ELLANE0US
_._8uildin Sewer•_Ist 50 ft.i_ - _ 10.0_0-�_-- �,------ �!
_ Sewer-eech edd'tionnl 100 ft. i ^� 10.00_— -,-�-
Water Seryies to building - --- 5.00
Private Weter Systems-each 100 ft. 10.00
othgr (SAeci!Y) r
_PERMIT O �� -- For Plumbing Inspection Phorte 633-4171
3%State 'C7 Plumbiny Contractor By
TOTAL. 72, Q_. RECEIPT NO. Issued By �—
City of Tigard Mechanical Permit Permit---S3.00
New Installation, Replace Relocation ❑ Addition U Alteration ❑ IT.State
CONTRACTOR tLE�IrYS _ � OWNER _�L�p�'Z-
�/Q•_lE,�
ADDP,EaLCT /q
2�y�s� WORK A0DREoS1U&yubL��v�e,�^ti�P,��?IC
PHONE FYI a�`�.� APPLICANT_
Heat Input Rating (13TU Per Hour)_.--? B Q Ver,; Sizs Flue Size
FUEL OIL ❑ GAS U ELECT ( OTHER
ITEM Nle. FEE ITEM NO. F=E
For Issuance of Permit 3.00 Air Condition_Compressor 15 to 30 HP_ 1_0.(10
New• Under lou•700 BTU �--� 4.00 _ Air Handling 10,000 CFM
New- 100,000 BTU &over �� _5.00_ Air Handling Over 10,_000 CFM _ 5.130
Floor Furnace _ _ 4.00 Evaporative Cooler
YVaII . Floor -Suspended 4,00 mange Vent Fan _- - 2.0_0_
Install Vents Only — _ _2.00 Went System
Repair • Heat& Cooling_ _ 4._00 Hood Commercial
Air Condition Compressor Under 3 HP _ 4.00 Commercial Duct S_y_vem — 10.60
Air Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY T DATE ISSUED BY DATE
RECEIPT NO.
"' Signature of Applicant
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.^�,.r,m. -�',�e',Ii 'l�'4"e�r,�,.;;,.a��,, ,mF fppprsr �rw.r ^�'xa�s�»N^r�rua"4,sa�++r r!ow+■,;�,�,�' ,^�.�w�nrr+
BUILDING PERMIT APPLICATION SOF TIGARD DATE_ ,9 'g
1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND .APPROVED IN THE ACCOMPANYING PLANS AND SPFh%F�TIUNS vwNERPHONir
LOT NO., —
4WNra "03 t doM ��� � JOB ADDRESS 'y SU Gordon �J41ri< HOME ADDRESS
-- — AF?CHIT EC'T
ENGINEER
BUILDER I 1 1. Ir —ADDRESS DESIGNER
STRUCTUIRE_ C3NEW ❑Rt'MODEL _ [3ADDITION - ❑REPA,IR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLIT'ION
❑ RESIDENCE L,000MM_❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO CJCARPORT ❑GARAGE ❑STOHAGE❑SLAP ❑FFNCI
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPHCVED -_— ❑SIGNS —
TU
OCCUPANCY_'�'�LAND USE ZONE—'~1_�BLDq TYPE--{—�_—FIRE I0IM1E_ PLAN CHECK By NEAT___
II41t'u� :. 1�a ti.,h �." �tkach�> 17c1a_a,am d :Jf1th. —
Pormit
QC��L49.R—.____• FLQSZR 1.QAP___ ._HEIQUSNO.MMI _—EfflL _1 NO,eEDRU�M�_
BUILDING DEPARTMENT �t7 HEAR A,r LEFT SIDE 2L RIGHT SIDE _
._— SET BACKS FRONT —^ _ —•_ -
Permit
it}.lJl� THIS PERMIT IS ISSUFO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
PIheCk REGULATIONS AND ALI- APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL qE DONE "K ACCORDANCE WITH 1Hk PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal �00 ALL AFPLU;A9LI-. CODES AND ORDINANCES. THE 1RSU.ANCF OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR ANLL SUB CONTRACTORS TO HAVE CURRENT CITY FAUSINESS
State Tax LI�ENSE. SEPARATEff.RMITS REOUIRFD FOR ;LWER, PLUMBING AND HEATING.
Total �.�• 10 I".x
J.y 07 J APPLK:ANT OR AGENT
Receipt No.
Approved
.'.+.rra,+,w..+wrwirn.. ,^xw. .—•' ...... .. -': .. ..... ... --�HQNFi�� ....
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REMARKS PLUMBING - _ DATE
DATE IhSP. TYPE INSPECTION -----
" Contractor
Permit No. /� �.�D �-�'7e?"
1L-'�-- Rough-in _
k--219 /u�r.+?w� O /E" -- ------------- Fixture
Final -
-._T- - - HlATING
-_ — Contractor _
--- --- --
Permit No. 7-77
_-- - _— Gas or Oil --- --
- Rough-in -
_— —_--_ Final
- — SEWER
- - Final
—''— _-- DRIVEWAY
_ —
Final
-- - Storm Drainapa _
--- -"- - -- (Pain Drain)Final
— -- - Sidewalk
--`--- Curb&Street Final
— --------- - _ -----
Approach
BLDG. DEPT. FINAL - TEMPORARY _ CERTIFICATE OCCUPA Y F nal --
CERTIFICATE OCCUPANCY
•J / I�� Landscaping
Zoning Final
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