10880 SW GARDEN PARK PLACE 10880 SW GARDEN PARK PLACE
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AnD=�E55 �C� �'� ' d� � =Cf_ PEP
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_ PERMIT CHARGE. _ nane
0, , CONNECTO FEE
PAID BY
'r Pt- OF BUILOUNG ,C ,x�?- DATE CON%E�CTEO
5E ! T,-'E RATE IN5PECT1ON FEE r
CO': rR,; 'T0R _ PAID BY DATE
5IZF OF CO':"JECTION A55cMENT _ _ PAID
__•„�,.,...._.....___..___.....__ "` BUILDING DEPARTMENT, TIGARD.R.�~,,.. .,,Tt,_.__
PLUMBING PERMIT
Wrier of a valio plumbing contractors license is hereby
authori-zed fc ccuse plumbin t wof'c as her!in noted to be installed 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 contractors and sub-contractors. `., -p�:
Owner r.v�, t-S.s � _ Address-Z-(-!L —) k:r —k �ti�t. Date --
NUMBER OF TOTAL PERMIT NO.'S
_ TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Of:ice Use Only)
Single Family-1 beth-tech _ 25.00
DuDlax-Each 1 bath unit ��- 25.U0-
�ddnional�athrnrms-_._ach - -- - 1x).00_-- �y- --_- --�
e-l:;oile rame�ace-etch _ 15.00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building-each `_-, _ 3.00
51 to 100 Fixtures in 1 bull lin -each
101 to 200 Fixtures in 1 building-eichh �.- 2.1j0
2()1 or more Fixtures in 1 buildrna each - _ _____1.50
M13 ELLANE0US _
bui'di,, Viewer-1st 50 ft. _ 10.00 --,--- --
Sewer-aech additional 100 ft. _ ^10.00
Water Service to build)n _ _ -_- 5.00
_Private Water Systems-each 100 ft. _ 10.00_-
O!her (Specify)
PERMIT 17' o O For Phimhing Inspection Phone 63.9-4171
31)o State , �' Plwnbing Contractor By CANBY, OR 97013
TOTAL s 0 Z7 RECEIPT NO. Issuel By
L r
City of Tigard Mechanical Permit y Permit_�'�'`�UQ____
t7 Fee_--_moi
New Installation L Replace Relocation ❑ Addition ❑ Alteration ❑ 39'.State. q.—__
TOTAL
CONTRAi;TOR �CLlL�._r�� !c�_ _ OWNER I._�� __ 1tzl��
ADDRESS_gy`) l)O WORK ADDRESS / !�IBb0_ �1
PHONE _ APPLICANT -
Heat Input Rating (BTU Per Hour) L44 Vent Size Flue
FUEL OIL 0 GAS U ELECT OTHER—
ITEMNO. FEE ITEM NO. FEE
For Issuance of Permit _ _ 3.00 Air_Condition Compressor 15';0 30 HP r^— 10.00
New Under 100,000 BTU 4,00 Air handling 10,000 CFMv+ _ �3.00�
MC 100,000 BTU &ove_r ___^ _ _5.00 Air Handling Over 10,000 CFM �- 5.00_
Floor Furnace —�� �T 4.00 Evaporative Cooler 3.00
Wall • Floor .Suspended 4.00 Range Veit Fan 2.09
Irstall Vents Only _ 2.00 Vent System _ _ 3.00
Repair- Heat& Cooling _ �� 4.00 Hood Commercial
Air Condition Compressor Under THP
400 Commercial Duct System 10.00
Air Condition Compre-.sor 3 to 15 HP� 7.50
INSPECTOR'S COMMENTS----__._,--,__, ___--
CITY BUS'NESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVE 7 BY_ _____ DATE _ _ ISSUED BY r_ DATE
RECEIPT NC
,,, Sin ..:ire of Applicant
1�,�� �q a��► . ��♦�
BUILDING PERMIT APPLICATION of CITY TIGARD
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATEP BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHOryF:
place LOT NO.-
OWNER Gordon P�,Ark JOBADDRESS 1(1980 Std Eyr>!t'don Per�IOME ADDRESS _
ARCHITECT
BUILDER ud Millar ADDRESS ENGINEER
� — _.� _ DESIGNER
STRUCTURE- L;NEW_ ❑RI MODEL ❑ADDITION ❑REPAIR _OR_E"EWAL _ CIFIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE LJCOMM ❑EDUCATIONAL ❑GOWT ❑FELIGIOUS❑PATIO-LQCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑HOP 0M0VING ❑CONDITIONPLUSL ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
LCCUPANN Y( ... .I--LAND USE ZONE —BLDG. TYPE __FIRE ZONE_-_ PLAN CHECK BY- _ HEAT_ _
Construct 41i,JpIrex ,skit t.sched gersgsss all per plana and cu€ a requitoffivota.
TVPE "A" 4 Hodrao ms 2 Bath. —
Plumbiny r,lsrisit taquirscf tar ..hous.a sure+Lar. -- -
--- i,w,or Permit o17590 w 07351011-5
— m ps;.6 r t
u�LQ-.iL7 r r
2 40 20 1 1` 114 4 r Q 000.
QQC.L_QA.Q_ _F.LQQA!-LQA.P._ J.�.E.JUHT�._ N�$IS�6J ---_BBEA _.- -Q--BED QQME VALUE
BUILDING Dr_PARTM�NT SET BACKS FRONT 10 REAR 11> 1-EFT SIDE + RIGHT SIDE
�I kf
-!
Permit Z7 110
THIS PERMIT IS ISSLJC", �-JBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan CheCK 10.00 REGULATIONS AND ALL APPLI,-A91-E CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACL'OROANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Suis total .197.no ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT D iS NOT WAIVE
RESTRICTIVE C,OVFNr,NTS. CONTRACTOR AND SUB CONTRACT09S TO HAVE CURRENT CITY BUSINESS
State Tax _ 7• LjlMSE.,,$EPA$ffr 'FPMi.tjt,l��IIVtlItED FOR SEWER, PLUMBING AND HEATING.
Total a�04.41ti I^ . a 1
BY p
F ----
fifth 1". 71APPLICANT OR AFTNI -- -
"proved `` Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. /792 op 2 -P--'
Rough-in
/7 Fixture
Final _
,2.S-7`
HEATING
`
Contractor
-- _ Permit No.
Gas or Oil
Rough-in
Final {
-- -- _ SEWER
Final
DRIVEWAY
Final
-� Stonh Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final -
--- Approach
BLDG. DEPT. FINAL TE'N►PORARY CERTIFICATE OCCUPA Y Final
CERTIFICATE OCCUPANCY `—
Landscaping
Zoning final