10895 SW GARDEN PARK PLACE 10895 SW GARDEN PARK PLACE
I �
a)
U
ro
a
N
ro
CL
r_
ro
N
ro
LD
3
cn
L
rn
co
0
ADDR E5S LQ bt2k
_ C _ PERMIT NO..`Jj Si
PERMIT CHARGE none
Ou%,ERrL� �� _�__�_. C0NNECTI0N FEE ��h c► r, .
PAID BY
TYPE OF BUILDING _ _ DATE CONNECTED _
SERVICE RATE _ � Ir:5PECTION FEE
CONTRACTOR PAID BY DATE
SIZs_ OF' CD?JrdFCTION Ass 5SMENT PAID _
\I
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT
- �•�' _. �'� �, holder of a valid plumbing contractors license is hereby
authorized to c ise umbing work as herein nnterf to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspects r who shall be notified not less than four
(4) hours prier to the tinge the installations are ready for inspection. City of Tigard Business License required
for all co actors and sub-contractors. '1`/ , 3 y
Owner `tial Address��'`c -�- ✓�._�.�rl��,t '„tom�'r
ate
NUMBER OF TOTAL PERMIT NO.'S
- TYPE OF PERMIT ITEMS ,. FEE ON EACH AMOUNT (Office Ulm Onlyl
Sime Family-1 batfi--aech _� _ 25.00L— �-
_ Duyl.x-E.ch 1 bath unit _ 2 ._Y 25.00
Additional ha!h110M1-yach 10.00 71
'Vobi'e Home -.pace-eact; --_ -_ - — - ��_ — - - - -----. - �1
15.04)
INDIVIDUAL FIXTURE FEES `-
1 to 50 Fixtures in 1 buildi each _0.00
51_!q_110 Fixtures xtures in 1 building-tach_ _ `-
101 to 200 Fixtures in 1 buildin9_each-- _ _ 2.00 y M
201 or more Fixtures in 1 build;n -each_ -� 1.60
MISCELLANEOUS
Building Sewer-1st 50 ft. -. _ 10.07
Sewer--each additional 1_00 ft. _---w ----�� 10.00
Water Servire to buildinL_- 5.00 -
-Private Water Systems-tech 100 ft. -- _ 10.00 - —
Other S .cif I: - - - -
LIU
PERMIT ��j U,o n For Plumbing Inspection Phone 6394171 805 n K FO
3%State `� c Plumbing Contractor By ___`_le-/'ANi3Y OR 97013 I -
TOTAL S"
RECEIPT NO. Issued By
.."- . �.- ..1.•rnP/ �M�MMiW�r.wpAy,�,IR 7+r`a.i.tw•ar.-i._...r-..�.
r CI �y of I��zi c� Med-anicaf Per,»it NY
New Ins%1:a!ion RE:)!ace Relocation3K State r
❑ AddiTiOn A,�_rzt�on _�
r
TOTAL
_ ._�L•�Y—
CO`:TRACTOR S j�� / G O�.ti'r;EP,
ADr)RESS__e. f EA � �� L�L3�frJ�_ 1v RKORESS -
PHONE Ltv r_ - - APPLIC.VJ-(_.. �pr'Yr-
Heat Input Rating (BTU Per Hour)—_-:S__, Vent Size Flue -
FUEL OIL r,__1 GAS U ELECT OTHER__ __
ITEM NO. FEE ITEM NO. FE
For Iss..ance_o` Permit _ — ! T 3,00 Air Condition Compressor 15 to 30 HP
New - Unde: 1U7,00p BTU-� 4.00 Air Handling 10,000_CFM — 3.0
New- 10'j,0_00 BTU & over _ �' 5.00 A (;
*-*Air Handling Over 10,000 CFM 5
Floor Furnace - _ _ 4.00 --Evaporative Cooler"-
-._ 3T
Wall - Floor+ Suspended --^_ Ranan
-4.00 Range Vent F _ 2.0
_�_.•_ _ _
Install Vents y System Only _� _�-Y- 2.00 __ Ven; _ysie
_ _ _ _ __ C
_Repair • Heat & Cooling _ --��- y+- 4.00_ _Hood Commercial
Air Condition Compressor Urdu 3 HP - Co '- -'-" ---L-==
_ 4.00 mmercia! Duc; System 1(t
-Air Condition Compressor 3 t 1S HP -
I 7.50
'--•.�_sr_--�._�--,.—,=_-cc:n-1._..s�s_s.:..—_ -3.a•.:,-:r..:. ,s••s..•,�..�.c-:-a.ar---Y:x:uerz--
INSPECTOR'S COt11NENTS____
CITY BUSINESS LICENSE REQUIRED FOR ALI CONTRACTORS OR SUR CONTRACTORS
APPROVED BY-_ ...... _ - _-_ DATE -_ - _ - ISSUED BY DATE
- •. rlrr:io-r ••� -
�'�, 'i.wWw�`,Ilait�llR °�p{"i;^�!IG��,::. i yptl�' � "�'�,e+F�,-Y'+ •'�^�"$�i �"� .y�.'pRk•'�'�R-/� gp �l
V_ 9
BUILDING PERMIT OPLICATIQN �0F TIC ARD DATE_ '�~'"` 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE...— _
p(�l<.,C.c LOT NO. ---
OWNER"433 dyrt Pei JOB ADDRESS'1 08fat) SW iga>�rdow Perk' AME ADDRESS
ARCHITECT
BUILDER Tfvd rvI i 1 i e r r ENGINEER
ADDR_SS M DESIGNER
STRUCTURE ❑NEW ❑RF'MODEL ❑_ADDITION El REPAIR — ❑RENEWAL. []FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB OFFENCE
❑BOND ❑MOV ING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS —
r - T
O!_CUPANCY t 1 LAND USE ZONE a —BLDG.T 'M•„__fIRE ZONE PLAN CHECK BvHEAT__--__-
LJnst.ruGt duplexy/attschad rlsreg&S all per plans ent; r L-w s.,.s ------
TYPE "A" 4 Bedtooms - 2 Beth*. -
- Plumbing Permit required for house sewer.
-- `icusr Pei ml C rA7A3 - $123b.00 - ---
40 20 1 17ib 4 "rU*UUIJ.
cJ.GC,_T<Q9R--_.-F_I�S?Q11QA.-la_— HEIGHt ,--NO.SIQ13i:5 �p��— �I(l $ QBQ.QMS VALS
BUILDING DEPARTMENT l�+ 1:2
--- — _ SET UAf KS FRONT PEAR LEFT SIDE RIGHT SIDE
Peirnif $167 (10
THIS PERMIT ;S ISSUED SU'3JECT I'D THE REGULATIONS CONTAINED IN THE BUILDING; CODE. ZONING
Plan Check 1()-00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Sub-total 1t�r.(�( WORK WILL RE DONE IN t,CCORDANC,? WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPIICARLE CODES AND OnDINANCES. THF ISSUANCE OF THIS PERMIT DUES NOT WAIVE
RESTRICTIVE COVENANT;;. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSB
Stat✓,Tex f..y .45
4 LI�f"E SPPAF,t4VffjPAgMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total $2,13 4 e " POL 1 ,..1.20.C)j
BY - ---f,�---
1 APPLICANT OR AG:FN1 - -
Approved a Receipt No
i
PLUMBING DATE
DATE INSP. TYPE INSPECTION REMARKS --
I^/ Contractor
Permit No. 8'7 lC/�
Y�f� lOsi -. I'14ti91'�� •��" Rough-in
Fixture _
_- -- Final
_ HEATING
�-
Contractor
- Permit No.
__ - --- --_— Gas or Oil
— --- -- - Rough-in
- - ` - Final
----- __. -- -- SEWER
-- - Final �- 2 9 _ _ _-
--- ----- ---- --
DRIVEWAY
Final _-
-- — i Ston Drainage
-- — - IRain Drain)Final
- --'-- --- --- Sidewalk
-`�- J- Curb R street Final
-- --- -- - Approach _
BLDG. DEPT.FINAL — TEMPORARY CERTIF1 ATE OCCUPA CY Final
CERTIFICATE OCCUPANCY 30 ^ O
( � Landscaping
Zoning Final