10900 SW GARDEN PARK PLACE 10900 SW GARDEN PARK PLACE
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A00P,E53_. I PERMIT N0. j
PERMIT CHARGE none
0lj'kl � CONNECTION FEE
2, z 0 PAID BY
TYPE OF BUILDING DATE CONINECTED _
7 ,3s•
SERVICE RATE INSPECTION FEE. ca
CONTRACTOR PAID PY DATE
SIZE OF CONNECTION � SSESSMENT r PAID
31714
�■sus► s�t�l
BUILDING DEPARTMENT, TIGARD .� f
PLUMBING PERMIT
C�Qt 7_t��_ .` holder of a valid plumbing contra tors license is hereby
authorized to cause plumbing wl3ri,, as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require ?nspection 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.
Owndress- :YQ Date_ �_�� -� D
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
6,_Sin le Few-1 ua;�-each _ 255.00 _ +
Duplex-Each 1 bath unr. ^--�_ - __ 25.00
\dd�honsl hathrnomt-•4ach ---.._..__.-..... ___ �_____�__ I!I)0, ��W y_ �
AAubile Home Space--each _ 15.00 -
INDIVIDUAL FIXTURE FEES - tY
1 to 50 Fixtures in 1 hL ldln -each 3_00 ��-
51 to 100 Fixtures in 1 buildiny_earh 2.50 r j
t0I to 200 Fixtures in 1 building_each _12.00
201 or more Fixtures in 1 buildingeach 1,50
MISCELLANEOUS --- -_ �__
fuildin
5ower-1st 50 ft__ _ 10.00 - _ ~--
Sewer_each additional 100 ft. - __!9_00 _
Water Service to building- - - 5.00
Private Water Systems-each 100 It. .00
V�W-- - -- 10 _ —
1d
Other (Specify): Y - UNYO PLIUMII
_PERMIT U " For Phimhing Inspection Phone 6394171 805 UE FCS URT11 Ak
State - -- _: Plumbing Contractor By CANBY, OR 97013
OTAL � � ?�2_ RECEIPT NO. Issued By �_
K
+.�- - ... _..... a•..._.._y.. v."„._,--_ ._...�..t.��r.w�l�tiy�_..-nw^Yle+....Nw1'� ....n..n wnY�PTP.�wl�w�
City of Tigard Mechanical Permit • Permit_._, 53.00
New Installation ( Replace ❑ Relocation ❑ Addition ❑ Alterar,on ❑ 3%State
/ TOTAL_ W ��,__�
CONTRACTOR 1, 5 /EgT/� OW;VER oAj& 6
_ � r_� �G
ADORES;_P�Z� (,47, 2 / 'y� s,�o,t✓b WORKrADDRESS1aq(tod.GV• - e.-P1.
PHONE._6_!VAPPLICANT
Heat Input Rating (BTU Per Hour) 2C O Vent Size_ Flue
FUEL Olt. [7-J' GAS [] ELECT OTHER
ITEM NO. " E ITEM NO. FEE
For Issuance of Permit - 3.00 Air Condition Compressor 15 to 30 HP 16-00-,
New• Under 100.000 BTU 4.0n Air Handling 10,000 CFM 3,00
New' 100,000 BTU &over 5.00 Air Handling Over 10,000 CFM A 5.0_0 i
floor Furnace _ 4.00 Evaporative Cooler `3.00
',Nail- Floor .Suspended � 4.00 Range Went Fan r 2.00
Instal' Vents Only - 2.00 _Vent System 300
Repair•Heat& Coolin - 4.00 �_ Hoa+Commercial
Air C indition Compressor Under 3 HP 4.00_ Commercial Duct System W _10.00
Air Condition Compressor 3 to 15 H° -� 7.50 - -
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS -�
APPROVED BY -�_ DATE _ ISSUED BY DATE_
gFCEIPT NO.
SigniturP of Applicant
CITYP,,3 7
APPHOATION OF ?7.7-XfJ-k
BUILDING PERMIT TIGARD EIATt 19,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF----,.
OR AS SFJpWN AUD APPROVEIN THE ACCOMPANYING PLANS AND SPLCIFICATIONS. OWNEP PHUNE
40,4,'r11 fV&v L 744*.%5- A LOT NO.—
OWNER JOB ADDRESS Gariijeti P01 ', HOIVIEHDDRL
ARCHITECT
ENGINEER
I�
BUIL Fr ADDKrSS DESIIGNER
STRUCTURE C1 NEW OR(MODEL 0 ADDITION OREPAIR ORENEWAL OFIRE D-~GE ODEMOLITION
0 RESIDENCE OCOMM PFDUCATIONAL OGOV'T ORFLIUICUSOPATIO OCAR PORT OGARAGE 0 STORAGE OSLAB EIFENCE
0130ND OMOVING CICONDITIONAJ. USE IJDESIGN REVIEW OCOUNCIL APPROVED OSIGNS
OCCUPANCY-L=-L LAND USE ZONE—a--2 —BLDG.TYPLN—FIRE ZONE—3 PLAN CHECK BY HEAT—L'—'
"Qnstruct dun.11.1ill, WL ttaChed ,isysgse �obodroumts a POths,
Tv au .'L hay—lvow; u i, t
Plurl--,ing Permit fiuquirod for House Sewer
a
QC-C—LQAQ---_FJMRJ_Q,A HEIGHT —MT A-Mk'. ND-3013-ML. VALUE 16
P NO,STQHIE --. 8
13i'll-DING DEPARTMENT SETBACKS FRONT 20 REAR is LEFT SIDE 1.11 RIGHT SIDE
Permit THIS PER,%w 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND AL 1_ APPLICASk. CODES AND ORMNANCES, AND IT IS HEREBY AGREED THAT THE
WORK WIL L OF DONE IN ACCORDA?4,:F Vu;TH THE Pi APC ANO SPECIFICATIONS AND IN COMPLIANCE WITH
"—b-total ALI. APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONT71ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Taw, L) LICENSE. SEPARAFE.PERM FirQUIRED FOR SEWER, PLUMBING AND HEATING.
Total Of"
By
APPLICANT OR AOF N t
Approved th,reipt N,i 1 .
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
7rx ,.rte Contractor
Permit No, -
Rough-in J (�
p Fixture
Final
HEATING
Contractor n
—;��— --- -- Permit No.
II
Gee or Oil
Rough-in
Final ---
SEWER
Final
DRIVEWAY
Final
Stoner Drainage
--.— _ iRain brain)Final
Sidewalk
Curb&Street Final —
__ _ Approach
BLDt3. DEPT.FINAL TEMPORARY ~rCERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final