10935 SW GARDEN PARK PLACE : ML WamjwL=xwjLcRKvr ljl� s
10935 SW GI!2DEN PARK PLACE
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PERMIT CHARGE none
62) CONNEC T I O,-j FEE &-e)
PAID BY
TYPE OF BU I LD [,,,,G aji DATE Cot;l";-'CTED
SERV ICE RATE INSPECTION FEE
CONTRACTOP PAID Ov DATE
SIZE OF Coilj"JECTION ASSESSMENT PAID
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BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT r
holder of a valid plumbing contractors license is herebyoted -
authorized to cause plumbing'w`olkra`s herein by t t('i be
ine�prlt�l `v
ho shall be notified accordance with enot
le slthariidfour
f
Tigard. Such installations r_q_.._ I
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business license require
dA
for all contractors and sub-contractors. _ � -Date-DE ? (A) 19
Owner` ZZZ — Address r � _ — ---
NUMBER OF TOTAL PERMIT ISO:S
FEE ON EACH AMOUNT (Office Use Only)
TYPE OF PERMIT ITEMS -
R_ .;iJ. .�lLlg.L_ 25.00 -- —_
Siisa Fernily-•1 bath--each _._-. _25.00 _ -Duplex-EeCh 1-1101th unit ._ 10.Of1 ---. kY - -----
�dditionel 15.00
?Aob+ile Home SPace_each
_LNDIVIDUAL FIXTURE FEES 3.00 - -
1 to 50 Fixtures In 1 buildinq-eech ___-__
- ___._ 2.50
51 to 100 Fixtures in 1 bu lding-each _ -- -- -_-
2_00 ---_—_ --
101 to 200 Fixtures in 1 building-each -___-� - 1.50 _ _ ----
_201 or more Fixtures in 1 buildiny�aech — -- -
%I I S C E L L A N E 0 U S 10.00 - _ -
Buiidin Sawer-1st 50 ft. -- - 10.00_ ----- -
Sawer-each a dd_itionmil______ 100 it. ----• - 5.00
Water Sery ce tc building -
-_
0.00
Privets WAter Syst'e_ms-each 100 ft.
.� Y
Other (Specify) y
PERMIT �� J For Plumbing Inspection Phone 639-4171 CANEY, OR WU l'
---- .,� Plumbing Contractor RV
n ritdl9 _ (
OTAL Issued By
RECEIPT NO.
_.__--
7'
A Permit_ _ DRQ
City of Tigard Mechanical Permit
Fee_.
New Installation Replace ❑ Relocation ❑ Addition ❑ Alteration Ej 3%State---,
TOTAL____
CONTRACTOR _JL.DIAll S �r�[�� _. OWNER_J /D�ll &c.,
ADDRESS Lo•�'� sLQ.ty WORK ADURESS�Q`�_�..1 �,IJ� LnAiC(JCF/,-
PHONE_-('-"- 116 9 - APPLICANT
Heat Input Rating ;BTU Per Hour)__.��F�C? Vent Size _ Flue Size--------
FUEL OIL ❑ GAS ❑ ELECT { OTHER_
ITEM NO. FEF.: ITEM NO. FEE r
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP 10.00_ e�
Mw. U
ender 100,000 BTU 4.00 Air Handling 10,000 CFM 3.00_
Jew• 100,000 B FU &over _ 5.00 Air Handling Over 10,000 CFM 5.00
Floor Furnace �- _ 4.00 Evaporative Cooler Y 3.00
"fall - Floor •Suspended _ _ _4.00 Range Vent Fan - -- �- ^_ 2.00
Install Vents Only _ _ 2.00 Vent System_ 3.00
Repair- Heat& Cooling _ 4.00 Hood Commercial _~ 3.0_0_
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System_
Air Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FC'I ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY Cl'>TE _ ISSUED BY DATE
RECEIPT NO. -
n� Signature of Applicant
1
i
JE
�c CITY 0 17
BUILDING PERMIT APPLICATION OF TIGARD DATE__�ll,I �� ts% 7?7- sls,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONE_�__�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
`� P 1 ,1.iq LOT NO. _-
OWNER i��L't�1�1 'F''�i'.I, JOB ADDRESS 3W Cie den Park
_ HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER 1 ACS ADDRESS DESIGNER
STRUCTURE ONEW OREMODEL ❑ADDITIONOREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
Q RESIDENCE ❑COMM ❑EDUCATIONAL DGOV'T ❑RELIGIOUS OPATIO [-]CARPORT ❑GARAGE O STORAGE❑SLAB ❑FENCE
_-DBOND DMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED �DSIGNS
OCCUPANCYti--LAND USE ZONE _—BLDG.TYPE aU FIRE ZONE AL PLAN CHECK BY_ E i': .—_ HEAT,,. .
-- J1.11 .rixt. ggplex w/attacE' od (,jarar e}�.��j Lledruum - U the ---..—^ - —
1 yff 'IF" Few—Insula of Lof 3.
-- 01UMbJ ri,4 Pe Mjt Rser u Ll-w:1 fur tluuns 59WOr.
_ :�i..tL,t43ye �racln.iiL 'T�t t; �• �123 ,.I]1�
NO 5141 jU--Z—_-AB.
BUILDING DEPARTMENT SET BACKS- FP NT ` t _ REAR , LEFT SIDE-1 RIGN'f SIDE
Permit -;11:x•ll(.1 --
"– THIS PERMIT IS ISSUED SUBJECT TO THE REGUL.A-iIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check LO*130 REGULATIONS AND ALL APPLICABI-E CODES AND ORDINANCFS, AND IT IS KEREBY AGREED THAT THE
WORK 'NII I BF DONF IN ACCORr)ANi'F. WITH THE Pt ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub•tota! 223,010 At L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THI', PERMIT DOES NOT WAIVE.
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO 'SAVE CURRENT CITY BUSINESS
State TaIA — tr,;;J2 �ICFNSF. SEPARAT�FAP�dNl ff1 RFnOIRED FOR SEWER, PLUMBING AND 1EATING.
Total 1231. J2 AUGl — �12Q�pU
By
P1
----- APPI �� nNT ripR A;�ENt
Approved f I-rl Receipt No. / ' f
at
i
PLUMBING DATE
--
REMARKS
DATE INSP. TYPE INSPECTION 4"pnt(pCtor _,
Psrmit No. t �� �3- iJ•� �' ,f
Roughen _ e
Fixture
Final —
�_ �� .tom► HEATING
Contractor
Permit No.
7.L .u, Gas or Oil _
Rough-in
— - — J- Final _
-— SEWER
Final
- -" - DRIVEWAY
-� Final --
- -J� Stor.n Drainage -
(Rein Drain)Final
-- Sidewalk _
Curb&Street Final
-� APp'oach
A PORAWY CERTIFICATE OCCtBANCY Final
t7LbG. DEPT.FINAL CERTIFIGATEOCCUPANCY
Landscaping
Zoning Final
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