10940 SW GARDEN PARK PLACE 10940 SW GARDEN PARK PLACE
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ADDRESS PERCIT NO .__
PERI'iIT CHARGE none
COPiNECTION FEE
OWNER
PAID BY
DATE CON%ECTED
TYPE OF BUILDING
5;--RVICE RATE INSPECTION FEE --o
Cot,:TRACTOR PAID BY -- DUE,
SIZE OF CO,*j,,jECTION ASSESSMENT PAID
--3/7 el
Bt.1ILDING DEPARTMENT, TIGARD
PLUMBING PERMIT
holler of 3 valid plunlL ing contractors license is hereby
authorized to cause plumblhg work as herein noted to be ins-alled in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than ;our
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
fog all contractors and sub-contractors. ; �3 1�
Owne �' -.--
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only1
IDLE NTIAL ----
Slnyls Family-1 beth-each _ 25.00
i7uCIexTEach 1 hath unit _ 25.00
.ddiaonai 4W—jums-each1 .00 _
1
Moode Homy Space-each ^—---- _ 15.00_
INDIVIDUAL FIXTURE FEES_
1 to 50 Fixtures in 1 building--each _ 3.00 -
_ 51 ro 100 Fixtures in 1 building each 2.50
101 to 200 Fixtures in 1 building-each _ 2.00
201 or more Fixtures in 1 build in -each _ 1.50
MISCELLANEOUS
8uildinrt Sewer-1st 50 it. 10.00 _-
_Sewer-e; h additional 100 ft. _. _ 10.00
Weter Service to buildin� 5.00
-Private_Water S cisterns-each 100 ft. 10.00
Othar (Specify): -{s P{ J"MB1
PERMIT ! For Plumbing Inspection Phone 639 4/,;'1 805 ME FOURTH AVE.
State , _ � Plumbing Contractor By CANNY ;OOR�9�i-Q—J
��V
TOTAL `,��G RECEIPT NO. Issuod By � 6-2091
City of Tigard �« Mechanical Permit Permit _
New In; `/tallati�n �i HOplace ❑ Relocation [_] Addition C1Fee —
Alteration n 3%State
TOTAL-L_YL- -
CONTRACTOR ��,piN S ������--- -- OWNER IO NE _ 1 yam, � �,,�/
ADDRESS , Y�.) WOK ADDRESS_ O`�
PHONE _..16+IB-_/I L_. -L- APPLICANT_ Imo_
l'Meat input Rat ng (BTU Per Hour)_Z�VeV,_ Vent Size Flue Size -
FUEL OIL 0 ;;,S ❑ ELECT OTHER^
'TEM NO. FEE ITEM NO. FEE
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP — 10,60— ^,
Ne Under 100,007 BTU 4.00 Air Handling 10,000 CF_M____ r 300 1
Nevv � QO,OOC�BTU ?c over — -- 5.00 Air Handling Aver 10,000 CF_M — _ — 5.00
Floor Furnace _ 4.00 _Evaporative_C)oler _ Y3.00
Wali •_Floor - Suspenc ad — _ 4.00_ Y Range Vent 'pan _ 2.00
1 istall Vents Only _ _ _ — 2.00 Vent_System —T 3.00
E epair - Heat&Coolie g _ 4.00_ Hood Co_mn ercial— _ _ 3.00
Air Condition Compressor Under-3 HP+ � 4.00 Commercial Duct Sys,em � __ 10.00
Air Condition Cumpre,sor 3 to 15 HP 7,50 — —"— --— —--
INSPECTOR'S COMMENTS
:,ITY BUSINESS LICI_ JSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS —`
APPROVED BY----- —w__.._.. DATE -- ISSUED BY_ _ —, DATE
RECEIPT �1O.
114
`__ Signature of Applicant �I
BUILDING PERMIT APPLICATIONTIGA
t.pFY '." '•, � �
I. D DAT E-.---- 1
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT F'OR T14E WORK HEREIN INDICATED BUILDER PHONEY
OR AS SHOWN AND APPROVED !N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF' _. y
- LOT NO.
OWNER 2, JOB ADDRESS 0 940 51 ue'cden Pail, HOME_ADDRESS
w ARCHITECTM
ENGINEER
9UILDER ADDRESS DESIGNER
STRUCTURE CJNFW ❑RfMnDEL ❑ADDITION ❑REPAIR ❑RENFWA. ❑FIRE DAMAGE ❑DEMOI-I TION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T CINE! IGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑S1OR.AGE❑SLAB [:]FENCE
❑BUND ❑MOVING ❑CONDITIONAL- USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY _LAND USE ZONE �!2 BLDG.TYPE "l� FIRE ZONE_. PLAN CHECK BY I' _— HEA T:IEdt,»
Jr3oLrwA dualux w/attecrt'®d usteu ee 4 xiodruome - 2 ont;hroome, ;ill baba• plef-m
and End{ Quirementso Tyas I"Are— — -- — ---
JjJ tit irlr }iL>rfnst itagelyed for HQUOM 3�
-u s t
;. Q_� =. � tiE1G}iI a NO.STQ$JU AREA — 'INO.BEDpQQ�� _- (ALA, UPUI�C1�I'
BUILDING DEPARTMENT SET BACKS FRONT REAR V) LEFT SIDE ,i* RIGHT SIDE LLT
Permit y1 :.'•"l»;}(!
- THIS PERMIT IS ISSUED SUB.IFC1 TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pla,i Check 93.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILT- BF DONF IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPIAANC'. WITH
Subtotal 1F3(�»Jd ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCF OF THIS PERMIT DOES NOT WAIVF
- RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO PAVE CURRENT CITY RUSINFSS
State I•ax'i T.4L LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HATING.
Total o d67.,91b 54tjuouu
By P L
-------- AP LR'ANT t)R Al3E N 1
Appnwed a 1 -1 or) Receipt No
DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE'
—�-- ' Contractor
Permit No.
Rough-in
•froI - 1 7 -1t.�..,,sC�f '�li..—.fie•`-��t
-/ -��2if�.-�� .1'11 _ y Fixture —�--
tiA Final
-
/'� HEATING
�--
Contractor n
-- — Permit No.
-- Gas or Oil U
_-- A Final
-- - -- ----- —.—_ SEWER
— Final
— DRIVEWAY
— _ —__-- Final ..� pr,J �'-
f..
— Stomin Drainage
(Rain Drain)Final
�- --� Sidewalk
Curb&Street Final
.__.�_T-- -- --- --- -- Approach
BLDG. DEPT. FINALT — TEMPORAR
R _Y______T
CERTIFICATE OCOCCUPANCYOCCUPANCY —Final
CERTIFICATE OCCUPANCY — —
_
Landscaping
Zoning Final
7 9 `z -- -