10955 SW GARDEN PARK PLACE 10955 SW GARDEN PARK PLACE
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PERMIT NO j
ADDRUSS
PERMIT CHARGE - none
c 0 r;N E C T I ON F E E
P A 10 8 Y
TYPE OF BUILDING (,.2 ,) DATE CONNECTED
SERVICE RATE piSPECTION FEE 35 • �
CONTRACTOR PAID BY DATE
SIZE OF CU-,v.,ECTION ASSE55MEN'T P/,lD
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BUILDING DEPAPITMENT, TIGARD
PLUMBING PERMIT _
_ .1r 1 holder of a valid plumbing contractors license is hereby
authorized to cause plumbinc, work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notif,ad 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.
Own e*5� jr Address� .=7s,r!;Z.LI;e211an2 4,Date
NUMBER OF TOTAL PERMIT NO.'S
` TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (OWce Use Only)
R E�S_til.LlEiL ---- ---- �_ _,
_P I Famlly-1 bath-each
Duplex-Each 1 beth unit _ 25.00
r additional b_ rooms-Bach-�� 10.00
-Mobile Home Spxe-each 15.00
INDIVIOUAL FIXTURE FEES
_1 to 50 Fixt,rres in 1 building--each - 4 3.00
61 to 100 Fixtures in 1 buildirx,(`e9ch _ 2.50
101 to 200 Fixtures in 1 building-each _ 2.0_0
_201 or more Fixtures in 1 buildia7each -� __- �- _1.60 -
MISCELLANEOUS
_Building Sewer-1st 50 ft. 10,.9
Sewer-each additional 100 ft. _ 10 no — - - —
Water Service to building_ �f5.00
_ Private Water Systami-each 100 ft. �- 10 00 - _ ]A �j BY
Other (Specify) OUD_ - #�
PERMIT : For Plurnhing Inspection Phone 639 4171 f
1OState Plumbing Contractor By CAId'Yt GH 9VO13
TAL �� RECEIPT NO. Issued By
City of Tigard Mechanical Permit l Permit— S3.00 —^—
Fee_
New Installation )16 Replace ❑ Relocatici, ❑ Addition ❑ Alteration ❑ 3%State _ (44 __._�
TOTAL-11-�5LL_____
CONTRACTOR Al.S ��� OWNER
ADDRESS_ 9qr /L, G(J. t� � i1 6 '.e) WORK ADDRESS��q� r�, J�A �/0 e
PHONE __ //Sq _ —_ APPLICANT_-__
;O
Heat Input Rating (BTU Per Hour)__ ,� (75 Vent Sire _ Flue Size
FUEL 011_ Ci GAS ❑ ELECT OTHER ,^ _
ITEM NO. FEE ITEM NO. FEc
For Issuance of Permit 3.00_^ Air Condition Compressor 15 to 30 HP _ 10.00
New- Under 100,000 BTU 4.00 Air Handling 10,000 CFM V� 3.00
New• 100,000 BTU &over 5.00 Air Handling Over 10,000 CFM _ 5.00
Floor Furnace_ _ 4.0_0_ —Evaporative Cooler _ 3.00
(Nall - Floor -Suspended 4.00 Range Vent Fan
Install Vents Only 2.00 Vent System x_3.0000
Repair-Heat& Cooling_ _ 4.00 Hood Commercial _ u I 3.00
Air Condition Compressor Under_3 HP _ _ _ 4.00 _Commercial Duct System �y 10.00
Air Condit!on Compressor 3 to 15 HP x7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE - ISSUED BY DATE
RECEIPT NO.
7741Signature of Applicant i
I
BUILDING PERMIT APPLICATION 10 Y TIGARD DATE__ ln_ ���- 19 i--- a77-.��.9.1
THE LINDEHSI GNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATFD BUILDERPHONE_--
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS ')WNEPPHONF
L.OT NO.—
'A L bi
O.PALbi
OWNER hL�[',Lf1 JOB ADDRESS I.C ;"JL.J :)Io' e l U o 1 HOME ADDRESS
-- ARCHITECT
ENGINEER
BUILDER �f3O ADDRESS DESIGNER
STRUCTURE_ ONEW ❑R(M_ODEL ❑ADDITION CIREPAIR�-1 ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
C1 RESIDENCE ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑R,cLIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE. ❑SLAB ❑FENCE
❑BOND ❑- )VING [:]CONDITIONAL USE ❑DESIGN REVIEW QCOUNCIL APPROVED ❑SIGNS �^
OCCUPANCY ;i i-LAND USE ZONE_1_�L�i�BLDG.TYPE FIREZONE—, PLAN CHECK 13Y---!---= HEAT_ .�,._.
;iIs'r„r��c',1 P: +jai 4,+, LJi latt�BO�lti'L! y�r:3C!� . 4 tL�l' _ dp llitiJIM
” ' io-.Csuu6 of Lot V.
— oiumbiny i)prmit _lisumired! fog• !?c gle 5&WAL
R
yg;. l_OACt FL QEL.LQA?__ " _HEIGHSZU—_ NO,STQBI,ES _._ARI B EDROOMS Q VALLIK t ��
BUILOINC DEPARTMENT SET BACKS FRONT 2;;I REAR n LEFT SIDE �(a RIGHT SIDE L
Permit !
r ,
- -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pl.in Check ,rl;;Ilj REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HFREB'� AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- - -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C1'fY BUSINESS
State Ta>v LICENSE. SEPARATE PE6MIT$ REQUIRED FOR SEWER, PLUMBING AND HEATING.
TotalV r22:ja 2 L J.2101
ByAPPLICANT OR AGENT
ApprovedRw,• I,I Nr�
� ' Its I :IEili
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/ 7 Contractor
Permit No.
_-
�t'- 0'79 r Rough-in
Fixture
5=-/- 79 ina
7^Z HEATING
Contractor
—----� Pe-mit No.
Gas or Oil
Rough-in
Final
-- SEWER
— Final
DRIVEWAY
'Incl
Stonit Oralnege
(Rain Drain)Final
Sidewalk
V—� Curb&Street Final
— -----— — --
Approach _
BLDG.DEPT.FINAL TCMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _ - -- --
L�ndscaping
r.� Zoning Final