10970 SW GARDEN PARK PLACE 10970 SW GARDEN PARK PLACE
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City of Tigard Mechanical Permit N; Permit- $3.00
Fee— r,raY
New Installation 1 Replace Relocation D Addition [ Alteration lr 4%State
HEATING � � � - TOTAL ���". '�2_
CONTRACTOR U1P.it' 1 t OV iNLR. �� C Woll
ADDRESS 104 a( SV NVI-11A4 WORK ADDRFSS0
PHONE= ZG(�j s APPLICANT 30�* 1(.;t�l. �ct,:�l
Heat Input Rating (BTU Per Hour)- I)1 000 Vent Size Flue Size_ _
FUEL OIL IJ GAA � ELECT ❑ OTHER —
_� ITEM NO. FEE ITEM NO, FEE
For Issuance of Permit V _— E_E_ ABOVE _ _ Air Conch ion Compressor 15 to 30 HP _ 10.00
New-uL to & inc 1.100,000 BTU _ 4.00_ __Air Handling 10,000 CFM — _ 3.00
Naw_L00�001 BTU over 5.0U Air Handling Over 10,0_0_0 CFM 5.00
Floor Furnace - _ 4.00 Evaporative Cooler 3.00
Wali -_Floor -Suspended v 4.00 Range Vent Fan _ _ _ 2.00
Install_Vents Only _ 2.00 Vent_System i _ — 3.00
Repo Heat&_Cooling___ _ 4.00 Hood Commercial+^ — _ _ 3.00_
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System 10.OU
Air Condition Compressor 3 to 15 HP 7 50 —---- ---- — — —
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE, SQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED B! DATE ISSUED BY
DATE
_�n %
RECEIPT- N0. `V'3 ,� -
774 §.i .
iat, a of Appllcsnt
ADDRESS h` "U2 ��. PERM?T
PERi,IIT CHARGE none
OWNER ()k,4 _ cwjj .ECTIO J FEE: 4" .
PAID By x- 1
TYPE OF BUILDING DATE C'lNNECTED
SERVICE PATE INSPELTION FEE
CONTRACTOR _^ F^ IO BY DATE
SIZE OF CONNIECTION ASSESSMENT _ _ PAID
AY--"•�•T�..�R M-......-......M1'-^.�ri.,Tw-'�T"._^_'__. ._...�...�. .t....•....., .. yM.....r....l",w+.�wwr�rP7 R�'M^r--+..w....w--•.+w�+ten..•�w..r..,.__....-vw.r--w���..-..Y.'o++�.....,.
v 2557
BUILDING PERMIT APPLICATION 1ITTIt'ARD DATE_�.� �1� _, t9 t
*77
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR 111E WORK HEREIN INDICATED BUILDER PHON �IE —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
10J70 :,, Gardsn Oerk 0*11-gck-4 LOT NO. —
OWNER-L1k 111.11 1nUF.%[ti:*LujoBADDRES4028 HC MEADDR_z;S - -
AR=HITECT
t�
rt ENGINEER
BUILDER'tU lilt id'ACI W. Co.. ADDRES9931 �E 8atm P-2IL DESIGNER -�
STRUCTURE ❑NEW 0RFMODEL ❑_ADDITION ❑REPAIR ❑9ENEWAL 01-IRE DAMAGE ❑DEMOLITION
Ej RESIDENCE ❑(5mM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[:)PATIOUCAV PUq'! ❑GARAGE ❑STORAGE❑SLA'd ❑FENCE
_❑BOND —❑MOVING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑smms
CIIF 1NCY LANU',jSE ZONE—I l BLDG.TYPE L''--_FIFE ZONE.-3 'LAN CHECK BY r j HEA1_ —_
I onstruct curpu t Cntry way and 4 #,ipiAxr-djxistinj; front porch ern
fdal$��PTy buil(itn4„ all pot plans. _ - - -
OCC.LOAD FL QQFl-�QA� ----. HElCIHI___.----_ _-N9�STOR ES _._AB�.�L--__- NO.@E.DR-QQMJ5—. -- YALVE— UOQ.
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BUILDING DEPARTMENT -- 8ET BACKS FRONT REAR LEFT SILE RIGHT SIDE
Permit --
-- — THIS PERMIT IS ISSUEC SI,IBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check bw�U REGULATIONS AND ALL APPLICABLE COOLS AND ORDINANCE'.;, AND IT IS HEREBY AGREED THAT THE
— WORK WILL BE DONE IN ACCORDANCE WITH r HE PLANS AND SPL'CIFICATIONS AND IN COMPLIANCE WITH
Sub-total 40.fn ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTG IS TO HAVE CURRENT CITY BUSINESS
State Tax'. 1� LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total p,49 jb
B V P1 -
_� APPLICANT OR AGENT
Anornvad -..._ Recelot No ,.�. . .... .._ .. __
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
Main Drain)Final
Sidewalk
Curb&Street Final
Approach
CLOG. DEPT.FINAL-1 TtMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final