10990 SW GARDEN PARK PLACE 1.-,:990 SW GARDEN PARK PLACE
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ADDRESS O PERP1IT N0. -
PERM, P CHARGE none
OUNERell CONNECTION FEE .-
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PAID BY
TYPE OF BUILDING � DATE CONNECTED
SERVICE RATE 36- INSPECTION FEE . 3
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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BUILDING DEPARTMENT, TIGARD .,-,r I
PLUMBING PERMIT
4 r1-AQJCn- Qm+, 'n cholder of a valid plu :, ontractors license is hereby
authorized to cause plumbing work herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection 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. ;
Owner +'�.��S�S �_�2_ Add ress_AO�NA-9a-_ SSA3� -
NUMBER OF ri TOTAL PERMIT MO.'S 1
_ TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
_Singe F3mily-1 bath—each _ _25.00
Duprax-•Each 1 bath unit I � _ 25.0_0___
-- - — ._
ah--- �.
dditional 5atnroums�•sech / _ 1,).70
Nlubile Home 5 ece-each 15,00
I_NDIVIDUAI. FIXTURE FEES
�1 to 50 Fixtures In 1 buildin each r 3.00 _
_51 to 100 Fixtures In 1 buil± a-each . w_ 2.50
101 to 200 Fixtuins in 1 buildiny,e��h _ _ 2.00 „�-
201 or more Fixtures in 1 building-each 1.50
N115CELLANE0US
_ Building Sewer-1st 50 It, � _~1000__ _
Sewer-each additional 100 ft. _ _ _ 10.00
Water Service to building_ _ _ 5.00 y_ _
_Private Water Systems-each_100 It. -Y _110.f10
Other (Specify)! 'V
_V WIT too For Plumbing It.soevrion Phone 6.,9-41 11 805 N.E. FOURTH RTH A .
^State Plumbing Contractor By - C4AP113Y. OB qfLl]3
TOTAL RECEIPT IVO, Issued By I- I.�_;�RF:_9rl>7t
Li
City of Tic, rd M :,clhamical Permit
Fee_ .00
Rcloc;llon ❑ Add,Tion ❑ A!ti_,'raiion rA State--
CONTRACTOR U 7 OWN E P.
70
A -)RESS
D. WeR r, AD�R E SS /0 qjQ � oj.199e.D60
PHONE APPLICANT
g (BTU Per Hour) &S
2 Flue Size
Heat Input Rating Vent
FUEL OIL ❑ GAS ❑ ELECT OTHER
ITEM No. FEE ITEM NO. FE
For Issuance of Permit 3.00—,— Air Condition Compressor l5to3OHP 10.
Nev.,- Under 100,000 BTU 4.00 i Air Handling 10,000 CFM 1
,7
New- 105,000 BTU & over 5.00 'Air Handling Over 10.000 CFM 5..
-loo; Furnace Futnace 4.00 Evaporative Cooler
Wall - Floor - Suspended 4.00 Bang-.• Vent Fan 2.
j. Install Vents Only 2.00 Ven"System 3
Hood Gcmme�c_ial
F�cpai7Acaj 8, Cooling 3
m 'es, 3 HP
Air C mon .or Under Commercial Duc-, System 110.
-Air Condition__C_cmpirssot 3 to 15 HP T_ 7.50
INSPECTO'R'S
CITY BUSINESS LICENSF REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY DATE ISSUED DATE
j
BUILDING PERMIT APPL.ICATION 11IT' TIGARDDATE OF
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED 13U I LDER PHONE_
OR AS SHOWN ANI) APPROVEr, IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO__
OWNCR J0BADDREsq1G99Q Garden asr� 01-HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ONEW 0 RI Mr)DEL DADDITION OREPAIR CIRENEWAL []FIRE DAMAGE CIDFMOLiriopi
0 RESIDENCE OCOMM OEDUCATIONAL. 0GOV'T EIRELIGIOUSOPATIO EICARPOnT CIGARAGE El STOnAGEE1sLAB OFENCE
CIBOND CIMOVING DCONDII-IONAL USE CIDESIGN REVIEW EICOONCIL APPROVED CISIGNS
"� —
QCCUPANCYLAND USE ZONE_A7!1___BL[)G. TYPE -FIRE ZONE—' PLAN CHECK BY__� HEAT--.
1tv,,(_A dupla-x w/attvcned yereWs
Type 118111
(tP#1wpb1n4,_ P-rimit Required for HouGe Sawa)
01w 0 1 0 r r".i t. 174V6 '- $6 $ ;139.00
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0-C C.t.QAV_____F1.0QF3_0AD_Awl __±ff lGjjT 'e 0
__jg) M-EQRQOMS ___YAW.
BUILDING DEPARTMENT SET BACKS FRONT 2!.J REAR LEFT SIDE RIGHt SIDE V
Permit G
THIS PFRRiIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan 'hock REGULATIONS AND A!-L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WI I H
SUb-total 9"'i ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY RUSINF.".1;
State Tax, 7.99 LICEENSE. SEPARATE: PlEAMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 0 fj.46 ,1,41.0*U U
� Wan Receipt Nn. APP1.ICANT0RAGFN'C
,i
Anoroveri
-` REMARKS PLUMBING DACE
DATE INS0/
. TYPE INSPECTION --
-- - - -" Contractor
v ,I-
i Permit No. � .'fP
/'
Rough-in -
!�'_r11� Fixture -
71
Final
3�-/�rGrRoc t ---
HEATING
- 79
�. Contractor n
7_G� ---- i-- --- Permit No.
--- - - -
Got or Oil _ U_
- -- -- y-- -�` - -- —
Rough-in - -,
--�-- ---------- Final
-
` - ---- SEWER
----^ - -- --- ------- DRIVEWAY --- --
Final
---- - ------- -----— Stoeoi Drainage '-
- - ---� --------- (Rain Drain)Final
Sidewalk
- --- - — --- ---- - Curb&Street Final
--- --- -- ----- -_- Approach
BLDG. DEFT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -
Landscaping
Zoning Final
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