10995 SW GARDEN PARK PLACE-1 f.
10995 SW GARDEN PARK ENLACE
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P S R rl I T NO. �.Z._`�L_
PERMIT CHARGE none
C0NNECTI0N FEE
OiJ^:ER
PAID BY
_ - --- --- /,(a ) DATE CO�J':ECTED
TY PE O F B t_I I L O I":G �.�) 9:_—,�� -
SEPVICE RAr INSPECTION FEE 3=�
PAID BY GATE
CONTRACTOR _ _._._ - _._.._. - --
ASSESSMENT PAID
SIZE OF C 0 Pr�:E C T I a N _ _ --.---.— - —
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT
Z__.___.___ holder of a valid plumbing contractors license is hereby
authorized to cause plumbin 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 notified not less, than four _
(4) hours prior to the time tyle installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. DECc� n p
Owner`-71. ncy -Y I d r �� !�_�� Address l _� `X�Ac��-�\L-Date!11�J
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT tOffice Use Only)
I.E.$1 D E N T I A L _ — -- -- - — ------
Single Fem11y-1 beth-Tech 25.00
Duplex-Each 1 beth unit 25.00 ao V__ 1
_iditinnal
_ NIobile Home Specs-each 15.00_- ,T _
INDIVIDUAL
_ FIXTURE FEES
-1 to 50 Fixtures in 1 3.00
building-each
51 to 100 Fixtures in 1 buildin -eachy� 2.50
_101 to 200 Fixtures in 1 huildiog-each _ _ 200
201 or more Fixtures in 1 building-each �- _- -! 1.50__ -
411SCF.LLANE0US _
_Building Svoy r_-1st 50 ft. _ _ 10.0_0
_.Sewer_each additional 100 ft. -� — �,- 1000 ^—
_Water Service to buildintl - -- 5.00
_Private Water Systems-each 100 ft. _ M 10.00 -M J T IVY T2 T tilti
_ Other ISp icilLI
PERMIT �1 'I•2 - For Plurnhing Inspection Phone 639 4171 � • - 1ii-L 11V
State Z Plumbing Contractor By _ CAjVL�L r OR �
TQTAL -- '(� . Z— RECEIPT NO. Issued By -2
City of Tigard Mechanical Permit Permit S3,00—
Fee—
New
FeeNew Installation ly Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 3%State �L
_ TOTAL
CONTRACTOR _�ZG..//1�1 _. 4..AEoLev &-- __ OWNN�E-R_.( ��°N_
ADDRESS_ �_N. �/U► .� 3 L 7 ,r1/ ego_ '�ld>'(K A� RESs Q ,W. �'4RDt��tr�el�.
PHONE 1APPLICANT-�- -.__•__�____ +�
Heat Input Rating (BTU Per Hour)_._ �i 7QfJ Vent Size _ - Flue Size_
FUFI. OIL Cl GAS ❑ ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit �- 3.00-- Air Condition Compressor 15 to 30 HP -- 10.00N
New. Ur :r 100,000 BTU _4.00 Air Handling 10,000 CFM _ 3.00_
New 100,000 BTU &over _ 5.00 Air Handling Over 10,000 CFM - _ 5.00
Fioor Furnace - - 4.00 Evaporativ- Zooler _ _ 3.00
rldall - Floor •Suspended_ _ 4.00 Range Ve rt 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 4-6-0-1 Cernmercial Duct System J� 10.00-
Air Condition Compressor 3 to 15 HP 7.50
NSPECTOR'S COWAEN•rS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY_ _-� _-- DATE ` ISSUED BY _ _.- DAI I.-*
RECEIPT NO.
r� Signature of Applicant
�3 NO 2' '
BUILDING PERMIT APPL I( ATIGN "'y TIC ARC DATE in/z�-__ 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK, HEREIN INDICATED BUILDER PHONE----
OR
HONE _OR AS SHOWN AND APPROVED IN 'THF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.
LOT NO,_ JV.
OWNER F3'uR� Ff1"" @�5; J013 ADDRESS_'_'i"t 9?,; r W GarL gj f El: Lti HOME ADDPESS _
ARCHITECT
ENGINEER
BUILDER kr' N1 i ADDRESS DESIGNER
STRUCTURE �UNEW ❑REMODEL —❑ADDITION _ El REPAIR _ ❑HENEWAL ❑FIRE DAMAGE [:]DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑RFLIGIOUS❑PATIO ❑CAR PORT ❑GARAGE Cl STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_�L__LAND USE ZONE * "r: BLDG.TYPE—, __FIRE ZONE!— PLAN CHECK BY�_ HEAT,_,
uoa _> With,.�__.
Type 11E.11 Re-i.k9sus of Lat,.
plumbirlu Permit F��r-quic��u for tiousie :J4-z+wp.t,�
— :FltetelCvvmy 1I9 u_Q— ----`—
QCS...ISZAP�,___F14Qtit.UJ�__Q .-- HEIGHT •
2Q __.n -nQ M__2__Ali5A-ln.0 NO-BEDROOMS _YALUlL'L�'#
BUILDING DEPARTMENT
--- SET BACKS FRONT ;ALJ REAR ],_, LEFT SIDE 3O RIGHT SIDE 1 t')
Permit � 01)
— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check 17 0RF.GUL.ATIONS AND ALL APPLICAB!E CODES ANC ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BF. DONE IN ACCORDANCE WITH THE Pt ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUb tOtel tl AL1_ APPLICABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND 3UR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta>k;, i ; LICENSE. SEPARATE PERMITS REQUIRED FOR SI.WER, PLUMBING AND HEATING.
Total ;t 612U•UG
1BY__
P --
APPLICANT OR RCiEf4t
Anproved i 181 den Receipt No.
i
DATE INSP. TYPE INSPECTION REMARKS —_ — I PLUMBING DATE
Contractor
Permit No. //��
Fixture
Final
------- ---- HEATING
Vag% ntractor
S
d�— �C Permit No. 3 �5r �A �
Gas or Oil
�.— . — -- ------- Rough-In
- -- -- - -----_
Final
--_ ------ --
SEWER
- --- ---------- Final
--- v-`—s DRIVEWAY
— -------- ----------- Final
in
— Storm Drainage
-- (Rain Drain)Final
---- `----
Sidewalk
— — Curb&Streat Final
Approach
BLDG. DEPT.FINAL T9:MPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -
Landscaping
Zoning Final