11010 SW GAARDE STREET i
11G10 `M GAARDE STREET
d-3
m
m
N
-P
cn
m
ro
r�
0
C
� I
(/ a4jf.. 1:�,T PERMIT N O .
ADDRESS I QUA �'u- -
L' PERMIT CHARGE � none_
FEE� �,�t..�-Q_ CONNECTICONNECTION /a,� - f
O W',E P, _ �` — --
ev
4 PAID BY a.R'
T Y P E O F B C'I UD I r G DATE C O NNE C T E D
SERVICE RATE �r1- r � 0��_S ) INSPECTION FSE
CONTRACTOR +_ PAID BY DATE _
SIZE OF CQ':p:ECTTON ASSESSMENT PAID _
ADJRE3S
U �J �, �,1 PERMIT NO.—
II �
PERMIT CHARGE noncs
0 W"►E_R C 0 r;NI E C T I O N FEE
PAID BY
NN
TYPE OF BUI:.OING irlccc. l1� DATE CONNECTED
_
SERVICE RATE6. ' ��C� • ��Z DU ..� INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNFCTION _ ASSESSM-r'T PAID
'i
�j
1�
I
it
♦ _ ..r ....._... ... ..... - .. .....w.. ......._ ... ._.._ .. _- _ -_-._... ... +.r_...e-....r.www.r....www�wrw-.+w........_..._... .T
SU1LDIi,i(i DEPARTMENT, TIGARD r
�T I
PLUI`A��NG PER!vt T lv ? t
I Peninsula Plumbing Co. holder of a valid plumbing contractors license is hereby
authorizF:J to cpusa plurnhing work as herein noted to be installed in accordance with the plumbing code of
Tigard. SUrh installations reylJire inspection by the City Inspector v,,ho shall be notified net less than four
(4) hours prier to the time the installations are ready for inspection. City of Tigard Business License required
for all contracwrs and sub-contractors.
/Iola
Owner Robert Randall Com,�any__ Address��S.'�1._Garde Wit.-f31d r.
- - - -- _
— NVh1RFR OF —TOTAL PEfi,vtlT NO.'S
TYPE OF PERMIT ITEM, A FEE ON EACH AMOUNT PERMIT
Use .'S
Single F•tmil -1 beth-e3,h -_2--— - 755.00 - _ �•� - --- ----_
Ourlex_E•ich I boom unit --_.__ _____-•_ _-_-- _ _ 2300—
�4dditionzl k,athrn• n,s-a",:h_.___. __Y.... _.»�_..»._.__ 10_10 --.._ __-_ - �
---•---
1N0IV11111 FIXTURE FEES!-_—
_._ 1 to 511 FFix—ixtures In t buildincJ .)ash3.00
,51 t7 l0U FiR_urat in 1-huildin3
101 trJ 2U0 Fixtures in t buihlinq yech _ 2.00 —
! _ �'lOret f'IXtU`C9 in 1 buV&f!y_-9uCh_�,— 1,gU
A11SC£LLANE0US
_ BulI.11 n11 JN.LVy; .1)t 5,1 fl,
-.•-.••.»••••-.•-
],_. �.�.._
� -
ti•:i:,_undl 1Q0 lt. 10_01)OQ {
Wdtdr S•frvirn to buiitlin� 5.00
1 PrivJta•W�itd Svsccros -qnd_lot) ft._.._.___—_.._... —__ ____.�.._-_- -•_--.—..._..__. __— ..____....___•---.-___. _.—_._.__.._._—._
_. IO.no
water_ rain drains b owner.
PEi'i,^f'r_ ....---'50000+- For Plumbing ln���.:•'ar►?;;ten;, S3L!�1Tl - -- _----_ _�—
�'S Stilt - 2600 _ Plural) r,g C inu actor B,
TOrAl __ ._.... �7200_._ FiErcll�1' ,�� �. hlsu•�d Hy -- - --.. .
A61 0
BUILDING PERMIT APPLICATION 1OF
1T TIGARD DATE ly_ 76
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE----
OR
HONE -__OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND Sf't ('l;•ICATIONS. OWNER PHONE —
,�!! 11 LOT NO.--_ _
OWNER'Okert Randall L) .JOB ADDRESS 1 AJ a; HOME ADDRESS
_. -- - ARCHITECT
ENGINEER
BUILDER ADDRESS ____DESIGNER
STRUCTURE —ON-W ORFMt1DEL- _ UADDITION ❑1REP{'IR ❑RFNEWAL ❑FI��R--IEDAMAGE QUEMOOLITION
0 RESIDENCE []COMM ❑EDUCATIONAL ❑GOV'T GRELIGIOUSOPATIO ❑CAH PORTTGGARAGE L--1 STORAGE❑SL.AB ❑FENCE
❑BOND C1 MOVING [-]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY -_LAND USE ZONE—JI-2— __BLDG.TYPE __FI AE ZONE PLAN CHECK BY HEAT
u x
_—FLO 1S?A� ±���—N�1St.IiT_l� NO�$.I_ RI $. —_11P � NQ.DE_ F49 -YALStE' _!-;-•
BUILDING DEPARTMENT SETBACKS FRON511111* Pl t4nWEAR w LEFT SIDE -_ RIGHT SIDE _
Permit ,j f,1�ia-0 G
THIS PERMIT IC ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check(�� REGULATIONS AND ALL 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 WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE" ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— ` RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI1 Y RUSINESR
State Tax; 11/� LICENSE. SEPARATE PERII ITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
--------
Total 11,1. ,�. .;>w1': iR;c,t �:.U�a;i+
By — -- _ ------
'.PPLICAN7(1R ADENr -
Approved 1,, Receipt No
DATE INSP. TYPE INWKC'rioN REMARKS PLUMBING DAT[
Contructor
Permit No.
--A6
Rovgh-n
Fixture
47
Final
HEATING
K d-
Contractor.
tr- Permit No.
11L 2'r
Goo or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Stom Drainage
(Rain Drain)Final
Sidewalk
Curb PA Street Final
Approach
NUML 9PT.FINAL li�—POR i–P—Y CERTIFICATE OCCUPANCY
CERTIFICATE OCCLIPA NCY Final
Landscaping
Zoning Final
�'JII.DING PERMIT APPLICATION �I Y T1C0%RD DATE__
RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL.DERPHONE
---.- -
•+,2 WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER s F
L OT NO. L1_1
ADDRESS -fOrnF ADDRESSHI --- /
1 fQ
ARCHITECT
ENGINEER
ADDRESS
LJRENEW --_ ❑REMODEL OADOITION _ _OREPAIR-- -O_RENEWAL OFIRE DAMAGL [:)DEMOLITION
NC nCCMM ❑EDUCATIONAL ❑GOV'T ORELIGIOU50PAT10 ❑CAR PORT_ .0GARAGE ❑STORAGE OSLAB OFENCE
1PONDL]IvtOVING - OCONDITIONAL_USE Q_ DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
uPANCY . LANA USE ZONE BIQG 1�eF_ FIRE ION PLAN CHECK BY._ __._. HEAT-____
- - NE -
Cb
I .4. 14BQ F.49QR I.QAR -7.v-_ ► ISHL_ .---._NG fiZS?9lE;E_.E .flHfAf���-_�JQ�t�E.i?R� —YL+LS!E owe
BUILDING DEPARTMENT SET BACKS t'RON LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSlIE.O SUBJECT TO THE REGULATION: CONTAINED IN THE BUILDING CODE, TONING
Plan Cheek RFGULATIONS AND AL 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 WITH
SUI)Ibtal --� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUR CONTRACTORS tO HAVE CURRENT CITY BUSINESS
F tuoe Tax - LICENSE. SEPARATE PERMITS REOUIRaO FOR SEWER, OLLIMBING AND HEAPING.
Total
By
APPL ICA ApENT
Aril„owed- - ._ --_—. Receipt No --
- ADURE55 V HON
"�Tt-t•1pip.
Ita-0
l