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BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT ( � I
_ holder of a valid plumbing contractors license is here.3y
authorizers to cause plumbing work as herein noted to be insta.;ed in accordande•,with the plumbin, code of
Tigard. Such installations require inspection by the City Inspector who sha;l be notified riot less than four
,;4j hours prior to the time the installations are readylor inspection. City o` i igard Business License required _
for ail contractors and sub-contractors.
i
�'x- — Address, � -5�) ai ��� Date / /i fit,
NUMBER OF TOTAL. I PERMIT .140.':;
-^^
TYPE Or ?cR','IT ITEMS %:E ON EACH AMOUNT (0ttice Uu. C':y)
r5,P:TIAL
bath-ench
1�'ax-lar,;, 1 both unit 25,00 1
Ac.d,t.crt: b:ithrooms-each 10;00
).-3 -Orn i
;.VDIVIDUAI. FIXTURE FEFS '
' t0 ;,0 Fixturos in 1 building-etch 3.00 I
31 '0 'CO Fixtures in 1 building-ranch 2.50 }
'01 to :00 Fixb.ires In 1 building-each 2.00
201 or mora Fixtures in 1 building-each ( 1.50 -
S .ELLA^dh0U5
OuGd;,.g so m.-1st 50 ft. _� 10.00 -
_$ewer-Enc'+ additinnal 100 ft. ! 10.00 �-
'N.+ty Sarviro to building 5.00
?r4r."a Water Systems•-uach '.Qc It. _ ( - 10.CJ --i
::?:`r• ;SDrti`Ylt I
— ),L/) J for Plumbing lnVecdon Phone 6394191 '
t./
a� _ Plumbing Contractor 3y I
—07A, - J �' �' A AcCEiPT NO. Issued By _ ��
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BUILDING PERMIT APPLICATION coy TIGARD DATE_____
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIIJ INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_.___._
tt r LOT NO.
OWNER ','�Ijk0 f'&&J�� BADDRESS h362i+' "SU Garratt Ct -HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER fele ADDRESS {'t,�,1� �bLil DESIGNER v _
STRUCTURE Q!EW . D RI'Mr;DEL � ❑ADDITION C3 REPAIR ❑RENEWAL ❑FIRE DAMAGE t-I �]UEMCr-OLITION
Q RESIDENCE DCOMM ❑EDUCATIONAL DGOV'T DREI_IGIOUSDC
PATIO ❑CAR PORT ❑GARAGE D STORAGE SLAB JFENCE
❑BOND ❑MOVING DCONDITIONAL USE DDESIGN REVIEW Cl COUNCIL APPROVED 0SIGNS
OCCUPANCY ''* ''LAND USE ZONE---'---BLDG.TYPE_�.r� FIRE ZONE PLAN CHECK BY 1� HEAT
L7Tt21;LU, t SinUIV; r_nreli)' t:41E��_ k ,g aI atta#.they+ g#rsys. i3�IrJcc�um 1 {.rr Ll,a�.
'A6 eqoftv
SZC .-1.QAGL_ =1451t�_L91�4U _SGL j `-�NS?_.$IQHIES i _._.ABPA--141:�)NQ"BEOROS?Mz _Y�L�.� ATFAff'
BUILDING DEPARTMENT SET BACKS FRONT LCi REAR =17 LEFT SIDES PIGHT SIDE
Permit l 0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check • ,;fit 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
Subtotal 271,A ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax -, i.24 LICENSE. SFPARAZ6.Pf RMI ;-S REQUIRED FOR SEWER, PLUMBING AND HEATING.
UL. - j• A
Total 6276.74 PDC ;, 1 61000 00
By P1 -�7 . ( +(�" APPI ICANI nR AGEN7
Approved DDH Receipt No l b
REMARKS
PLUMBING DATE
DATE INSP TYPE INSPECTION Contractor
_�L• • ], -- - --- Permit No. -
;30•�g Rough-in
-23-7` ` — Fixture _
Final -----
g� lzacal ^ HEATING
�e_� -
i.lUContractor
CJZfi
•v,_�1�.�—_s.--- ------- Permit No.
Gas or Oil
---- ---- Rough-in
--- �- Final _
---- _ �.--- SEWER �
_ Final - 0-7
- DRIVEWAY
_—__---_-_ Final
Storm Drainage _
(Rein Drain)Final
Sidewalk -
---- -- Curb R Street Final —
Approach
— TEMPORARY CERTIFICATE OCC NCY Final —
BI.OG. DEPT.FINAL �� �/1
CERTIFICATE OCCUPANCY o'er
Lendscapllg
Zoning Final