10710 SW GARDEN PARK PLACE 10710 SW CARDEN P;RK PLACE
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N�' BUILDING DEPARTMENT, TIGARD N?
--� PLUMBING PERMIT l� "
holder of a valid plumbing cont actors license is hereby
authorized ?015cause plumbing work as herein noted to be inst.liled in accordance v 1th the plumbing cade of
Tig.ird. SL:-.h installations require inspection by the City Inspector who shali be notified not less than four
(4) hours prior to the tirne the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. lob
Addresi/,P�/��
} _ NUVr3FR OF TOTAL
TYPE OF PERMIT IreMs FEF:ON EACH AMOUNT_ �.
_S;nole Family-1 bath-each 25.00 _—
Dlax-Each 1 bath uni*, � _ ?SAO
u r
Additional bathrooms-aach �� 10.00
V1ob,1a Home Space-each _ 15.00
INDIVIDUAL FIXTURESTC0MMERCIAI _
Ito 50 Fixtures in i buildiM2:-aach _ ,3`00
101 to 200 Fixtures in 1 buildiu--each -_— _--� 2.00
1-291 or more Fixtures In 1 building-each _ 1.50
� 1,11SCELLANE0US
_Sewdr-each additional 100 ft. 1000
Water Service to building - - 5.00
Other (Soerify)- _,,....-.�,._,...
PERMIT _3 ,—� _ _ For Phrmhiog lnspnction Phone 639-4171
4%State / y�0 Plt.m tiny Contractor By
( TOTAI_ 3�, `1P RECEIPT NO. Issued By --
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City_._.Of . TI - Mrd . -- Mechanical__".. Permit .� , ' Permit
i .�____
Fee----- -- —�Q_�
New Installation Replace ❑ Relocation ❑ Addition Alteration U
3%State
�
CONTRACTOR
Au ,Y.�) G,g�.l�-� OV.NER
ADC)RESs Y,Z_ , I.pv. � l 1 iL�sl�oeo w R $TRESS S'.uv. •
PHONE'`-1�,5 4 APPLICANT_
Heat Input Ratirg (BTU Per Iv. Vent Size _ Flue
FUEL OIL C❑ GAS ❑ ELECT J4 OTHER ��
ITEFA _ NO. FEE HEM NO. FEE
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP _—T—� 10.00
New-Under t00,C0_0_BTU 4.00 Air Handling 10,000 CFM -- 3 00'
100,000 BTU&over _�_ 5.00 Air Handling Over 10,000 CFPA `— pp
Floor Furnace _ 4.00 E_vaf., rative Cooler 3.00
Wall - Floor -Suspendad �V 4.00 Range Vcnt Fan
Install Vents Only _ 2.00 Vent Sys;am _ 3.00
Repair Cooling__ _4.00 Hood Commercial _ 3.00
Air Condition Compressor Under—3WP _ _ 4.00 Commercial Duct System 10,00
Air Condition Comrressor 3 to 13 HP 7.50 —
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS _
APPROVED BY DATE ISSUED BY______—_—_ DATE
RECEIPT N0. '— --
Signature of Applicant
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v...,,,,:•.uw--'^"'T^'�tlr'•iT: t ,;�,�.,.., ,w,,.�,._..,,,,SAM+ M�'�"•y."�'-'^^-�..^^"*�'�3N$'�d x^71
CITY � ,/r,/ 7".�d
BUILDING PERMIT APPLICATION of TIGARD DATE�_� �___. 19..--
THE UNDERSIGNED HEREBY �{PPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONIE
LOT NO.
OWNER 'aJ4 1!1 L. . 114,,1: -' " IJQB ADDRESS lo ilv .rw ijoi uW11 HOME ADDRESS
ARCHITECT
INEER
BUILDER Stonsrid ADDRESS 81931 SE !doth' Ptid DESIGNER
STRUCTURE ❑NEW ❑RFMnOEL ❑ADDITION C3 REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITICIA
C3 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT GGARAGE ❑STORAGE❑SLAB ❑FENCE
LLBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY '--.LAND USE LONE _-BLDG.TYPE FIRE ZONE___. PLAN CHECK BY � I HEAT_—
- --
Const,ruct e►,ingle family JwsllinQ w/attarhad Waraga. i Oriol,wiM
TYPE "U" t'Tt-Issue -^ Lot 33. 1-boor ["I-:ewall at ctaretman pruporty 1J.nf�,
wer
QCG _LQA-Q_—___.__FL9_QR__LQA9 -----HEIGHT S AREAv.�N_4�b�DRQONI
BUILDING DF°ARTMENI' Jrl� 20 ^U
__--- SET BP^<S FRONT REAR LEFT SIDE RIGHT SIDE
Permit (.a !.Uu --
- — TIIIS P'SRMI t IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �'.� REGu_ATIONS 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 131.00 ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOFS TO HAVE CURRENT CITY BUSINESS
St1te TeX " LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING.
Total 114d r ,. ;i �',tl . >. [lk..
-- --
By POC .1 slfoto.ou
i'I i
.—_..-_-..._— ----- —_--.- 36l9 APFI 1i-ANI Ul7 t> N
i:FT
Approved Rrcvipt No. wl
OP TE INSPP, TYPE_INSPECTION REMARKS —AP
PLUMBING, —_ DATE
ontractor
------- ------ —
s37tt4L4_._-.----- ermit No.ough•in -f-ixture
'T Final _
HEATING
k- tY+cr�, ---
�y'.- �lM�--- - -- --- Contractor _-
/�ra�- ------ _�— _ Permit No.
Gas or Oil—�
-- _.— - -- ---
Rough-in
---- — —�_ ---__-�.�_ Final
r _ SEWER
-- --- — — Final C-2-
DRIVEWAY DRIVEWAY
`- - ----- — Final
- Stone Drainage
-- — — �--.— �—�— — (Rein Drain)Final
--- ---- ----- — - ..--- Sidewalk
— — _ Curb&Street Final _
Approach
BLDG. DEPT.FINAL — T�NIPORARY CERTIFICATE OCCUPAN Y Final
CERTIFICATE OCCUPANCY / / r l (,
ULandscaping
Zoning Final