10760 SW GARDEN PARK PLACE 10760 SW GARDEN PAgl'% PLACE
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k3UP-DING. DEPARTMENT, TIGARD
PLUMBING PERMIT N°
holder of a valid plumbing ontractors license is hereby
authorized to cause plumhing was herein notpd to be installed in ?ccordanre with the plumbing code. of
Tigard. Such installations require inspection by the City Inspector v.ho shall be notified not less than four
(4) hOUT'S prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. Job
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G_vmer_c11 _ 1r�,�'�� --.— _ -= Addressl���U�s
NUMBER OF TOTAL. ,
TYPE OF PERMIT IEMS FEE ON EACH MAOUNT
q9jI 0 E N T 1 A L -----
Sinal_ Family-1 bath peach w _.. _25.00
-Oupkx-Each 1 bath_unit _ _-_ 15.00
Additional bathrooms-each .._-_'10.00 _ LO. p C?�_
Mobde Home Space-each -` 15.00
l'!D_I_VIDUAI. FIXTURES COMMERCIAL
- 1 to 50 Fixtures in 1_buildi2g-each___-___ _____3.00
5l to 100 Fixtures in 1-building-each 2..0
101 to 200 Fixtu�es in 1 building`each 2.00
201 or more Fixtured-in 1building-each 1.50
M I S t,E L L P,N E O U S� .._
Sew!r-•each additional 100 ft. �-_ _— _ 10.00
Watr.r Service to building Sao
__-
PERMIT 3'i , • For Plumbing 1nspgctrr7rr Phone 6394171
I 4°;State ,�y(? _ Plutnbiny Ctrrarar.lar By
TOTAL j(.y 0 - FIEUIPT N0, Issued By
4
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1 '
C L 0 t ��� [�d r�'tcclhatilCal Pconit �?(1 Pyr+nit_--_--_tea UO_______`
_— _
Fee
New Ins'0:011or1 FelDcation D Add,t1on A!iL'ratlon r_1 3%.State__ —
. TOTAL__-_ �.
CO'-:TRACTOR � 146.4I/N6 -- Ot•�r:LN /on!E_
1�.'
ADnFESS-R� f`tl, ct,' 2.3 t , sib Q 20_ WORK, ADDRESS/O "2,k
PHONE
Heat 1. Rating (BTU Per Hour)_ _SS Jt�O Vent Size _
Flue Size
FUEL OIL LJ GAS ❑ ELFC1 Oj,-IcR
ITEM NO. FEE ITEM NO. FE!
For Is,,.,ance of Permit �� —�_T _3.00 Air Condition Compressor 15 to 30 HP
New- Under 100,003 STU �� -- ` ,4.00 Air Handling 10,000 CFN -` ' 3,0
New• 100,,00_0 BTU & over r� 5.00_ •'Air Handling Over 10,000 CFM 50
Floor Furnace _ 4.00 �E►a,�rative Cooler 3.0
Wall - Floor - Suspended —� -�� —r. 4.00 Range Vent Fan � 2A
Install_Vent%Only 2.00_ a Ven; System _ � 3.0
Repltir • Heat 8• Cooling —_` - 4.00 Hood Commercial �i 30
Air Can Compressor Under 3 HP 4.00 Commercial Duct System 10.0
Air Con9ition Compressor 3 to 15 HPV -i.._ -' __� - 7.50 --
• r_neCo - .ion Co rte_=•a_•:zr us.^_n_t_�.tt._ _.. _r �.........___._.. ._. .tsr--:a.._._.: —. __.__
INSPECTOR'S
CITY BUSINESS LICENSE. 11FOUIRED FOR ALL CONTRAC7ORr, OR SUBCONTRACTORS
APPROVED BY - -. DATE __._ IS`•l1ED BY_._.___._._._ DATE __----
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BUILDING PERMIT APPLICATION COF TIGARD DATE 8/�'/ _., 19 79
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THF W99K HEREIN INDICATED BUILDER PHONE —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
T LOT NO..—
OWNER trill ,Invubt•I 10D ADDRESS LG i",L 1 i Ga�rtrvii k ►0L &DRESS
ARCHITECT
Stoneridge ENGINEER
BUILDER ADDRESS _ DESIGN':R_
STRUCTURE ❑N_E_W ❑RI'MODEL ❑_ADDITION ❑REPAIR_ ❑RENEWAL _ �IF19EDAMAGE ❑DFMOLIT_1N
[] RESIDENCE ❑COMM ❑EDUCATIONAL_❑GOV'T URELIGIO--US[:]PATIO ❑CAR PORT 0GARA,3E (_',STORAGE❑SLAB GFENCE
G
❑BOND MOVING ❑ L-CONDITIONAUSE IJDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS —+
OCCUPANCY LAND USE ZONE_ Inc =BLDG. rPE_ . FIR•E ZONE,— PLAN CHECK BY HEAT__—
- :Instruct minlyls faaMlly dwolliDti , to/ntLaac:f_aod gmrolpea• i bodru0nt
ZYpF: C - F+re-Zresula. 1-Hf,,)Ur r ir!Ajalj crit, cj.;IMUn PL-uporty line,
-� —� !lower periit !rl8ZAgq - $705.00
�i JM•
HEIGHT. � dSr.ST4F3l��_—_�B1<A �9.�-RR9S)M�-- ___V LU E_
BUILDING DEPARTMENT SET BACKS _FRONT REAR –_ LEFT SIDE __— RIGHT SIDE
—'-'–'– THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFD IN THE BUILDING CODE, ZONING
Plan Check ���•li 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 �+ l ��•�� } ALL APPLICABLE CODCS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
lard RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax �� LICENS". SEPARATE PERMITS REQUIRED FOR SFWER, PLUMBING AND HEATING.
Total {° pGC. xxx 11 SIMI
r —._.—.----------------- -----
_—.----- 3619 AWICANT OR AOLNT
Approved Receipt No.
i�
DATE INSP. TYPE INSPECTION--— REMARKS PLUMBING DATE
_�----- Contractor — ----
ParmitNo.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
-- Gas or Oil
— — — — --- — Rough in
Final
_. _ ------- - ----SEWER -- ---
-_ ----- — —_—.— Final
—..__ --- —-- — ------------- � DRIVEWAY ---
_ �.— -- --- ---- -- Final
—� Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TElY1PORARY CER
TIFICATEOCCUF+Ia1C�( Final
CERTIFICATE OCCUPANCY ?//
t Landscaping
Zoning Final
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