10825 SW GARDEN PARK PLACE .. �. � ,. � ..�..., ........,.. _ ,:.: �.. .,.wwu�W:r'M M�IIirMNiMMMMrMWMIMYM��•+-�IMNWMAMuwYwW'r
10825 SW GARDEN PARK PLACE
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PERMIT NO.
ADDRESS 001A
PERMIT CHARGE none
CONNECTION FEE
PAID BY
TYPE OF BUILDING DATE row.,Ec-ru)
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF C0,441iJECTION ASSESSMENT PAID
BUILDING DEPARTMENT, TIGAPD
PLUMBING PERMIT
64tocau�se
holder of a va3;(! plarnr�lrtg iontraetors liconse is hereby
authoriz plumbing work as herein noted to br instaI1Pr1 in sr;covlanr,e with &. plumbing coda of
Tigard. Such installations require inspection by the Cit;- Inspef.t; r viF a shaV be rictifie'd rr31: less than frur _
(4) hours prior to the time the installations are ready for inspector. City nt Vigard Susirei,s License regLrired
for all co tactors and sub-contractors.
Owner-2eS2 4 Address���_
YPE OF PERMIT NUMBER OF TOTAL ?FRMIT NO.'S
ITEMS FEE ON EAG:H ) AMOUNT 10lr,,, Use Only)
._
Ou lex-Each 1 beth unit 25.00 SGS
Additional hethr,omv-each 10.00
Mobile li*ome Space-:each 15.00 — —`~- •
INOIVIDUAL FIXTURE FEES_
' to 5U Fixtures in 1 bdildinq-each -� 3.00 _
to 100 Fixtures in 1 buttding-eech 2.50
101 to 200 Fixtures in 1 b- dding-each _ 100
_201 or more Fixtures in 1 building�eech _ _ 1.50
MISCELLANEOUS `—
_Building Sewer 1st 60 ft. 10.00
Sewn-each odditional 100 rte 10.00 — — -
Water Service to bulldi�--.__ -5.00
Private Water Systems-eech 100 it.F T 1000 T "`
Other S ecil) —_—
PERMIT %0. B r' _ For Plumbing Inspection Phone 639 4171
3%State 1. �' !� Plumbing Contractor By
TO'iAL RECEIPT NO. Issued By —� t
I ,,, .� CITY ? I,, `
NO
BUM-DING PERMIT APPLICATION or TIGARD DATE__ " �rj�__. ,9
' THF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE 14ORK HEREIN INDICATED BUILDER PHONE �-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONF
placd LOT NO. _
OWNERUArden Dj&tk P113(�'RJOBADDRESS1962!) SW LiTixden (•eri, HOMEADDRESS
-- —!
ARCHITECT! ^�
ENGINEER
BUILDER ^^ _ ADDRESS DESIGNER
STRUCTURE ONEW ❑RF'100DEI ❑ADDITION ❑-IREPAIR ❑RENEWAL [:]FIRE DAMAGE ❑D[MOLITION
C3 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSLJP.ATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑tONDtI'IONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY--__:_LAND USE ZONE-_f FLOG.TYPE________ _FIRS ZONE___ PLAN CHECK BY
f upsLi?I ( ,Al- lox w/attm;bcd t,,wraWo Z uedrai1111 +» 4 Usti'. - - —
T„ pet—t6skiv of Lut 9
QCC.-L.QAi2_--.____FLQ4P_I.4A1?--------. HEIGHT ..__�._ NO.S7gH1E�I— A FA 2112NO_EERQQM,S_—__YAWEL
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 1 ' LEFT SIDE •+ RIGHT SIDE
Permit 207*09 =-_ . ----- --- ----------------..--._.�_
`- '— THIS PERMIT IS ISSUED SUBJECI TO THE RFGULA TIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check t'!• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TI;E
-' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 1•I' ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE Or THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By -- ----- - ----------- ---
---- APPLICANT ON AC3ENi
Approved r Receipt No (•
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. 7A., S- 7
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Goo or Oil
Flough-lo
Final
sEWER
Final
DRIVEWAY
Final
Stoft Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
_Bi DG. DEPT.FINAL I TEMPORARY CERTIFICATE OCCUPA"'Y--, Final
CERTIFICATE OCCUPANCY I<;1 '77 11 v5j'Landscaping
0- 30- 1 Zoning Final