10890 SW GARDEN PARK PLACE w✓NFd. ... -7,
10890 SV. GARDEN PARK PLACE
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ADURE5S� � � � PERMIT NO. / 1
PERMIT CHARGE _ none
OWNER �/� _ p�-�---=-- C0NNECTIClN FEE Z�1��7 -
PAID BY
CYPE OF BUILDING _ DATE COP4NECTED _
SERVICE RATE — INSPECTION' FEE �•� .
CONTRACTOR PAID BY DATE
S '. ZF OF CO'JtdECTION ____ _ ASS�`SMENT PAID —
BUI,_DIPJG DEPARTMENT, TIGARD
PLUMBING PERMIT
L-�^<y- holder of a valid plumbing contractors license is hereby
authorized .0 c wse.. plumbing W`6rk as herein noted to be installed in accordance wick the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four _
(4; hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all co tractors and sub-contractors.
Owner r ` Address /2YYD S Date
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT_ _(Office Use Only)
Single Fem11v-1 bath—each -`- 15.00
Duplex-F.ech 1 bath unit 25.00 _ r r?✓ E
idrtionel bathroom,-v4ch -�_-- IO.00 O, n
louue tome Space-earn "- er
�,- 15.OU �y1
INDIVIDUAL FIXTURE FFES _
1 to 50 Fixtures in 1 building-each _ 3.00_
51 to 100 Fixtures in 1 building-each T^ 2.50
101 to 100 Fixtures in 1 building-tach - 2.00
2001 or more Fixtures in 1 buildinj.each 1.50
M_ISC.ELLANE0US _
Building 5 wer—tst 50 ft. --
Sewer-each additional 100 ft. - 10.00
Water Service v)—build—in - -_ _5,00 _
Privets Water Systems-each 100 h.�^� _ _-� 1U 00 - A ,�Y� � L
Other S -cil ) A }(,r�7
_PERMIT �i O, 0 0 For Plumhiny Inspection Phone 639-4171 Mh� 1V
.1-PERMIT
State a?• ` 0 Plumbing Contractor By _ CANBY, OR 9701_3 Tj
TOTAL J •^1�d _� RECEIPT NO. Issued By
L I i w0 f T i �r d _. Mechanical Permit 1 V ,Permit_ 53.00
Y Fee___ n
New Installation M- Replace Relocation U Addition U Alteration Ll 3%State
TOTAL �L�
CONTRACTOR � L�/tel 1:� keF- �L�6 OWNER
ADORESS�yS� �-� � T_t7_!/!3{js?�5� WORK ADDRESS
PHONE
H gat Input Ra:ing (BTU Per Hour)__ Vent Size __— _ Flue Size--_-__--_ _—
FUEL OIL ❑ GAS ELECT OTHER_
.S
ITEM NO. FEE ITEM NO, FEE
For Issuance of Permit 3 00 Air Condition Compressor 15 to 30 HP _ 10.O0 F ;
New-Under 100,000 BTU_ 4.OU - Air Handling 10,000 CFM 360-
New
00New- 100,000 BTU &over _5.00 Air Handling Over 10,000 CFM -- 5.00
Floor Furnace _ _ 4.00 Evaporative Cooler --___-- -- _3.00
.Nall • Floor Suspended4.000 Range Vint Fan
Install Vents Only _ y_2.00 —Vent Systf m 3.O0
Repair - Heat& Cooling — _ -y_— 4.00_ _-Hood Commercial TM _3.00
Air Condition Cumpressor Under 3 HP 4.00I Commercial Duct System — 10.00
Air Condition Compressor
INSPECTOR'S COMMENTS---._. -0000..._-----�--_ ------------
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY — DATE .J --, ISSUED BY _ DATE 000•,0,
RECEIPT NO.
774 Signat.ve of Applicant
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.:r.Rm, � `7r',r G.wr,��•�,� :tib""���.r�o� •�•�Mr'�°T'in'"� �,
j CITY TIGARD DAl E 1/.+�:�'f' ,s
BUILDING PERMIT APPLICATION of ___
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN�� AND SPECIFICATIONS. OWNERPH°rvE ---•
LOT NO.
OWNER t Ard ton �arIk JOB ADDRESS ,i�Xd °i (Ar .aer.v Wank ' MME ADDRESS —
Q ARCHITECT
ZYTtJ'�� � ENG I N ER
BUILDER.� _ ADDRESS, 3 2f L/ ! '>06DESIGNER
S'iRUCTURE-- ONEW�❑RPM_f1D_EL LJ_ADDITION ___ ❑REPAIR —_❑_HENEWAL OF-IRE DAMAGE _-l_❑DEMEIT--OLITION
❑ RESIDENCE C1 comm LIEDUCATIONAL ❑GOV'T ❑RE.I_IGIt�-U`,❑P<,TIO ❑CARPORT ❑GARAGE _0STOFIAGELISLAB ]rENCE
— ❑BOND CM0VING ❑CONDITIONAL IJS L?L E:SIGN REVIEW [:]COUNCIL APPROVED SIGNS — —
OCCUPANCY LAND USE ZONE__ BLDG.TYPE_ FIRE ZONE__ ' PLAN CHECK. -
-- ------
(Pl mblo Vxtuit xwqu#.rk-0 for rioijgtr'iewtt f4n 20 L974 d 1600.
Vei
gcy...1529SZ. __E-Ir�s2R_L4A1L _11E1�NZ—. __'YI�.EI-�hL S—___�E9 _1 .BEDROOMS VALUE_
BUILDING DEPARTMENT SET BACKS FROM' FEAR _ LEFT SIDE - RIGHT SIDE —
I
Permit Y— ,a,15?�•(�C1 - .— -�.------
THIS PERMIT IS le,SUED SUBJECT TO THE REGULATIONS CONTAIAED IN THE BUILDING CODE, ZONING
Plan Chet--k. I IMUt11111-10wno REGULATIONS AND AI.L APFLICABLE CODES AND ORDINAN,:E`:. AND Il' IS HEREBY AGREED THAT THE
WORK WILL BS 0ONF IN ACCORDANCE WITH THE PLANS AND:PECIFICATIONS AND IN COMPLIANCE WITH
sub-total 209.1 ; All- APPLICABLE CODES AND ORDINANCES THE ISSLIAN,;F OF THIS PERMIT ODES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRCNT CITY BUSINESS
State Tax 7, I LICV&. SEPARATE PERMIjS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total °!.21 .
By - PZ—
.�. ,_ 1871
ft�
APPLICANT OR AC;fNT
Approved ��1 Receirl N,: _
PLUMBING DATE
REMARKS _- -
DATE INSP. TYPE INSPECTION Contractor
Pormit No. ? • -��—�L
Rough-in
�S_ Fixture
Final
+- �— HEATING
J� >! —�----� --- — Contractor _f
Permit No. '�J=_ }L/ WW 1!7_-7
Gas or Oil
-.�--- -- ------ Rnugh-in
---.__ -- ----- Final -
Final c, -
_ ----------- DRIVEWAY
--`--- — Final
---"—� �T— Stolllt Drainage
--�—i J~--— IRein Drain)Final -
- Sidewalk
- -- - Curb&Street Final J ---
-- CERTIFICATE OC IJP Final
..DEPT.FINAL TCMPORAR
CERT F CATE OCCUPANCY [ -7- 77 /,�
VLandscaping
Zoning Final ___