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10910 SW GARDEN PARK PLACE 10S W SW GARDEN FARE; PL-.CE T a) U ro CL c� ro a. c m v p ro 3 u� 0 rn O Pa' ADDRESS --Loj"joij _P-&2u- PERr1IT N0.__ PERPII T CHARGE non` Oyu':c.R (�.iC //Y C �__ � __ CONNEITIO ON FEE PAID BY TYPE OF BUILDIr:G ,���.1i ;� �/ � DATE CON,%E'CTFO SERVICE RATE Ir:SF�ECTIOr; FEE CONTRACTOR PAID BY _ DATE SIZE_ OF CONNECTION ASSESSML' NT _ PAI0 c7 �I } - ^.+_� ^�-....�...__...._.. BUILDING DEPARTMENT, TIGARD _ PLUMBING PERMIT holder of a valid plumbing contractors license is hereby authorized too"c`a'uste—plumbing nrk as herein no►.Pti to be installPri in accord_nree with the plumbing code of Tigard. Such installations require ins-aection 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 contractors and sib-contractors. L_'- Ag '- 2 0 1M`74Cir�Qt r d 17 S(fl�`� Address__1S1�1S�:�Q��-�s'1�'^� �'�.- Date DE `r' Owner _ - NUh'BER OF TOTAL PERMIT N7:S TYPE OF PERMIT IYEMS FEE ON EACH AMOUNT (Office Use Orl-.) R U12-Et1TI131__ �_ _ ___._�_..____.-•------ - --.�_ ----. Single Family-1 bath—etch W __ __ 25;00 __ 25!00 -Duplex-Each 1 bath uric _ __ —� - ---- `,ddmonal_Sathriom_-each Mobile Home SAa,.e-each -__ 15.00 INDIVIDUAL FIXTURE FEES - ---- 1 to 50 Fixtures in t building-each 3_00 51 to 100 Fixtures in 1 building_each _ 2.50_ ---__-- _ 101 tr 200 Fixtures in 1 building-each 2.00 ----- _201 or more Fixtures in 1 building each -�, —,_ 1.50 MISCELLANEOUS -- Building Sewer-1st 50 ft. __ 10.00 Se%-er—each additional 100 ft. _ _10.00 - _Wow Service to huildinng _ � 5.00 Prrvate Water Systrms�each 100 ft. - _ ___ 10001 't --- - c u a Other (Specify'. PERMIT For Plumbing Inspection Phone 639-4*71 800 ITT'. ti r11 -_ State Plumbing Contractor By CANBY, OF, 0`!013 T07AL RECEIPT NO. Issued By r`!!l Permit— 33,00 City of ligard Mechanical Permit New V1 Replace Relocation AL.,ition 0 ,yAlteration ❑ 3%State TOTAL -AYLy -__- G,01 N T P.ACTO R OWNER o g.Q WORK'A D R E S S -1�QLpc�(U.�gf�1j T ._ J, '. PHONE APPLICANT, Heat Input Rating (BTU Per Hour) Vent Size Flue vUEL. OIL ID GAS (11 ELECT OTHER ITEM NO. FEE ITEM NO. FEE For Issuance of Pbrmit 3.00 Air Condition Compressor 15 to 30 HP 10.00 New- Under 100.000 BTU 4.00 Air Handling 10,000 CFM 3.00 Now- 100,000 BTU &over ---5.00— Air Handling Over 10,000 CFM 5.9-0. Floor Fornacs 4.00 Evaporative Cooler 3.00 �V—a—,, Floor -SuspeTded4.00 Range Vent Fen 2.00 Im,311 Vents Only 2.00 Vent System 3.00 Repair - Heat& Cooling 4.00 Hood Commercial 1.GGv Air-C- – — *uC—tsy­stem 10.01) Condition Cotnpies.,�r7C,�jer 3 HP 4.66 6 Air Condition Compressor 3 to 15 HP 7.50 INSPECTOR'S COMMENTS_ CITY Y BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY DATE ISSUED BY DATE RECEIPT NO. Signature of Applicant 1151 111 nIfk't'%- nrOA 1711'AACRIT BUILDING PERMIT APPLICATION 11TY TIGARD DATE_-W_�9�[.�ILL 1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 93UILDERPHONE_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONF yY1� r �.. OWNERyam !,. ;' JOBADDRESSye. 9X ILIX10 "]l ISElL'k i'1AL:b L07 NO._ _LarLien HOME ADDRESS _ ARCHITECT —! BUILDER ►:� {«3" ADDRESS ENGINEER_ _DESIGNER___ STRUCTURE ❑NEW Fill MODEL — ❑ADDITION— ❑REPAIR ❑RENEWAL [:]FIRE. DAMAGE __❑DEMOLITION © RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV" DRE LIGIOUS❑PATIO ❑CAR PORI ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE — ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY .AND USE ZONE —2 BLDG.TYPE ..i; _—_FIRE ZONE—.-. PLAN CHECK �r►r�txl�c_t_ ➢ '.fix w1att�a _hs(4 u!tj�%f�'__ 4 Iiedroun 4 Boot. t 14 P1umbLn>r Permit fto Uired for Huume 59Wgre ---- �`—_ '3wuwr Peretit • .174V X123'."00 NQ�SSSZFiIE�e �F3EA 1 N4 @E.C�894M�4 BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE ,r Permit , 'i 07 l:aa - ---- ���__ :_-----__—_.-_—�- ____— -- ____---• THIS PERMIT IS ISSUED !SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 103• -0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WOQK Wit L BF DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total 1(�. ALL APPLICABLE CODES AND ORDINANCE!;. THE ISSUANCE OF THIS PF'gMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURSIFNT CITY BUSINESS State Ta)4� LIG SE. SEPARAT „f ,p IT EOUIRED FOR SEWER. PLUMBING AND HEATING. Total als.'7t, PDC fj1 — $120,001 By P1 ------.. ----- "-' -- --• A LICAN7 Op AGENT Approved No DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor— ---- Q /• 7 r fs ,n_- _— �_ Permit No. c Rough-in _„�j ,r' r3• 3 - ---� Fixture - - HCATING Contractor / -- ---- Permit No. /•3 3 �. / /� /�-7S-U Gas or Oil r -- clough-in Final SEWER Final DRIVEWAY Final Stora Drainage (Rain Drain)Final -- --_�-- Sidewalk — Curb&Street Final BLDG.DEPT. FINAL —T TETAPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY f _ --- — L dscaping Zoning Final