10960 SW GARDEN PARK PLACE y 10960 SW GARDEN PARK PLACE
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ACDIRESS �4 � PERPiIi NO . 12.
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PEW-11T CHARGE tlt,ne
CONNECT O"i FEE
PAID O' _4 _
o?� DATE CDNN;MCTFD
TYPE OF BUILDING — Z-V -- ----
SERVICE RATE If:SPECTIUfJ FEE
CONTRACTOR PAID Gy DATE
SIZE OF CONNJECTION ASSE55NENT � PAID
• l .L 9-7�- -
WILDING DEPARTMENT, TIrARD
PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require ;nspection 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 requireg
for all contractors and sub-contractors.
� ._. cC
Owner ' - `��le'� . Address_ ICL��O�?_`1� A
NUMBER OF TOTAL PERMIT NO.'S-
- TYFE OF PERMIT ITFMS FEE ON EACH AMOUNT _ (Office Use Onlyl
Single Family-I bath--each
Duplex--Each_1th unit -
.._.ba____ ---- .-_-�,--_�.�. 25.00 ----------
�dditionel hathroorni-iach`4 ��, �`_ _ - 1 TU0
Mobile Home Space-voch - _ 15.00 _
INDIVIDUAL FIXTURE
I to 5U Fixtures in 1 building-each _ 3.00 _-
51 to 100 Fixtures in 1 buiidin27"Sh -_ 2.50
10_1 to 200 Fixtures in 1 building-each , 2.00 �-
_201 or more Fixtures in 1 building--each 1.50 _
MISCELLANEOUSw'-
Building Sewer-tat 50 ft. w - _ - _ 10.00 __ _ ---
Sewer-each additional 100 ft. 10.00
Water Service to building- -- y - - -+_ 5.00�
Private Water Systema-each 100 It -_ - _ 10.00 _ T)
Other (Specify): -vr X
PERMIT y_�Q°C' For Plumbing Inspection Phone 639.4171 -�
State r CALVIBY CR 97O 3
.� Plumbing Contractor By _ r
OTAL RECEIPT NO. Issued By
..
Uty of Tigard Mechanical Permit Permit _ ��----.�
Neer Installation Replace l:] Relocation D Addition [7 Alteration 3%State
/ TOTAL��_Y q
COIITRACTOR � /t�/ S t��9,71'yC, _ OWNERDec
ADDRESS---- q- (til. cam, , 31�r��'x �_ ` RK ADDRESS /dY6
PH(1NE-_--,�-_ (s __ __ — — APPLICANT_—__-
Hea> Input Ratinq (BTU Per Hour) Vent Slze _ Flue Size
FUEL OIL U GAS ❑ ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit _ _ �—_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
Neve-- 100,000 BTU &over _5.00 —Air Handling Over 10,000 CFM 5.00
Floor Furnace ^� 4.0_0 Evaporative Cooler 3.0_0_
01,01 - Floor-Suspended --- �- — 4.00 - -Range Vent Fan - -- -�—. 2.00 _
Install Vents Only _ 2.00 Vent System _ 3.00
Repair- Heat& Cooling 4.00 _Hood Commercial _ - _ _ 3.00_
Air Condition Compressor Under 3 HP— ~ 4.00 Commercial Duct System - �— -T 10.00_
Air Condition Lompre;sor 3 to 15 HP 7.50
!NSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY — DATE
RECEI"T N0.
n• Signature o° Applicant I
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N? 2361
CITY TIS ARD DATELL--•
BUILDING PERMIT APPLICATION of
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE 'NORK HEREIN INDICATED BUILDER PI-4ONF
OR AS SHOWN AND ,APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
tr"l I ,• LO'r NO.—
OWNER h;i !k' JOB ADDRESS10960 6ar[fen Park HOME ADDRFSS —
ARCHITECT
ENGINEER
__ DESIGNER _
STRUCTURE „ ❑NEW ❑RFM(1DEL ADDR UADDITION _❑REPAIR ❑RCNEWAL_ [:]FIRE DAMAGE ❑DEMOLITION
FESIDENCE ❑COMM ❑EDUCATION_AL�❑GOV'T ❑RFLIGIOUS❑PATIO ❑CARPORTV❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND MOVING ❑CONDITIONFI_USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ []SIGNS
r w HEAT
QCCUPANCY�..L LAND USE ZONE _BL_DG.TYPE— FIRE ZONE, PLAN CHECK BY__.
,ti81:XL1G� uLJnjtaX MI 4'C�IQ1 t1 Fad LAPS (! — tie(jC7 ii11 -• D�1't.
E 01!1 .,b n, permtL R!!quired for ►'I+auee 5euer -
�'; P c r m is t, ,174U0 �i 11�',,')CJ --w4 w f k v
z ,, 1 r� 4�2, -In��•,,
►�-kIGH1 _ZCI_____._NO ST�tFIE�_—_._�H€__ ____N'�_91<Rf34�M�._-___YB�— _—
_ 1a
BUILDING DEPARTMENT SET BACKS FRONT 1;� REAR 1 J LEFT SIDE = --RICiHt 519E —
Permit $213.00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COf1E, 20NING
Plan Check 10�• ��0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AN IT IS HEREBY AGREED THAI TNL
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND INCOMPLIANCE Willi
Subtotal 31.'' ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
--- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
State Tam LICENSE. SEPARATE PERMgtjREOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
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Approved — �_ - Hp(j.ipt No {
DATE INSP. TYPE INSPECTION REMARKS PLUMBING; DATE
Contractor —
/ Permit No. S F3.Yv /- 1 7
1-2- _—_...-
Rough-In
Fixture
Final
HEATING
Contractor
Permit No. 33 /Y '/� 7h
GasEor011a /
_ — ---- -- -
in
-- - ------- Final
—- -------- - --- - — SEWER
- ---- --- ---- Final
__— — ----
- --'— -�—� DRIVEWAY
--� ---T_ -- --- Final
Stonh Drainage
.__._.—.-- ----'- ----�-- --
(Rain Drain)Final.
-- -- - J— -- Sldevualk
Curb&Street Fine,
---- �
Approach --- -
d DG. DEF'. FINAL TEMPORARY CERTIFICATE OCCUPAN Final
CERTIFICATE OCCUPANCY �7 A --
C (' / ( Landscaping
Zoning Final
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