9930 SW GARRETT STREET 9930 SW GARRETT STREET
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A D D R L 5 5 6 � � �C�/� �?s.��S�' P E R r1 I T N 0
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PERMIT CHARGE none
/ - __._..
OWNER �� CONNECTION F k E ��ae .,
PAID BY
TYPE OF BUILDING DATE CGNNECTEO
SERVICE RATE. �. INSPECTION FEE ��i' _
CONTRACTOR PAID BY DATE
SIZE OF CO;:r,ECTION' ASS�SMEPJT _ PAID
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building, Code, the
following item(„) require correcting:
Date:_ Y Permi'
InsN.-,ntoi.::�,�
CALL FOR REINSPECTION
CITY OF TIGARD BLDG. DEPT.
12420 S.%A. MAIN STREET
TIGARD, OREGON 97223
PH.'`JE 639-4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(! require correcting:
Permit No.
Inspeo-ctorL' —'�---�
CALL FOR REINSPECTION
BUILDING DEPARTMEN l•, TIGARD
O
FLU!`;1�:,,`13 PERMIT � 4
--� holder of a valid plumbing contractors license is hereby
aut rized to cause plumbing wc;rk as herein notad to be installed in accordance with the plumbing code Of
Tigard. Such installations require inspection by th3 City Inspector v;ha shall be notified not less than four #
(4) hours prior to the tittle the installations are ready for inspection. City of Tigard Business license required
for al{ contractors and sub-cowractors.
O.;ner f _ Addressvj
16, Date
Nuft,iaFR OF TOTAL PERMIT NO.'S
TYPE OF PER'.111 ITcM� FEE On EACH AMOUNT (Office Use Only)
� I Sinal, a F:�mil —1 bath_4_th_,—�_•_r,•--_ I '15.00 �� �' •
_Ouelex_Each 1 bath unit _ 2500 _-
1 4ddL•ianal bathrooms-a?ch _ �.� —_ 10.00__—
�omo 15.OQ
Nbile Ho
.�___�f.__.._.
-INDIVIDUAL FIXTURE F_E E 5_ _ _ ___� _.•- ___ —_—___ _ ___e
�1 to 5n Fixtures In 1 buileinp•_.tar-h ��� s�00^_•._.__ __ ._r �--
_ —. . _-
51 to 100 Flxturei in 1 builcinq-_each _2.550
101 to 200 Fixtures in 1 building ea._h 2.00 —_
r 2U1 qr mor., Fixtu,cs in I buV,1 1.5n r
M I S C E LLA N E 0 U S
f3uildi�� 3�!ver tv 50 t
7 Sewer—sant:�Kdiriond! 100 ft.
Wnter 3_rvire to buildiog 5.00
P
rivate Water syscems•_each 100 ft. _ _. 10.00
th�
I T ` �--— for Pl rrn,9ing 630 41171
{
P:Urnbir,g Cont,attar BYE'
City of Tigard Mechanical Perinit Permit_ 53.00
Fes 0-0
Naw Ins011aticn Replace ❑ Relocation ❑ Addition [) Alrara,ion ❑ -' % State
HEAT ING !< TAL
CONTRACTOR t ti �- O'tiNER
AD09ES5� WORK ADDRESS { ^
PHONE _-- , L/ U / APPLICANT
Heat Input Rating (BTU Per Hour) o-c Vent Sire Frue Size
FUEL OIL ❑ GAS 0 ELECT ❑ OTHER
y+ ITEM NO. FEE ITEM NO. FEET
For Issuance of Permit _ SEE ABOVE- q Air Condition Compressor 15 to 30 HP_ _ 10.00
Naw-up to & inc, 100,000 BTU —�^~ 4.00 _Air Handling 10,000 CFM__ 3,0Q
Nair 1.00,OC11 B'1'lf & over `�i Air Handling Over 10,000 CFM 5.00 A
Floor Furnace 4.00 Evaporative Cooler —3.00
Wali - Floor -Suspended r 4.00 Range Vent Fan' 2.00
Install Ve-its Only 2.00 Vent System
3.00
_Repair- Heat.& Cooling 4.00_ Hood Commercial _ 3.0cAir Condition Compressor Under 3 HP 4.0_0 Commercial Duct Sv tern �� 10.0
Air Condition Como essor 3 to 15 1413 7 50 — 1
rJSPECTOR'S COMM
CITY BUSINES-5 LICENSE REQUIRED FOR ALL CONTRACTORS OR SUE+-CONTRACTORS
APPROVED BY---_ DATE _ ISSUED BY_ DATE
RECEIPT N0.
r» Rinnarhoro of Llnnliranf
N? f1l
RUi , 1G PERMIT APPLICATION 1�Y TIGARD LATE . �r�/-_ , 19 ' '
THE GI, JERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL-DER PHONE
CR AS SHOWN AND AFPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_,,._-
1_OT NO.
OWNER " JOB ADDRESS 5W Garrott HOME ADDRESS
ARCHITECT
BUILDER aAi ii)WA, 7 ADDRESS'I 1 V Highway g AiM',,ENGINEER
�— DESIGNER _
STRUCTURE ONEW_ ❑REMODEL OADDITION El REPAIR _❑RENEWAL ❑FIRRE DAMAGE ❑DEMOLITION
❑ RESIDENCE 000MM ❑EDUCATIONAL ❑GOV'T [-]'RELIGIOUS
[:]CAR CAR PORT ❑GARAGE STORAGE OSLAB ❑FENCE
❑BUND QMOVINC ❑CONDITIONAL USE LDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
14
OCCUPANCY LAND USE ZONE_-BLDG.TYPE FIRE ZONEPLAN CHECK BY� HEAT._____i__
I.,util�ttuf, t eiTtgle randy dwediln�; u/attaahad geraywr :1 +IRdxucIM - -
—__ riElidl91r aalmat #17516 - *C'bwOLI ---
-- - -- Iu►fiq Q an t„ -
CICC j Q! ___F1i?Qf3__l.4RP � �f�LSa i► T N9.�I4FLI.L;z. __.. ] 1 N�@E12 44MSV
VALUE --
BUILDING DEPARTMENT �.r ' �_
SC 1 BACKS FRONT REAR 3 LEFT SIDE RIGHT SIDE
Permit 111896 ovTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 94.5 REGULATIONS AND ALL APPI_ICABI_E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND 3PECIFICA TIONS AND IN COMPLIANCE WITH
Subtotal ti3*50 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE GF TKIS PERMIT DOES NOT WAIVE
- RESTRICTIVE COVEN;;j�NTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNf CITY BUSINF SS
State Tax •' LIC60ISE. SEPARAI`)MARMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
-- its ♦r] a ca,f
Total
By PL
______—_ _�,.,�- APPLICANTCTN AC:(NT
Approved Re;.eipt No. o'7d4�
i
DATE INlSP. TYPE INSPECTION REMARKS PLUMBING DATE
—� Contractor
,i Permit No.
Rough-in v 7
Fixture —
Final
N HEATING
_ Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
—� DRIVEWAY
Final
Stom Drainage
(Rein Drain)Final
Sidewalk
Curb&Strnet Final
-- — -- Approach
[11.00.OEPT.FINAL TEMPORARY CERTIFICATE OCG / Y Final
CERTIFICATE OCCUPANCY / , _ ,eJ / /l
h / Landscapinp
Zoning Final