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Permit
Ai L IS t'I@ BUILDING PERMIT APPLICATION C T oF TIGARD DATE x/29! s • THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF 7Qrt LOT NO. OWNER ;,i l jty I nt `a0 i1, JOB ADDRESS 6 SW HunZI k t HOME ADDRESS ARCHITECT * .�/� j w i L ^:+.r� • (' ADDRESS °.1. © X 11420 ptld 9 ?21 ESIIGNER ' ou9h n rnr'. BUILDER _ �� • D STRUCTURE ❑NEW ❑ REMODEL ❑ADDITION 0 REPAIR ❑RENEWAL DFIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE DCOMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS ❑PATIO DCAR PORT ❑GARAGE ❑ STORAGE ❑SLAB DFENCE DBOND 0 MOVING DCONDITIONAL USE 0 DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE R-4 BLDG. TYPE FIRE ZONE PLAN CHECK BY DWH HEAT i Gt of i1odirica Wa.ori6 os Albsstsons (bstwaen col. lines 4 & 7) All per plans and cods. OCC. LOAD FLOOR LOAD rOnCrst (EIGHT NO. STORIES AREA 21tOONV.BEDROOMS • VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit . 217,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 108.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub - total 325.50 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 8.68 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total $334.18 By pi APPLICANT OR AGENT Approved , °! - Receipt No. nnnaccc PHONE DATE INSP. TYPE INSPEC?ION REMARKS PLUMBING DATE a Eta. (4 • f/` 6� Contractor Att i� // i ii Permit No. e� .r/ i /V s �URI /2r Iwr-14 S Sou O01 Rough -in a' r C ' / 7/ 21 / Fixture /0 '/.1.. 79 ft.. its /l Final / 2_D� _ 7 c 1 � u .. ,9 A7( HEATING C tr/ Contractor Permit No. 16 / 3..5,l /0 - /-/ `j e . Gas or Oil Rough -in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb & Street Final Approach BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final 3 4 Landscaping C9 v Zoning Final - o CITY TIGARD DATE_ • - .� . t9- T . BUILDING PERMIT APPLICATION of THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_e -73 II OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER ?HH:Orr�E___Za 2/ el 74,4 LOT NO 10 _art .I (3D • JOB ADDRESS , $ p'f � f� � OWNER 114140 t CZAQ• �•_ -__ BuiLOCR (404.1.4-- Ati �. ADDRESS d ' 3 cILd _NIP . ?II ENG ". �OMIrrQ 1� p� . STRUCTURE DNEW REMODEL 0 ADDITION __OREPAI�7 _ ❑RENEWAL OFIRE DAMAGE Do MOLITID+ ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T DRELIGIOUSO ATIO E JCCAR PORT ❑GARAGE ❑ STORAGE DSLAS OFENC ff`` fiRE ZQNE__? PLAN CHECK 8Y_ ✓ _ OCCLYANCY � AND US EZONEE if-4 BLDG. -- HEAT -- — ____Te444.4 is pretudgithikiesko ma__(___ rim iti Ail 0 4_ 1 1 0 2) , _Ait_ r a, v ic.se d et" d e. . — — — SEWER PERMIT :# ___ - — — n PCC_LOAD______ F�Q LOAD n �OKC. HEIGHT HT 2 NO_ 5TOR)E5 _ I R,��G4 A A wONQ_ EPR.Q_QMS 0 " -- "TrALui - :(4000 __ B _ UILDING DEPARTMENT r BACKS FRONT REAR LEFT SIDE RIGHT SIDE '' Permi �s . 00 - - -_ _-- = - -_ - '..... —� '_.. '_. -- ----11---•—• c_-r - !S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONIN Plan Check 3ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS KEREBY AGREED THAT Tr- (( QR WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL I tNCE V.I'l 1 Sul -total — — /32 y , ',4O LL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO' WA /N f 7 ' STRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BaSItN!.! State Tax l . CAg 'CENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING, Total DC — 11 , 944. k P t &A -- — -- - APPiiCANT OR AGENT -- - -- '- -- -- - ! e� No 4 — H. Ap�ruved � /� - �.. - . .. -- — - -- - -- - -- AnnRFSS -- - -- -- c ,r,rvE SDC - - Pot - $ # SEWER CONNECTION $ . = SEWER INSPECTION ,.. . SEWER SURCHARGE $ Comments: .