Permit •
, t #1UILDING PERMIT APPLICATION TIGARD .,
DATE 19 '30. ��
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 641 -8701 -
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 420 ' 9 / 9 .s'
LOT NO. 5500 51 -3bu
OWNER Oat Smith JOB ADDRESS 12195 SW 121st *v. zae •
-- - ARCHITECT
/� ENGINEER
BUILDERLexington COnetr.IfC.ADDRESS 3800 SW Ceder M111 81 +.D.iSIGNER
y .-..f.
STRUCTURE ❑ NEW CI REMODEL ADDITION CI REPAIR El RENEWAL GI FIRE DAMAGE ❑ DE ON
I
❑ RESIDENCE ❑ COMM El EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CPR PORT El GARAGE ❑ STORAGE ❑ SLABIfENCE
OCCUPANCY M1 LAND USE ZONE R -7 BLDG. TYPE 5N FIRE ZONE 3 PLAN CHECK BY !NH HEAT i —
Construct addition to 'misting garage (4 remodel) par plans and - code. -
Includest new roof, siding, doors, windows, etc. & all.8itewrk.
(See Permit #3039)
SEWER PERMIT # ? 7
OCC. LOAD FLOOR LOAD COnCT*IEIGHT 14 NO. STORIES AREA 240 NO. BEDROOMS `- VALUE43,BOOs
p BUILDING DEPARTMENT SET BACKS FRONT 113 REAR 76 LEFT SIDE 13 RIGHT SIDE 5C?
N
Permit 68. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 34.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
• Sub -total 1022.0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQ REDFOR SEWER, PLU ING AND HEATING.
State Tax • 4 . . . 2 . 72
SDC —
Total $104.72 AG r1(
PDC# APPLICAN AGENT
By P
Approved Receipt No. 5784 ADDRESS PHONE
t
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
>0 gef AtM"4. - ItO Contractor
L!// 9 - .p _�` G.L.1 Permit No.
Q Rough -in
(r) l { L R Fixture
�l Final
HEATING
Contractor
• Permit No.
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 OCCUPANC P Final
Landscaping
Zoning Final
. - " '. Y - . j - µ _ 4 , S: - s T: :+„ ± '. -:.::."4--; •: 1 w 1 q :5^Ss
•
/
BUILDING PERMIT APPLICATION TIGARD DATE ���,^�t 2 7 .19 9 0
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE �s
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AN4 SPECIFICATIONS. OWNER PHONE
r�V' /NEB V1 JOB ADDRESS 12/ W ij2. LOT NO. 6'`00 ZS I- 38 6
ARCHITECT - ENGINER
' UILDER • 1 ' . ADDRESS 3 Boo 960 ti hr kZ 81 • DESIGNER
TRUCTURE Q NEW ❑ REMODEL ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
LI RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT GARAGE ❑ STORAGE ❑ SLAS❑ FENCE
%`CCUPAN LAND USE ZONE R -7 BLDG. TYPE 3 N FIREZONE_ _PLANCHECK8Y 54)# HEAT
,,,,...• • ii No. 0 r , , /,, 401).40)9 . . : , - c),„ .et.. ' s
r. °+ •
WER PERMIT # /1/- �e :"j<: ' -..
t.CC. LOAD FLOOR LOAD COW„.. HEIGHT �- NO. STORIES / AREA NO. BEDROOMS -"' 'VALUE 13,800
I BUILDING DEPARTMENT SET BACKS FRONT /13 REAR 76 LEFT SIDE /3 RIGHT SIDE J
�srmit - /" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS. CONTAINED IN THE BUILDING CODE, ZONING
' -. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
' plan Check 4 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
alr '^ WITH ALL APPUCABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
:urtctal i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
' LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
,State Tax •
� ' SDC—
total ,
{ PDC# APPLICANT OR AGENT
` 3 y _
Receipt No.
14pproved . ADDRESS PHONE
•
• D V ! .1
Mr.: —
SEWER CONNECTION
: SEWER INSPECTION
EWER SURCHARGE .
Comments: 9 1i Tv- - S
•