Permit BUILDING PERMIT APPLICATION TIGARD DATE • i"` • ' r ' , 19 .5015
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639 -a90S
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER V j $ idiom JOB ADDRESS 9740 ;p Tigard Atli
ARCHITECT
ENGINEER
BUILDER Same ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑I ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑:RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T C RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY 11 LAND USE ZONE I -P BLDG. TYPE 5N FIRE ZONE PLAN CHECK BY u HEAT
Coustruct Type K Structure for Godes i work shop poly.
Cannot be used to house Livestock doe to naming*
SEWER PERMIT # Nose Required
OCC. LOAD FLOOR LOAD HEIGHT 14 + NO. STORIES 1 AREA 600 NO. BEDROOMS VALUE 1,008.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 17.50 - 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 11.38 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 28.88 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
State Tax .70
SDC —
Total 29.58 _... -?c
PDC# , A' •RAc T f
By a f f , asie, /f� Pl' g)br
Receipt No.
Approved ETV of 0.16 9 ADDRESS PHw1E
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough -in
1 Final
SEWER
Final
1 DRIVEWAY
Final
■ Storm Drainage
(Rain Drain) Final
Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL. I TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE 9/ 7 .19` If 50 IS
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEle 7 W08
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER p • S
JOB ADDRESS C — / u i
ARCHITECT
ENGINEER
BUILDER c ey ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ADDITION 0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLI T IOt
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT GARAGE ❑ STORAGE ❑ SLAB 0 FENCE
OCCUPANCY _444..._ LAND USE ZONE � — i° BLDG. TYPE .3 FIRE ZONE_ PLAN CHECK BY C'2' -HEAT.
C A- M 1 1 zi . ' a-- Ge.i.e. 61--,-c,4 -
, . /
. ,_ /
. / '
SEWER PERMIT H /
OCC. LOAD FLOOR LOAD HEIGHT4[ - NO. STORIES / ARE j / NO. BEDROOMS v ALyil200
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ) 7 ,s THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONEN;
/ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT T)-t
Plan Cheek ( WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
I Sub-total _ g 5 RESTRICTIVE COVENANTS. CONTRACTOR AND SUM CONTRACTORS TO HAVE CURRENT CITY BUSINES
IIMMINII LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
;State Tax I
I SDC-
Total
` = PDC* APPLICANT OR AGENT
By
Receipt No.
Approved ADDRESS PHONE
SDC - -
PDC .
SEWER CONNECTION S
SEWER INSPECTION $
SEWER SURCHARGE ,
C
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