Permit j
BUILDING PERMIT APPLICATION TIGARD DATE June 27 , 19 Y4 4 892
2
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE tg
LOT NO. 200(:
OWNER a Snyder JOB ADDRESS 9740 Sit Tigard St. ZS 1 -2BA
ARCHITECT
ENGINEER
BUILDER Same
ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY LAND USE ZONE 1. BLDG. TYPE FIRE ZONE PLAN CHECK BY HEAT
Deposit approx. 500 cu. yds. of fill along rear portion of property
(not to encroach flood plain) to of slope. pill to be graded to
approx. 1'-•4' deTsth.
SEWER PERMIT#
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 15.00 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 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 15.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
State Tax .60 1 /
Total 15# SDC — i", f1` p , / . -
PDC# ^ . APPL OR AGENT
By t , 1,i� � 773 .jv,
^ Receipt No. / r __/
Approved _ — ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
9 - i7 - (
/C14,0(Ipp � Contractor
Permit No.
Rough -in
Fixture
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 I CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
dndscaping
Zoning Final
/, t
BUILDING PERMIT APPLICATION TIGARD DATE .19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE czr. 9 - •.o(P
LOT NO. `e'a 0 OWNER �)C /f` �y'.04 JOB ADDRESS �7 U _- - ' 6 � 2 _`71-- 2 BA
ARCHITECT
ENGINEER
BUILDER < ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
L! RESIDENCE ❑ COMM ❑ EDUCATIONAL 0 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OC ,IJPANCY , LAND USE ZONE i -R BLDG. TYPE FIRE ZONE PLAN CHECK BY HEAT
0
—
- .. J - i - _ -
- _ . _mo t i° ====e7 -o -lA . rJ / ,
SEWER PERMIT M �l
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VF.LUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
• ! II MMI THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZON:'N:
I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TH:
Plan Check 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:
—
Sub -total -/— ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES:_
' LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
State Tax • ' 5 '0
SDC —
PDCJt APPLICANT OR AGENT
By
i Receipt No. PHONE
Approved ADDRESS
SSDC - -- $
SOC - /
A
PDC — it
SEWER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE S
C - ---- -
•
So