Permit %
BUILDING PERMIT APPLICATION TIGARD DATE 4 / ,19 3673
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 659-3800
LOT NO.
OWNER 1_li11aeette SEIViticipB ADDRESS 12160 SW Schalls ferry Road
ARCHITECT 659 -3988
ENGINEER
BUILDER ADDRESS DESIGNER Raymond Bartel
STRUCTURE ❑ NEW 0 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE LX COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB ❑ FENCE
OCCUPANCY 8-2 LAND USE ZONE C -3 BLDG. TYPE 5N FIRE ZONE w_ PLAN CHECK BY etu HEAT
BLDG. F. Finish Construction in all detail, per approved plans 6 Code Req.
See Fire UMt Safety Review by Fire District #1, Aloha. ,
Plumbing & Mechinical Permits Required.
SEWER PERMIT#
OCC. LOAD FLOOR LOAD CpncrOMIGHT 20 NO. STORIES 1 AREA -°-- NO. BEDROOMS -- VALU$555, 000.•
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit $197. 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 98.50 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 295.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
State Tax 7.88
Total 8303.38 SDC —
PDC# APPLICANT OR AGENT .� �'
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By p Receipt No. l I J '_. -'�r ft-: -: �K , f X11/ / I � C' ,,/ �/ ✓ t ,�' .
Approved att' , ` ' A DDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
e-/-2°-617 ,, / p �� �``_ Contractor I 414,1a C �/
s- / -mss // alt /�t�.c trli I Permit No. 24 `J 3 � ' �.z c=44-61 �T
"-'1 f/ A' —./l. Rou in
.
!3- f/
£ � Fixture
T - -20 -004
Final
- 28 -`}'/ 7 � HEATING
3o A' !� �... >�I4..r• G Contractors q
Permit Nd. c 2 . 57 . 5
Gas or Oil
Rough -in
Final
SEWER
Final
DRIVEWAY
• Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb a Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
Final
CERTIFICATE OCCUPANCY
LandaaPing
Zoning Final
36973 1 ` :: •
•
BUILDING PERMIT APPLICATION TIGAR3 DATE *J / 7 ,19 / y
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 PHONE6 9 - -. 7 9,'o
_
LOT NI .
- �:•::E? % . J08 DRESS _ r .� � i _ •
ARCHITECT /
ENGINEER S 9 3 r _ •
3UILCER ADDRESS DESIGNER jr � .. 1 ,
TTRUCTURE % NEW (J REMODEL C ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
1 RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS G PATIO ❑ CAR PCRT ❑ GARAGE ❑ STORAGE ❑ SLABC FENCE
° C,UFFANCY e'2- LAND USE ZONE C -3 BLDG. TYPE S/v FIRE ZONE= PLAN CHECK BY HEAT
—
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if..&2/ � . ,.a
•
(EWER PERMIT # C' . 0 1124 4 Pe144.(A -
)CC. LOAD FLOOR LOAD 0.01 4 NO. ST•RIES / AREA NO. B.. ROOMS " VALUES5 000
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SICE RIGHT SIDE
verrnit 0 O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZO ?. :N•
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
'Alan Check , S 0 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPUANC_
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-:ub-total ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINE
G G UCENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
fftta Tax o U
Total I%�.,� SDC — V
;� PDC# APPUCANT OR AGENT
By lam, i -
' ' �' Receipt No.
A pproved /j'e- ADDRESS PHONE .
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)C - $
0
DC - S T -
'WER CONNECTION S
':WER INSPECTION S
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_WER SURCHARGE S V '
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