11950 SW ANN STREET I
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1.1950 SW ANN STREE:
1.
BUILDING PERMIT APPLICATION TIGARD DATE-___ ° Te--- ' �
THE UNDERSIGNED HEREBY APFI_IES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
'r,*-ALOT NOA3 " — -
OWNEP. tih ,Jean JOB ADDREBS 1195U :,.Y. Ann t:,---- __
---` ARCHITECT
�er (;tr:��tnclet.i.nrr lr'lt} t'l�nt�9 !�r►ttla�n�e ENGINEER {4a11�rerK
BUILDER—� _ADDRESS DESIQNER—�_-- _
S t 9UCTURE ❑ NEW ❑ REMODEL C} ADDITION ❑ REPAIR_ ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
C7 RESIDENCE n COMM Cl EDUCATIONAL 1.1 GOV'T ❑ RELIGIOUS ❑ PATIO n CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABCa FENCE
OCCUPANCY --— LAND USE ZONE �—J BLDG.TYPE _?'' —FIRE ZONE_` PLAN CHECK BY — t`"�t HEAT ——
'tion addition ro Ntatbraolm in existinwt td,.trllLn
--.__-- — -r rtvx►wCtinst sheer a*tached. —
SEWER PERMIT N --
OCC.LOAD FLOOR LOAD �t`t HEIGHT_ NO.STORIES AREA 14 NO.BEDROOMS_ VALUE
BUILDING DEPARTMENT —� SETBACKS FRONT _ REAR LEFT SIDE - RIGHT SIDE f_
Permit THIS PERMIT IS ISSUED SUSJZCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
-- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANI) !T IS HEREBY AGREED THAT T HE
Plan Check _ IA ORK WILL. BE DONE IN A,CGRDANCF. WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total __ 1 AESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
l•
'L CENSE.SEPARATE PERMITS ROUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax — j •-"""
—
-- SD(;— �. y
Total .l s
--- — PDL N A ICANT OR AGENT
By ✓
Receipt No. ADD04 8---- "� PHONE
Approved
DATE INSP. TYPE INSPECTION REMARKS PLUMMING DATE
I ef
elContractor X—zF dv
< 47
Pormit No.
31/& If 23.4b 19-(r�
Fixture
F Inal
HEATING
Contractor
Permit No.
Gas or Oil
Rough-In
Final
SEWER
Final
DRIVEWAY
Final
tSto-m Drainap
(R,in Crain)Final
Sidewalk
Curb&Street Final
Approoldi
FLD1r, 79PT. TEMMORaRY
Final
.L RTIFICAT&OCCUPANCY
Landscaping
7nning Final