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13115 SW ASH DRIVE
BUILDING PERMIT APP'LICAT'ION TIGARD DATE___ '"'�R� t __,�e 4540
I IiF UNDEPSI GNE'D HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICA•EED BUILDERPHONE 2
CiP AS SHOJVN AND APPRO\/Ff)IN T'HF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE__ = ---
LOT N0.-IAX.- lap-zsl 7CA
UV!NE_R ir. .w:ati6l2 JOB ADDRESS _;i i j :i1 ,Sa 121
----- - - '� -- ARCHITECT
1('Sudala r31dr. ENGINEER
BUILDER _ADDRESS - S�tZO 'S'�i 1.,ouell DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL _ 9�ADDITION _❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE` O DEMOLITION
L�RESIDENCE ❑ COMM Cl EDUCATIONAL 1_7 150V'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE. ❑ STORAGE ❑ SLAB❑ FENCE
OCGUPANCY _3 LAND USE ZONE _—BLDG.TYPE __,11_-FIRE ZONE_°LAN CHECK BY` TICE HEAT
Construct sun room addition to xj iie f8oll_y_dvsell.iw,l
SEWER PERMIT N _ ---- - ----- ---
_OCC.LOAD FLOOR LOAD Cone HEIGHT V r" NO.STORIES i AREA 96 NO.BEDROOMS I VALUE 5, 000
BUILDING DEPARTMENT_ SET BACKS FRONT `l` REAR C!I LEF'i RIDE RIGHT SIDE
Permit 50150 THIS PERMIT IS ISSUED SU9JECT TO THE REGULATIONS CONTAINED IN THE. BUILDING CODE, ZONING
,I3 REGULATIONS AND ALL APPLICABLE= (,OutS AND ORDINANCES AND it 15 HEREBY AGREED THAI THE
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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
Subtotal 83.31RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
2..12
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax
£35.35 — SDC—
Total - PDCk APPLICANT Owl AGENT —f
6y drn j _ '
�- Receipt No. ADDRESti - _.__ PHONE - --
Approved �C:M
c+ t
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING
DATE
Contractor
Permit No. — -
6 Rough-in — -�--
/ Fixture
veinal
HEATING -----
Contrartor -
-__- Permit No. -
uas or Olf
Rnugh In _--
- __ — -- --- --- Final- -- -- —�-
_ SEWER
--_.W. ----_- Final `
--- -- -- -- -- --- rrRIVEWAY
Final —
Storm Drainage
- - (Rain Drain)Final
Sldevvelk
Curb A Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY - CERTIFICATE OCCUPANCY `-
CEFCTIPICATE OCCUPANCY Final
Landscaping
_ Zoning Final
Address /j//5 SG)&ZJ, LL Permit No. X//7
Permit charge
Owner Connection fee
Paid by d Cc
Type of Building_ _ Date connected
Sr.rvice Rate Inspection fee /0&v
Contractor_ Fa
id by — � Date 5 7
Size of connection y Assessment` Paid
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT V 1117 DATE
� b
PERMIT 1S GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $... ...........................TIGARD SANITARY DISTRICT
By
-,t(,41,
CONNECTION INSPECTED AND APPROVED
Date -- - - superintendent
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