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13435 SW CRESWR DRIVE
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CITY OF 7Ur�Le 7 76N! DOVE
BUILDING PERMIT APPLICATION lGAL,RD DALE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THF WORK HEREIN INDICATED
019 AS SHOWN AND A'PROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE--
=Alil maele r y 134:3b 5.W• C:relamwr
lWY'JER � ADDRESS BUILDER PHONE
ENGINEER
BUILDER � � ARCHITECT DESIGNER
5t—RU CTU'AE _❑NEW ❑REMODEL_ ADDITIONlREPAIR ❑_RENEWAL _❑FIRE DAMAGE ❑DEMOLITION
ClRESIDEN:E ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑RELIGIOUS OPATIO []CAR PORT ❑GARAGE ❑STORAGE E)SLAB ❑FENCF
❑BOND Cl MOVING ❑CONDITIONAL tiSE ❑DESIGN REVIEW GTCOUNCIL a "RnvEO —`❑SiGN3 _
OCCUPANCY�.._LAND USE ZONE BLDG.TYPE_ FIRE ZONE PLAN CHECK BY — HEAT__--
,-ungtruct a Patio Floor Ueck only. t,w raol'
Uuild pereattechad plan —
2.(,C,10AD _FLOOR LOAD HEIGHT NO.STORIES _ AREA VALUE _
BUILDING DEPARTMENT SET BACKS FRONT r1EAR LEFT SIDE RIGHT SIDE
permit ;;,� OU CIU
—'-- THIS PERMIT IS ISSUED SUBJEC I TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Ilan Check REGULATIONS AND ALL APPLICAPLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TF1E
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORCINANCE3 THE ISSUANCE OF THIS PERMIT DOES NO- WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONI RACTORS TO H–VE CURRENT CITY BOSINEtC5
I%State .15 LICENSE. SEPARATF PERMITS REQUInED FOR SEWER, PLUMBING CIVD HEAPING.
I otalBy
3
nP- 'ANT OR AGENT ------
Approved �_. Receipt No.
ADDRESS - - ------._.---- PRONE —
DATE' INSP. i"PE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEAT ING
Conti ictor
Permit NO.
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
ZI AA1 Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Strewt Final
Aroach
BLDG.DEPT. FINAL 6TE/M50RARY CERTIFICATE OCCUPANCY pp
CERTIFICATE OCCUPANCY Final
Landscaping
• Zoning Final
CITY OF
RUILG,'NG PERMI i APPLICATION TIGARD DATE _ _, 19 H° 0 711
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICATIONS. OWNER PHONE
OWNER Waco a• mu ssay — ADDRESS 435 `us Crit mmA _BUILDER PHONE
ENGINEER
bldl.UR ni0 `-ilu — ARCHITECT _ — —_� _—_DESIGNER v_ _�—
STRUCTURE ❑NEW ❑REMODEL DADDITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
11BOND El
-AOVING ❑CONDI f ZONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANC'i LAND USE ZONE ____BL.DG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT-
on III t r 41 z..
EAT_P nIIItr41:.. ,t ` --_--- A. .:asn Ui1 iiu,'. . „,J!&1�.tll� 's;,r i ..:?±i .)um `- —
OCf:•LOAD s._ FLOOR LOAD HEIGHT NO.STORIES _ AREA VAL
6UILDING f?EPAATMENT SET BACKS FRONT REAR LEFT SIDE RI13HT SIDE
Parmit
—'" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODF5 AND ORDINANCES, AND IT IS HEREBY' AGREED THAT THE
-- WORK WILL BE DONE. IN ACCORDANCE W,rH THE PLANS AND SPECIFICATIONS AND Ird COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-' RESTRICTIVE COVENANTS. COATRACTO AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS.
State LICENSE. SEPARATE !'ERMITS REQUIRED OR SEWER, PLUMBING AND HEATING.
Total
[Avo
Y
-- ---, -- Ar"—. 1 cAi.T OF Al3ENT
_
roved Receipt No.
ADDRESS --_ --PHONE — —
DATE INSP. TYPE-7fINSPECTION)— REMARKS PLUMBING DATE
7 ---
i-
z
Co..tractor
Permit No.
Rouvh-in
Fixture
Final
MATING
Contractor
Permit No.
Gas or Oil
Rough in
Final
—--------- SEWER
Final
DRIVEWAY
Final
�5torn, U' rainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
Address .Scf st,- ':-,lo- Permit No.— 1 "' ?,
Permit charge_��
Owner�,,;���•, >r�►.� v �" ..r � �_ «"<<�
Connection fee
ray d by_
Type of building Date connected
Service rate `� a ,s,- S� Inspection fee
Contractor Paid by Date
Size of connec Lion Assessment Paid—_
PERMIT TO� CONNECT
Tigard SariL-ary District ,e
PERMIT .V" 13!1 DATE j1__O
PFRIIIT IS GIVEN TO '
OIF du A V0,1
TO CONNECT A_
TO THE STS7 RM OF TIOARD SANITARY DISTRICT
AT -;,%, C
THIS PERMIT MUST RE POSTED ON THE DESCRIBED PREMISES UNTIL:!ON-
NEL'TION IS MADE AND INSPECTION OF CONVECTION HAS BEEN COM-
PLETED,
PERMIT FEE PAID $..... ..f. . . ...TIGARD SANITARY DISTRICT
BW
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('ONNECI'AON INSPECTED i,NI) APP►tO ED
Date Superinten en�