7105 SW CLINTON STREET A
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7105 SW CLINTON STREET
BUILDING PERMIT APPLICAT1014 TIGARD DATE may 19"3_ 4407
THF UNDERSIGNED HEHEBY APPLIES FOP,A PEIRMI1 FOR i OF WORK '-IEREIN INDICATED BUILDER PHONE 646-3606
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_�-9" �
`itzanne Uye . IG5 SW Clinton LOT NO.._---__
OWNER JOB ADDRESS
----._--_—.._— -- _--- ----- ARCHITECT —
'dillisdatlJtTr4et1 k"c�rtlRn�i� ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ID NE.'a 1-1 REMODEL � I ALIDITION ❑ REPAIR _C, RENEWAL 11 FIRE DAMAGE — ❑ DE_MOL!TION
fFRESIDENCE ❑ COMM ❑ EDUCATIONAL D JV'T ❑'RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE CI SLAB17, FENCE
OCCUPANCY LAND USE ZONE — —BLDG.TYPE –FIRE ZONE--PLAN CHECK BY LL— AT
Constmict an aclditlon to exietinft i mill(tle f473ily ow.11in"r
- all nor cotta ant! plana .G' 6" x 8' 64' -
-- "Q
SEWER PERMITN
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA ` NO.BEDROOMS VALU_ '.r► {�
BUILDING DEPARTMENT
SETBACKS FRONT —REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO Thr REGULATIONS CON'AINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRr 'L THAT THE
Plan Check 7i• '�- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN '_JMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THrS PERMIT DOES NOT WAIVE
Subtotal 5a•61 RESTRICTIVE COVENANTS CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 113r) LICENSE.SFPARATE PERMITS REGUI RED FOR SEWER,PLUMBING P ND HEATING.
Total X4.93 SDC—
PUCK -�PLIC7 OR AGENT
By
Approved hT1a -- / i�,I Jy ADDRESS
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DA','E INSP. TYPE INSPECTION REMARKS PLUMBING —`I DATE —
i�}'--� --- Contractor -----
�P JGt__Lr✓_ yds _ yy _-1 Permit No. — ---
Fixture
Final --- -
— h.iATING —
Convector
Permit No.
Gas or Oil
Rough-in —
Firsi
SEWER ---
—_------ ---_�..
Final -----
-- — DRIVEWAY __—
'. Final
Storrs Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
!K L 1 DEPT.RI A �--TEMPORARY CEPTIF `ATF OCq FANCY — W
.%RTIFICATE OCCUPANCY Final
Landscapit
Zoning Final
t
CITY OF TIGARD Plumbing Permit
Building Department 1 lyr }
�..
Residential 0Commercial [_] Na.
New Installation ❑ Replace [] Addition [J Alteratioo ❑ �f"/
Date —,t
Licensed
Plumber ^C�t r� J� +�. ,..��;,,, "12ho& Owr er
Address c•
Jor Address_ �,`rr � z re, .
�r -
Phone &' `"� "t!'/� ,j0�►iS� Applicant
CITY BUSINESS LIC'NSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM - _ NO. FEE TOTAL I'rEM_ NO FEE 1 OTAL
Fix«Ores.Trans--_ 7_5n Sewer Firs 100 ft. 30.00 -
Dishwasher - 7.50 Each Addit.100 ft - _ V` 15.00 _
Garbage Disposal - _ _ 7.50 E�ectur Pump -- 7.50 —
Water Heater 7.50 Water:First 100 ft 20.00 —_
Backffl�low
yyPrre_venter - _7.50 Each Addit.2_00' — 15.00 �-
� Sto�n&Rain Drain:First 100 ft. — _ 30.G0
_ Each A_d_dit.200 ft.
T _
Mobile Home Space --- _ 2_5.00 ----
Other(Specify): �- Rain Drain-Single Farr:.Dwelling - 15.00 -
PERM
IT FEE- Q.` Comments: -
STAT,7 r., o Issued By:_ _
- :-
,� Receipt No. _c Applirant s 41 171, 1 t tip,
For Plumbing Inaprc;ion Pl�ore 631 -4171 Signature
r
INSPECTION NOTICE
City of Tigar.1 Building Department
12420 S.W. Main St.
Tigari,Oregon 97223
Phone- 639-4171
Type of Inspection
Date Requested Time
Address
P%rmit #,
Owner
Lot #—
Builder
The following Building Cod cle',ciencies arejequirer tq be corrected:
"IJ
P-esenliid to
--- i Approved
Inspector TF1 Disapproved
Date
CALL FOR REINSPECTIOA,
1-3 YES EJ NO