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8851 SW CENTER Co tAr-I
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BUILDING PERMIT APPLICATION cOFY TIGARD OATE_�43j�e
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED 9uILr�4 PNONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING FLANS AND SPECIFICATIONS. OWNERPHONE
OWNER Venue I4e93t JOB ADDRESS ,� I, . '' . I,t•,t' 1 L-.2' T..L , LOT NO.---__
HOME ADDRESS
Luminitea ARCHIT�CT`—_ —
U—'-6DER ENGINEER
ADC�REti 1 DESIGNER
rrSTTRUCTURE ❑NEW OREMODEL _t- OADDiTION . O
❑REPAIR RENEVNIAL ❑ []DEMOLITION
DAMAGE DEMOLITION
C3 RESIDENCE OCOMM [:]EDUCATIONALOGOV'T []RELIGIOUS[]PATIO UCAR PURT _[]GARAGEO STORAGE[]SLAB ❑FENCE
[]BOND []MOVING CTCCOND'110NAL USE []DESIGN REVIEW ❑COUNCIL APPROVED SIGNS
OCCUPANCY LAND USE ZONE-_. BLDG.TYPE __.FIRE ZONE-_ PLAN CHECK BY
COPY - Venue Weat his and her hair iketiij.;I2 __---
p aux ala n - . . purl r `��s ®rt�ii��i cr'ITTr Cef - --- ----
uC-CLLQAQ.____.fLQ4R_LQAQ HEIGHT NO G_T_RB!E$—_—.___AimLALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total' ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARAIr PERMITS REQUIRED AOR SEWER PLUMBING AND HEATING.
Total
BY
-- APPLICANT OR AG"11
Approved Receipt No. i /
ADDRESS — PHONE
ciTr OP
BUILDING PERMIT APPLICATION TIGARD DATE
__.- �� ���° �g'3:"�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATEC
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONEOWNER Jacques Uuivant ADDRFSS dbtU 599* Loni.er Lt, BUILDER PHONE
ENGINEER
t trt
BUILDER � _ARCHITECT DESIGNER
STRUCTURE _❑NEW 13REMODEL m� ❑ADDITION C3 REPAIR ❑RENEWAL ❑FIR,,E DAMAGE ❑DEMOLITION
Q RESIDENCE QCOMM DEDUCATIONAL. ❑GOV'T ❑R ❑ ❑ ❑ [J
STORAGE CAR PORT
GARAGE t_ STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING [:]CONDITIONAL USE [-]DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGN;
OCCUPANCY LAND USE ZONE - —BLD[_i.TYPE FIRE ZONE__ PLAN CHECK BY- HEAT—..
cm,-Wo-1 vAiistiing ir-,Itciry. , It basun
,x pp raved plans, ------------------- --------
QCC_LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit *32s00THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPL.ICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
'R+-- -- RESTRICTIVE ;OVENANTS. CONTRACTOR AND SUB CONTRkCTORS "[O HAVE CURRENT CITY BUSINESS
196 State • 96 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
TotalBy
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Approved RecMI)l No
ADDRESS
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING
OAT[
Contractor
Permit No.
�- Rou h-in
Fixture
Final
HEATING
Contractor
Pewit No.
Gas or Oil
Rough-in
Final
SEWER --- -- — - -
-----_ _ _ Final
DRIVEWAY
Final
Stolm Drainage
--- �_-- __ (Rain Drain) Final
--- -------- Sidewalk -----
_ Curb&Street Final
Approach
BLDG. DEPT FINAL -TEMPORARvTCERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY I Final L —
Landscaping
Zoning Final