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BUILDING PERMIT APPLICATION TIGARD DATE-- Anoint ?"r 19'32 4163
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE
.OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE __620-253D
,.• • FinleyS LOT NO. -- -- -
OWNER JOBADDRESS 945 '%!1- C.nnter St•
ARCHITECT -- --- - -^--
, , ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE — ❑ NEW— 1 1_RE_MODEL_ PMDDITION ❑ REPAIR _ U RENEWAL ❑ FIRE_DAMAGE _11 DEMOLITIONFIF
RESIDENCE CJ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
E LAND U
OCCUPANCY F'�"°3 USE ZONE CP � T � --
—_ — — _'BLDG.TYPE — t —FIRE ZONE_. PLAN CHECK BY __ f1 _ HEAT
-- —k,crostru Ct 2*,i >:lOar livinjq ritchen A Dining areas to existing retaideuti.al � ----
Mit. See lrorractiett x1jeeet attaClIod —
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT 1 NO,.STORIES— AREA NO.BEDROOMS VALUE 4500
BUILDING DEPARTMENT SETBACKS FRONT REAR — LEFT SIDE RIGHT SIDEi---
Permit 50' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
x• .1 REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Pi3•�� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY BUSINESS
State Tax
7.(1� �1 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATING.
I
otal -
11 .35 SDC—T
PDC# APPLICANT OR AGENT '— -- --"
Receipt No. _ _ __ I
Approved— dub ADDRESS - ` PHONE --
IL
i'
i
DA-rE INSPj TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Pain Drain)Final
Sidevvelk
Curb&Street Fine
Approach
-
BLDG. DEP'r.FINAL TEMPORARY— CERTIFICATE OCCUMUiCY Fine!
^:ERTIFICATE OCCUPANCY
Iriciscaping
7
fining Final
4122
BUILDING PERMIT APPLICATION TIGARD DATE__=ly B ._,19_A2
THE UNDERSIGNED HEHEBY APPLIES FOR A PERMIT FOR THE WORK HER':!'J II 1DICATED BUILDER PHONE 6W-;2338--
-OR
Wr_23 .—__.-OR AS SHOWN AIJD APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
R.M. Finley JOB SW r.:*3nt>tlr $t LOTN0.�__�_�_.
OWNER JOB ADDRESS
ARCHITECT
goo ENGINEER
BUILDER ADDRESS DESIGNER
Wi RUCT_URE_ 1-1 NEW ❑ REMODEL [YADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
LJ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY '` LAND USE ZONE ___ BLDG.TYPE FIREZONE._ PLAN CHECK BY HEAT.---_--
_ Oonitruot dormer addition to rule lad ly dwelling.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES Z AREA 721 NO.BEDROOMS VALUE �t
BUILDING DEPARTMENT SET BACKS FRONT _ REAR_ LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE R1 GULATION3 CONTAINED IN THE BUILDIN9 CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY At(REED THAT THE
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 DWS NOT WAIVE
Subtotal _ I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI1 r BUSINESS
���� 1 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC— `
Total
15,60 "....�... ...�,N.. .
--- -- BCA - PDCq APPLICANT ORA t
By
Receipt No _—_... __ ._ -
.4ppfOVed PRUNE
i
DATE INSR TYPE INSPECTION REMARKS PLUMBING DATE
` Contractor
Permit No.
Fixture
-----_-- --- final
HEATING
Convector
Permit No.
Gas or Oil
Rnugh•in
Final
SEWER
Final
DRIVEWAY M
Final
Storm Dramagr
(Rain Drain)Final
Sidevoalk
Cuib a Street Final
Approach
OLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CEITT IFfCA"E OC CU PANCY�
Landscaping
;onlay Final
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- — - ,�•�1
Address_ Permit No.
Name of Occupant_ Permit charge_
- _ _ ------------ Paid by
Date connected
Type of Building ,.iG�;.�. r'_ _�_ Inspection
Service Rate_.�_f� Paid by __ --- Date
Contractor _ __- Assesament�;u , 3 O paid
Size of connection__ __ _