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BUILDING PERMIT APPLICATION
TI GA R D DATE___ �84
THE UNDO'1'�IGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEREIN INDICATED . 63 8 2
BUILDER PHONE
OR AS SHOWN AND APPROVED IN fHE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
"OWNER Tort idi l ler "'ll 1"-'JOB ADDRESS— 9735 SW Cook Court LOT NO.1-Cblar��'r
Poia " Sherw�HITECT
DR
BUILDER SATte _ ADESS 2355) SW Grahams HerX}gE IN ER _
_ Kniahtg
STRUCTURE C7!NEW 11 REMODEL O ADDITION 11REPA101 f7 RF_NEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0RESIDENCE Cl COMM ElEbUCATIONAL ❑ QOV; ❑ RELIGIOUS ❑ PATIO Ll CARPORT C_1 GARAGE ❑ STORAGE C1 SLAB❑ FENCE
=_—
OCCUPANCY LAND USE ZONE 1 MI'D BLIDG.TYPE XPi FIRE ZONE=PLAN CHECK BY _HEAT r.; t€?
Corintruct single* family dwellin! w/attached raracIp -`
3 f.;�c3roa?nom, ?, Path
SBE CORPEC'TZOaI ;"".SFT i\,rI'!.r!lrr, - -
SEWERPERMIT# 21-904 - s,,810.011 _ c►*rAge 452 t3�•ft.
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES _1 AREA 1202 NO.BEDROOMS I VALUe-: 1 900
BUILDING DEPARTMENT SETBACKS FRONT 1Q•�, REAR ?()
Permit — ------ ___ _ LEFT SIDE %,25 RIGHT EIDE
— — 19 THIS PERMIT IS 13SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ----�Q�•�'n REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS :.ND IN COMPLIANCE
Sub•totBl 280• o
WITH ALL APPLICABLE CODE:", ANO URDvNANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CCNTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4
7,64 LICENSE.SEPARATE PERMITS PEQUIRED FOR SEWER,PLUMBING AND'IEATING.
��
Total $294,14 SDC-
PDC# I T `* 01 f �__
By ty j '" 1 ' �' t A PLICAN?OR lA(3EN?
Recept No.
Approved hC2' --
-- PHONE
f
DATE INsP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor� B �
Pern It No.
7-2
Rough-in
Fixture
S_.T `� A— Final —
� � _ HEATING
e- _ Contractor �-
-_
Gas or Or'
_���----
Rough-in -
Final —
------- __- SEWER _
-- --Y` --- Final
DRIVEWAY M
Final
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb d Street Final
Approach
BLDG.DEPT,PINAL - TEMPORARY CERTIFICATE OCCUPCY
CERTIrICATE OCCUi'.IAWf Final
Landscaping
Zoning Final
i
F
f
7
7
I
wfy of Tigard
Now Installation Replace Ej Relocation.G Addition Alteration DATE:
HEATING _ --- ---
CONTRACTOR `T� 7_ OWNER._, ��7 _�_c'c/��-L��
61JQRESS���/ fir• _ JOB ADDRESS_Z?_j J_�1L�L�
PHONE ( "�1!c: APPLICANT- —____--
Halt Input Rating1BTU per Hour) Vent Sita Flue Siza__� _
FUEL OIL EJ GA� ELECT ��- OTHER
ITEM NO. FEELCondition
ITEM NO. FEEFor Issuance of Permit SEE BELOW Handling Unit or Duct S stom 7•rew-u to & incl. 100,000 BTU _o '0P 6.00 l Hood System 7.50New 100,000 BUT's & over 7.50 ipment - Each 4.50__Woodbuming Stove _ 4.50 ection4.50
Wall Floor Suspended _6.00 on Compressor • upto& incl. 3 H.P. 6.00Vent Svstem w/Fan 4.50 on Compressor•3.1 to 15. H.P.incl. 11.00
Repair•Heat Cooling 6.00 — --
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SU13-CONTRACTORS ! !
PERMIT ISSUANCE 10,00 Comments:
FEES -
SUB-TOTAL
% STA i E , Issued By---
25%PLAN