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—9205 SLY BONITA ROAD
BUILDING PERMIT APPLICATION TIGARD DATE-_ Ju1 r�9_-_-__,19- R2 _ 4123
HF UNDERSIGNED I!EHEBY AF'PLIEb FOR A PERMIT FOR THE WORK HEREIN INDICATED 9UII.DER PHONF _-fi4.Z-Ma.-.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ---02!--2A&—
LOT NO._420U*.U1J.2BI1_—
UWNER Jph a —_JOBADDRESS _-132U.S S-W- Annita Ba.
ARCHITECT
�,fiOrO HluigY Rt. 1 Box 718 Hill shn ENGINEER
BUILDER ADDRESS 1rDESiGNER CoTrs,s11'a
STRUCTURE KNEW EJ REMODEL ❑ ADDITION ❑ REPAIR EJ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
L RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT CT GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 1"1 LAND USE ZONE BLDG.TYPE —1 FIRE ZONE PLAN CHF.-;K BY --LI -- HEAT—
No
11HEAT—No plu-tbing c•r ---
SEWER PERMIT M noxi!
OCC,LOAD FLOCK LOAD COT4. HEIGH- 12 NO.STORIES 1 AREA ry10; NO.BEDROOMS VALUE )OM.
BUILDING DEPARTAENT SET BACKS FRONT P REAR 2 ' LEFT sIDF VI RIGHT SIDE
Permit_ _ 74. 0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CGNTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND OF,DINAJCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 411.643 WORK WILL BE DOME IN ACCORDANCE WITH THE PIANS A?!D SPECIFICATIONS, AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. T'IE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal V-2.93 RESTRICTIVE COVENANTS. CONTRACTOR AI4D SUB CONTRA(TORS TO HAVE CURRENT CITY BUSINESS
x.98 LICENSE.SEPARATE PEF hAITS REQUIRED FOR SEWER,PLUMBIIIG AND HEATING.
State Tai,
SDC
Total 12`.:1 -
�— — PDGN APPLic.ANTURi6EPT
By dm _
Receipt No.
Approved 11 AD PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
k ,L
�� Contractor
Permit No.
Rough-in
Fixture
Final
_ HEATING
Contractor
_- Permit No.
I —
Gas or Oil
Rough-in
Final
_-- SEWER Ap
Final
DRIVEWAY j
-- — ^— Final �
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
-- — __ Approach -- --------
BLDG. Dr"T FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
i
� 1� (47Go
ADDRESS
PERMIT NO.___//
PERMIT CHARGE none
OWNER
CONNECTION FEE
PAID BY
TYPE OF BUILDING DATE CONNFCTED
5FRVICE RATE INSPECTION FEE
UNTRACTOR
PAID BY DATE
517E OF CONNECTION 41 ASSESSMENT PAID
...�y�r,.-�+- .�k�c,l�•N '*,�M�f�`�'�!r-wri.�v.v.,...�,r•,,.«u,..,,..gv,��;...
CITY OR NN rl
BUILDING PERMIT APPLICATION TIGARD DATE--_, 19?— V 166
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING; PLANS AND SPECIFICATIONS. OWNER PHONE `---
OWNER Mr, eith H!!/ n;, 8205 5.V. b1�� ita
ADDRESS BUILDER PHONE
'?tJn€ r ENGINEER
DESIGNER
STRUCTURE ❑NFW UREMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOL.ITION
1�
RESIDENCE IO
SIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
11BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS y
Q,CCUPANCY '� LAND USE ZONE BLDG.TYPE �'} .FIRE ZONE "4 PLAN CHECK BY Rf"A HEAT
aIf11»:wlDe rlxisting carport and extend 60 to roar.
OCC. LOAD FLOOR LOAD HEIGF:T NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 10+00
— ��.------ _.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 9UILDING 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
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
+ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CIIRRENI CITY BUSINESS
I%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total +
By
APPLICANT OR AGENT - ----
Approved Receipt No.
AbbRE55 PHONE --
I
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
� 7 /p (0 w1�F�'� t Contractor _
,�,�,� �� �.�r� � _ Permit No. �.
—�f Rough-in
Fixture
_ Final
v HEATING
Contractor _
Permit No.
Gas or Oil
Rough in —�
Final _
SEWER
Final
DRIVEWAY
Final _
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb &Street Final
Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIrICATE OCCUPANCY �—
`�_,7; � Landscaping
Zoning Final
it
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 1627 DATE
PERMIT' IS ! Il'EN TO ou a .,.
or
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARX DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THR DESCRIBED PREMIERS UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLRTED.
PERMIT FEE PAID �..... .....�:_.......i:..........TIGIARD SANITARX DISTRICT
.,..w_... A...�.. B7
CONNECTION INSPECTED AND APPRYED
Date _— ^- SupWntsndent_—__-___. -._--