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BUILDING PERMIT APPLICATION COF
IT TIGARD► DATE_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING °LANS AND SPECIFICATIONS. OWNER PHONE W U—,d `
LOTNO. _
OWNER Ed* 3*t®rMar1 JOBAUDPE:SS 1.1.. 07 SLJ Trunw000 11111041MDDRESS
ARCHITECT
BUILDER ENGINEER
ADDR�EyS�S DESIGNER _
STRUCTURE ❑NEW ❑REMODEL UADDIITION ❑^REPAIR ❑RENEWA_L ❑FIRE DAM_AGc_y ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIOONAL_ ❑GOV'T LIRELIGIOUS L:PATIO ❑CAR PORT ❑GARAGE ❑STORAGE OSLAB ❑FENCE
DBOND _ ❑MOVING LJCONDITIONAI_ USE ❑DESIGN REVIEW ❑COUNCIL APPROVED - ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_. PLAN CHECK BYHEAT
— — to I i.Yl;i> 1- 1t.;1 x 13' pati] cotrtii: f&jj Lh >!iure y1ass ,roof over 2xb tafter*
with 4xi: header h three (3) 4x4 ®uppart poet art_ pproVed poet w bas(s� b cap*
OCC. LOAD __F.LOOR,40AD `-----�tEIGHT ji4�_Mf1jf_$ _ __AREA IY4.�EDFQQN15__-_..__VALUE_ 50 N
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1C1 007 _ ---_ --- — �_.�—
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALI. 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
Subtotal 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 •.3Q LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 10*3q
By
�-- APPS If ANT OR AGENT
Approved Iia -- Rvicelpt No
ADDRE55 — - '-PF ONE
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ADDRESS il . C: 7 .� e��Fx.�C� _*� e7j PERMIT N0.
PERMIT CHARGE none
OWNER � _ CONNECTION FEE
P A I D BY G c,:w,t-
�l
TYPE OF BUILDING �� s._ ,<< { _ DATE CONNECTED
SERVICE RAPE � .4„LCi INSPUTION FEE
CONTRACTOR PAID BYDATE
SIZE OF CONNECTION y�� ASSESSMENT PAID
:s ■s w� � a ■w : w� +r �a av
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C iffy of Tigard
INSPECTION RE
I C� 8J E S �. `�v`
for
INSPECTION TI ME '. PERMIT NCl. .52
DATE: - DATE ISSUED.,-"--A'—..
OWNERS NAME : ..
ADDRESS ' —//-2'3
CONTRACTOR
TEST. Ai► Ll, Water U , visual F7 v Laboratory �}
RESULT. Approveal,4 Disapproved ❑ , pe►)dlhg
i SKETCH:
1 f
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L Oit Attach au
ppls.nlnful fef1 dri+e hord .r�
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City of Tigard
INSPECTION RECIIJEST
for
;.,•.,4°'rA"t"..c.' Y/�/sly
INSPECTION TIME : PERMIT N0. ' .___
DATE: 1A---/Z1;'—" DATE ;SSJED:---j
OWNERS NAME : Z&&Ze-
ADDRESS : 6
040.4 i RACTJR : 1/3-07 /ron •,W � ,
TEST' Air C, Fater `, , Visual7"— , Laborctory
RE ZiJL.Tpr�va , a.�,,roved Ps-:Jmg 0
SXET H:
i
ICT0RDATE
[NOTE ; At!ach supp;ementa1 !at! data here,]
City of Tigard
INSPECTION F EGG ESQ'
for
,r
INSPECTION TIME : /='/- (.qf PER-MIT NO.' _.
DATE: f SATE +SSJED:_._r
OWNERS NAMF- : _ — —
A D D R E S S :
TEST: Air C , iN!:ter Visual C , Laborat,3rY
REZBULT: Appr,�v4�9y _'.a-z^,;.raved C
SXETCH:
I
;,V IT OR DATE
�OT7 : Attach i.upplomer,tal toot dato here'.)j
I
City of Tig and
INSPECTION REQUEST
for
INSPECTION TIME : P^`1 PERMIT NO. ' _,_.
DATE: 1,6221 DATE ISSUED:_ j
OWNERS NAME ;
ADDRESS : _ ,"A-0 7 4120A
u0N7RACTC" R :
i TESTA;rC;, Nater�y, Visucl�leA Laboratory "]
I RE3JLT: Appr-lv3dll. , fl'aap-,roved 0 Penjing
I SX�T�H:
1
tICTOR DATE
INOT[ : At!ach vipplemental tat' data hera!l
CITY OF .,. "�� N° 0322
BUILDING PERMIT APPLICATION TIGARD DATE —., 19--
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHCNE__.����,__�.__
OWNER iY He1 riI ADDRESS BLILDER PHONE
ENGINEER
tntic�a�r+atM Homes _ _ _
BUIL E9 AR IT CH-_€C_T�`^ DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITIOA ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM [:]EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIDNAL USE ❑DESIGN REVIEW ❑COUNCII-APPROVED ❑SIGNS
QCCUPANCY LAND USE ZONE_M.—' --BLDG.TYPE .J FIRE ZONE_j PLAN CHECK BY 3' J _HEAT_'
r1'1>41-- ;,,A L465 Sqo Pte from* dwel.lirkq with attached garegoo
no basement according to approved plans* - ---- —
3 bodrow
OCC. LOAD FLOOR LOAD Iti HEIGHT NO.STORIES 1 AREA .1B90 VALUE 31N,UOt1
BUILUING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1 ''rl�OC — --
- THIS PLRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 9UILDING CODE, ZONING
Plan Check «OC' REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THi PLANF AND SPECIFICATIONS AND IN COMPI.LANCE 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 1�3L LICENSE, SFPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total -- 141.3r•.
By It
--- AA L�ICANT OR AGENT
Approved Receipt No
�r
{
DATE INSP. TYPE INSPECTION REMARKS i LUMBING DATE
Em --- - - - - .- _.._---- - Contractor _
I'/-S-
Fixture Permit No. O/?aRou -- �-
wVr` r �� h'fVD _�r z41.�- _ Final- - ---
HEATING
Contractor' p /
atm, -- - ------ --- -- Permit No. 020 �uL P// �b
Gas or Oil
Hough-in _—
Final _
__ _ --- - --.- SEWERJ72,
Final
DRIVEWA_YVLS-7" dK
Final
Storm Drainage
(Rain Drain) Final _
- -- -- -----__-- -_____, Sidewtdk 9-S-7S OK -
Curb&Street Final
Approach �!-ti-7 S^ t9W.
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
V Zoning Final
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MONOGRAM HOMES
JAY HAREMS @4Fr419A8
IWO $• W. PAFRKWOOD DFL
PMTLAND. OREGON 9722s