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BUILDING APPLICATION 0F TIGARD I9 79
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WCRK HEREIN INDICATFr BUILDERPHONE 2,39-«'30"
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHON
OWNER T,..)M P11.•lI e'r JOB ADDRESS 1211SO 9W Ke therina 5MAME ADDRESS MIT
ARCHITFC'r
ENGINEER
BUILDER *.Yib1Y:t. ADDRESS j$894 SW ' tTbelly DriVe DESIGNFR
STRUCTURE ❑NEW ❑REMnDEL� LJADDITION �m OREPAIR
r- �L.IRL ❑
EN"WAL _- LJFIREDAMAGE. -t DEMOIiTION
❑RESIDENCE ❑COMM ❑EDJCATIONAL ❑GOWT LJRELIGIOUSIJPATIO CICARPORT []GARAGE ❑STORAGEOSLAB [FENCE
❑BOND_ C'MOVING QCONDI TIONAL USE ❑D 7SIGN REVIEW L_JC013NICII_APPROVED LJSIGNS
,RCCUPANCY__��LAND USE ZONE---BLDG, TYPE_ FIRE ZONE..__3 PLAN CIIF..CK BY-_—.-- " HEAT_4
curt. s,ti1glo Rami. _Aub11iny w/uttaChad garage* a 040ruaaiON �tf-fv.
-1551A of 411ctimj It p21&2' (1�tbgo mo, serene Coutt) � `—'
oC�..1.QA.I�._---_�._F-�,9S2R_��D–_ _. FxO.____N.t:1.�►1.I_--'-}(3�–moo_$I�I�.�.____�'.�A�i.C�A_,�.'y_.Q NO.�EDROO.NS—.:�YALSIe_�`.:��L7(}+.
BUILDING DEPARTMENT SPI CA';KS FRONT " REAR !�d LEF T SIDE Rlrr'T SIDE
Permit 1 ;4 .00
-"--'—"
THIS PERMIT IS ISSUED SURJE('T TO THS, REGULATIONS CONTAINED IN THE BUILDING CL ZONING
Plan Check 1.r1.OQ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED lh.'T THE
WORK Wlt.L BE DONE IN ACCONDANCE WITH THE PIANS.%Ni?'^ECIFICATIONS AND IN COMPLIANCE ►.•TH
Subtotal IG 8041.1 ALL APPLICABLE CODES AND ORDINANCES, fHE ISSUAR'.CF OF THIS PERMIT DOES NOT WAI"F
RESTRICTIVE COVENANI'S. .:ONTRACTOR AiJD SUB CONTnACTLURS TO RAVE CURIENT CITY BUS.NESS
State Tax f'. it i.ICENSE. SCPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 13la. lx )41.'41_,
15y
APPI ICANI Oft IN,;f 141
Approved i.l;!f Receipt No.
DATE IINSP.i TYPE INSPECTION — REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
/�� -Q Ir _ Fixture
f.c Q l� L� Final
�� G J c7 [ /� Su �rr�— (�t)rt •� HEATING
t Ge -;L/ti N (— k Contractor �f
-- ---- --
Permit No: U-'7rf
Gas or Oil (�
^^— Rnugh-in
—• - -- Final.__--�
SEWER n —�
DRIVEWAY
V Final --
StorlRt Drainage
(Rain Drain)Final
Sidewalk
Curh E Str,it Final
_ __ Ap,,roach
BLDG.DEPT.FINAL TEMPORARY W CERTIFICATE OCCUIrANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
J
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BUILDING PERMIT AI"'10I_ICATION "OF
TIG7ARD DATE 04- /G _-. t9 .r .
639-IQ�o
THE UNUFRSII,NEU HERF-6r FOR APERMIT FOR EHE WORK HEREIN INDICAIED 11"11 DER F^+c
OR AS SHOWN AND AFf'FiOVEQ IN THE ACCOMPANYING PLANS AND SPECIFICATIONS
Td1 Q/� ��//(� LOT NO Z4. 1YYe- �/Qe
OWNERT\rM.�l�1_1. .__ - ,�R �ODRESS / �AV +� 40alle-s
ARCHI TE�:T
/\ 9 M�� Q� 6� � ENG 1NF V.R
t9U1�-CCR ••\ '-
ADD ESS E�r1 DF51c ".LH
STRUCTURE NEW F1Eh►1K`EL ❑ADDITION (�HEPAIR L.JFIENEWAL L�FIHF Ci4 ."AGF �Jt: :' r1J
RE'SIL�ENf C �'.OI M II )VC:A110,P;AL []GOV-T OFIELIGIOUSL.JPATIO (_•JCAR PORT �GAPAGE L�STnFct:E L�SL�E { eJr i h
�. '3 �•� rti DG TYPE N FIRE IONF 3 PLANCHFC- Il
SEWER PERF°li7 4� _ _ �o4vXe 4(io
OCC L(,AD �0 EIGH?.- �O NO STORIrs I IOREA/fby ^,
2L
FRONT 11EAP 1'4 1_EFT Sit RIGHT Sit E „T
RJ�i �;a�KS _ �----
Pcrmlt p/
S PERMIT IS ISSUF.D SUBJECT TO THF, REGULATIONS CONTAINED IN THE NUILOIN(- C, ,)c, ..iJN
�plAi^ «ck �� ��, 0 IrLAT1C]1'5 AND ALL APPLICABLE (:OT)FS AND ORDINANCES, AND IT IS HEPE13Y AGREELI THAT '
—1 -7K WILL BE DONE IN ACLURUANCE WITH THE PLANS AND SPECIFICATIONS AND IN COh'•PLf N`..: V.11 L APPLICABLE CODES AND CHOINANCES. THE ISSUANCE OF THIS PERMIT LTL L`' NO" ,",w4I'
'I TRiCTIVf COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CUFlRLNi CITY
S'a1P Tax l NSE SEPARATE PERMITS REOUIREO FUR SEWER, PLUMBING AND HEATING
Tow
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r No %rpt is ANI ,)p uGENT
LA; 4r,whd 11 � ,. - ..._..
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.t 6ngF 5S
s Dc-_--- — - -- —PDC
SEWER INSPECTIONS•
SFWERV SURCHARGE $� _ � � le to"
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