10130 SW TIGARD STREET 10130 SW TIGARD STREET
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BUILDING PERK",IT APPLICATION 111111VM DATE,. 8/27 ,s_ ?7 _ 6185
THE UNDERSIGNED HIS REBY APPLIES FOP?A PERMIT FOR I'HE WORK HEREIN INDICATED BUILDER PHONE 62L 3452
OR AS SHOW I AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE — f
LOT NO.— - - -
OWNER JL#i IiO St;-1UiCX. JOBADDRESS 10130 3W Tigard tis'
- Ems' wiWd reUrti ARLAITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
L1 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PAT'O ❑ CARPORT ❑ GARAGE ❑ STORAGE U SLAB3 FENCE
OCCUPANCY _LAND USE ZONE __ BLDG.TYPE FIPEZONE_—.PLAN CHECK BY �—HEAT — gy
Corotruct 81 Fwwe
SEVVER PERMIT M ---- - --- -- —
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO,BEDROOMS VALUE
BUILDING_DEPARTMENT SETBACKS FRONT_ REAR _ LEFT SIDE RIGHT SIDE _
Permit _ _ 15.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IF HEREBY AGREED 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 ISSUANk;E OF THIS PERMIT DOES NOT WAIVE
Sub•totnl RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
-
Total 15.75 SDC _
PDC# APPLICANT OR AGENT
By
s ,•.- Receipt No
Approved `C� '� ApDRE PHONE
r
e
DATE INSP.1 TYPE INSPECTION J __ _ - REMARKS PLUMBING DATE
,�-' — Contractor -
`�- Permit No. •--- �"' I�
—^— _
Rough-in --
-- Fixture
- - -- Final
--' HEATING
---- Contractor
-- '" Permit No.
_-- - Gas or Oil
---
Rough-in �---- --
-`_-"— ---� - Final
__. --- — SEWER -
final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
---- ----- - -- f
Approach _
BLDG. DEPT.FINAL TEME
PORARY CRTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Land+caping
Zoning Final
I
t,c,,orks '1P�� PLAN CHLLK NU.
for inspections call 639--4175
CITY OFTIGAHO 639-4171 GATE s 7 PERMIT N0._ G �_
�
BUILDING PERMIT03' U
P.O. Box 23397, Tigard OR 97221 TAX MAP/c/ISQ— TNG. �—SUBDIVISION
OWNE �L[U i 'IC -�_L r'LC k i[L t! �t1 i JOB A00RES.i 42t�/J f�� �/nr!! S)< /lGc.�►car=
Bim- lT_ STATE AEG.NO. EXP.DATE
OUIL.OhR'S PHONE -
ARCH,TECT__ PHONE OTHER. __ -
STRUCTURE ❑ NEW (:I REMOOEL ❑ AOOI110N ❑ REPAIR ❑ MOVE 0 OTHER _ L] DEMOLITION
Q RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS U ACCESSORY ❑ GP AGE O OTHER FENCE
OCCOPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE.—PLAN CHCC!,BY 1�£AT
— - _:.'���- -- - •- - ---_ .__moi��.---..------ ----------- -
SEWCR PERMIT I __
0(r.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA, NO.BEDROOMS VALUE 2 `'
BUILDING OEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE. - —
Wfmll / THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
PIanChock WO1tK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEGYF cAnONS AND IM COMPLIANCE
_ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT ODES NOT WAIVE
PI.CIL Fki RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO 14AVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING,
Slats Tac V.S SSOC
< SDC-- I
Total
-
Tolal -� APPLICANT OR AGE14T
Prepd. lecelpl No _
- ADORE55 rr.ctN(
I
Bal.Due
Issued F3v___-.-------.,Approved By.-
DC --- $
oc
- ee RECEIPT b
OC - Y — DATE Pp.
CUER CONNECTION S PMOUNT PD. � -
CLIE R INSPECTION S
"WCf7 SURCHARGE. S
t m.n e n t e: -------------- --------- -
......_.....,'..-,..y..,.,nr...,:y„n+rc+Mlr+r+r*'sw'v r.Yw�..,�p,.+y.rrM�l.�r'."l1Nk'r +w.r ''!Fw•' �►" ry��,
CITY OP N° 0462
BUILDING PERMIT APPLICATION TIC ARD DATE_—
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_.
OWNER '`rI.1�11161 tkLlCt. .' _ _ ADDRESS BUILDER PHONE _
ENGINEER
9WLDER Owner —_ ,ARCHITECT _— DESIGNER
STRUCTURE _❑NEW ❑REMODEL ❑ADDITION - C1 REPAIR ❑RENEWAL. _❑FINE DAMAGE ❑DF..MOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO LICAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE.
❑BOND_ ❑MOVING [-]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY^_LAND USE ZONE - ' BLDG. TYPE FIRE ZONE-2PLAN CHECK BY HEAT _
11' x 2j 1 carport attached to and existing garage
OCC. LOAD FLOOR LOAD HEIGHT NO.STORi2S AREA VALUE $200
BUILDING DEPARTMENT SET BACKS FRONT REAR LF F T SIDE _ RIGHT SIDE V--
Permit
-- --- TP-IIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COOF, ZONING
Plan Chock REGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS 'AEREBY 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 CURRENT CITY BLIANESS
'.%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING.AND HEATING.
Total 5. 15
By f s — ----
APPLICANT OR AGENT
lApproved Receipt No ---
ADDRESS PHON
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture _
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rou h-in _
Final
SEWER
Final _
DRIVEWAY T
Final r
Storm Drainage
(Rain Drain) Final p;
Sidewalk <
Curb&Street Final
Approach _
BLDG.DEPT,FINAL I TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
..+ Landscaping
Zoning Final
,.. ... . ..:-.- ..�,,,�_.,.mpgy.,,..�...,,yfl+.m^'�IM'�'s*.....,,.,..,r. ...�.,wRw'+7o��tr!'r"1+...,r7�R.,t,,,R.rrn+-rc rin.., -. - r••
CITY OF
BUILDING PERMIT APPLICATION TIGARD74 N° 0 013
Is
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER RHONE —_
OWNER Russel Austin ADDRESS 10130 ao'. 7iyara BUILDER PHONE —
owner ENGINEER
BUILUER ARCHITECT DESIGNER
STRUCTURE [:]NEW ❑REMODEL_ ❑ADDITION0REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
Cil RESIDENCE []COMM []EDUCATIONAL. ❑GOV'T DRELICilOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVED _— [:]SIGNS
OCCUPANCY —..LAND USE ZONE— BLDG.TYPE--,.F IHE ZONE— PLAN CHECK BY_---- HEAT..
ruu
EAT— .
rruu f In __ --- — ------
T9HPLIEAff FOR 08P �1 --
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES — AREA VALUE_
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED tN THE BUILDING CODE ZONING
Plan Check REGL,'.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS 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 CURRENT CITY BUSINESS
1%State •05 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By a-- — ---- _ ---
-----. APPLICANT OR AGENT
Approved Recelhr No
ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATF.
I Contractor
?erm.t No,
Hough-in
Fixture
Final
Contractor
I
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
mal
Storm Drainage________
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT, FINAL TFMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
u
CITY OF TIGARD
0470 S. W, Main Street
TIGARJ. OREGON 97222
APPLICATION FOR HUTLDING PERMIT
Now Construction Demolish Addition Remodel Move
ZONING DATE ISSUFD__j?1-7 BUILDING PERMIT
BUILDING FEE No.
DATE RECEIVED PLAN CHECK
by OTHER .,,�Lf?�LUATION
TOTAL FCZIPT No.-Io
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT MAP 1 CENSUS TRACT JOB
Architect or Engineer.......
Addreae —Phone--
Owner— �kj Pho-- one
Address
Rut
Phone__ ..... ..
Address- . -
BUILDING ()BE single Res. Multi Res. ❑ Comm. Ll Industria1
OCCUPANCY CROUP---- No. of Stories.—'— Total 11eight.__--. Area of Lot
Typeof Construction It lit IV Floor Area 8 2
Set Backs: Front Back L.Side R.Side__
Private Sewer Pipe Size --Scw0r__ Septic 'rank
Water Service Pipe Size Storm Sewer Ditch ❑ Drywello
Street and Curb Requirements_--
Driveway Width of Parking Spaces___.
SEPAPATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
P0
ADDRESS ASSIG14ED h13U r-,A,
FIELD cHFCK BY -CATE
pFR141T APPROVE)
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the building wil
not I)e occupied until a CertificateC; has been i-;sued by the City of
Tigard Building Inspector.
App
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