9814 SW TIGARD STREET-1 t ■ i
i:\records\microflm\targets\building.doc
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CITY OF
j•- s � . N2 0061
BUILDING PERMIT APPLICATION TIGARD D<,TE_ — 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
r
OWNEFl �' ADDRESS BUILDER PHONE
ENGINEER
7 ARCHITECT DESIGNER _
RIJI LDER
STRUCTURE ��--+❑NEW CJ REMODEL ❑ADDITION _ [:)REPAIR _❑" :NEWAL []FIRE DAMAGE ❑QEI,�OLITION
❑ RESIDENCE OCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND []MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS
,
OCCUPANCY '
, LAND USE ZONE �—BLDG.TYPE FIRE ZONE. PLAN CHECK BY—__—_—.-. HEAT
OCC LOAD FLOOR LOAD HEIGHT -- NO.STORIES AREA _VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT S10E
Permit ---
--- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERFBN AGREED THAT THE
--- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN':OMPL IANCE 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 rI LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING
TotalBy-
APPLICANT OR AGENT
Approved /r Receipt No.
ADDRESS _— - - Ham '
REMARKS PLUMBING DATE
DATE INSP. TYPE INSPECT ION —
Contractor
Permit No.
Rough-in
Fixture
- _ -- ---- _Final _
- - HEATING
Contractor
Permit No. _--
Gas or Oil
-- Rou h-in - --
Final -- —
SEWER
Final --
- DRIVEWAY
Final --• —
r Storm Dreina
(Rain Drain) Final _---
Sidewalk
J.Curb SI Street Final _
A roach —
SLUG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANC'r Final --
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final