9814 SW TIGARD STREET 9814 SW TIGARD STREET
i
PERMIT APPLICATION �'FY TIG BARD DATE_
BUILDING PE o
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE __.
OR AS SHOWN AND ',PPROVEr) IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—______ .._
LOT NO.
OWNER L'i` I,ray Lav JOBADDRESS9814 Skilarra L!L!�ME_ACDRESS
ARCHITECT
ENGINEER
BUILDER agmen ADDRESS _ DESIGNER
.,cca�rr �-T
STRUCTURE _❑N��E�W �-7❑R_EMUDEL_ LJA`bDIT10N ❑REPAIR �L.�RENEWAL ❑FIRE DAMAGE ❑DEMOL.ITIUN
❑ RESIDENCE '06OIVIM ❑EDUCATIONAL ❑GOV'T ❑RF.UGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑S1,1RAGEDSLAB ❑FcNCE
❑BOND ❑MOVING ❑CONDITIONAL USE [:]DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
4
OCCUPANCY E._�I LAND USE ZONE_Ln(" BLDG TYPE �7" FIRE ZONE_� PLAN CHECK BY tW HEAT___._
se Codd floor w/stairway in sx,isbLn-.j uld✓ , area apprux 104 sq. ft.
--:lar.. occupar:cy of second floor loan than 10a - apporate permits required for
1404
1`IO BEDROOMS _YAI.I I1 1 1t
BUILDING DEPARTMENT SET BACKS FRONT REAR _ LEFT SIDE —_ RIGHT SIDE _
Permit t]12'*00
THIS PERMIT 1, ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII-DING CODE, ZONING
Plan Check 26a00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE-V AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIF!CATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AN[) ORDINANCES. THE ISSUANCE OF THIS PERMIT DUES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 2 f 34 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total all*34
-- 1
By
—. APPLIcl�NT OR AGENT
Approved r, Receipt No
AD T55
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Permit No.
Fixture
Final
HEATIN.-
Contractor
Permit No.
Gas or Oil
_o2fln
Final
SEWER
Final
DRIVEWAY
Final
Storm Drains 9
(Rain Drain) Final
Sidewalk
Curb JL Street Final
Approach
SLOG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping.
Zoning Final
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