11045 SW 78TH AVENUE -- 11045 Siff 78TH AVENUE '—
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BUILDING PERMIT APPLICATION TIGARD DATE___ 3anua!r_Y_i6 19 85 5177
THE UNDERSIGNED HEREBY APPI_IEL 'OR A PERMIT FOR THE'-NORK HEREIN INDICATED BUILDER PHONE �—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER LOT NO. �yi
PH0N1 _�._.
OWNER d• Bartlett JOB ADDRESS 11065 SW 38th _ _
+Q� 31 l�a�i� Avs ARCHITECT
ENGINEER
BUILDER 4y'e Construction ADDRESS PCWtlaed b OR 97202 DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL R FIRE DAMAGE ❑ DEMOLITION
a RESIDENCE El COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 0 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 'R�_LAND USE ZONE it-7_BLDG.TYPE 5N FIRE ZONE____PLAN CHECK BY HEAT,
Repairof fire damage to single family dwelling adjacent to fireplace
SEWER PERMIT#
UCC.LOAD FLOOR LOAD HEIGHT NO.STORIES I AREA NO.BEDROOMS VALUE 2,000
I— BU',LDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
---�-----_ —_---
Permit 324-50 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
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 31.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TJ HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax<<A 1.30
SDC—
Total 33 98U
--. ___.-- PDC# APPLICAN30RAGENI —..--
By bClt/be 1
Approved Receipt N �(I S'..' .._—. RHONE ,--
- —
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING
_ N DATE
Contractor —
Permit No.
Fi ough-in —
t i — Fixture
_—_— Final ---- —�
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
SEWER
DRIVEWAY
Final
Storm Drainage
IRain Drain)Final
_. .i. Sidewalk
Curb&Street Final
Approach
BLDG.DEPT. f'rR hL TEMPORARY — C6RTIFiGATfi OCCUe-nNCY
:ERTIFICATE OCCUPANCY Final
Lends:raping
Zoning Final
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BUILDING PERMIT APPLICATION TIGARD DATE_ Ism_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILUER PHONe!'32
08
r!'-}2OR AS SHOWN AND APPROVED IN THE ACCOMf PANYING PLANS AND SPECIFICATIONS. OWNED,PHONE
LOT NO.,_ y i-''_• .
OWNERfIIC'�7L�7-7-JOB ADDRESS
PLm , P ' A.RCHITECT
7 ENG NEER
BUILDER �/� �,' �/1%`- ADDRESS 'GJoc-, ^L` Z-1// 1V'AI- ,��F REMER
STRUCTURE_ ❑ NEW ❑ REMODEL _ ❑ ADDITION ❑ REPAIR ❑ RENEWAL FIRE DAMAGE ❑ DEMOLITION
U'RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ SLAB❑ FENCE
O ZUPANCY LAND USEZON6 !, _BLDG.TYPE ^— PLAN CHECK BY
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES / AREA NO.BEDROOMS Y VA.LU�:t-- ' t
BUILDING DEPARTMENT SETBACKS 'RONT REAR L.EFTSICE RIGHTSICE
P^rtnit �i�
THIS PERMIT IS ISSUED SUBJECT TO THE REGULA110NS CONTAINED IN THE BUILDING CODE, ZUNIN:
REGULATONS ASID ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TP.AT TF..1
Plan Check � WORK WILL BE nr)NE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL1ANC,
� :� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'
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ub total -� RESTRICTIVE COVrNANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES`
3 C, LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
_ SDC—
Total ,, .3 C" _ _
PDC# APPLICANTORAGENT ---- ---- ��- -- ----
By
Receipt No.
Approved ADDRESS F"ONC�—
SDC - _
PDC -'
SEWER CONNECTION 5
SEWER INSPECTION S
SEWER SURCHARGE S
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