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11045 SW 78TH AVENUE -- 11045 Siff 78TH AVENUE '— s; ,-, Go vi i � 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 4 's ti i+ A d a k t i IF w w- 1R` � l0 mkm 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' k 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 Cc-imonfg SO