12500 SW PRINCE EDWARD COURT-1 7IRII
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12500 SW PRINCE EDWARD COURT
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BUILDING PERMIT APPLICATION KING CITY DAr� lu ` 1 ---_-..19.85
THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEREIN INDICATEu BUILDER PHONE 632!!!6681_
UR f,,�SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.� 2100 _
OWNER X. C_arlinger JOB ADDRESS 12500 SW Prince Edward Ct. 2S1 9DD
Tigard, OR 91223 ARCHITECT t
Pu Box 23454 ENGINEER
BUILDER
DWI) ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL A ADDITION _ ❑ REPAIR_ ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[I RESIDENCE U CON M ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 11 GARAGE ❑ STORAGE ❑ SLAB[_j FENCE
' OCCUPANCY K'3__LAND USE ZONE _ BLDG.TYPE _-5N FIRE ZONE_—._PLAN CHECK BY J HEAT_
&aclose existing caveced area tc Stm Room (tion—Habitable)
SEWER PERMIT M
OCC.LOAD FLOOR LOAD COftC HEIGHT NO.3TORIES AREA 220 NO.BEDROOMS VALUE
BUILDING DEPARTMr NT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 38.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
75.03 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT iS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
63.53WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF rH'S PERMIT DOES NOT WAIVE
Subtotal _ _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1.54
— —' — SDC—
Total 65.U i
PDC# APPLICANT OR AGENT
By BCa
---_ _ --
Receipt No.
Approved ADDRESS ---— --------- �--PHONE
I
DATE jN5P. TYIIE 1N&:wLCTIr1.N REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Future
Final
HEATING
Contractor
Parmit No.
Gas or Oil
R n u gh-i n
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
TSidewalk
Curb&Street Final
Apr.,opc
M-DG. DEPT. T TEMPOi�R YC E R T I Fi—CAf-E-6-C—CtPANCY
ICFF"I ITICATE 0CCUF.:tNC1' Final
Landscaping
ndscriping
Zoning Finni