8060 SW PFAFFLE STREET-3 8060 SW PFAFFLE STREET
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CITY of N2 0542
RUILDING PERMIT APPLICATION TIGARD MATE_ --- . 19----
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDlu' ED
OR AS SHOWN AND APPROVED IN THE ACCONAPANYING PLANS AND SPECIFICATIONS. OWNEq PHONE._
OWNER — - 111DDRESS _ BUILDER PHONE
awnor F�NGINEER
BUILDER ___ AHEHITECT DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION [:]REPAIR _❑RENEWAL ❑FIRE DAMAGE DDEMOLITION
❑_RESIDENCE ❑COMM OEDUCATIONAL GGOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SI AEI '_]FENCE
❑BOND Li MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
CO CUPF NCY _LAND USE ZONE BLDG. TYPE FIRE ZONE_ PLAN CHECK BY__ _ HEAT __
;Id c.! , ,i up debris Pruni dwelli. , r--lease ground
�_:►sonsbly 1mr-lith ca' It.lDfl -
OCC.LOAD FLOOR LOAD ....... HEIGHT NO.STORIES AREA VALUc
BUIL DING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE`
PermitTHIS 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 HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLIC/19LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE. PL RMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total -- —
BV --
APPIJCANT OR AGFN'
Approved Receipt No.
AI`ORESSi �.— -'--- PHONE
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DATE INS.'. TYPE INSPECTION RLMARKS — _—
PLUMBING DATE
Contractor
Permit No. _—
Rou h-in__
Fixture
_ Final _
--- HEATING
Contractor
----------- --. Permit No.
--- Gas or Oil
— --- Rough `n^ -- --
_— _ - --- Final ------- -
- SEWER _ I
----------- -- Final
--— — — DRIVEWAY
----- — �__—_ � Final
— Storm Drainage
— — — (Rain Drain) Final
�— Sidewalk
Curb&Street Final _
-- Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -- — - —
Landscaping
Zoning Final
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