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11640 SW 91ST AVENUE r 11640 SW 91ST AVENUE - L y O� C �D 1 v 1 u �+ Ili { Eo N U 1 E3 u m 3 4 1 l ' � C F�•1 �, N a y �, I�� •� F� N � •b M ,tr��� 3 A u I J p 04 144 0 m w u � ,. N ro Q 1 ci z BUILDING PERMIT APPLICATION TIGARD DATE_ October 26 --.ie �s 4542 i{ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE Z32-7106 ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. OWNER- .ir. 6 'irs. Alke:, _ JO_B_ADD_R_ESS 11640 aw )IsL ARCHITECT ENGINEER BUILDER Lorenty lruu:n Go. ADLRESS DESIGNER­__ STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION 4REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION EIXRESIUENCE 11 COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO CJ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY .-A=I—LAND USE ZONE _ "7 BLDG.TYPE ­50—FIRE ZONE PLAN CHECK BY _ !�Tw­HEAT._—_. :repair fire damia�e at Residence. _Includes roof structure reglaceumr.t. All per UBG Code•rsguireweto.-s. SEWER PERMIT M - OCC.LOAD FLOOR LOAD HEIGHT Zo NC.STORIES I AREA NO.BEDROOMS VALUE j2,_000. BUILDING 17,_^ARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit — _ 92.50 -_�THIS PERMIT' IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING REGULATI'JNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 40.00_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL 4PPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 17Z•SU _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tex 3.11) --- — Total 136.20 SDC PDC# APPLJCAI,T On A EE T� By l:H 1 Recelpt No. Approved l fll ADDRESS DATE INSP. TYPE INSPECTION REMARKS PLUMBING DACE /�' Contractor ~' L_l�,- - Permit No. i "ougi-in - -- u`� fixture —A Final HEATING •! — Contractor - Permit No. Gas or Oil -- - - - —- Rough-in --- — ---- ----- ----- -- Fine! SEWER — I Final DRIVEWAY -- -•----------- Final —.? —� Storm OraineVe (Rain Drain)Final Sidewalk Curb&Street Final _ — - Appronch PLoo. DEPT.FINAL TEMPORARY CERTIFICATE nCCUPANCY Finai - CERTIFICATE OCCUPANCY [Lantscaping 7unin9 Final BUILDING PERMIT APPLICATION TIGAa:) DATE_ __ � t9 THE LINDERSIGNEL,HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED [WILDER PHONelJZ OR AS SHOWN AND APPROVED IN THE,,CCOtAPANYING//PLANS JAND SPECIFICATIONS. OWNER PHONE . /`% JOB ADDRESS _ �j( x —LUT - 0.1 rJ ER ------ ALNGIN(EGi � ENGINEER BUILDER / GAIL ADDRESS _ _ DESIGNER STRUCTURE ❑ NE ❑ REMODEL Cl ADDITIO_N_– EPAIR _ Cl RFNEWAL ❑ FIRE DAMAGE L] DEMOLITION P-IRESIDENCE Cl COMM ClEDUCATIONAL 1:1GOV'T C RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE C3 SlA80 FEW;E oc-.UPANCY LAND USE 7.ONE �� BLQG TYPE FIRE ZONF �' _PLAN CHECK BY HEAT__ �)tWER OCC.LOAD FLOOR L04D HEIGHT NO.STORIE 1 AREA rte" NO.BEDROOMS VA.L' 'e BUILDING DEPARTMENT — SETBACKS FRONT -- REAR LEFT SIDE - RIGHT SIDE---- P,rmIt _ . J� T141S PERMIT IS ISSUED SUBJECT TO TOE REGULATIONS CONTAINED IN THE I•.UILDING CODE. ZOWN" REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREOY AGREED TY.A.T 7H (Plan Check V I d WORK WILL HE DONE IN ACCORDANCE 'NITH THE PLANS AND SPECIFICATIONS AND IN COTAPLIANC! �f VITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIV: 5v rtelal d O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITT HUSINES� C— --- UCEitSE_ �FPARATE PEMMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. Stata Tax yU SDC.— TotalI PDCN APPLICANT OFi AGENT By _ Receipt No. PpADDRESS — ------ -- - ior�r ------ roved SOC - PDC SEWER CONNECTION S __ SEWER INSPECTION 5 SEWER SURCHARGE S i Address Permit No. f v Name of Oc^upant Permit charge J��►ti�.e. ,r LQ f Paid by Date connected Type of Building_ Inspection fee Service Rate_ V ✓ Paid by __Date Contrr !or Assessment----Paid----.---- Size ssessment --Paid___ __.__—_Size of connection- i