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BUILDING PERMIT APPLICATION TIGARD DATE_- 3099
THE UNDERSIGNED HERE BY APPLIES FOR A PERMIT FOR 1 HE WOHK HEREIN INDICATED BIALDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PIJONE —
LOT NC. `4 b 01-60brook
OWNER rllm Jades U81t8T$OBADDRESS 1459b SW 918t Court Terrace
-"T 11RCHITEC-r�
ENGINEER
BUILCER J & J Remudalinq ADDRESS1636 NE 132nd DESIGNER J hemodeling
STRUCTURE ❑ NEW ❑ REMODEL ADDITION ❑ REPAIR O RENEWAL O FIRE DAMAGE ❑ DEMOLITION
JRESIDENCE L7 COMM ❑ F.DUCA11ONAL•❑_GOV'T L7RELwIOUS ❑ PATIO [ICA_7_PORT ❑ GARAGE [ISTORAGE ElSLABO FENCE
OCCUPANCY H-3—LAND USEZONc .._.i 7 -BLDG.TYPE ; N I FIRE ZONE__3_PLAN CHECK,BY _ PWN_HEAT-910--
Construct a 4' Y 130611 addition do Miscellaneous intarior Rizmodelinq.
SEE CORRECTION SHECT ATTACHED,
SEWER"ERMITM
OCC.L41AD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 61 NO.BEDROOMS -•_ VALUj3j 2Qf).
`B "I DING DEPARTMENT SET BACKS FRONT OK REAR LEFT SIDE_ RIGHT SIDE
Permit 128,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGUI ATIONS CONTAINED IN THE BUILCING COUPE. ZONING
— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE:
Plan Check 14.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AVD IN COMPLIANCE
112.�C WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 1.1:'
-- SDC- 1
Total $43.12
By
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Receipt No. �; G' P• 2^'`� �- y�-r 1 r� -
Approved i_ ESC F' AD DR PHONE
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REM tF.KS PLUMBING I DATE -
DATE INSP. TYPE INSPECTION -_
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Pt-mit No.AFouqh-in
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CP^,'IFICATE OC CUP NCY Final
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3IJILDING PERMIT APPLICATION CITY
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" -F LIN'); HSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED .aUILDERPHONE– -d.�L�_
�.� F?�(`WN AND APPROVED IN THE ACCOMPANYING P1 ANS AND SPECIFICATIONS. °wNtiYPHONE
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ARCHITECT
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E c S J M(y ADDRESS L4 3lo�lc _-�4ufi____.—DESIGNER /
URE ❑NEW _. tt55 9ADDITION REPAIR ,[]RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
)C Gk NCE ❑C(.)MM_❑_EDUCATION4L- L_J_GOV'T`0REI.1GIQUS0-ATIO ❑CARPORT ❑GARAGE ❑STORAGEOSLAB []FENCE
FOND [:]MOVINGT CONDITIONAL USE ODESIGN�REVIEW ❑COUNCILAPPPOVED ❑SIGNS _^
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:.NCY LAND USE ZONE_R.._ �.._BLDG TYPFFIRE 70NE _—PLAN CHECK B�. HEATS_
121
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H I EILI�1S?�LG)5LE$__ /—.AfffA+-.&-.I—W-B.LDRc70M5__ VALUE3200_
BUILDING DEPAR7MEi4T SET BACKS FRONT^ I,gEARLEFT SIDE RIGHT SIDE
.—A L2
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check
^ ' RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
L-
�-+---- WORK WILL BE DANE IN ACCORDANCE WITH THa PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
�`Sub total ALL APPLICABLE CODES ANG ORDINANCES. THE ISSUANCE OF THIS PERMIT OOEE NOT WAIVE
- ----- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS tO HAVE CURRENT UTY BUSINESS
I
St„If Tex ) LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total �z
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