14780 SW 91ST AVENUE-1 W WAN
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14750 SW 91ST AVENUE -
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INSPECTION NOTICE
City of Tigard Building Depart t
P.O. Box 23397
Tigard, Oregon 9722'' •�/a-cljoC k
/�`� J Phone V9-4175 /
Type of Inspection fi 00 -s/ ' 1`_ •'�'Sfr�.' -•
Date Requested +2-.25'',�� _ — Time-- A.M. --P.M.
Address _i�/78U J ✓ ;�-T — ---
— — Permit #
Owner _--- Lot t`
Builder —_..-------
The following Building Code deficiencies are required to be corrected:
Presented to
— _ �Aripmved
Insl.mctor
---- ---- �.I Disapproved
Date Z - -�— — — —
CALL FOR REQ NSPECTION
❑ YF8 ❑ NO
CITY OF TIGARD IMECHANICAL. PERMIT ►i�d�N,*- _
Permit;ti
aae«io-
TabM sA YsollrMoal Cv" OTy "we "T
City of Tigard --
13125 S.W. Hall Blvd, 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 —--- -`�
Tigard„OR 972231 2) Supplemental Permh 3,00
639-4175 Furnace to 100,0BTU _-
1) 00 incl.ducts&vents 6.00
c7umace 100,000 BTU f-
`) incl.ducts&vents 7.50
Name of DeveiopnwN 3) Floor Furnaces -- - --
incl.vent 6.00
Job Address r J Suspended heater,wall heater
Address /`' , � l '?/� ?i`e 4) or fkxx mounted heater
-- 6.00
rax lcd Map No. 5) Vent not incl.in
f-a Mocxappliance permit 3.00
81iWWrlon __� --_-- --.•__-_
Name(or name of business) Repair of heating,ref rig.,
- 6) cooling,absorption unit -- -- 6.00
Owner 7)
Address prions 7) Boiler or comp to 3 HP --
----- absorp.unit to 100,000 BTU - - - --- 6.00
C+rY,stale 21p Boiler or comp to 31-lP- 15 HF
a) absorp.unit to 500,000 BTU T - -� 11.00 -
Nww - 9) Boiler or comp 15-30 HP
-�unit'A-1 million - 15.00
MNWV At*en '-- -- ph" 10) Boller ar cofr p tD 30.60 HP 22.50
1-1.76 million
C•(ntrector -.....Y -- --- -
�y a
Boiler orr
ler or olp to 50 HP
11 unk 1,760,000 BTU 31.50
stag A09W We No CRY&a.Tax Ne. 12) Air hwW unh to 4.''50
10,000(
I haaoy ad--Jute VW I he",ase tie Wplk.-aaon aa1 the H*xmaaon WOW r 13) Air hanea v unit 7.50
O—OM*0111 nm"owr+er or N*wA sd r _10,0001 �-
rp«rf d Ow owrw,ail prrr subrnlaed an ti
oorrxfllance wlar sir lows,tra I am realarne wfw go ttffar fkidere,am ,#W to t 4) Non pptat>ae 4.50
manber 0—r o«na.IN as ernpl if=ON"npiMnson pNeae pit meow W400), evapontlts 0001or
G,t ATi (cps +C� t z P ZG Vent fan connected ----- -- --- F 15) to a single duct 300
_-- -- Ventilation system not
.-� I c -- - 16) Included in appliance permit --- 4.50 -
1taust a.50
t1101wre Iow1M►a aranti 1�eie
Oeaae work O addition O alteration t9 repair
ibO 18) 7.50
bbedone ratidclfAal a non-reeldereal p 19) Cwnmardldorindustrlal - --
E-deft use of - - _ type
tx111clnpi or propdrllr`2'2 `7 •2Z4' Other I. ��vaW -
Proposed use of 20) heater, ,NC. / 4.50
buf"ng or properly -
- 21) Gas pOft ore to lour outift 2.00
Type of fuel - oil (] natural gas I I LPG Cl electric I I --
22) More than 4-per outlet
Nonce ------
THIS PERMI T BECOMES NUL. AND VOID IF WORK OR CON- --- 908-TOTAL FW
ST14I)C"ON AUT14ORIZED IS NOT COMMENCED WITHIN 1905%o 406 SURCHARGE
DAYS. OR OF COMTRUCTKM On tltltr W a at`flrril WW an IIfMEN tax of su&ToW
ABANDONED FOR A PERIOD Or 110 DAYS AT ANY TIME AFTER ----
WORK IS COMMENCED TOTAL. 4�
Special Conditions
- Oare I39UA(f
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'1
INSPECTION NOTICE
City of Tigard Building Department
P.0 Box 23397
Tigard, Oregon 97223
Phone. 639-4175 p
Type of Inspection
Date Requested�__._/, I_ l� _T_i�me A. P.
Address _ _/T —21 Permit
Permit #
Owner -jyis�ec-� Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
/—
A.5
- T.�cis,� --
s�) ?iv.mac/ AT-'-
S_J NS C/L–/1 Ti L Z LTJ �l/d T'
Presented to ❑ Approved
InspectorL4Diupproved
Date
CALL FOR REINSPECTION
eloo"YE= ONO
INSPECTION NOTICE
City of Tigard Building Department la 9
P.O Box 23397
Tigard. Oregon 97223
Phone: 639.4175
Type of Inspection ._ ___..._.._.__--
Date Requested. (,D - / U_ Time v A.M. P.M.
Address -7 t✓ Permit # 7_Z
Owner_ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
i4�o.h v
— T ra
Presented to _ _. - Approved
Inspector Disapproved
Date tJ
CALL FOR REINSPECTION
,.0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.Q. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _fig i �► Lam. _ _�
Date Requested_ _________�� "�� Time A.M._e_P.M.
Address Permit #l ;7/ ;Z..
Owner Lot #
Builder
The following Building Code deficiencies are required to he corrected:
i
�6�✓c'�-C�.t1�� G�i�a..� �-+-1�t�.o.-,-y-��rL,,� L. t�rCt �L[i��/f�t�
Presented to ❑ Approved
Inspector _� 1 t'5isapproved
Date
CALL FOR REINSPECTION
9�ryn ❑ NO
;r
INSPECTION Nf1TICE
Citv of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection !'-'r�''
Date Requested - 9�_' & � Time A.M. / P.M.
Addrsse /y 7'W<,� 29 ----- Permit
Owner Lot # ---- _---.
Builder_ - - --------The following Building Code deficiencies are required to be corrected:
Z� �
Presented to — CJ Approved
Inspector _— ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
CITY OF TIGARD PLUMBING Blvd
Applkants must hold CW"on Registration to con&od a plumbing PERMIT nWd631�- C
business or mant be property owner/operator not hiring outside help.
Name of Devolopn er t -
PlumbmµPermit No:".
Address i Deeplp0on -
�Y ORS 614-21-010 WAN. PliICE AMT
'Job Tax Lot Mp.No.
Arfdrlsu
FIXTURES _
Lot Block mon S --- --- 7.50 7 5Z7
1�16i none asT// Lsvabry7.50 2
-� Tub a Tub/Shower Con* / 750 7 s-u
ass Shower Onty -- - - - 1 50 -- 7 1 Z
Owner
WeterctosM 3 750
Z rt
/.,isle ---�- -- - __-- � •- ---- -_---
Dishwasher 7!0 f S Z
------ ----- Phone GarbageDisposai 1 50
Name
Washing Mactune 7 50 S-_)
- -
Fba Dram 1 50
my res!• -` - Phone- Water Neater - - �� 7 50
Occupant Cky/Stale --��--. Laun9ry Room Tray - - , 1 50
zipUnreal 7 50
Narne ^� o�r>A- Other Flxhxes(Specify) - - -1 50 - -
7 so
contractor U1y/Stab -- Zp - ?so
MISCELLANEOUS _
-- ---�- Sm tax No sewer i of 1 ar 3000
StWe Mcigs.Board No —7lale s a Sewer+a.Addtt. 100 l - _ IS 00
( +►) WaW Servtoe 1 of 100 _ 2000 �1
I hereby mclu Wpe that I hew reed tlrb&OW, Uon.fW the Irnlorm dcn Wow serma" mm XO' _ __ . Is 00 _
t7h,an is oo ect.fW I em rogWo d wMh to Stab&rider'd Pom end ebo Storm k Rein DnWn t of 100 3000
hew a Stye Pkrrrlblrlq Noone lho 1fw nunitwa given am oomaot OW#A
04-0ng wolc will be dor»In e000rdarroe with appkcabb Oroubione of Ora- Sloan g Pyn Dain A" 100' - 1500
pore Rev1 W SteUme Chaplore 417 mod tial arrd WpGm tda oodee wd Vul MatAe Home Spe[s 2500
no f»b wN be avVbyW urdm Nouned under ORS W1(If eroanpl Prom - - - -- --
Slab mo'*0W3m Osseo plve reason beiml Sadr Fkyw Prewrnoon
HOMEOWNERS-1 hereby osrWy treat I am 11w orrr m d the property de• Devbe or AnMWlok*4n tHvrw 7 so
scribed above.at wIdd 1ooaMon 1 propose to i W-a pkovd*p knb idgm►w Any Trp or West plot
my own use and We WMate Y not bekq emolruded for eab.Mess or MOV Ocrrrsded to•Pda" ►•0
ce"Begin 190
Aber,of PhmifA w0film
R fX�4-�i an Erdarrq edge — - 100 w4n_-
Atm10RtZF SXL04ATURE �Dw New .or Build.Addwon
Deraft t< rt
woy�
r .i►�y� tud
�d�ttt�o �
yn(7 � *��^y,C�]y� ���F.1 dr+ellim �1 15.CA j
Edd 10 un of
- ---- -- F - -- VOW
Wo /T ;
tl1Mt/ ol b*W W 04 wo vW4 m*w arrow tbn o.Narxltlsd tr art sere}
'�~ ��IIMMprtttl a►weAtiMlt�rsds8 rx tbrlsanM IM
�r�MIM�►r,eth to a�asttslMlae ,
D"
f
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested � T' e� Nf _P.M.
Address ryl `'—" Permit #
Owner L-1== Lot #--
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ '---v�Y—_"---- — Approved
Inspector _ _ ❑ Disapproved
Date _
CALL FOR'REINSPECTION
DYES ❑ NO
i
BUILDING PERMIT APPLICATION � DATE = � '�� _ ts �7
6712
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 6237(77
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAI-IONS. OWNER PHONE_ —
a )Mmbn 4 T 1 Cfi
LOT NO.
OWNER 11 Mil-IjOr JOca ADDRESS A780 W 91nt Durr. _ 2SI-11AD
MCTY.WW ood OP 97140ARCHITECT i ta1dr.
Sam 1078 N. 'xra[xi[1 Tl- I ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE — E31NEW _ ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Cj RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ �-;LAND USE ZONE R4.5PV BLDG.TYPE q FIREZONEr_PLAN CHLCK BY EW HEAT T
r'cmtrur_t sx ;:i.. family chrr.1.11 r w/attactxx3 garage rill per cqT nvnd yx1 mr.. Ribject to 35 cuic.
SEWERPERMITM "417 (Jk11) 3 bLith, 10 t2^vm 'klrrW, 47.6
OCC.LOAD FLOOR LOAD 40 HEIGHT 201' NO.STORIES 2 AREA 1924 NO.BEDROOMS VALUE `'3#000
BUILDING DEPARTMENT SETBACKS FRONT ?..1. REAR 39 LEFT SIDE 7 RIGHT SIDE
Permit 382. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
2413.Tt REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check I 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
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1J.7>� LICENSE.SEPARATE PERMITS REOU!RED FOR SEWER,PLUMBING AND HEATING.
Stele Tax
Total 6ft58 SDC—
- -
100.00 PDC TI 150.00 APPLICANT OR AGE 1�'T
By x
Approved 545.5(1
Receipt No. A DRE88 PHONE
M v fff
ill,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
S-- 7 _ ---- ----------- Contractor s- �7 .� —
C __L� Qi� /_ ^y Permit No. S7 U 2 —
f-lam- ' /�1,.�- S /''� Rough-in 1 -- —
—'� Fixture
6-/o -��G _.1✓S�G�L �fZ'�--._--___ HEATING l
6 y/-F� Tei«•= -Oi_�c —+ _ Contractor (' ,, A
6 - Permit No. y
Gas or Oil
Rough-in
Final
.. -- ---- --------- -- SEWER
^— - ---- Final -
- DRIVEWAY -- ---
- ---- ------- Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _—
Landaceping
Zoning Final
a n � t sr r i■f
CITY OF TIGAR® MECHANICAL PERMIT ----
Pemit!C `
Deeatptlon
City of Tigard Tabie aA Moohmn"Coes --- Wy MMOL ANT
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 2339'7 -
Tigard, OR 97223 2) Supplernentel Permit 3.00
639-4175 Furnace to 100.000 BTU ^
1 Ind.ducts d vents I 6.00
2) Fumaco 100,000 BTU +
Ind.ducts b vents ��ff7
rr"Te or -- Floor Furnace
3) Ind.vent
Job �ddreu --.--- -, Suspended heater,wall heaterAddress �- ,� 4) or floor mounted heater Tarr L , Map No % 5 Vent not incl,in
tot 9� � ) appliance permit
Name(or nam or business) Repair of heating,refrlg - ----
�, t') cooling,absorption unit 6.00
Owner "ling Address Ph" 7) Boiler or comp to 3 HP
absorp,unit to 100,000 BTU 6 00
c-yrgtate aP - - 8) Boiler or oomp to 3 HP-15 HP -
_absorp.unit to 500,000 BTU 11.00
fn's Bolleror;om 15-30 HP
�1Lc1� 9) absorp.unit 1/9 t million 15.00
Mawng ee° Pitons — Boller Or comp to 30-50 HP
--
10)
Contractor _. aheorp.urtlt 1-1.75 nAllon 22.50
�/mss �' 11) Wier or comp to 50 HP -
abswp,unit 1,750,000 BTU 31.50
state Fiegteo-stton Nr, �Bite r"No 12) Air handling unit to
10 000 CFM 4.50
h"r"tJ) "r*J,o"'tsova that i new reed nNa aPPtaatan tiW ins ktlortnstlon given n 13) .4tr handling unit _-
':crr"ct nest em the owner a&&lofed 10,000 CFM + 7.50
spare d�overset,tttst Mane abrtwlw w to
ornpear1ce vers-Stale taws,the 1 em regiewed ash nn stale BLAd".Board.nisi the Nan portable _+
number a"eh�conal rn eeempt ttm,9>aa MgWva*n 00me give meson below) 14) evaporate 000ier 4,130
Vent tan connected
- -- - -- 15) to a sl duct =� 3,00
Ventflabon system not
lrxduded in applianoe 4.50
Z2/ 1 Hood ee VW by ��
1 tneotwlloal exhaust 4/J C
(owner or ager-) tris DOfnaettc type
Describe work ❑ alteration ❑ ►spall [� 1 e) h ch m stor 7.80
to be dorso_ residential non-feekWtial C3 CommtaKdal or Industrial
Existing use of 10) type Indnerafor 00.00
building or property __-- Other i.e.,woodstove,watef _ _
Proposed uee of -- - �) heater,aclmr,cWm etc. 450
11UOldlnp or property
21) Om plptnp ons to torr outift 11.00
22) More than 4-per outlet
IDIS PERMiI BECOMES NfU1,(t IIM6 V�IpilFti MbRK OR StWTQTA� ,
STRUCTION ANTI R p ,s T,, C1ED Ctoo
ON
DAYS, OR IF C0NMl)CTje*044%4�pK lip SUt lbl�b iXO1tJMl��1AlIOt <;,
ASMIDONED FOR A PER100 of iso DAY>d AT ANY TiW APTEq PLAN RIV"W%OP gWll y*M %g
D•
Tel" b
Dale Issued— ` by
s
(dpi n :10'Irff
PLAN LIILLK NU.
for inshecr. ions call 639417')
L
CITY UFTIGARD 639-4171 PERMIT NO.
�JATE April 28
BUILDING PERMIT
P.O. Box 23397, Tigard OR 97223 TAXMAP .— r.OTNO. 15 SUt%DIVISION Mallard
OWNEa JOB ADD'/ESS � 7kn Lake
BUILDER Tom Miller Builder , I -ic . STATE AEG.NO._ EXP.DATE .
BUILDER'S PHONE 625-6167
_
ARCHITECT � PHONE OTHER -i
STRUCTURE (y NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE O OTHER 0 OEMOLITION
ESIDENCE ❑ COMM ❑ EDUCATION /�❑ INC) ❑rRE•LLIGIOUS ❑ACCESSORY U GARAGE ��0 OTHER U FENCE
OCCUPANCY LAND USE ZONE� NLD(;.TYPE FIRE ZANf ''-' PLAN CHECK 0V _K•1.Z of AT
Construct single farm- -dwei 1 inq w1s3Li�ihed a;4rAP All per T ;,
--SUW.c LQ 85 code -- ---- _- - — - _
SEWER PERM,TI_;� q'7 -(Idu) baths,�d [raps g ,Jge area26 -- - ---`___V -
OCC.LOAD _FLOOR LOAD t� (i HEIGHT.-24 � NO.STORIES y AREA jf,7el NO.BEDROOMS vAE U Aja
-BUILDING DEPARTMENT SETBACKS FRONT .111 REAR LEFT SIDE -7 RIGH. SIDE
p +Z THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING:
REGUU1T10NS AND ALL APPI.ICAFLE CODES AND ORDINANCES,AND IT IS HERESY AGREED THAT THE
Ptah Chock Tr 3a WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCI
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT «DES NOT WAIVE
PI.CIL Fkv RESTRICTIVE COVENANTS. CONTRAC f)R AND SUB CONTRACT ORS TO HAVE CURRENT CITY BUSANES`
TAX PEAMITS.SEF ARATE PERMITS REOUERED FOR SEWER.PLUM RING AND HEATING.
Slate Tau - - -�� 55r r-
Total SDC
_,.� J APoLIC�.I:iUAAGENT _-- -
Por
P"°°______ y L 11478 N. Sherwoosi__. v_s�, he�wood} OR 625-616
Las 1.D � RecMDI No ADDRESS PfiOHI
_ ue S0- IIIue]B i__._—Approved 0T_— _
SSDC =L
SOC - � (o O o
RECEIPT a
POC —
DATE PD. y ff
SCUER CONNECTION 5 �r AMOUNT PD.,,-,-,1
SEUCF INSPECTION S
5C1JER SURCHARGE S
rl r1 e n t O : �f)!�/ bi •I r _ .r.�=ii"� T {�-f�1��'`�-- ---
S�y )f_1we y r 7 7, 7
-- -- -
Sv 4V1� I/,1I �.... .
IF1�zw
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : t-(' �
PLAN CHECK APPLICATION DATE RECEIVED: e.(2 g Ih' 7
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: /e� �
This is to certify that the attached 1 sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, - edition.
PROPERTY OWNER: dig;,, /�% �( OWNER'S ADDRESS:
CONTRACTOR: , • , TELEPHONE: 2 S — Co 6 7
JOB ADDRESS: +C) LOT NO. 6 MAP: Is /Y��r�� /0Z1-
DESCRIPTION
a/PDESCRIPTION OF WORK.:
Approvals Required SPECIAL NOTES
OPlanning Dept . O Reissue
OEngineering Dept . O Flood Plain/Sensitive Lands
OFire District O Sewer. Availability
OOther 0 Other
Items Required
(J List of subcontractors
C—) Business Tax
alculations
russ Details
Parking Plan
0 Landscape Plan
OtherG
COMMENTS:
City of Tigard Building Department
BY:G2-C.{
Q � t
CITYOF TIIFARD
April 9, 1987 OREGON
25 Years of Sen4ce
1961-1986
Tom Miller re: plan check #4-14-R
1478 N. Sherwood Blvd. Lot 15 , Mallard Lakes
Sherwood OR 97140 14780 SW 91st Ave.
Dear Tom:
The plans you submitted for the above-referenced lot have insufficient data
to make a plan check for compliance to the Uniform Building Code. Please
make the following corrections and then resubmit the plans to this office:
1. All sheets to be numbered and cross referenced
2 . Plot plan to show setbacks
3. Floor plan for each story required, showing all dimensions and
how they are connected
4 . Foundation plan to show all requirements for code minimum
standards
5 . At least three elevations are required
6. Complete fireplace details
7. Complete truss specifications(from manufacturer) if used
8. General notes and sj. �Icifications
If you have questi.ons about these requirements you might wish to consult
an architect or plans design service. Feel free to call this office if
we may be of further service.
Sincerely
EdlNard T. Walden
Plans Examiner/Building Inspector
ETW/jdo
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 —
PLAN CHLLK NU. y ��
for inspections call 639.-4175
PERMIT NO.
CITY OF TIGARD 69.4171 DATE 1 .7
BUILDING PERMIT
P.O. Box 23310, Tigard OR9 2?3 TAXMAP L.OTNO. SUBDIVISION
OWNER_ a ( '/'6� r - JOB ADDRESS �( 7 ALU
BUILDER ��//'1 t � _ STATE REG.110. EXP.DATE
BUILDER'S PHONE r
ARCHITECT 1vc PHONE_ _OTHER
STRUCTURE VjNEWI In REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER C7 DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATION ❑ ONO ❑ RELIGIOUS, ❑ACCESSORY O GARAGE ❑OTHER O FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZDNI PLAN CHECK BY HEAT
Construct single family dwellin --
V1
SllhjPcr to 8'j code --- ---
SEWERPEnt.UTI - -(ldu) baths, traps Garage area
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Pef^NI 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 Chock 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
LCkk.F RRESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE P MITSR OUIREDFOR SE�1NE PLUM08 N ANDHEATING.
SSOc /SOC- (AP%.ICA OA AGENT
PC"---- ----- Receipt No ADDRESS
Bal.Due
Issued R�- ---Approved By_
0 C
PUC
RECEIPT q _
- _
- -- DATE PD.
SCWER CONNECTION 5 AMOUNT PD.__—_____—�
SEWER INSPECTION S _
SEWER SUFCI 1RGE S
�)mmente : ---