14650 SW 92ND AVENUE �MIWWWW��
14650 SW 92ND AVENUE —
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CIT -1- � 4 aBUILDING PERMIT APP _iCATION oFTIGARDDATE — —. 19 � OKN
THE UNDERSIGNED HEREBY APPLIES FOR 4PERMIT FOR THE WORK, HEREIN INDICATED BUILDERPHONE Ej2Qu27-,2
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONI: _
w tew .M Yiut t , LOT NO.-.
�.IQ :aIY �x!(� �.VE..
OWNERJOB ADC 7ESS HOME ADDRESS
_ -- ARCHITEI_
Dan ).w1frias ENGINEER
BUILDER P .)DRE;SSi —` ^_ DESIGNER
STRUCTURE ❑NEW ❑REMODE:L QAUDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
"El RESIDENCE ❑COMM 0FDL)CATI0NNL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE LJSTORAGE❑FLAB ❑FENCE
DBOND ❑MOVING ❑CJN ITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVFLD ❑SIGNS
OCCUPANCY`—.-.LAND USE ZONE..BLDG.TYPE FIRE ZONE_ PLAN CHECK BY_�— HEAT__.
a 6t. Nxlc: cbo& a:l per pi"'. requireu Rncnorsi;' sled tot'd and pARM rR115 W u
k~ d ..___
C.LOAD _-_ELS?9'_ LOAD —._ HE1C�JiL.—__ ,1�R.$IQ91ES ABJEA_.�_�iIZE�H441titS__—YAl.�IE
BUILDING DEPART HENT SET BACIe< FRONT - REAR LEFT SIDE RIGHT SIDE
Permit 1111
. —=-- --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING 'ODF, ZONING
Plan Check REGULATI JNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WIL _BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COf1.1PLIANCE WITH
Sub-total _ ;.>4.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE CIJ%PFNANTS. CONTRACTOR AND SUB XNTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE fEPARATE PERMITS REQUIRED FOR FEWER, PLUMBING AND HEATING.
Total � •
By
--i A—.If q"T QR AQENT f
Approved >t.l _ Receipt No 1
AGURES! �^ PHORK
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
� • —0�� __ Contractor !_
Permit No.
Rou h-in
Fixture
_ Fin3l _
1 HEATING
_ 1 v Contractor
_ Permit No.
Gas or Oil
Rough in
_ Final
^~ SEWER
Final
DRIVEWAY T
Final
Storm Drainage
(Rain Drain) Final
- �� _ --- -- --------------..._ Sidewalk -- —
I Cure&Street Final
App ru.:h
SLOG DEPT. FINAL TEMPORARY CERTIFiCAlE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
1
1
SUILDING PLRMIT APPLICATION "OF
"' TIG;�,RD DATE���'S __._. 19.y! N2
4F LINDE H�:iGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BLIILDER NHONE_�7� 9f'?_
L-F A SHOWN AND APPROVED IN THE ACCOMPANYING PLANS JD SPECIF ICAT IONS. 01+"JAR PHONF4d62d1- ' '7
LOT NO.
JOB ADDRESS L� _/ -- —
W � OME ADDRESS
ARCHITECT
ENGINEER
ADDRESS_ DESIGNER �—
"'URE _ONEW �0REMODEL DDITION ❑REPAIR ❑RENEWAL [3FIRE DAMAGE ❑DEMOLITION
x• 11'NCE OCOMM ❑EDUCATIONAL ❑GOV'T ORELIGIOUSOt'ATIV OCARPORT ❑GARAGE OSTORAGEOSLAB ❑FENCE
-]?"NL CMOVING ❑CONDITIONAL USE ODESICN REVIEW OCOUNCIL APPROVED ❑SIGNS
- --- -- - _ /
l F'NCV L AND USE ZONc_. BLDG TYPE__ A/--FIRE ZONE— PLAN CHECK BY--� �
- — —e. n —
of
l:_ L.OaD -- FLOSZfll4PQ- -- --H€!St►±?. --- rN�..;zLQflIES �._1P_ q---- f4Q_ja.ELtROOM&_ VALU lQ®p_
M BUILDING DEPARTMENT SE7 BACKS FRONT REAR LEFT SIDE RIGHT SIDE '
`
. '7 TRIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 9U,'_DING CODE, 20NING
Man Check VIIFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE7v AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLAYS AND SPECIFICATIONS P-A"�IN COMPL.IANCF. WITH
SUb total 0 d` ALL APPLICABLECODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
L - RLSTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
`;tateTax LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total ts
by
--- .--_ --- _._ . - --------- APLL ICAN7 OP AGENT
Apprcrved Recelpl No.
. -� ---�-- A73tIH(S5-
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE 10-+29 74N2 .0103
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 634-37b(
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —
OWNEN --� 14�JZ� � � •
— .-- PHONE
ENGINEER
ARCHITL-CT _ G_ESIGNSR
STRUCTURE TRUCTURv ONEW REMODEL ❑ADDITION : ❑
, ❑REPAIR ❑RENEWAL ❑FIREDAMAGDEMOLITION
O RESIDENCE_ ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO CICAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE.
❑BOND Y ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPP.OVED ❑SIGNS �—
OCCUPANCY _!..AND USE ZONE _BLDG.TYPE _,FIRE ZCINE— PLAN CHECK BY_ HEAT
ci npltating the basoment r res -- =-
OCC. LOAD A_ FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit --- --THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 1HE 9UILDING CODE, ZONING
Plan ;;heck 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 D.ND IN COMPLIANCt.WITH
Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF PHIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State sQA LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total �•Q8
By
APP1.!CAN, (+N A(:r NT `-
Approved Receipt No.
PHONE _
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
�Ta�a
NO-
—� Contractor
Permit No. T�
Rou h•in_
Fixture
Final _
HEATING
Contractor
Permit No. --
Gas or Oil
— Rou h-in
Final
— - — — ----- SEWER
— Final _
DRIVEWAY
-- — — Final
Storm Drainage
(Rain Drains Final
---- _ Sidewalk
Curb&Street Final
Approach _ _
BLDG.DEPT. FINAL TEMPORARY W CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zonmq Final
AddressI46SO-AV 9a7 ,40 Permit No. /Q 3 7
Name of Occupant Permit charge?
Connection fee 2 XO — '
Paid by
Date connected / D -.2
Type of Building_4�40__ Inspection feeleto
Service Rate Paid by _ Date _
Contractor— Aneament Paid
Size of connection_
PERMIT TO CONNECT
Tigard. Sanitary District
PERMIT N9 1037 DATE �� �•'�, ✓�i' '�
PERMIT IS GIVEN TG
OF --_`�—� — �I f rCa.. ._s .`e w r �e4q`y — sC
TO CONNECT A �•�w � "-
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLFTED.
PERMIT FEE PAID $...::.........? ,.,•......TIGARD SANITARY DISTRICT
By
- ------- - - - --- -
CONNECTION INSPECTED AND APPROVED
-- Date