14960 SW 92ND AVENUE-1 14960 SW 92ND AVENiE
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BUILDING PERMIT APPLICATION TIGARD DATE 3283
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
LOTN0. 2W"Lr1LiYt;: Lynda
OWNER Tam Biller JOBADDRESS 14960 SW 92nd ;,vi�nur;
ARCHITECT
ENGINEER
BUILDER f OMO ADDRESd i4800 SL! 92nd AVenU DESIGNER
S RUCTURE 1� NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL_ ❑ FIRE DAIAAGE ❑ DEMOLITION
E(RESIDENCE D(GOMM CI EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Irl GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONE R"7 BLDG.TYPE ' FIRE ZONE PLAN CHECK BY _.dwh HEAT_ 118C-
Construct
1eC.Construct single family dwelling w/attached r.,,-rage. 3 t3edroome - 2 Liaths.
RIF-Ii SUE of Permit 113150 (1210u SU Ann Pl�ics)
SEWER PERMIT#2196E — q?50t8Q _.-------
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 NO.STORIES 1 AREA 1 A ICU NO.BEDROOMS 3 VALUi'•;� ,
BUILbINC DEP
ARTMENT SET BACKS FRONT ?I' REAR LEFT SIDE 9 RIGHT SIDE
Permit Ui! THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 11 1.0100 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 209.UU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax /t _, 7. 96 ,>4UU.W (
—)� � - -
Total f 216.96 SDC -
PDC# Y I Sim O(T APPLICANTORAGENT �• r,r
By P1
Approved dwh Receipt No. '
jADDRESS ��— __ — O E
DATi: INSP. TYPE INSPECTION1 REMARKS PLUMBING DATE
7- "QF --`— Con.._ ir
1A -c0 S%^ ---- Permit No. .29 /Z-
ip-Y Is"A C p/. d K.�.1� I Ro'igh-in
, ll.l !I v __ --------- ----- Fixture -- ——--
�-IS' Final
W.ATING
Contractor-
------I -- - ---�----- ---- - Permit No. I Lc Y7 1:2
Gas or Oil
Rough-in ---
- ----- -
Final - -.
-- - --- - ----- Final 0- ('�-' dr" hC --------
DRIVLWAY
— Final --
Storm Drainelp
(Rain Drain)Final
Sidewalk
Curb✓y Strnet Final
_ Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATEOC CUP CY
CERTIFICATE OCCUPANCY Finnl
l-andscaring
.--T� 7c.nirI Final _._.
w wLaw—Lw M f w #f
BUILDING PERMIT APPLICATION TIGA?0 D;%, F" ts� 9283
THE UNDERSIGNED HEHF-D';APPLIES FOR A PERMIT FOR ThiE WORK HEREIN IN ICATED BUILDER PHONE
OR AS SHOWN 4ND APPROV177 IN THF.ACCOMPANYING PLANS AM0t�PECIFICATIONS. OWNER PHONE
O W N c ROWI (/
'!.101(e(- JOBADDRESF /49(00 SC� 1 �e., r LOT NO k
— � .—
ARCHITECT
ENGINEER
BUILDER wl-e - ADDRESS SlV �Z "" e' DESIGNER
STRUCTURE NEN:- U REMOnEL ❑ ADDITION —C REPAIR _❑ RENEWAL ❑ FIRE DAMAGE 0 DEMOLITION
RESIDENCE C COMM 0 EDU:ATIONAL CI GOVT ❑ RELIGIOUS ❑ PATIO C CARPORT ❑ GARAGE C STORAGE SL AE=_ FENCE.
OCCUPANCY '�.LAND USE ZONE Q-BLDG.TYPE � __FIRE ZONE
---?--PLAN CHECK BY ��HEAT_JAR•— _Y_
oAnn
SEWER PERMIT q — (.0
OCC.LOA FLOOR LOAD 40 HEIGHT NO.STORIES_-� AREA Z#CP(p NO.9EOROOMS VA,LUE�f��
SUILCING DERARTMENT SET BACKS FRONT .2(, w—REAR 3.4— LEFT SIC 9 RIGHT SIDE 2
Permit _Zqq.00 THIS PERMIT !S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUiLDING CGDE, ZOtt'NG
REGULATIOP43 ANP ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT -1 FIE
Plan Check ! WORK WILL BE CJNE :N ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN Ct MPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su')-total _ �'�m� RESTRICTIVE COVENANIC ILONTR:,DTOR ANG SUB CONTRACTORS TO HAVE CURRENT CITY BUGINES:
LICENSE.SEPARATE.PERMITS REOUIHED FOR SEWER,PLUMBING AND HEATING.
State Tax
--� 719 SDC —
Total � 40APPL --- -- - -- — — ---
POCM ICANT OF AGENT
By
Receipt No.
Approved ADDRESS _ - PHONE
S 0 C - 7" .
POC - S - # � C� sd
SEWER CONNECTION $ �LZ-�_. /q-o�O ev 33.40 46-,9&0
Sr'JER 1 v5-P CTION $ -_- lv /k �U �y
SEWER SURCHARGE
X0 a
Comments . RQc, _ 7-�l J/
1
BUILDING DEPARTMENT, TIGARD T �i
J
PLUMBING PERMIT
:11 O Z
holder of a valid plUfflbing contractors IicEnse is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of !
Tigard. `,uch installation-. require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required -
for all contractors and subcontractors.
Job
Owner :2),4 - — Address , C_ �?.5 �_1'� Date_-/ � �� -- I
_ — - -
NUMBER OF
TOTAL
TYPE OF PERMIT ITENI S FEE ON EACH AMOUNT
1 A
Sinx:e.Family-1 bath—each _ 25.00 —
Cu 'ax--Each 1 With unit 25.00
Additional bothroums—each — r 10.00
Mobile Home SStace-_each _ 15.00
16)OIVIDUat FrxTURES CQMMERCXA!
1 to 60 Fixtures In 1 building–each_ 3.00
Of to 100 Fixtures in I building–each 2.50 •
101 to ..00 Fixtures in 1 building–each 2.00
= 201 or more Fixtures in 1 buildin –each 1.50 —
h11�SCELLAN_60US
additional 100 ft. 10.00
~'Nater Service to building �5.00 --�
PERMIT 6'D for Plumbing Inspection Phone 6394171 �� - i
4 o state _ i Plumbing Contractor Cy
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