11155 SW 93RD AVENUE s �
11155 SW 93RD AVENUE
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BUILDING, PERMIT APPLICATION TIGARD DA1'E—__ »�/_�—,19_ ` i 389 f
THF �jNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNO._ 1 � •�
OWNER rOngtT_ JO ADDRESS 1115 5 !7",,, 93r! OCoU-rt _
ARCHITECT
ENGINEER
BUILDER 8alne _- _ ADDRESS i?955 `t`.' t'.t7nmer.Ci�l1 cat9ESIGNER ',i.Chf'.nell, Inc.
STRUCTURE MAIEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL 1-1 FIRE DAMAGE ❑ DEMOLITION
IXRESID_ENCE 1] COMM '-1EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ElPATIO E CARPORT ❑ GARAGE ❑ STORAGE C' SLAB❑ FENCE
OCG.IPANCY 73 LAND USE ZONE '" BLDG.TYPE ?1'-FIRE ZONE_ ""PLAN CHECK BY -�±HEAT._ i�'C•
rhnstruc tifir,lc family c!o*,1a111tZr► tv/att. ci,ntii rTar ay. UPeeiroovn I Path.
of !'-- it 43a,1n (1117`*. 93rd Court-.)
SEWER PERMIT M ;? i L1 - `i li• :i:) _ ti°t1 X A ��" 3�'
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES, 1 AREA Is70 NO.BEDROOMS 3 VALIJISR 9 C
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 44 LEFT SIDE l; R;GHT SIDE
Permit iF THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
_Plan Check i f'•00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
^J WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total i�''1 •n� RESTP.iCTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax °' 6.04
SDC-
Total s 1.6� •1l4
PDCM X $10010 APPLICANT OR AGENT
Bt�1
Approved t�t�iF1 Receipt O. ' • / ,' � 'ADDRESS _. _ - -- PHONE
l
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE —
�,4/ 5 3!1/
i
- � — Permit No. a? fib
Roukh•in - -- -
-T Fi x to re ----__-
Final ---_ �-
' � HEATING
-
..-�� Contractor
Permit No.
--"^--- -- -- Gas or Oil
Rough-in
Final
-- SEWER
--—�- -�.- -- - Final
--T— - DRIVEWRY
- -�-- Final
Storm Dralnagr
(Rain Drain)Final _
Sidewalk
- - Curb&3treet Final
Approach
BLDG. DEPT.FINALTEMPORARY CERTIFICATE OCa.a+��NCY Final
CERTIFICATE OCCUPANCY )- J �- ,
r 1 0 II Landscaping
1J Zoning Finer
I
BUILDING PERMIT APPLICATION T I G A 7 DAT
THE UNDERSIGNED HEHEBY APPLIES FOR A PERMIT FOR THE WOnK HEREIN i DICATED BUILDER PHONE 414y--oo(0o
OR AS SHOWN AND APPROVED IN THE ACCOMIPANYING PLANS ANR SPECIFICATIONS, OWNER PHONE
_ M' a �1 '• ee _ s rti►s
0'-A".IER FAL C O N CO1►SM11C-08EIJAI D�, Lor r10.�_RESS �� I�J' `V 13-�'--• �•�".
--- - — -- ARCHITECT
ENGINEER A 1
BUILDER Gl�►'1� ADDRESS �S1`a MS MtQt�^o St
.DESIGNER /�lGq@MQ, �IMG.
STRUCTURE NEW —❑ REMODEL ❑ ADDITION r ❑ REFAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEtrOLITIOt
RESIDENCE�C .00110 1 ❑ EDUCATIONAL -'--I GOVT ❑ RELIGiOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STOR GE ❑ SLAP-0 FENCI
C•C-CUFANCY IS•9_ LAND USE ZONE BLDG.TYPE .,��N FIRE ZONE-=PLAN CHECK BY HEAT E
- - 0&4ht k.A�a hyo e 1 ✓+4 1 f ^4,*Ak d CYAwk
300 617 -13LO
SEWER PERMIT it, —` ANQ 3--Z I
OCC.LOAD FLOOR LOAD D HEIGHT At NO.STORIES AREA_ � �D NO.BEOROOh•!S J VhLUc3 O♦O'
BUILDINGDEPARTMENTSETBACKS FRONT REAR LEFT SIDE G RIGHTSIDE 23
F'^rt7tlt �•�Q THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON:!!C
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGPEED THAT THI
�IanGheck d, WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND 1N CO;.,r-LIA1401
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIF:
I u_5-fatal ���• ��' RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT Cirf EJSINES:
—� o* LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
StBta Tex �j/ /+
Total aaJ �oh
POC# APPLIG AANT
By Receipt No. _
Approved PHONE
Dov
DC - � 1 °O
cwER CONNECT ION S_ _.7 7-�-
EWER - INSPECTION _ 6
;EtJER SURCHARGE 5
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