16455 SW 93RD AVENUE 16455 SW 93RD AVENUE
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BUILDING PERMIT APPLICATION TIGARD oATE __ _ __--'- _-___,ts_...._ 5 568
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 62.0-1416 _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING, PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO..__-�
OWNER Tow ,imille r JOB ADDRESS 16455 93rd _ Kneeland-!,-at ,
Tigard, 97224 ARCHITECT
ENGINEER
BUILDER ADDRESS
Sww 18270 SW Boone s Ferry 'DESIGNER
STRUCTURE _Ga NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
a RESIDENCE 11COMM E) EDUCATIONAL ❑ GOWT ElRELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE [ISTORAGE ❑ SLABO FENCE
OCCUPANCY _47_LAND USE ZONE K-7 _BLDG.TYPE FIRE ZONE PLAN CHECK BY __gJW HEAT_CONSTRUCT SINGLL FAMILY DWELLING W/ATTACH01) GARAGE
RE-LSSU)` of Pemit 5281
/ Y 3 gAT1i1WX)M 4 BY.Dl W*q
SEWER PERMIT N 28533
UCC.LOAD FLOOR LVAD 40 HEIGH- 1815 NO.STORIES 2_AREA 1696 NO.BEDROOMS 4 VALUE i3 slJ00
BUILDING DEPARTMENT —SET BACKS FRC'rNT 20 REAR i oe l LEFT SIDE 1U RIGHT SIDE 10
Permit 352.UG THIS PERMIT IS 15LUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
4U.00 WORK
AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
.
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
392.00 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
14.Q1i Ll�fr SSE. 16RIRP PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
Stale Tax .
406.08 SDC- $ 500.00
fff )
—e
Total _ PDCN 1 T 150.00 APPLICANT OR AON7 /
By
Receipt No. «r� _� -�--
Approved $� , ADDRESS - _ - PHONE
N
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
. L-CcJ--, �•5r0 �t_�/
Permit No3
Rough-in
Fixture
l b_212j:� ------- --
pp! �Final �
/' O 06 �Q !� 10scs;d �'��'►7t/, --EATING --
_ ��J `icy Contractor 4Q1 1- 2 g�,
T Permit No. 3
Goa or Oil ^
Rough-in
�7' .� �� !✓LY - — .---- — Final
SEWER
01
Final
r� r CONf4dLrOP A 0,Coke- 10day L !7 DRIVEWAY
Final
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL Y'EMPORARY T CE'ITIPICATE OCCUPANCY N Final
CYk'fIF"ICATE OCCUPANCY
IIL.endscaping
Zoning Final
I
i
Ilui Idirig Permit Ilii ���
Locat ion
Uatc $�a-q
Cert i f icat ion of i<29istrat ion
With the Builders hoard
j -�ryj_ � , doing business as (dba) ,
am registered under the provision',
of ORS Chapter 701 Oregon Fiomebuilders Law) .
My 8u4. lders Board Registration llLanber is
My registration is in full force and effect and expires on
gg atur
THE UNOERSIGNEO HEREBY APPLIES FOR APER&II IFOIL THE WUItK NtkIcIN IMl)Il Al LU uUlwul Il(X&c� —
OvnvEr.�taott�
OR AS SHOWN ANO APPROVEO IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. LOT NO —
/ tot
�WNEIl7 ri ///�.(L
JOG AOORE55 '
/I ARCHITECT
�+1� �\ ENGINEER
_U.::i L y r L-f, AOORESi
ALUMI /C� c • (
❑Ael'Atti J ❑"ENE%-IAL ❑FIRE OA,1AAGE C]DE
STRUCTURE_— NEw ❑Rk`K10EL ❑AOOE'9. ----- - -
-" r-� C]PATIO ❑CAR PORT ❑GARAGE O STOA AGE CISLJ�BB
4 nesloc4cc l]COu.M L.IEDUCATIOHAL C]GOV•T ❑RELIGIONS
- =NQq=SEZOfjjE
►LAN CNECK BY_ ATPAr:_� RGLOG TYPE � � .� -�� -r
_FUUIJL Ll�lr '/AT.--TAc�HWn-GARA(:F:
_ ---CON STI�CT SINSLE .
-
�r
A ' BEDROOM
.aa U R . PERf1IT 3 - G Garage
H ✓{ �!I� NO.5T0�!���®� NQ.-B.EIl`3911�� __,1!!l�
Q" DAP FLOOR l_04� —�1F1Si-LL—-
'�/y j� LEFT AI HT 51Dfd�J
SIIILOIN•:OEPAn TMENT SET BACKS FRONT REAR rte_ -
I-- THIS PERMIT IS ISSUf:D•SUBJECT i0 THE RECUTATIONS CONTAINED IN THE BUILDING CODE
I y,rn C.htck ..; REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY ACREEL, 1
IJYOAK WILL RE MALL,
IN ACCOROANCE WITH THE PLANS AND SPECIFICATIONS AND IN COAIPLIFl
y�.,_t�t�l qy ALL. APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO
L RESTRICTIVE COVENA::-C. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREfiT CITY'
r` etR Tele LICENSE. SEPARATE PF.R&IIYS REOUIREO FOR SEWER,PLUMBING ANO HEATING.
� �` - SOC -
Tutml PDC#
}t:•/ APPLICANT OR AGENT
i
Ap44-1 i Netelpt No. _ -- - ►.oN
---
SDC (Storm) aQ �IU
SDC �+-
POc --
SEWER CONNECTION �.� __._._
SEWER INSPECTION
SEWER SURCHARGE S -
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