11250 SW 95TH AVENUE 11250 SW 95TH AVENUE
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BUILDING PERMIT APPLICAT ION TIGARD GATE 3�30/ 4057
1 FIE UNDERSIGNED HEREBY APPLIES FOR A PEr4MI1 FOR THE WORK HEREIN INDICATED BUILDER PHONE 6A4--t V
0H AS SHOWN AND AC)PROVED IN THE ACC,)P,PANYING PLANS AND SPECIFICATIONS. OWNER PHONE �.
LOrNO.. - triee3 .sC" 2'`,
1-1WNER ralcon COrtritf:. JOBADDRESS 'SY 95th A.Ven"ate _
- —- -•—�� ARChiI"fECT
ENGINEER
BUILDER Satr(- ADDRESS P9155 SW Ccmnprcial DESIGNER-�� studio S
STRUCTURE B){NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE - El DEMOLITION
In RESIDENCE 0- COMM ❑ EDUCATIGNAL [3GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE_❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONE BLDG.TYPE FIRE ZONE_--PLAN CHECK BY HEAT
Construct single family dwel line w/at:tached garam . � :3 rcOrn<.7r s -1 _I; at'
Of PrP1k'IT #402n (11745 Swl 144th Avenue) _
SF%NERPERMITM
garage 336_ Rc�.£t.
OCC.LOAD _FLOOR LOAD4 0 HEIGHT 12 NO.STORIES 1 AREA {�f 4 NO.BEDROOMS 3 VALUE°
BUILDING DEPARTMENTL___ 6ET BACKS FRONT 20 REAR 10.6 LEFT SIDE ' RIGHT SIDE 15
Permit _ 1-* _ T1 IIS 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 CheckWORK 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
Sub-total RESTRICI IVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS 70 HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE.PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
...�__� SDC--
Total
DC_Total I 011)0
APPLICANT OR AGENT
BY
Receipt No.
Approved _ .�� (1w), ADp�ffi"-'"'-- PHO NE.- _...�_._.
DATE INSP. TYPk INSPECTION REMARKS PLUMBING DATE
/ " `2,, Contractor (�4-)
Permit No. 3cj 8 7y�IJ 4-16 f,'L r7/G
�,G ���'• _ R ugh-in
Fixture
Final
�! HEATING
- - —
S-1-s3—exlwftContr
actor
PermftNo.
Gas or Oil
Rough-in
— Final --
SEWER
Final _-
DRIVEWAY _Final
Storm Drainage
(Rain Drain)Final
S idewal k
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUP_ANCY Final
CERTIFICATE OCCUPANCY
Landscaping
II Zoning Final
IL -- _.
BUILDING PERMIT APPLICATION TIGA-:!:) DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TtiE WORK HEEREIN INDICATED BUILDER PHONE '►"OA�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING
,PLANS A;40 SPECIFICATIONS. OWNER
PHONE
`, d� 1RS.
C;:":P1EP. Q.I ar.a� JOB ADDRESS IIz� O_S W �J �� Awe
OT
-- ""— ARCHITECT
ENGINEER
��'� � _DESIGNER- {,� tip
O
8UILCER_ 441n P ADDRESS STRUCTURE NEW �❑ REMODEL-- ❑ ADDITION � _❑ REPAIR ❑ RENEWAL ❑ FiREDAMAGE Cl DEMOLITION
RESIDENCE C COMA El EDUCATIONAL 17DGOV'T Cl RELIGIOUS ❑ PATIO Cl CAR PORT ❑ GARAGE ❑ STORAGE L7 SLAB❑ FENCE
0CGOPANCY .LAND USE ZONE__ SLOG.TYPE —
FIRE ZONE—!77-.-PLAN CHECK B>' _HEAT
4'4� ___3___�
son
SEWER PERMIT N 34
OCC.LOAD FLOOR LOAD HEIGHT L2 NO.STORIE;3 _AREA R&4 NO.BEDROOMS VAL.U!!2 2 0
BUILDING DEPARTMENT SET BACKS FRONT 2-0 11EAR /09.& LEFT SIDE RIGHT SIDE
Permit _ _ 2 T�HIG PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOWNJG
00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERF2Y AGREED THAT TF;E
Plan Check - � WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIIP^_IANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 7Fi1S PERMIT DOES NOT WAIVE
3�p,0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 8U51NES�
�A- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. i
State Tax V'1
— SOC--
Total -- - ---._,. �—---------
- PDCA AP LICANT OR AGENT
BY
Receipt No. ADDRESS — PHONE
Approved
s o C
poc
SEWER CONNECTION $ _�
SEWER INSPECTION
SEWER SURCHARGE $
/3/ 0
C n m m o n t e
9 oa
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