11489-11491 SW 98TH AVENUE --- 11489-91 SCJ 98TH AVENUE ---
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CITY OP
BUILDING PERMIT AFpLICATION TIGARD DATE__-- w9-�° 0800
THE UNDERSIGNED HEREBY APPUFS FOR APERMIT FOR THE WORK HEREIN INDICATED 244-37S�4
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONt. ERppANE _____
udl8'Uon 44x it'i, x i ?. 'si :•'^d 144: ,. L)'- Y 4#• T
OWNER ADDRESS BUILDER PHONE _
f wnOT ENGINEER
BUILD ^1 ARCHITECT DESIGN:R
0
STRUCTURE ER
REMODEL _❑_A.DDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE _[]DEMOLITION
b RESIDENCE ❑C--OMM ❑EDUCATIONAL ❑GOV'•T ❑RELIGIOUSLPA-r10 ❑CAR PORT ❑GARAGE [--]STORAGE❑SLAB [:]FENCE
—❑BOND L_.1MOVING _❑CONDITIONAL USE DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY— __LAND USE ZONE BLDG.TYPE_
REZONE_ PLAN CHECK BY-
rtrue t Ct, frztfoo -,-4vx wit, -jut f,1aet@[tsot
Approved d p v.iio Uri ri w _-_.-- -
A D,o J, --
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LOAD FLOOR LOAD_ HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit SEM.o[)
THIS PERMIT IS ISSUED SUOJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check REGULATIONS AND ALL APPI.ICABL.E CODES AND ORDINANCES, AND 17 IS HEREBY AGREED THAT THE
---- WORK WILL BE DO'IE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES ANr ORDINANCES. THE ISSUAL ZE OF THIS PERMIT DOES NOT WAIVE.
,.+19 AESTRICTIVE COVENANTS- CONTRACTOR AND SUB CONTRAr.TORS TO HAVE CURRENT CITY BUSINESS
ik State LICENSE. SEPARATE PERMITS REQUIRED FOR SFWER, PLUMBING AND HEATING.
TotelBy
APPLICAh OR AGENT
Approved Receipt N,,
A URS
DATE INSP. TYPE IWPECTI')N REMARKS PLUMBING DATE
•6-10 r �C' _-_ _ _ Contractor
fwPerm,t No. _ 0
4-. �- r A• LCiv2t�C --_—_ ---- - Romin
— --
�O'�7e �r1.t��Z-J — _ _-- Fixture –_--
Final —
HEATING —
Contractor
Permit No.
Gas or Oil
Final
SEWER
Final
----- — ----- ----------- ---- -- DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach _
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY final '
CERTIFICATE OCCUPANCY —
/, Landscaping
' �i Zoning Final
PERMIT
AD DRE 55.-.
PERMIT CHARGE no.ne-.
CONNEMON FEE
C',JNER
PAID BY
DATE CONNECTED
f y P E 0 F o u I L D I N G
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID