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TYPE O F BUILDING DATE CONNE��� � �'�� o v
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE ' 19
76 lea 09 10
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
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S�11NER ADDRESS BUILDER PHONE _
11WflaX ENGINEER
BUILDER ,�y ARCHITECT r� DESIGNER t-�
STRUCTURE LJNEW ❑IIEMODEL ❑ADDITION OREPAIR ❑REiaEWAL ❑FIRE DAMAGE ODEMOLITION
❑ RESIDENCE- ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGEOSLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
CUPANCY— LAND UPS_ZONEIJl BLDG.TYPE FIRE ZONE_ PLAN CHECK BY ria HEAT-"_-_______
Co(tatriji-t triplw garage according to approved plana on Pillw - —
C LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT ;;ET BACKS FRONT HEAR LEFT SIDE ®� RIGHT SIDE
Permit ".,2ki. :!
-- s--- -- - - ------ —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AVD ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WGRK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
10 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I'%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PCUMEIING AND HEATING.
TotalAt
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APPLICANT OR AGEN1
Approved Receipt No
ADDRESS �' Q
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Xll!��411 Lp
DATE 1(NSP. TYPE INpPErTION REMARKS PLUMBING DATE
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Contractor n t ontracrac
tor
Pe,r-,iit No.
Fou h-in
Fix1dre
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
StormDrainage
(Rain Drain) Final
Sidpwalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
L andscaring
Zoning Final
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CITY OF fty 5 � r
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BUILDING PERMIT APPLICATION TIGARD DATE N-o a 7 9
THE UNDERSIGNED HEREBY APPLIES FOR APERM;T FJR THE WORK HEREIN INDICATED
OR AS SHCWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPk;flFICATIONS. OWNER PHONE .
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Gordon Carpenter 244-3794
QYVNER _ T ADDRESS BUILDER PHONE
JWner ENGINI'ER
l3UILUER —_ ARCHI'fECT�_ DESIGNER
STRUCTURE-- rr--b�� NEW _CI REMODEL _❑ADDITION ❑-TR_EPAIR ❑RENEWAL ❑F IRE DAMAGE ❑DEMOLITION
RESIDENCE: EJCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARP RT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
QBOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE Fly" BLDG.TYPE- _FIRE ZONE._._ PLAN CHECK BY_ HEAT
Construct 161;1 3q. f L. frames tri -plax without Unsument ac cording La — -�
approved plans on file.
v Jruoms
OCC. LOAD FLOOR LOAD 40 .1b HEIGHT NO.STORIES 2 ARE A2444 VALUE S450.J0
BUILDING DEPARTMENT SET BACKS FRONT PO REAR LEFT SIOE RIGHT SIDE
Permit .uu --- -- —=_—_—
I +bu THIS PERMIT IS ISSUED SUBJECT TO THE REGULrT10NS CONTAINED IN TH° BUILDING CODE, ZONING
Plan Check REGULATIONS NO ALL APPLICABLE CODES AND ORDINAN,"ES, AND IT IS HEREBY AGRFED THAT THE
WORK WILL RE DONE 'N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL IANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
" RESTRICTIVF COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO I4AVE CURRENT CITY RUSINESS
State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
- —`—'— "-' APPLICANT -ii AGENT
Approved Receipt No
AQpHE55PACINE
DATE INSP. TYPE INSPE TIO REMARKS PLUMBING TATE
Contractor _
Permit No. ;2--:2 7 . S
7 2 �ti J _--- — Rough-in
o to J Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil -- ---
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Rough-in
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_ SEWER
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DRIVEWAY
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Final
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Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Stleet Final —
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Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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