11517-11519 SW 98TH AVENUE 11517-19 SW 98TH AVENUE -
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OWNER rkn, CONNECTION FEE
PAID BY
TYPE OF BUILDING V f �s� c,C.. DATE CONNECTED
SERVICE RATE ` %t INSPECTION FEE
CONTRACTOR ._ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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CITY OF �T
BUILDING PERMIT APPLICATION TIGARD DATE May 6 19 76 W 0812
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED 44-3794
OR AS SHOWN AND APPROVED IN 'THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
OWNER GardorT rarpentar
ADDRESS _ BUILI)Ei:FitNE—
.iwner ENGINEER
$�I LDEq ARCHITECT I- DESIGMEP
rSTRUCTURE LJNEW ❑REMODEL ❑ADDITION QREPAIR EIRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
u RESIDENr,E []COMM ❑EDUCATIONAL_Q,_3OV"T ❑RELIGIOUS OPATIO LICAR PORT (]GARAGE ❑STnRAGEOSLAB []FENCE
= DBOND ❑MOVING ❑CONDITIONAL USE (]DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
. CCUPANCY 'Lj LAND USE ZONE
BLDG.TYPE FIRE ZONE_._ PLAN CHECK BY--__-- HEAT
C01114trur:t rJosiblla warp %.(-cordint, Lo e.r;r,.; j~. plans ars Pilaw ~i�
QC C, LQADFLOOR LOAD_ —� HEIGHT NO.STORIES AREAi
VALUE
BUILDING DEPARTMENT SET BACKS FRONT
REAR LEFT SIDE: RIGHT SIDE
Permit a •i.00 _--- — —
Plan Check THIS PERMIT IS ISSUED ;UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATWORK WILIONS AND L BE DONE INLAPPLICABLE CODES AD ORDNANCES, ANIT k; HERES( AGREED THAT THE
ACCORDANCE WITH THE P ANSI AND SPECIIFICATIONS ANG N COMPLIANCE WITH
TO Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
State • RESTRICTIVE COV[NANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT' CITY BUSIN'_SS
LICENSE. SePARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Bv
Total
APPLICANT OR AGEN1 __"`--
Approved Receipt No.
ADDRESS A ----
SII
a
MEL
DATE INSP. TYPE INSPECTION REMARKS PLUMBING —�DATE
Contractor
Permit No.
h-in `
Fixture
Final
HEATING
— _ Contractor
Permit No,
Ga,or Oil
-- _
Rough-in
--- ---- Final -
-- --- — --- SEWER – – ----
Final
—-- -------- DRIVEWAY _-..
— —_ Final
Storm Drainage
-- (Rain D(iin) Final
— _ Sidewalk
Curb&Street Final
_ Approach —
BLDG. DEPT.FINAL TFMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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CITY OF y
BUILDING PERMIT APPLICATION TIGARD DATE � 19---NP
0801
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOH THE WORK HEREIN INDICATED Z44-3194
OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFIC.A OWN PHONE
.
St_a
t�4 r U, n ---
OWNER ADDRESS � BUILDER PHONE
ENGINEER
BUILDER �Wd'dfsi: ARCHITECT —__ _ DESIGNER
STRUCTURE ONEW ❑REMODEL _�—i ❑ADDITION i_❑REPAIR _❑RENEWAL ❑FIREDAMAGE� ❑DEMOi_1TION
❑ RESIDENCE ❑COMM DEDUCATIONAL ❑GOWT ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
013OND ❑MOVING ❑CONDITIONAL_USE QDESIGN REVIEW ❑COUNCIL APPROVED [2SIGNS
OCCUPANCY LAND USE Z NE BLDG.TYPE FIRE ZONE. PLAN CHECK BY HEAT —
,.U11il�.f.i+ L •t,)(;) 814- f t c 1 =i,;:1+; ,:,iln Gari Wl' 'iC1U p1GA1Bd1 ACCCIC' a.ilyd it
appv,weld on P1 s —
_
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARIMENT OFT BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit �f��•q� r -:_.�---
Tu.MCI THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE.PLANS AND SPECIFICATION''.AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES +ND ORniNANCES. THE ISSUA►SCE OF THIS PERMIT DOLS NOT WAIVE
— RESTRICTIVE COVENANTS. CONTPACTOR AND SUB CONIRACT'ORS YO HAVE CURRENT CITY BUSINESS
T State LICENSr_-. SEPARATE PERMITS hEJUIRED FOR SEWER, PLUMBING AND HEATING.
By
APPLICANT OR AGENT
Approvecl (� Rece,pt No
DATE INSP. TYPE INSPECTION FIEMARKS PLUMBING
ZO AT E
Contractor
Permit No.
Rough-in
/76
1&1_70
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
__� 6CERTIFICATE F ICATE OC(,L—)PA—NC-
___ LDG.DEPT.FINAL_AL TEMPORARY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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