11632 SW 98TH AVENUE 11632 SW 98TH AVENUE
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ADDRESS !!'' ✓� > W_.1_� PERMIT
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P E R M T I' CHARGE none
OWNER �� �M � CONNECTION FEE
PAID BY
"TYPE.~ OF —BUILDING ��� � DATE CONNECTED
SERVICE RATE cN S P E C T I O N FEE
CONTRACTOR .)AID BY DAVE
SIZE OF COPJrdECTION ASSESSMENT PAID �
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BUILDING PERMIT APPLICATION C Y TIGARD DATE 19 _
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE 0ORK HEREIN INDICATED BU I LDER PHONE 21 3
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PI_A..S AND SPECIFICATIONS. OWNER PHONE__.......,_._ —
OT NO
OWNER '' J is ?�fl�fi '. 1 ....� JdBADDRESS Itt)3'i SW '_jt h �rSdidvl�*6 6LL�tlt,i _
_HOME ADDRESS _
ARCHITECT
ENGINEER
BUILDER gHY1fk! -- AUDRErs 4I� 31 �l P1iWIDLIk11W� tit:/,• DESIGNER ---
STRUCTURE ONEW C3Rf MODEL EIADDIT'ION C3 REPAIR ❑RENEWAL _ ❑FIFE DAMAGE _❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GGV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCI:
❑BOND ❑MOVING ❑CONDITIOP'AL USE ❑DESIGN REVIEW 000UNCIL APPROVED ❑SIGNS
CGUPAMG'f_ LAND USE ZONE ~r BLDG.TYPE— � --FIRE ZINE PLAN CHECK E3Y_ "I HEAT
);,struct_single family dwt .illlnQ :5 I3adruum 2 h
Permit x#10171.0 — $625.00 cuarrsuo�%nA �,�„f z,
it 21 2 14'5') fix. , .
� �1•S2&t_._.—___FLS2QB DAU_-- ______haC1iliL ___.__�N9__STQAJ.F.�.______.AA_51�._---N0_@.E_0BQ4MS ALU y �`�
BUILDING DEPARTMENT SET BACKS FRONT 72 REAR 46 LEFT SIDE .�1J RIGHT SIDE �
Permit
142@00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 1HE BUILDING CODE, ZONING
Plan Cheek ' 1000 REGULATIONS AND ALL APPOCARLE CODES AND OFIDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANDS!'ECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 213300 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State.rd*, a•e51 LICENSE.�SEPARATr ITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 21U.6b I U00600
8y
APPLICANT OR AGENT
-_.
Approved , .,w .... —. celpt No.� .,..W,.... �,,.
DATE INSP. TY-E INSPECTION REMARKS PLUMBING DATE
- Contractor
Permit No
Rough-in -�
::�CAJ11dW6 At
Fixture
s-7O �-J,uAL�.�A - Final —�
HEATIN.i
Contractor
Permit No.
—^ Gas or Oil
--.__.-- -
Rough-in _..—
_—.____ -� Final - --
-------_ -___� 3EWER -- - —_-
--- — ----- --- Final
DRIVEWAY
-� Final
�- Stnm Drainage
— (Rein Drain)Final
_ —V----- Sfdawalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Flnel
Landscaping
Zoning Find
CITY "TIG/%RD DATE---- N2
-�!JILDING PERMIT APPLICATION of
�'` IGtiED HEREEY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATFD BUILDERPHON� �_I_�_
r.� wN APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. LOTNO-ER HO 7•� 3
., LOT NO._.,L.L_5�
r +� JOB ADDRESS !S HOME ADDRESS
1 ARCHITECT
NG
ER_.' `) - -L��_QTJ L".�- r ��sL/_—1L74►�Ic ` E�5INGINEER _.
ADDRESS � E Ate_. _ DGNER
UpF RIJEW ❑REMODEL OADUITION C3REPAIR L_,RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
( I MM ❑EDUCATtONAI ❑GOV•T r3RFLIGIOUS0P,-T1O CICARPORT ❑GARAGE [:]STORAGE[]SLAB
❑FENCE
iNG ❑CONDITIONAL USELJ ESIGN RFV.EW ❑COUNCIL APPROVED ❑SIGNS —�
Ct PGNC `\ LANA USE ZONE_L1.:.__i___BLOG_~TYPF�-_�=.FIRE_ 'C!NE_� PLAN CHECK BY HEAT-C��_
c1r.c I QAQ f__._ Fl4.SZR__I.�AR_ _IZ____fflGLIT Z I-----._NQ�T9A.11t.�_..Z�tlAtit
BUILDING DEPARTMENT SET BACKS I IiONT REAR �Ce LEFT SID[ RIGHT SIDE:1v tmst
d
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#� THIS PERMIT IS ISSLIED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check '�2� J_ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
�.. WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFILATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRAC'ORS TO HAVE CUPRENT CITY BUSINESS
State Tax _ �S LICENSE. SEPARAT %ITSEQUIRED FOR SEWER, PLUMB•►„ AND HEATING.
TotalSyr,
N
+ Apl? Hued- -�('7 Receipt No. ( S" C-- 3� V
— 4DUpE55H6N�_
-S'AD C' - y p =-•
e
1 PL.111`r.Sl,ti a PER%.Y!T• P-41;
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1 _.-_ rel.. ��4�eo,�1i►aQ _ _—�_ in note re h'�}��' of a .2-I't p!vrr,bin con tractors lic-ariv is hareby
au1iorize.i to c u� pil:;t:!,ri,n �.v ;r',, a'; hZto be initai�_,i in ::cr,c
cor�� ':' with plumbing cod.of
T . �
I i�2r.j. Such iniz.!!k.,rioni rc'.j'lir2 iniNSCiion by 'the C;;y {n;?:)Ctor vow shall 5? nG;lfied not less than four
1 (4) ,'iours prior t0 Via tiroe Liir: InsZ;1N3aionS arc rc9cf.j t:r Ii.'spe.-tion, City OF Tig, ,,d Bu 4's5 Llcensu- required
i for a,l cont.-2-.tars and stab-con,ractors. `
Jo^ar�r_"�B_e �J• QA ________ _ Ad:�r j,__le.� � , �,n I �,�1,���((( oz►�
NU;,i_.-IR M
OF TOTAL r PERIT NO.'S~
TYP� OF P�n!.IITr_ rl ITE,-,S FEc CN EACH A!+10U,NT totlicc U;,?Only)
n s s I p
O•ro�•t -,,� 1 b.+:1 un,: __ 75,00
Addi**coA '1,•hr un1-t!ch n ��
_ 10 .0
!N,vv 5 15.00 1E
IV DIVI7IJAL FIXTU r.E FES3
I1 to 0 --;:q vjrt ti ii 1b.,I.';_L e._ _h— I 3.013 yp�
` St h7 .'! itt
, ^50
101 c� ���) F.a:u•!t in 1 b_,:_�, -e]c11 _ T _ 2.00__ _
701 or r. art F'',..:,I; in 1 �u_1 _; •esehr_ 1.50
6,,,'7in;g•,•,,r_1. $,l !t 1� � 10.00 ��—
S.N�I=7.:tt �J : 'IJI��.__'CC lI. �_�� �_. --1I�--•---�O.CC _._� .��_ .M. '�i
9.00
Priv C?V; , 3,..''' -lush ICS) tt__-_ 10 40
' S�/ Fui?iur, :,,�in,,, •i 2.-?Prl.��639 Cf1l i i
Plumbing Con:ra:t,)r 81
I ^ C1I Ski-' �Y i;ECEl�fNO.