13495 SW 107TH COURT 13495 SW 107TH COURT
1
m
a
L
Cn
c�
ro
L
CJ
Cr
1
L
N
O
.-1
.3
ui
C'7
.-1
i
i
CITY OF
BUILDING PERMIT APPLICATION TIGARD DAl E May ' 19�� N-°
0836
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
OWNER Lus ADnRFSS "i i_ ,« }
BUILDER PHONE _
Owner, ENGINEER
BUILDER ARCHITECT _ DESIGNER
STRUCTURE ❑NEW 1:1 REMODEL DADDITION El REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
t_1 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY 1 LAND USE ZONEf�^1 BLDG TYPE J FIRE ZONE._ PLAN CHECK BY r�� HEAT_______
I:mistruct 336 8r4. P+ . ,e addit i.JII n rear dui cling according
--
tri Approved plans,
„I-I
UC LUAU _ FLOOR LOAD — HEIGHT _ NO.STORIES AREA VALUE I
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit —
�v"" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HErILBY AGREED THAT THE
--�"— WORK Wit 1 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
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY POSINESS
State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING
Total
BY ---
— APPI ICANT OR AGFN1 ---- "—--
Approved _ Receipt No
ADDR SS�^ —PRONE
!
DATE INSP, TYPE INSPECTION i REMARKS PLUMBING DATE
�,- -76, Contractor
7_ 24 Permit No. _ _
-o?G-7G
Rough-in _
G _ Fixture
(�h~ Final
HEATING
Contractor
Permit No.
Gas or Oil
— --- _A Rough-in __--
Final
SEWER
Final
- _----- �� --- - -- DRIVEWAY
Final
v� Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
_
Approach _
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
r CERTIFICATE OCCUPANCY
Landscaping
�' Zoniny Final