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13630 SW 114TH AVENUE-1 x.)630 SW 11.4TH AVENUE 1 BUILDING PERMIT APPLICATION oarE __ 19 =— 4 THE UNDERSE IGNED HEREBY APPLIES FOR A PE'1M11 FOI; I Pir WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND k�PPROVED IN THE ACCOMPANYING PLANS AND SPECIFIGATIONS. OWNER PHONE erred !-.'.m i- vj.jbo LOT N0. Tax 2S! 3Ur: OWNER JOB ADDRESS i 14th__ Tax Lot 803 _ ARCHITECT C,,...,,�n�� AJtlS4C• ENGINEER BUILDER ADDRESS ,il: ryn�i 4'nrt,�_ DESIGNER_ STRUCTURE ❑ NEW ❑_REMODEL L3 ADDITION C7 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION 13 RESIDENCE ❑ COMM ❑ EDUCATIONAL_❑ GOVT ❑ RELIGIOUS ❑ PATIO D CARPORT ❑ GARAGE ❑_STORAGE_(..) SLAB❑ FENCE OCCUPANCY —".n-3—.LAND USE ZONE a— —_BLDG.TYPE s—t; FIRE ZONE1_PLAN_CHECK BY Jst:R ,HEAT Construct acidition to Ainale faanily residential pltaryb. perruit rcq'd I Fixture SEWER PERMIT# OCC.LOAD FLOOR LOAD-- HEIGHT ' I NO.STORIES 1 AREA 1 12 NO,BEDROOMS •- VALUE (�1000 - - -- - — --- BUILDING= DEPARTMENT SETBACKS FRONT - REAR - LEFT SIDE RIGHT SIDE ' Permit 5o.&u THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plei Check 15.73 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub total 93.23 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 1•ZEi LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PI-UMdING AND HEATING. _ Total `•i 1 4 9 SDC— PDC# -gPkICAN70R AGENT Approved R^celpt No. PP — —.— — hei. -- ADDRESS — PHONE I DATE INSP. TYPE INSPECTION RE"ARKS PLUMBING DATE 7 Jrs-n 3 T Contractor Fixture Final —�- - _ HEATING [Contractor Permit No. Gas or Oil Rough-in Final SEWER -----------_--- -— Final DRIVEWAY Final Storm Drainage (Rein Drain)Final Sidewalk Curb&Street Final Approach BLDG. DEPT. , INAL TEMPORARY CERTIFICATE OCCUPANCY Final CCRTIrICATE OCCUPANCY Landscapirg Zoning Final BUILDING PERMIT APPLICATION TIGARD DAIE- 19 THE UNDERSIGNED HEREBY APPLIES FOR A PERM IT FOR TIME WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE-^CCON.PANYING PLANS AND SPECIFICATIONS. OWNER,PHONE LOT NO.—AIcl" til-3DP Ol1NEl � � �.1����•,�`JObADORESS 1 �.� { i� L ARCHITECT ENGINEER BUILDER"�.�t ADDRESS-;/,^f,' DESIGNER STRUCTURE ❑ NEW ❑ REMODEL _® ADDITION ❑ REPAIR Cl RENEWAL Cl FIRE DAMAGE Cl DEMOLITION (1) RESIDENCE ❑ COMM ❑ EDUCATIONAL L] GOVT ❑ RELIGIOUS Cl PATIO ❑ CARPORT Cl GARAGE ❑ STORAGE Cl SLAB❑ FENCE OC UPANCY LAND USE ZONE BLDG.TYPE FIRE ZONc _PLAN CHECK BY 1 NL: HEAT F�.umtls__._P! _RMrL R E•�i� FiYt�•,eE T�f ? SEWER PERMIT M — - - - . OCC.!_DAD FLOOR LOAD y`'l HEIGHT �/ NO.STORIES i AREA 1.3:a NO.BEDROOMS VALUE 4 G'c�" j BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SICE RIGHT SIDE 4 Pen itt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZC)N!N., REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 IS HEREBY AGREED TYAT THE �F an Check ? G WORK WILL BE DONE IN ACCO^7ANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIdPI_IANCL �- WITH ALL APPLICA6LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV� ,Sub-total ` -3 ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM8ING AND HEATING. Slate Tar. ,< SDC Total J - ,. - c • r <_ _s .� PDCU APPLICANT OR AGENT By _ Receipt No. ADDRESS PHONE Approved Oc EWER CONNECTION S EWER INSPECTION S EWER SURCHARGE S _ _ �/ �.