The URL can be used to link to this page

15304 SW 116TH AVENUE r r� 4 1.11 Q1.d i K C CC� 07 n rl rt k 15304 5W 116TH AVENUE -KING CITY --- LL �� Iluilding Permit No. 5sbe- GS,' _ local ion _1SS,65 SQ- 1141-A _ G+, 1 12/1 Da t eu'3. -ks S Certification of Registration With the Builders Board 1s � �^�_ . .doing business as Oba) . am registered under the prov is ions of ORS Chapter 701 0 egon Homebuilder Law) . 11y Builders Board Registration Number is _—I,� __,_____ My registration is in full force and effect and expires on r / / 9 nature l BUILDING PERMIT APPLICATION TIGARD DATE. THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN IN ICATED BUILDER PHOJNW( S-.3/—Q� OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. OWNER T JOBADDRESS1 ARCHITECT ENGINEER -- BUlLnER ADDRESS- - DESIGNER - STRUCTURE ❑ NEW Cl REMODEL Cl ADDITION ❑ REPAIR Cl RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITIC ❑ RESIDENCE U COMM ❑ EDUCATIONAL ❑ WrT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FEN( OCGLil,fNCY -----,-LAND USE ZONE BL.OG.TYPE - PLAN CHECK BY _HEATS SEWER PERMIT - OCC.I.OAO - FLOORLOAD /HEIGHT,t 7 ---NO.STORIES AREA -NG-.8QQA0OMS---- VALU�c BUILDING DEPARTMENT SETBACKS FRONT REAR L.IFTSIUE RIGHTSIDF t'a�mlt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODF-ZJNI1 P1F .t►eck 8K REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TI WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIANI WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIL Subtotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINi3 LICENSE SEPARATE PERMITS REOUIPIED FOR SEWFA,PLUMBING AND HEATING, Stats Tax -� 6p -� F Z �� ►�(`,� APPUCANTOP.AGENT By i Receipt Na. Approved ADDRESS ~~� �- PHONE SSDC S©C -_.- PDC - SEWER CONNECTION SEWER INSPECTION SEWER SURCHARGE .