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BUIL[? N a PERMIT APPLICATION TIGARD DATE Ma=b 2Q _.,,ems 5259
THE UNDERSIGNED HCr�EEY APP_'r�S i OR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 642-309 _
OR AS'3HOWN AND APPROVED IN i HE ACCOMPANY ING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. -
OWNER_ _ j Lan Prol)ertiea JOB ADDRESS JUU 142M SW Fatuw Creck ktuTt GOIOD�C,mkk
20945 SW TV 11i i,liwray ENGINEERT
GUILDER Smit ADDRESS Alpha, OR � � — __DESIGNER
STRUCTURE ® NEW ❑ REMOI)EL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C7 D'cMOLITION
F2 RESIDENCE ❑ COMM ❑ EDUCATIONA,I. ❑ GOV'T ❑ RELIGIOUS ❑ PATIO I.7 CAR PORT rJ GARAGE ❑ STORAGE ❑ SLABL-1 FFNCF.
OCCUPANCY_—LAND USE ZONE !l—1 BLDG.TYPE VN--,FIRE ZONE---PLAN CHECK VY _T'�> HEAT t�Atl
— (k)tlat>`uct single family dw:ilin,K w/attacked garage
Re—issuer of Permit 04643
2 bathrools 2 Bedrooms Garage 315
SF-WERPERMITN 2¢1359
OCC.LOAD FLOOR LOAD 40 HEIGHT 13 _NO.STORIES I_ AREA 1061 _ NO.BEDROOMS 3 VALUE 47,009
I BUILDING DEPARTMENT SETBACKS FRONT 20 —^ REAR 2h, LEFT SIDE 8" RIGHT SIDE 101
Permit_- _ 26y•SU __ THIS PERMIT IS ISSUE[ SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL ArP LICABLE CODES AND I�IDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan^heck 4U•00 WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE.
�0� 50 WITH AL.I_ APPLICABLE CODES AND Vhi] t:!'LACES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
•
Sub-total _ RESTRICTIVE COVENANTS. CGNTRACI 0A AND SUd CONTRACTORS TO HAVF CURRENT CITY BUSINESS
42 1078— LICTSE,�'W,AI�ATE PERMITS REOUIHED FCA SEWER,PLUMBING AND HEATING.
.
State tax
Total 320.28 SDC— 5UU•OU
_ _ `--
By
— — _ PDCM1 150•00 AWDCANTORAGE!17 �—
Receipt No. J - -— -- --- - —
Approved 3GR11y4e AnDRE£S �_ PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLU GING DATE
Contracto*7k
Permit Na
Rough-in ------ --
Fixture -------- - -----._..
--
��- - - �r� - - — -- ---- HEATING
Contractor —
/`Z• Permit No.
DGas or Oil
Rough-in
Final
SEWER
Final
- - DRIVEWAY T
-- - Final
Storm Drainage
— r (Rain Drain)Final
Sidewalk
Curb&Street Final
_— -- Approach
BLDG.DEPT.FIN. --r TEMPORARY GERTIFICAT?t?CCUP.NCY Final -
jr.rrmnCATB OCCuI'ANCY _
Landscaping
-�• —� �_ Zoning Pinel —� -