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BUILDING PLRMIT APPLICA"i ION TIGARD 3 '6
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OP AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER ? 1. JOBADDRESS
---- -- -----—
P 'CHITECT
(c. iINEER
BUILDER __— ADDRESS �,., r�t'?`,t1+' DEbIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
n RESIDENCE ❑ COMM ❑ EDUFATIONAL C? GOVT ❑ RELIGIOUS ❑ PATIO 1-1 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ___LAND USE ZONE BLDG. YPE —FIRE ZONE ~ PLAN CHECK BY _ HEAT
r, i t -- i" h
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SEWER PERMIT#
OCG.LOAD FLOOR LOAD HEIGHT N0,STORIES AREA NO.AFDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit — _ — THIS PEP,MIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND If IS HEREBY AGREED TI4AT THE
Plan Check 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
Subtotal_ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�I LICENSE.SEPARATE PERMITS REGUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ..a
- SDC— r),nn .r,-tt.�
Total • ' /'�utft
---- —�— PDC# A1�PLJCANT OR AQEN1
By
Recelpt No. — -- --- ---- -----
Approved — ADDRESS PHONE
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_DATE INSP. TYPE INSPECTION _ REMARKS PLUMBING D\TE ,\
Contractor
Permit No.
^j R iugh•i n
O Fixture
Final
HEATING
Contractor Y—
_ Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
^DRIVEWAY
_ Final
Storrs Drainage
(Rain Drain)Final
Sidewalk
Curb✓y Street Final ^
Approach
_
BLDG.DEPT.FINAL' TEMPORARY CERTIFICATE OCCUPA --
CERTIFICATE OCCUPANCY Final
Landscaping
7nning Final
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BUILDING PERMIT APPLICATION TIGARD DATE__— ,1e. P1 3853
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORT HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED iN THE.ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
8,6X' tt!7s1_OT NO.
OWNER 17t: . JOBADDRESS 11W r',I, ;iJ k.,xi. 4l,; LriyQ _
ARCHITECT Yon PaulF3E.n 246-93638
ENGINEER
BUILDER same ADDRESS 95C11D , '. :'arbur 711yd, DESIGNER Dale Tta13.or 155-5-391
STRUCTURE _ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE.DAMAGE_ ❑ DEMOLITION
01IESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE CI STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ «�_LAND USE ZONE __ 4=�LDG.TYPE 'ii: FIRE ZONE «mm► .PLAN CHECK BY ___ dW)HEAT---4
!`Q.=. struct 3 unit :zpartment rill per p183'!; and Code, ^r..1Jy•
f= PA, r'-,oms 6 notth5
SEWER PERMIT# -�
UCC.LOAD FLOOR LOAD HEIGHT 20 NO.STORIES AREA '276 9 NO.BEDROOMS VALUI>}"'7,,q0(1
BUILDING DEPARTMENT SET BACKS FRONT fid.. _ REAR LEFT SIDE RIGHT SIDE
Permit 2Ca3,G}C�THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORCINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1311,50 WORK WILL BE DONT- i,: ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
h WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 05f) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWEP PLUMBIN(,AND HEATING.
1``'. i
Total SDC
-- ---��� PDC# APP CANT OR AGENT
9y ...
-- --- - ---_ Receipt No. /.`r 7•R-
Approved ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS
PLUMBING DATE
CContractor
Permit No.
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,4 ough_,n
Rough-in
tFixture
Final
HEATING
C Cnn tractor
nntractor
1`6rmit No.
Gas or Oil
Rough-ill
Final
SEWER
Final
DRIVEWAY
Final
Stnm Drainage
(Rain Drain)Final
Sldemfk
Curb&Stflet Final
Approach
-TEMpORARi C_f_jj'T_1r1CATE__0C.CNCY
vE:RTIFiCATEOCCUPANCY T Final
Landscaping
Zoning Final
,"IBOUILDING PERMIT APPLICATION TIGARD DATE--- 3863
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTHE WGRK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER JOBAUDRES9','.',(,,5 to t LOT NO.
APCHITECT
ENGINEER
BUILDER ADDRESS :1,, Varbur Stv,1. DESIGNER
STRUCTURE CNEW
REMODEL— El ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE EJ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL 13 aOV'T 13 RELIGIOUS El PATIO 0 CAR PORT M GARAGE 0 STORAGE L7 SLAB[--) FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE _51! FIRE ZONE—7— PLAN CHECK BY' HEAT-----
SEWER PERMIT 0
OCC.LOAD FLOOR LOAD 01 HEIGHT ..—II—NO.STORIES 1 AREA NO.BEDROOM; VALUE
__BUILDING-DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 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
Plan Check WORK Wit L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APP.
'.ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 2A47C, LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
SDC -
Total
ByL lPDC# APPLICANT OR AGENT
Receipt No.
Approved PHONE
DATE INSP. TYPE INSPECTION — REMARKS PLUMBING DATE
Contractor
Permit No.
.. L '���a /may. /! -- - Rough-in—
,� Fixture — --
j Final
HEATING
,-nntractor
Permit No.
------- Gas or O'I
Rough4n —
-- ——---- — Final -- --
- --- ------ SEWER ---
Final —
DRIVEWAY
Final
Storm Drainage
I
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach —
BLDG.DEFT.F1 —A[- TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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