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13750 SW ElA[,L BOULEVARD ( r
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2240
BUILDING PERMIT APPLICATION 113 F
1T TIGARD DATE_ Elf�11� t9f t`
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIC'1TIONS. OWNERPHONr-
LOT NO.�
OWNIER i-'u 1grd 1`10C.9 Og J_OB ADDRESS 13 V)0 S7 ,' H*11 HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER 0115me ADDRESS DESIGNER
STRUCTURE_ ❑NEW ❑RymnDEL MADDITION_ ❑REPAIR ❑RENEWAL ❑FIRF DAMAGE ❑DEMOLITION
Q RESIDENCE ,COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GAPAGE ❑Sl�RAGE❑SLAB r,FENCE
❑BOND LJ MOVING ❑CONQITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑31GNS
OCCUPANCY.—_—LAND USE ZONE---._._---.BLDG.TYPE— _FIRE ZONE— PLAN CHECK BY-_-_.--_ HEAT
,'cristruct 200 X 30t 3torays twilding orf 001 X 309 La -n- til each stdg. —
100 ft from any other- structures.
QCCJ.4A�-----FLOQ}3�()AD L`IDfiD>CR1L IGHT_ "' NS_.5_T_.QA�_ AREA d�C1��1S?�7E12R�4ML_-..—YAL4 �'u�l�••jt'
BUILDING DEPARTMENT SET BACKS FRONT ' REAR 'S'"+ LEFT SIDE 3O RIGHT SIDE 321
Permit0000 �—__ �_—�-------- ---------- — ..—�_.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check j0.Q(► REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 30.t90 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COTENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tac *t;1U LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 301180
By P1 ------CNT pR !�!iFNI
-----.
----.-.--- 1 Ai�P I. I :A
Approved 1.„ !,isiden Hecclpl No l.'
DATE INSP. T.PR INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rouiih in
Final
SEWER
Final
DRIVEWAY
Final
Stom Draft'aige
(Rain Drain)Final
Sod4v lk
Curb&Street Final
Approach
M-00. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Inning Final
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CITY 4R
BUILDING PERMIT APPLICATION TIGARD DATE ____A..pril 7 tg 7" No 0749
THE UNDLRSIGNLD HF RCyY APPLIES f OR A PFRMI T FOR TfIF WORK HEREIN INDICATFII
OR AS SHOWN AND APPROVE[) IN 11-11 ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE __
OWNER I-ioward Nodlan,. r.�p S•W. Hall Hlvd.
_ . ADDRESS BUI QER PHONE
AULL"E d' en y Henson' ENGINEER
elf{G• ARCHITECT DESIGNER
STRUCTURE ONEW r-t U REMODEL {..[ADDITION ❑-7REPAIR ❑RENEWAL_ ❑FIRE DAMAGE -- ❑DEMOLITION
O RRES�IDENCE ❑COMM DEDUCATIONAL ❑GOV'T C3 RELIGIOUS DPAI 10 ❑CAR PORT ❑GARAGE O STORAGE OSLAB [:]FENCE
DB
OND FOND ❑MOVING _ 000NDITIONAL USE _QDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
9CCUPANCY- LANU USE 2GNE BLDG,TYPE_ ,FIRE ZONE` PLAN CHECK F
- _�
To construct masonry Firep.lsc:c. __ __. HEAT
LOAD_, FLOOR LOAD HEIGHT NO.STORIESY _ AREA1 )I
VALUE
BUILDING DEPARTMENT SET-ACKS FRONT `
REAR [_SFT SIDE
RIGHT SIDE
Permit $10600 -----_ — _ _
Plan CheckTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CnNTAINED IN THE BUILDING CODE, ZONING
REGULATTHAT THE
WORK WILL BE DONE NS AND pINLACCORDANCE WIAPPLICABLE 71I THE PLANS AND SPECES AND ORDINANCES, IFICATIONS AND N COMPLIT IS 14EREBY DIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
• RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE 41URRENT CITY BUSINESS
State _ LICENSL. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEAL ING.
Total •
By
Approved g Receipt No. APPLICANT OR AQtNT - "--- -
AbORES5 - ----
DATE // INSP. TYPE INSPECTION REMARKS PLUMBING DATE
GQ�-- Contractor - `-
Permit No.
-
Rough-in
Fixture
Final _
— v HEATING -- _---
- Contractor
--- --- ------- - Permit No.
— -- �.-_ Gas or Oil
Rou -in _ -
- Final _ _-
_-_ SEWER -
- ------ ------ Final
-- ----- --- DRIVEWAY - -- -- -
- Final -
- -___ --- -- -- --- Storm Drams-- _---
-- Rain Drain) Fina
-- _ ----- ----- -__ Sidewalk
------ _-___ _--` v— Curl!i+Street Final
_ A roach
BLDG.D!.r.FINAL TEMPORARY CERTI"ICATF OCCUPANCY
CERTIFICATE OCCUPANCY Final
r '�jo Landscaping --�+ -
Zoning Final