15845 SW HALL BLVD WK
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15845 SW HALL BOULEVARD �',
BUILDING PERMIT APPLICATION TIGARD DATE__...__
THE UNDERSIGNED HEnEBY APPLIES FOR A PERMI F FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOV0 AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER uuart: i'andall (',Q.JOBADDRESS li+ i«i ;tall
ARCHITECT
ENGINEER
BUILDER ;ws>ey ADDRESS 9500 r" astrtx.ar. T'IVrI. DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL 1_1 ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE [7 DEMOLITION
C} RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT [.�] GARAGE ❑ STORAGE_❑ SLAB❑ FENCE
OCCUPAI:CY ?"' _ LAND USE ZONE A= 2 BLDG.TYPE �tti _FIRE ZONE—-- PLAN CHECK BYHEAT_._r.__.._
nlieh 08tat. Nmlatee. Review foundaationm and utility services *•-r r„ _
It exist. iaptic tank per stator code. Xna part ion renl.:
SEWER PERMIT M
OCC.LOAD _ FLOOR LOAD HEIGHT NO.STORIESAREA _ NO.BEDROOMS VALUE
BUILDING DEPARTMENT �� SFT BACKS FRONT REAR _ LEFT SIDE _ RIGHT SIDE
Permit_ t '" __ 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
Pian Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATI_'NS AND IN COMPLIANCE
WITH ALI. P.PPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS HERMIT DOES NOT WAIVE
Sub-total _ RESIRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE UURAENT CITY BUSINESS
.l-10 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM?IN AND HEATING.
State Tax
SDC— ' _.. I,,.
Total l_S.Gf.1 f !'
B JT,1 j - FOGY APPLICANT OR AGENT
Receipt No.
Approved `ham ADDRESS—— PHONE
DATE INSP.I TYPE INSPECTION —_�- REMARKS PLUMLING DATE
I1 Contractor
—.— — -- Permit No. ---- _
Rough-in
T - - Fixture
—
I'Ji /..�.t 7:.lel �e'lsi✓.Lt �L ._ —
�._ HEATING
Contractor
Permit No.
zj
` Get or Oil
e Rough-in
Final
SEWER
- -- Finai -�—
DRIVEWAY
Final
Storm Drainage
_ — --- W`---
Main Dain)Final
SidewNk
Curb 9-Street Final
-- - -------��
Approach
NLJ)M DoT,FIMAL TEMPORARY 1 CERVAMI ATE OCCUPANCY Final
CERTIFICATE OCCUPANCY I --_----._..
Landscaping
'Doing Final
1