16450 SW MEADOWOOD WAY 16450 SW MFAF-X*MOOD WAY
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BUILDING PERMIT APPLICATION TIGARn 0ATE_____
THE UNDERSIGNED HEREBY APPLILS FOR A PERMIT FORT HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHnWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHQ,jE
LOT NO.
OWNER JOB ADDRESS
ARC ITECT
lix.1gson Son I iinx 2116A Wierfr, ;NSIGNER GINEER "iercy -Rmrc1a7
BUILDER AUORESS '' 9
STRI'P_;URE M-,NEW F1 REMODEL [1 ADDITION ❑ rEPAIR ED RENEWAL Cl FIRE DAMAGE 0 DEMOLITION
L-1 RESIDENCE E-1 comm Cl EDUCATIONAL t0 GOV'T 0 RELIGIOUS Li PATIO F_J CARPORT Li GARAGE FJ STORAGE o SLAB 0 FENca
OCCUPANCY --!, --!—LAND Ub-:ZONE 1--_--BLDG.TYPE FIRE ZONE___- PLAN CHECK BY __L1_HEAT
Construct Single F.'allUIV 4 Att,"Che�l 'Tar3ne
corr,,,ction rlheet itt;lchel
,Ief. : Vnil Irrnit 41 4106
SEWERPERMIT# 2ir�91 1 r ei 1"F t 14
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA' NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT L.
REAR LEFISIDE RIGHT SIDE
Permit THIS PE""AIT IS ISSUED SUBJECT I Ht: 'FGULATIONS CONTAINED IN THE BUILDING CODE ZONING
REGIILA rIONS AND ALL APPLICP fl�: COO ES ,ND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK W11 L BE DONE IN ACCOF L A NCE WITH 01E PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES A\!) ORDIN�NOES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS, CONTRkCTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 112.
SDC—
Total
PDC#I A.0 1CANT OR AGENT
7o
Approved R e c(i p t No. AMAIN PHONE 77
DATE INSP. TYPE INSPECTION
__ REMARKS PLUMBING
, — __ 7% Con
DATE A*
Contracto
Permit No. 1,9
OL,� Hough-in
Fixture
Final
HEATING
Contractor 6 8_13
10
Permit No.
Gas or Oil
Rough in
Final
SEWER
Filial
DRIVEWAY
Filial
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
NE —
�ppj-ch
DG. DEPT. FINAL TEMPORARYCERTIFICATE OCCUPANCY !
CERTIFICATE OCCUPANCY
Final
Landscaping
Zoning Final
a�
BUILDING PERMIT APPLICATION TIGARD DA ✓� Igi
I HE UNDERSIGNED HEREBY APPLIES FOR A PER AIT FOR ThEWORK HEREIN INDICATED BUILDER PHONE�� 7
OR AS SHOWN AND APPROVED IN THF:,CCOM�IPANYING PLANS AND SPECIFICATIONS. OWNEP PHONE --
�����// LOT N0.-&j -.Qr�
O
4-vul
JOF ADDRESS 4�"J� ^v OWNER ;w -____ ----- A HITECTGINFER
BUILDER � ON Sas_-___._ AODRESSI��'✓QX SIGNERK�-
_
STRUCTURE NEW ❑ REMODEL ❑ ADDITION, ❑ REPAIR C3RENEWAL CJ FIRE DAMAGE C1DEMOLITION
_ RESIDENCE C COMM '❑ EDUCATIONAL iJ GOV'T ❑ RELIGIOUS ❑ PATIO_❑ CARPORT ❑ GARAGE �❑ STORAGE ❑ SLAB❑ FENCE
-n ►f BLDG.TYPE __FIRE ZONE —.._PLAN CHECK 8'
HEAT--�
OCi:iiPANCY .LAND USE ZONE lam'l -- - -
e47-
V o dl
SEWER PERMIT M __-
vALut �pp
OGG.LOAD FLOOR LOAD HEIGHT /44NO.STORES ZAREA_ ",�0 NO.BEDROOMS
BUILDING DEPARTMENT SET BACKS FRONT .�G O REAR ,2 LEFT SICF rRIGHT SIDE �a•S� -
P�rmtt
-10 7'" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG
pr. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TYAT 7HE
IPIanCheck K` 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
Su�tatal y 3 d 'd RESTRICTIVE COVENAN rS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURP,ENT CITY HUSINi SS
f 2 0 LICENSE-SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
�
;State Tax ,v
a Sic-
Total
SC---T -- - PUCK APPLICANT aRAG T
BY
Receipt No. ADDRESS PNnNE
Approved
pep
PDC
SEWER CO_NNECTION__S SEWER INSPECTION $ �S
SEWER SURCHARGE 5 -� - -
f n rry m o r1�C • �l/-��..-'Gi Z ��_�7!_�_I/� _P_..�����..�_.,��.__