9295 SW MCDONALD STREET ..H�iiMtW�lfivYwMi..+M ':a�oa..�w.+uW+i`�ii�M4'U44xi.�uWMl:lYo-r�M��•.
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BUILDING PERMIT APPLI A 'O J'' TIGARD DATE. October 31____,19.133 _ l
I HE UNDi_HbIG�dE1.) H01EBY APPLII._" R A PEE' FOR 1 HE WORD HEREIN INDICATED BUILDER PHONE -A1XL-4 33'
ORAS SHOWN AND APPROVED IN TH ACCO MPA Y'NG PLANS AND SPECIFICATIONS OWNER PHONE _ —
LOT Na. ------___--
OWNER /�. 23 nniil �e�, -- JOB ADDRESS ` " �F.--..ri►5tt3la _ �_— —.__..__.-_-----
A7CHITECT
ENGINEER
BUILDER Sow ADDRESS DESIGNER
STRUCTURE — [I NEW CI REMODEL _❑ ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑STORAGE ❑ SLAB�ENCE
OCCUPANCY hi LAND USE ZONE _ L..BLDG,TYPE — h FIRE ZONE —PLAN CHECK BY —E'TW HEAT
All per oRp>roved Plane & Code Reauirealwents
—� _ — t:U �_ ruiL ��U►�- broad floor --- -- —
SEWER PERMIT M
OCC.LOAD FLOOR LOAD 4U HEIGHT !e,r NO.STORIES I AREA 7hb NO.BEDROOMS VALUE 5-1.11M,
BUILDING DEPAITMENT SETBACKS I-RONT— REAR LEFT SIDE (,,3- RIGHT SIDE
Permit —�U.SU 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 32.+4.3 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
a WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 63+.33 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Slate Tax 2.0
-- ---- SUC— �
Total d 5.3'i — -_---
`— PDC# APPLICANOA AGENT
By
Receipt No ADD PHONE
Approved P,T{d
DATE INSP. TYPE INSPECTION REMARKS --v PLUMBING I DATE
- -
Contractor
hough-in
Fixture
- Ficn!
^_�_, __—_---_----------_---- �.� HEATING
J --_ Contractor
—_ --- Perm t No.
Rough in
-- -.
- -- -- Final
-- `--- SEWER
Filial
DRIVEWAY
Filial
Storm Drainage
(Rein Drain)Final
-- -- - — Sidemik _
Curb&Street"incl
_—� Approach
BLDG. DEPT.F':NAI T tEtdPORA.t; cERTIfICATE OCCtA';tNCY Final
!CERTWIC yTr..00CUPANCY - -'
r
landscaping
2an'r,ig Final
� war .. � �. ■aa � .. arw aw
BUILDING PERMIT APPLICATION TIGAFID DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERIMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE��—_
OR AS 5HOWN 4ND APPROVED IN TH E ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ _-
�� t p ((, Y LarrlO.____ --
OWNER IDB �?_2 ADDRESS / S )u� '� a
ARCHI7ECT
ENGINEER
BUILDER _ %� ADDRESS DESIGNER
STRUCTURE 0-�EW ❑ REMODEL Cl ADDITION ❑ REPAIR ❑ RENEWAL Q FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM 0 EDUCATIONAL ❑ GOWT Cl RELIGIOUS Q PATIO ❑ CARPORT Cl GARAGETORAGE ❑ SLAE❑ FENCE
OCCUPANCY LAND USE ZONE _BLDG.TYPE FIRE ZONE PLAN CHECK BY —� �– HEAT
SEINER PERMIT M _ /_ _
OCC.LOAD —_FLOOR LOAD HEIGHT 141 NO.STORIES /� AREA � NO.BEDROOMS VALU Ov rJ
BUILDING DEPARTMENT SET BACKS FRONT �2 �� REAR IZO r LEFT SIDE RIGHT SIDE
St.)rTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONfNG
- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED T'r:AT TY.[
,Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLI,.NCI
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT ['DES NOT WAIW
S.:)-total -- O_�,x� RESTRICTIVE COVENANTS.CONTRACTOR AND SU9 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
[ –.r. LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
;Slate Tax / ��o I
----. —_ SDC'_
---------__--_ _ ------------- -----
F OCO APPUCANT OR AGENT_
By
Receipt No.
Appr ved 1 AUORE.SS i ---��.-f`fiONE
i�
SDC —
PDC —
SEWER CONNECTICN 5
SEWER INSPECTION S
SEWER SURCHARGE S