9365 SW MARTHA STREET 9365 SW MARTHA STREET
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BUILDING PERMIT AFNLICATION TIGARD DArF _''l°'!e"_'ber ►'l"' _ , ,s. ' ; 4660_ _
THE UNDERSIGNED HER!AlY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHO G2U-7416_.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANE AND SPECIFICATIONS 1!WNER PH(J,Ia
LOT NO..� �------- —
OWNER t l lwr. 151 'r. JQH ADC! [SS 135 .�ij '_.__rtllat.. Kneelatad F,#t �e�_��__
ARCHITECT
BUILDER ;i r) << ENGINEER
ADDRESS 1t327U il�*rrrres rY. Kd. DESIGNER
STRUCTURE li NEW ❑ REMODEL C.7 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
E-1 RESIDENCE E❑ COMM ❑ EDUCATIONAL FJ GOVT ❑ RELIGIOUS CI PATIO D CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —K`3 LAND USE ZONE _K'7� BLDG.TYPE �_51" FIRE ZONE_PLAN CHECK BY �1ClC HEAT_
Conattv.rct single family dwelliiii; w attached aarage. eV___----
3 Ise d r000m 2 Bathroom
SEWER PERMIT# _lti4b$�— -- — — t4rage 445
JCC.LOAD FLOOR LOAD 4': HEDGHT 1 3 r-6"NO.STORIES 1 AREA 1 313 N0.BEDROOMS 3 VALUE 1i5�OUt?.
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHTSIDE
Permit 328.uU Tr :9 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 113.2!3 RkiGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WC'7K 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
Sub-total 54 1•211 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
13. 12 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
sric
PDC# l 1 1 Uf)• 'i1
Total 554.32
`-`--_-- .1')t1 APOR A'6ENT
By CH
Receipt No.
Approved T—14C _ PHONE —
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING
A C
-ContraPermit No.
Rough-in
j
Fixture.
0,
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rniiiih io
Final
------scWER
Final
04IVEWAY
Fine!
(Rain Oraln)Final
Curb";Street Final
DEPT.FINALTEMPORARY~ CERTIFICATE OCCUPANCY
- --'-6RARY —CC4---- --t— —
CERTl,1CATEOCcUPAi,jCy Final
Landsr.p.)g
Zoninq p Final
BUILDING PERMIT APPLICATION TIGARD DATE __L � ___.19 r. -
THE U,VDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEPEIN INDICATED BUILDER PHONEG.?o'7>'il
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER �Lr.'!rf�li � JOB ADDRESS ��G r _S� .•��1��?�SP '12f�
ARCHITECT
ENGINEER
BUILDER ADDRESS ,,,,DESIGNER,
STRUCTIJVE tit' Nr: ❑ REMODEL ❑ ADDITION i1 REPAIR Cf RENEWAL ❑ FIRE DAMAGE ❑ DE-'AOI_ITIOr
R[SIOF:NCE ❑ COM'< 0 EDUCATIONAL ❑ GOV•T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE 0 STORAGE ❑ SLABO FENCI
OCCUPANCY "�, _LAND USE ZONE ,p,_,[_.-;_.BLDG.TYPE --`Y- -I- FIrRE ZONED_PIAN CHECK BY �HEAT Cs
—
SEWERPERMITN
OCC.LOAD FLOOR LOAD _HEIGHT -' NO.STORIES AREA/_; Z-j NO.BEDROOMS ._ VP.LUE —
BUILDING DEPARTMENT SET BACKS Fr ONT REAR LEFT SICE_ RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZO?vI4c
' FIEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. F NO IT IS HEREBY AGREED THAT T P,
PlanCheckf WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SFECIFICATIONS ANO IN COMPLIAPIC:
WITH ALL APPLICABLE CODES AND ORDINANCES_ THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'
j Sut,-tolal s� j� RESTRICTIVS COVENANTS.CONTRACTOR AND SUB CONTRAC"OAS TO HAVE CURRENT CITY BUSINES:
(— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax �t
—
Total �_ • �� �.— — —
ppC,� APPLICANT OR AGENT
By
Receipt No.
Approved —_� ADDRESS PHONE
s 0 C
I3 0 C
SEWER CONNECTION S
5ELIE.R INSPECTION S „r
SEWER SURCHARGE S
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