11000 SW SPRINGWOOD DRIVE 11.000 SW SPRINGM OD DRIVE
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ADDRESS -zedM-_ar scl- =�'`
a -RMIT CHARGE non e---
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CONNECTION FEE
OWNER _ �� � '��s.-� � , .=�.'� G PAID B Y
DATE CONNECTED
TYPE OF BUIL0ING ---ate
INSPECTION FEES .
SERVICE RATE ------- DATE •,___ ,
PAID BY �. __
CONTRACTOR ,,,,,_...._...___........__-..------------------"""" ASSE55PAID
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SIZE OF CONNECT ION q -9 -77 ► y 5 6
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BUILDING PERMIT APPLICATION " TIGARD DATE 9.27 ___. I9_ 76 4 it 3
OF
THF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
------
rown Ganite ,t. t;;,z,>Ai, ItOOO S.I►. Sprtrrrp.ottd Llr. OT NO_
OWNER JOB ADDRESS HOME ADDRESS
-vY - ARCHITECT
AaM@ ENGINEER Ala botty,hmi Ass,.jc..
9U"LDER -11 —ADDR-S--;: — - DESIGNER�-t
S'lNUCTURE UNEW LJ REMODEL _ LI ADDITION _ ❑REPAIR V ORENEWAL OFIRE DAMAGE �-t ODEMOL`IrION
O RESIDENCE COMM OEDUCATIONAL OGOV'T ORFI_IGIOUS OPATIO OCAR PORT OGARAGF. O STORAGE DSLAB ❑FENCE
DBOND 13MOVING OCONDI HONAL USi: ❑DESIGN REVIEW (COUNCIL APPROVED []SIGNS�
OCCUPANCY__I AND USE ZONE BLDG.TYPE _-FIRE ZONE_ PLAN CHECK BY— HEAT
);st. otle wwiiAnirlq, polol 40 m 2(! x v per planta vol *hall plot lin filled wltli water
Llntill r:atective fen~e to inplsc.e
S?&S, LOAD FLOQR LOAD- HEIGHT �.o sroRl�.�____��fA J�Q,@EDROOMS —_ygLUE _—,i!
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 40.ut. ---
THIS PFRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFD IN THE BUILDING CODE, ZONING
Plan Cl eck REGULATIONS AND AI.L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILA.BE DONE IN ACCORDANCE W;TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUIT-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 1.2'. LICENSE. SEPARATE PERMIT' RFOUIREV FOR SEWER, PLUMBING AND HEATING.
Total 41.70
By ew
- _ -- ------ nt CANT OR F,pEN I
Approved Rvcripl N(l
ntss
�'.
9
��
Ii � � �r f +1i
'�c
i
CITY OF Rt l�% 3
... ... t to �r �T P!i 1(C A-700 'r GArr.i1 [�>TE
"=E -:N2ERS'GNED HERESY APPLIES FOR APER%VT FOP.THE WORK HEREIN INDICATED
CO AS S�OVJN AND APPROVED w/!N THE ACCOMiI"ANYING PLANS AND SPECIFICATIONS.
�IAO�WNER PHONE
nwtiA�
cm sJ1 a4 `I �I- ADDRESS l 4,SRI, uj a !LDERPHONE
ENGINEER
T DESIGNER
ARCHITEC
r-tADOIT!ON QREPAIR !-r.-'RENEWAL CrIRE DAMAGE CDEMOLIT!ON
gTgUC-�vc �LF'tJ 'aFV!CD`__ .�
RzSIOENCECOV.v -EnUCATIONAL —GOV'T �RELIGIOVSrPAT10 nCAR PORT GARAGE ❑STORAGEOSLAB nFENCE
BOND _inOV'NG ^CON'?tTIONALUSE DESIGN'REVIEW LCOt:NCILAPPROVED SIGNS ,
hE4T
QCCUPANCY '-AND t_tSF ZONE B' DG-TYPc FIRE ZGNE_ PLAN CHECK BY '
o
OCC ''OAD FLOOROAD HEIGHT NO STORIES AREA, VAIUE��TI--��
9U'LD'NG DEDARTVFN SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Derrmit 4o ov
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODs, ZONING
°jan Check REGULATIONS AND A!L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
r WORK WILL BE DONE 'N ACCOROANCE WITH THE PLANS ANDSPECIFICATIONS AND IN COMPLIANCE WITH
i Recording ALL APPLICABLE CODES AND ORDINANCES- THE ISSUANCE' OF THIS PERMIT DOES NOT WAIVE
r---- RESTRICTIVE COVENANTS. CONT;?ACTOR A 9 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1�SSOte 1 p LICENSE. SEPARATE PERMITS REQU1RcJ FOH .SER, PLUMBING AND HEATING.
Total y{;
nY
APPLICANT 04 AGr.�.
Approved Receipt No.
A D6n E55 PHONE
ev'rt�p CITY OF
�o BUILDING PERMIT APPLICATION TIGARD DATE Juno ' 19
N°
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE------
InternOtio iul Clunes CONADDRESS y 297-itil.
OWNER _— ADDRESS �( _ ___ BUILDER PHONE
ENGINEER
BUILDER _ ARCHITUT__ DESIGNER —
S
TRUCTURE ❑NE.W _❑REMODEL ❑A_DDITIONL7 REPAIR ORENEWAL_ ❑FIR_EDAMAGE _ ❑DEMOLITION
LJ`RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE— ❑STORAGE❑SLAB ❑FENCE
MOND ❑MOVING ❑CONDITIONAL USE C3 DESIGN REVIEW [:]COUNCIL APPROVED—_ ❑SIGNS
Q(;CUPANCY .—LAND USE ZONE_ _-BLDG.TYPE _FIRE ZONE._ PLAN CHECK BY—____ HEAT_
1 ELI::`L �i. 1rG6G9Cfi�tlOf1 ti/1 fr; w ;)4:1 ").LOH ,." Rpsc
`' $ HEIGHT NO. STORIES 1 AREA s* pA6U
QCC.LOAD FLOOR LOAD1 —
BUILDING DEPARTMENT SET BACKS FRONT rltj V REAR I00' LEFT SIDE RIGHT SIVE
Permit '
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATICNS CONTAINED 1,4 THE BUILDING CODE_ ZONING
Plan Check 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 WI tH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE iSSUANCF OF THIS PERMITDOES NOT WAIVE
--- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACT09S TO HAVE CURRENT CITY BUSINESS
1%state, LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 17 u.)t.
By --- --- - - -- - — --- ---. _ ---
A F`P N I C R AG
F N T
Approved Receipt No.
ADDRESS ON
DATE INSP. TYPE INSPECTION `'IEMARKS PLUMBING DATE
Contractor
Permit No. _
Rough-in
76 -
/ IInaI�n�'�t'1:�1{,lQ Final
t ,HIcATING
�
; .-_���C .l'P Contractor
l o5r �mourT_'' r. brace, Permit No.
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f.7aS Of QII
Rough-in
_ Final
SEWER
Final _
DRIVEWAY —
Final
Storm Drainaje _—
(Rain Drain► Final
Sidewalk
Curb&Street Final —
_ _ Approach_
BLDG DEPT.FINAL TEMPORARY CF .YIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning final
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