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BUILDING PERMIT APPLICATION TIGARD DATE CC;,_:_ lir 119. 3512
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHOP .245. 111 t
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P QNB
LOT N0. '3"`�CT1FC .TSet
OWNER !:ill t:Otlrait� 1t,L155 C.ty. 3c1 ec%la !Drive
JOB
ARCHITECT
ENGINEER
BUILDER Godwin Conat. C4.1, Inc ADDRESS 9370 .'W Creenhurg Rd. _DESIGNER__Iliere-p-Banc ay�--
STRUCTURE Fad NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR �❑ RENEWAL_ I I FIRE DAMAGE ❑ DEMOLITION
U RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T O RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY --3=LAND USE ZONE --L---7 BLDG.TYPE >`+ -FIRE ZONE__ "" PLAN:CHECK BY I1 HEAT CUD _
(bnstruct Sin,le fa!Al.y Dwelli:a % Stith ar tac'le�i garage
See correctiurk sheet attached 3 bedrooms
2 baths
SEWER_PERMIT# 23115
OCC.LOAD FLOOR LOAD 40 _HEIGHT t" NO.STORIES 1 AREA 1459 NO.BEDROOMS 3 VALUE GI,ytli)
BUILDING DEPARTMENT SETBACKS FRONT 22 REAR 15 LEFTSIDE 1O _ RIGHT SIDE 11)
Permit 211.00 _ 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_ 105.5J _ 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
Subtotal 31.6.5o _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
•44 LICL`;SE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
sac 4030m ,.. .�.
Total 724.94
By
-br PDC# '.,T 100,00 APPLICANT OR AGENT
Receipt No, --_-___.__-.. ----------.-
Approved (boli 1 ADDRESS PHONE
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—"`---- - PLUMBING DATE
DATE INSP. TYPE INSPECTION
REMARKS
--.._ --- ------ - - Contractor
/1• �� -- -- — Permit No. -
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Rough-h%
Fixture
Final ^` —
_ -�ri� HEATING '� -----
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Contractor q
F1j(^r - - Permit No. a I 11 77 p
Gas or Oil U
-- -- --- Rough-fn —
---- ---- —__. Final
- -- - SEWER
------ -- Final
— --- - ------- DRIVEWAY
__ - --- --- --- Final __--
`- ---' Storm Drainage -
-- --~- (Rain Drain)Final_-
--- -- Sidewalk
— - - Curb&Street Final _
CICC�p
RTIFICATE CC�.IXii.DEPT.FINAL - TEMPORARY � Find
CERTIFICATE OCCUPANCY Z p _ p I
Landscaping
Zoning Final
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BUILDING PERMIT APPLICATION TIGAzD" DATE-71)e-f-, 0 ,19 gp nn
THE UNDERSIGNED HEREBY APPLIES FGR A PER?AIT FOR THE WORK HEREIN INDICATED BUILDER PHONE4C f' :-1/U3 _
OR AS SHOWN D AND APPROVED IN THE '•CCO �PANYING PLANS AND SPEC CATIONS. OWNER,PHONE ~
�II) t�OGf(1't JOBADDRESS LOT NO. �0
h �,Q ArICHITECT
BUILCER 0wla�, e4rmt , �h0. ADDRESS<r��w��� " "DESIGNER
STRUCTURE NEW Cl REMODEL J ADDITION C REPAIR ❑ RENEWAL 7 FIRE DAMAGE CDEMOLITION
RESfOENCF (� CI;MkA ❑ EDUCATIONAL ❑ GOV_T Cl RELIGIOUS Ci PATIO ❑ CAR PORT C GARAGE C STORAGE ❑ SLAB❑ FENCE
OCCUPANCY =- -
LANDUSEZONE 7 t11-0G.TYPE .._ N FIREZONF PLANCHECKSY HFAT
SEWER PERMIT!!
OCC.LOP L' _ FLOOR LOAD 40 HEIGHT 1' NO.STORIES I _AREA1f� NO.BEDROOMS � VALUE&1200
BUILDING DREPARTMENT— '-- --1___
SETBACKS FRONT 2.,. REAR 3� LEFT SICE �Q:RIGHT SIDE ,gyp
21 1, 00 L--- _ _
C�rmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDIVG CGDE, ZOtl:tl;
REGULATIONS AND ALL APPLICABLE CODECS AND ORDINANCES, AND IT IS H£R: AGREE) THD,1' TF E
�_ Check —� � WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS3`f AND IN CCIAPLIANCE
WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES {\iOT YVAIV,
+Stastotal Sa RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BJSIt:rSS
r_----i- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
tate Tax •
SOC-
PUGM 4APLIR
Approved --..-- Receipt No. _------_--. --
ADDRESS PHONE
CDC r
P o C =
SEWER CONNECTION
EWER INSPECTION $ 23-
EWER
JEWER SU}-CHARGEoL
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