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BUILDING PERMIT APPLICATION TIGARD DATE !t`! 3841
THF LINDE.PSIGNEU HEREBY APPLIES FOH A PEnMIT FOR]HE WORK HEREIN INDICATED BUILDER PHONE
OH AS NI?WN AND APPRnVED IN THE ACCOMPANYING PL'\NS ANn QPI=CIFICATIONS. OWNER PHONE
LOT NO._ 21
UWNfR `+' JOBAGUrtt:;,. r�..,�.,..
ARCHITECT �—
ENCINEER
IiU1LDER CY4.T2Lr ADDRFRS 9.tit) ., �,��� t�t:n�C�; :'t . DESIGNER D. A. }1!.bnr!
STRUCTURE LT%4EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
RESIDENCE El--COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -F-3__LAND USE ZONE _.11=j- -BLDG.TYPE —U_FIRE ZONEPLAN CHECK BY -1 HEAT ,
�7or-nt:rnc�t ringlC family dwplli w!.ttt-a�C' —'y:11r� 3 FleclropRuzR 2 ;'tat?^ ,
SEWERPERMITM
_1 3_ ft••
OCC.LOAD FLOOR LOAD 4n - HEIGHT — 1i N0.STORIES lu AREA 1 R c,0 NO.BEDROOMS 3VALUIi¢ 'ti w t1t?r
BUILDING DEPARTMENT SET BACKS FRONT ? REAR LEF'j SIDE r RIGHT SIDE ?
Permit $23 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
-T � �j� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND Il' IS HEREBY AGREE_D'iHAT THE
Plan Check WORK WILL BE DONE IN 'ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
�.�, ^'WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUAACt.. OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tex LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
soc— Q4tti)„nct
SDC—
Total
T 100000 APPLIGANTOHACLNII
B PUCR I — -
Y
Approved t,Iw. Receipt No. � 24'1.l _.----_----
�AbDRE39 PHONE
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DATE INSP. TYPE INSPECTION Pk-MARKS PLUMBING DATE
--- — _._ Contractor r Y G
Permit No. --�—Jam---- ._
y ZIL tpA Rough-in
�O S`S/ .eP O� .a'a.••Gr►st-- — Fixture ---- -- -
-.- f �O �_ Final
,12 7-/;f7 ;r/J � - HEATING
112 — Contractor
t
.t`�2 Permit No.
Gas or Oil
Rough-in
Final -
- SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG. DEPT.FINAL `TEMPORARYCERTIFICATE OCCUPA G Finel
CLRTIF'ICATE OCCUPANCY
Landscaph Q
Zoning Final
,I
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BUILDING PERMIT APPLICATION TIGARD DATE ch7 G� 19�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATEOO.BUILDER PHONE
OR A3 SHOWN AND APPROVED IN THE ACCMAPANYING PLANS AND SPECIFICATIONS. 0VIN EP.PF;ONE �•" 11�
11, D
Q.14NE3 4MC LeVirs- f JOB ADDRESS 666!rS W �t� `Ol �� LOTNO.
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ARCHITECT `` LL
ENGINEER
BU+LDER VIAPA�- ADDRESS 3']a Ste' +pu DESIGNER �� n19°!,G --
STRUCTURE NEIN __0 REMODEL 0 ADDITION ] REPAIR Cl RENEWAL [DFIREDAMAGE ❑ DEMOLIi101
RESIDENCE CLUMM ❑-EDUCATIONAL 1-1 GOV'T ❑ RELIGIOUS u PATIO ❑ CAR PGRl Cl GARAGE C STORAGE ❑ SLAS❑ FENC
OCCUPANCY � • -_•LANO USE ZONE BLDG.TYPE J --N-FIRE ZONE_ _PLAN CHECK BY �`
- ---'�_-=-.-HEAT�----
SEWL�R PERMIT
0:;C.LOAF? FLOOR LOAD 4- HEIGHT ' NO.STORIES AREA IS NO.BEOROOM1IS 3 VA.LUir v DO_O
BUILDING DEPARTMENT SETBACKS FRONT REAR �-
_____ ,2,'Z LEFT SICE Ca RIGHT SIDE f�.
2�4•_0° -- -
Fpi.,•mit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNC
IEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERc3Y AGREED TY,AT 7HE
Check _ ' 1 `yro 4ORK WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIF:CATIONS AND IN CO.'iPLIAIJCE
r- t
WIN ALL APPLICABLE CODES AND ORDINANCES. THEE. ISSUANCE OF rLi1S PE'R`mT DOE$ !.'JT' WAIVE
�1iub
total 3 g.S'0_ FESTRICTIVE COVENANTS. CONTRACTOR AND SU3 CONTRACTORS TO HAVE CURRENT C17-f EUSINES
):ante Tax • q.5-(* LICENSE-SEPARATE PERMITS REQUIRE')FOR SEWER,PLUMBING AND H 1ATING.
--
Tota) � `-- ��•�(0 PUCE APPLICANrcp okGENTBy
Approved Receipt No. ADDRESS - ~- - PHONE
5DC - � OQ
- r fah &.4 . ra". 7- 2 7.8 If
PUC - S 70
SEWER CINNECTION t 77J
SEWER INSPECTION S—
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SEWER SURCHr,nGE� S _�
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CITY OT TIGARD- 12420 S.W.MAIN—TIG.ARD,OREGON 97223
RECEIPT
DATE: �l % t --AMOUNT,$
i
-DOLLARS
NAME: — ) . r,:.: :r _ 7 CASH: —
n
ADDRESS: 2--9- I U �� -i l X��!�� �f_ ._ __ 'CHECK
I +� OF
FOR: ACCT. 0 PERMITS SURCHARGE AMOUNT
SEWER BILLINGS 40-364 --
BUSINESS LICENSE 05-331 _ —
PLUMBING PERMIT 05-332
MECHANICAL PERMIT 05.332
BUILDING PERMIT 05-333
SEWER CONNECTION 40-363
SEWER INSPECTION 40-365 ---
SYSTEM DEV.CHARGE 25-366 —_ ---
PARK DEV.CHARGE #1 30-367
PARK DEV.CHAPGE #2 30-368 _
ZONING ADJUSTMENTS 05-362
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TOTALS S — �--� ' �•
RECEIVED BY: �
PIRMIT NUMRIpf ASSIONIn:
Number Amount Number Amount Number Amount
-- --- S —_ ------ S RECEIPT N -
t
07w-CF TIFA RD
WASHINGTON COUNTY, OREGON
BUILDING DEPARTMENT
�f 1
Date 2`t . Iq51
PLAN CHECK APPLICATION ------r---
This is to certify that the following plans have been submitted
for plan check pursuant to the Oregon Structural Code and Fire
& Life Safety Code , 1979 Edition.
Ownar—:�;�e_sav%e,
Job Addresssu-y
Lot No. 2 t • ?chi 10. f G�HIc - t�3•
licant Address 10
Owner/Applicant O#'r°Ge c
1 1 � ►1!4 !�;Z.3_.�____ — Phan
F: N o. I�'�9-d 1 s
Description: 0� Q-
,� 3 h E z
City r_iF Iiy�.� d, Building Dept.
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`_ 12420 S.W. MAIN ;1.0. BOX 23397 TIGA-0, U6tcG0N 97223 PH: 639A171 — ---- -