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BUILDING PERMIT APPLICATION TIGARD DATE–,-... '?,19 '' 4210
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED CUILU71K PhONE ' >?,r)sZ
OR AS SHOWN A14D APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHUNE
LOrNO.- _
OWNER `%''ni1nL� Zit11�i?!V JOBADDRESS 6445 S.W Lel'Aa eha Ct. _ Ailcha '''ntr.te'j
P.o. aux ?557.1. ARCHITECT�� --
ADDRESS DESIGNER
ENGINEER
BUILDER
I't►r'Cl�nc� !Jr�?. n ;??_� DESIGNER `3tu::ii0 5
STRUCTURE 7PNEW 0 RENODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL Cl FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE E-1 COMM ❑ EDUCATIONAL it GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT LSI GARAGE ❑ STORAGE ❑ SLAB❑ FENC
OCCUf'ANCY =LAND USE ZONE BLDG.TYPE —FIRE ZONE._.. —PLAN CHECK BY HEAT
Sirkalf' liai'111'f Dwellin,7 w/attt'1C.'heM r. purge
11-- isnul of 1 4141 X39 '83q(! s. J.
__ 2 isatl►;
SEWER°ERMIT# ;3n t.) arttge 4
OCC.LOAD FLOOR LOAD 4 r _ HEIGHT 13 N0,STORIES 1 AREA 113 3 NO,BEDROOMS_3 VALUE
BUILDING DEPARTMENT _ _ SET BACKS FRONT ' REAR a _ LEFT SIDE 1;, RIGHT SIDE
Permit ;,.y —_ _ THIS PERMIT IF ISSUED SUBJECT TO THE REGULATIONS CON TAINED IN THE BUILDING CODE, ZONING
4�t REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND Il IS HEREBY AGREED THAT THE
Plan Check Li''' 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
Suh-total _ �.7 ! •�J(1 RESTRICTIVE COVENANTS. CONTRACTOR AND SUC CONTRACTORS TO HAV 'CURRENT CITY BUSINESS
Stare Tex__
1 I LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,?LUMBING AND HEATING.
Total
3911. b SDG- �. ..
--- PDC# 11 $L00APPLICANTO'RAOENT
By
Receipt No.
Approved G'� ADDRE58 ---- �HONF_y
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
4.,? Contractor I��►L� J _ /—"' E!
Permit No. _._3 17Z-zf.
Rough-in
Fixture _ - ---- ---
Final
HEATING
Contractor 277-
Permit No. 2 �•,b!` /-i mal //
Gas or Oil
"——
Rough-in
Final
SEWER ---- -------
----------- --_ Final ----- ---
-.� DRIVEWAY �--'--
_.( final
I
Storm Dreinage
(Rain Drain)Final
Sidewalk i
Curb W Street Final
Approach
—BLDG DEPT.FINAL _ TETIPORARY_----T CERTIFICATC OCCUPANCY —
CI:PTIFICATE OCCUPANCY Final --
Landscaping
)(Zoning Final
IIt et � �r a Anr �o Rr
� ,--1---,.�19��✓� ��
BUILDING PERMIT APPLICATION TIGA. D DAT `E—`�` `-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDER PP!ONE '
ORAS SHOWN AND APPROV D IN TH �,CCUMPANYING PLANS AND SPE1CIFICATTIONS�. LOT EA
c _ 2e �!�+�nBADacaE'S y s Sw �-0.�/�A —_
O`NNER ARCHITECT
Bhr�S-r 7/ - _��`
'Pt D• ENGINEER
�y DESIGNER t Q
BUILDER ✓�-.tr� ADDRESS — --- -•-- --
STRUCTURE NEW ❑_REMODEL ❑ ADDITION ❑ REPAIR �._❑ HENEWAL_- Cl FIRE DAMAGE — �} DE►AOL.ITION
�q{RESIDE��CE Comm❑ ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOU:; Cl PATIO ❑ CAR PORT ❑ GARAGE G STORAGE C� SIA130 FENCE
L?Y n �mss,---���:_ -
CA:GiiPANCY -�/ .LAND USE ZONE �S^_7—BLDG.TYPES S�FIRE ZONE___ PLAN C/HECK UY HEl.f_S0.S
wawa
SEWER PERMIT K
_ 2
�
OCC.LOAD FLOOR LOAD —
'7"'�� HEIGHT NO.STORIES AREA 3 NO.BEDROOMS 3 VALUE S1 dO
�— _._.
BUILDING
DEPARTMENT
SET BACKS FRONT ,G _ REAR 3LEFT SICE RIGHT SIDE,
Permi
t �c.� 7- THIS PERMIT IS ISS11E11 SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOt�!NG
J� REGULATIONS AND CELL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan440. WORK WILL SE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMAPLIANCE
WITH ALL APPLII.:ABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVC
•[� ^ RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUGINESS
LICENSE SEPA PATE PERMITS REQUIRED FOR S[WER,PLUMBING AND HEATING.
3
StatA I'M SOC— \
Tot a1 APOLICANT UR AGENT
By — - -
- Receipt No. AODR-- ESQ _PHONE
Approved
iUC
;EWER CONNECTION 5 Sz'� aM• dvwla I
;EWER_IN5PECTION $ �� (� �l Q ,�38o5w
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-EWER SURCHARGE 5
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