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BUILDIN' �='E IT APPLICATION TIGAr�� DATE L? t9 �S
T PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON ��
HE UNDERSIGNED HEREBY APPLIES FOR A PE F IZ "
OR AS SHOWN AND APPROVED IN THE ACCOMMANYING PLANS AND SPECIFICATIONS. OWNER,PHONE
JOBAUDRESS
S.� � � LOT No.
_ _ C4
ARCHITECT
ENGINEER
BUILDER ADDRESS ��' DESIGNER
STRUCTURE NEW ❑ REMODEL ❑ ADDITION � REPAIR _ ❑ RENEWAL ❑ F{RE DAMAGE C1DEMOLITION4 RESIDENCE 0 COMM ❑ EDUCATIONAL 0 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OY.GUPANCY LAND USE ZONE BLDG.TYPE _.h FIRE ZONF ^ PLAN CHECK BY 4-� HEAT,^§!-v`
SEWER PERMIT k —
OCC.LOAD FLOOR LOAD HEIGIiT ).t) 'f'" NO.STORIES "L' AREA 11-y J NO.BEDROOMS L VA.LUEY (/O*
BUILDING DEPARTMENT SET SACKS FRONT >-V REAR LEFT SIDE RIGHT SIDE
Permit 7 !J THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE, ZOFI'NG
REGULATIONS AND ALL APPLICABL E CODES P:ND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
,Plan Check WORK WILL BE DONE IN ACCORDAr.CE WITH T!iE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERFAIT )GES NOT WAIVE
Sub-total S'V RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CII-Y BUSiNisS
r— LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Slace Tax _�11
SCLC r--
Total —(o -- — -
PDCII APPUCANT OR AGENT
By _
Receipt No.
`pproveA — ADDRESS ----- PHONE.-------- 1
SOC ------------ '
PDC
SEWER CONNECTION S � S
SEWER INSPECTION S
SEWER gURCHARGE S
4630
BUILDING P RMIT APPLICATION TIGARD DATE__-.'''_
I HE UNDERSIGNED HE=REBY APPLIES FOR A PERMIT FOR THE WORK r 'REIN INDICATED BUILDER PHONE __297-1493
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
LOT NO.
OWNER t litury 1-1 Inc, JOBADDRESS _97" $M Umdon (;t.
Potrtl, q�y1 RCHITECTI �
BUILDER Sade ADDRESS 7412 S>W Bytno Hilks DESIGNER
STRUCTURE ® NEW C7 REMODEL ❑ ADDITIf)N ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Q(RESIDENCE ❑ COMM ❑ EDUCATIONAL O GOVT LJ iL'IGIOUS ❑ PATIO Cl CARPORT D GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY _ _ LAND USE ZONE BL03,TYri 5Nd FIRE ZONE PLAN CHECK BY _ gTW HEAT--.K—..—
Construct
EAT ..Construct yingle to ily Dwelling w/attabbed Garage. -�—
ite Issue Qf Permit 145t)6 l I�eirou��s 2 EsaLt�rvor;a
SEWER PERMIT# 26440
OCC.LOAD FLOOR LOAD 4U HEIGHT tut NO.STORIES _2 _ AREA 1245 NO.BEDROOMS 2 VALUE 49,1;OU.
BUILDING DEPARTMENT SETBACKS FRONT 2t REAR lu LEFTSIDE r� RIGHT SIDE _
Permit _ 27�� 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 T+IE
Plan Check 40.00 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 318.50 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax I 1•14 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC-- r4L}U.tau
Total 329.0:4
PDCR I 100100 APPLICAI_fbR AGENT
- ---
BY x:11
Receipt No.
Approved STW ADDRESS PHONE
m
Di INS t T PE INSPECTION REMARKS PLUMBING DA
Contractor
Permit
Rough-in
i, Fixture+Vq- en
Final
BEATING
Contractor
Permit No
Gas or 0i
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainer
Main Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DE CERTIFICATE OCCt.4"ANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final