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BUILDING PERMIT APPLICATION TIGARU DATE�__`'�`�'«�t��1 _ _,19._.. :> 4662
1 UNDERSIGNED HEREBY APPLIES FOR A Pf-RMI T FOR THE WOHK HEREIN INDICA FED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACC.OMP0.NYING PLANS AND SPECIE 1CATIONS. OWNER PHONE
LOT NO.- 25
OWNER t.antury 21 JOB ADDRESS 9711_SW London CL. _ o dory q-ll
P. 97225 ARCH'TECT
ENGINEER
BUILDER yauw ADDRESS 74 12 SW Bytnl. hill. ;3wy_DESIGNER Job 0285
STRUCTURE NJ NEW L) REMODEL ❑ ADDITION n REPAIR ❑ RENEWAL_ O FIRE DAMAGE 0 DEMOLITION
[A RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO C CARPORT i.] GARAGE ❑ STORAGE ❑ SLAB E; FENCE
OCCUPANCY —k'3 _LAND USE ZONE ._ Y►! It-��UG,TYPE --5—N -FIRE ZONE _PLAN CHECK BY l-TW HEAT—r
_.. _ ca $tn s�iz� le fa>�ily �ivell ire w/attach d_�sr ---
-_� Ke: leaut of Permit. A t30
2 ;Jedrooms 2 Bathrcur.A
SEWER PERMITN 2641. (i ZZU
OCC.LOAD FLOOR LOAD_ HEIGHT 2U+ NO.STORIES _2 AREA 1245 NO.BEDROOMS _.t VALUE 49,000.
BUILDING DEPARTMENT y SF1 IiA(:KS FRONT REAR Y LEFT SIDE RIGHT SIDE
Permit 229.U+) 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
Pian Check 40.UO WORK WILL BE DONE IN ACCORDANCE 10VITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Stub-total 269•0U RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTR4CTORS iO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 9. 16
SDC –
Total 218. 16
By
i,tl PDCM i It)()-W) APP_LICANTd A_G&T
Receipt No.
Approved ADDRESS — PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMSINQ DATE
_Contracto
_
Permit Na.
Rough-in ---
Fixture
1 Final
HEATING
Fctor
' Permit No.
Gas or Oil
-- .-----_--._—_
Rough-in _.
f6tHl — —
------- ------ SEWER
-------------------- Final
DRIVEWAY
i
Final '-----
Storm Drainage
Main Drain)Final
Sidewalk
Curb&Street FInal
Approach
str3 DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final!—'___� —
C6RTIFICATE OCCUPANCY
Landscaping
I— Zoning Find
i
3
BUILDING PERMIT APPLICATION TIGA?D DATE 1 L--.194-2THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WO-'.� H_REIN IN ICA TED 1lUILDER PHONE�,�1�
OR S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANDS?ECIFICATIONS. OWNER PH NES._
y�T NO. �__�.
OWNER ,IOB ADDRESSARCHITECT
y 'r ENGINEER
DER — ADDhE`:S � n?�, U%"w.,,�oESIG ER J ^
STRUCTURE �drNEW F= ❑ REMODEL 0 AOOITION ❑ REPAIR ❑ RENEWAL ❑ FIREDAMAGE ❑ DEMOLITIOi
AESIOENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C1 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENC
OCCUPANCY R-? LAND USE ZON@ p_II�:1-BLDG.TYPE _sTFIRE ZONE_PLAN CHECK BY EAT--
�
10A-
OF
------- ,
SEWER PERMff M�ap<OCC.LOAD ----KLOORLOAD HEIGHT -+NO.STORIE Z. AREA NO.BEDROOMS VALUt4 `l�'��O
BUILDING DEPARTMENTSETt1ACKS FRONT a (, REAR J 0 LEFT:IIDE - RIGHTSIDE �J
Permit THIS PERIWIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!N
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED TY.AT TP
Plan Check 1�i WrjRK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIA:NC
VATH XLL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT WmV
k
udtotal 4� .� IIESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES
// LICFNSE SEPARATE PERfAITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stats Taxi�y
Total �i SOC—
- --
Pc C, APPUCANT OR AGENT
By _
Approved I Reaslpt No. ADDRESS _~ PHONE --
sOC
PDC
SEWER CONNECTION Sr 7 Y, '
SE61f:R INSPEGTION $ ���� L��Z �Y"•"I���� ,"
5EWEF1 5URCHARCE
INSPECTION NOTICE.
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 972Zo
Phone: 6394171
f Inspection
Type o p --...
Dat, Requested— r'� Time---- A.M.-- P.M.
r
AddtsLa. ---{ i--r.�—_.1 Permit
I
i
owner-______-------- Lot #--
Builder_-_--- --- —The following Building Code deficiencies are required to he corrected:
I
Presented to _ Approved
laspector —, —� Disapproved
Deri /ter, --
CALL FOR REINSPECTION
❑ YEB jz No