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BUILDING PERMIT APPLIGA TION TIGARD DATE •' +j9 is s33 _ 4584
THE UNDERSIGNED HEREBY APPLIES 70R A PERMIT FORTH EWGRK HEREIN INDICATED BUII-DER PHONE __297-1493
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
LOTNO.__�
OWNER ;cnt r 21 ':ou>em JOBADDRESS 9790 Sy Londong
-- - ��-- —
ARCHITECT
rNGINEER
BUILDEP. `;arse ADDRESS 7412'1't lev. Villa. . DESIGNER Job 12?8
STRUCTUEtE ® NEW ❑ REMODEL 11 ADDITION ❑ REPAIR E) RENEWAL LJ FIRE DAMAGE f_7 DEMOLITION
a RESIDENCE 1. COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT U GARAGE ❑ STORAGE ❑ SLAB❑ FENCL
OCCUPANCY _ ''"3 LAND U:c ZONE _E2__`7_BLDG.TYPE _ 5�' FIRE ZONE PLAN CHECK BY HEAT--' --.,—
Conit in '�in;je .'ari'y '►wellin?, a/ attnched f7,a.rayr#,.
ItA Taeue of Per-Ait yarn P '?i2 1 "Ra tII 1 ",3droo!
SEWER PEHMi P
CCC.LOAD FL('JR LOAD 4o HEIGHT '.01- NO.STORIES ? AREA `15` NO.BEDROOMS I VALUE 33,000.
BUILDING Dr'!'O,RTMENT SETBACKS FRONT ' REAR i','_. LEFT SIDE " `I R,lHT SIDE I •-O
Permit _ 20605U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILVING CODE, ZONING
Plan Check 4O.f}(1 REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HERFBY AGREED THAT THE
WORK WILL BE DONE ,N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND 'N COMPLIANCE
WITH ALL APPLICABI.E CODSS AND ORDINANCES. THE. ISSUANCE OF THIS PERMIT DO'S NOT WAIVE
Sub total_ RESTRICTIVE COVENANTS. CONT RACIOR AND SUB CONTRACTORS TO HAVE CURRENT C,i Y BUSINESS
LICENSE.SEPARATI:PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax •
SDC– '�10U.,t3p
Total 254.7,
By PDC# �i IOC�a(aO APPLICANT )R AGA
Approved ,•p Receipt No. ADDRESS-- --- -- --- PHONE
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DATE "MSI? TYPE INSPECTION REMARKS PLUMBING DATE ~
— Contra for�
1/Q Permit No. ,
f incl
HEATING
ce Contraclor
Pormit No.
Gar or Gil
Acuph-In _.
Final
--� Final
DRIVEWAY
Final
Storm Dreinapa
(Rein Drain)final
Sidewrlit
Curb AStiaetFinal `—
�` Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANrYv
CERTIFICATE OCCUPANCYFinal
Landscaping
Zoning Final
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BUILDING PF_L'tvi;,APPLICATIGN I IGARD
THE UNDERSIGNED HEREBY APPLIE S FOR A PERsAiT FOR Tl.!,=WORK F!;M@IV 'N�JI(;ATEO BUILDER PHONE:;�eF ` 03
O SI IOt'JN AriD A7PROVEC IN THE ACC1.)W-PANYING PLANS AND!SPECIFIC. TION;;. OWNS['.PHONE
O'NNER A JOB ADDRESS 1. 7�� S �r.�•--� '�_+_ _..
J,/� / ENGINEER1'
BUILDER _ I l--- ADDHESS�I1 91': '�L�ti AGNER
Sf_RUCTURE (NEW 0 REMODEL ❑_ADDITION 0 REPAIR ❑ RE14EWAL ❑ FIRE DAMAGE Ca JE►"r_ITlur
"RI�ESOENCE ❑ f IMM Cl EDUCATIONAL ❑ GON'T Cl Rt-IGIOUS ❑ PATIO ❑ CAR?ORT ❑ GARAGE �] STORAGE SLAB❑ tENCE
0,,;UPANCY _ LAND USE ZONE �1�BLOG.TYPE �L�FIRE ZON�_�- P11\iJ C11EC K BY � ;HFA
SEWER PERMI fM �(�_�� ''/� ---- r
OCC.LOAD � FLOOR LOAD (/Q HEIGHT NO.STORIES AREA - NO.BEDA0OM*' ' VP.LLI ,/11��d
BUILDING DEPARTMENT SET FIACKS FRCINTT .40 --b REAR I 'f'O LEFT SIDE / 7-�G RIGHT SIDE '�---�
.rte_
T`ermit V THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOr1:14C
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT TP..t
FP1an Check - c 0 WOAK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAV IONS AND IN COMPLIANCE
WITH A°L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 71-115 PERMIT DOES NOT WAIVE
Rr-SlRICII:'s COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS I
G I- LICENSE SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATINC•.
;SlileTax j ��Y
Total
SOC--- -._�.-- ------- ------._.,.-- -
PDC# APPLICANT OR A:iEMT
By _
— Receipt NL ---- ------
AppfUved J ADDRESS T- --- PONE
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DC
EWER CONNE ;TION S
EWER INSPECTION S
EWER SURCHARGE S