Permit BUILDING PERMIT APPLICATION TIGARD DATE :.a ste/ - 1, ,19 4964
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 5M -.0750
LOT NO. 3U0
OWNER t. riovard Loali JOB ADDRESS 8015 SW kinnziker Rd. 2S1 18D
ARCHITECT
ENGINEER
BUILDER Same ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE D COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY LAND USE ZONE I — L BLDG. TYPE FIRE ZONE PLAN CHECK BY HEAT
Deposit approx. 6000 cu. yds. of fill on proprty as approved by Sens. Lands Yerwit
(M 4 Written confirmation fill complies v /report by Bars i Moore Req'd.
Street to be kept clear of dirt, dust control to be provided.
SEWER PERMIT#
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 108.00 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
Plan Check 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
Sub -total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
4.32 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
State Tax ---.(
SDC —
Total 112.32 - - $ -.--yf j.--'
,
PDC# APPLICANT OR AGEfJT r
Receipt No. L- (../ PI C [. 4 7 0 J C.,
Approved � �/ ADDRESS PHONE
j j_2.
DATE INSP. TYPE INSPECTION REMARKS ( PLUMBING DATE
� 43 � 7�i, ✓ � �� ' Contractor
Permit No.
Rough -in
Fixture
_ t
Final
HEATING
Contractor
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 I TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
_ L
96
BUILDING PERMIT APPLICATION TIGArR.D DATE ,19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONEG8Y O ?S v
� � LOT NO. • (7
OWNER �a, /�,Qn/c &/ JOB ADDRESS g /.5 —5 f�'vivz A' 25 / — I Ch
ARCHITECT
ENGINEER
BUILDER ' j •/ylF. ADDRESS DESIGNER •
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION 0 REPAIR . ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITIOr
❑ RESIDENCE COMM ❑ EDUCATIONAL ❑ GOV? ❑ REUGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB 0 FENCI
OCCUPANCY LAND USE ZONE -. - & BLDG. TYPE - PLAN CHECK BY HEAT. l
•
. le . 6. . . . I • ./ • d /[...L_ ∎ 1 : • _ -G
CnniriNriAT /'ILL C.oA - PL!£s .v /RLr,OoRr 3 >i •AMFA 4- /-t, t aEdr)
SEWER PERMIT # � E --r :c -2-7 7 AF %-F.PT L' 4, ,. A/P off' 171A7'f- 17CA6 T !'nitl - ,POL to
OCC LOAD 6 L.,067 6 HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON!Nl
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HEREBY AGREED THAT TM
Plan Cheek WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPUANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
Sub-total ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES
;State Tax •
3.2
UCENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
SOC—
Total
PDCII APPUCANT OR AGENT
By .
Ill Receipt No.
Approved �.�
ADDRESS PHONE
SSDC . . - -- $
SOC • I -
PDC it
SEWER CONNECTION -
SEWER INSPECTION S
SEWER SURCHARGE S
Co.m eats;
•
So