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BUILDING PERMIT APPLICATION TIGARD DATE 19 _ 2 �'
THE UNDERSIGNED HEREBY APPLIES ORA PEP.;AIT FOR IHE WORK HEREIN INDICATED BUILDER PHONE 639-6791
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNo. 2k---Lgrca Terrace
OWNER Opte E13ore JOBADIDRESS1727`, :.,I Arm !aura I �
r BUILDER Clae►e,�1c_r' HOMS Imps. ADDRESS� 1t.335 SU Ann Court DESIGNER Piercy •& Barclay —
STRUCTURE L" NEW EJ REMODEL ❑ ADDITION CJ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE O DEMOLITION
[)(RESIDENCE L' COMM 11 EDUCATIONAL n GOV'T_❑ RELIL.�Ua ❑ PATIO El CARPORT 0 GARAGE 0 STORAGE ❑ SLAB❑ FENCE
M OCCUPANCY , LAND USE ZONE Rte — BLDG_TYPE = FIRE ZONE---PLAN CHECK BY d?--HEAT
_
Construct single family dwelling vara e, 3 Bedrooms 2 t3atha&
SEE COPPE_CTION SHEET ATTACHE0,
SEWERPERMITM 219;)3 050.00
OCC.LOAD FLOOR LOAD 40 HEIGHT 14 NO.STORIES 1_ AREA 1533 NO.BEDROOMS 3_VALLI1612,000,
BUILDING DEPARTMENT 0 c -�'.
SET BACKS FRONT _ RFAR J2 LEFT SIDE RIGHT SIDE
Permit _ X209.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 104. (] REGULATIONS AND Ai L APPLICABLE :ODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONt IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
J1"�. JO WITH ALL APPLICABLE CODES AND ORDINANCES. 1 H ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS C 1NTRACI0R ANJ SUB CONTRACIORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATF PERM ITF IEQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4r 9.ata
SDC-- a4uU.11;J
Total 5321,85
�j --
POCM '�10[l.CIt� APP' CANTOR AGENT
By _ pl. _ I� -,
Approved — -- Cit 1� RAcei-it No. ADDRESS --� �L ALA P — PHONE l --- —
1
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
t Contractor
Permit No. l� 7-10 0
Fixture —
�ii... Final
HEATING—
Contractor
— ------------- Permit No.
Gas or Oil
Roughen ♦ 4t
<
Final �
T II SEWER -.— ---.._
--- ---— ._—_ _--- —---4_—-— -
-_ Final 7 Z
DRIVEWAY
- Final
—_ Storm Drainage
(Rain Drain)Final
Sidewalk
---- Curb A Street Final
Approach
_
BLDG. DEPT.FINAL � TEMPORARY CERTIFICATE OCC UPA CY
ICERI IFICATE OCCUPANCY L p Final
/ Landscaping
Zoning Final
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