10590 SW COOK LANE-1 c
Ul
0
cn
E
0
r
w
m
i
10590 SW COOK LANE
CITY OF
BUILDING PERMIT APPLICATION TIGARD LATE M° r�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_____------_
OWNER Gliluux ITi-kshCJp ADDRESS JAI"• L OIe I�81i16i BUILDER PHONE
Miles Raofinc Co. ENGINEER
I ULDERrr-�� AFICHITECT , rI--l1 DESIGNER
STRUCTURE ONEW 11 REMODEL ❑ADDITION OREPAIR ORENEWAL ❑FIRE DAMAGE [3DEMOLITION
C1 RESIDENCE [COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGEE]£LAB ❑FENCE
❑BOND ❑MOVING ❑CONDIIIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY _ LAND USE ZONE----BLDG,TYPE FIRE ZONE—. PI AN CHECK BY__--___— HEAT___ _�
— --
�C LUAD _ FLOOR LOAD — HEIGHT NO.STORIES AREA _ — VALUE
BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SlOr
Permit 16,00
—' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— —–"— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI IANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRM!T DOES NOT WAIVE
— ------ RESTRICTIVE COVENANTS. CONTRACTOR AND STIR CONIRACTOnS TO HAVE CURRtN" CITY BUSINESS
+.%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBI'LG AND HCAIING
Total
--------• ---- ------ - — APPLICANI t,A AGCNT
Approved Receipt
ADDRESS --Pric�fV�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING GATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
_. Contractor
Permit No.
-- __ Gas or Gil
Rou h•in
Final
--- ------ SEWER _ --
_. Final _
DRIVEWAY -
Final
Storm Draina e
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach —
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
ii
1
i