11115 SW COTTONWOOD LANE a s�
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11115 SW COTTONWOOD LANE
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OF O `
� tOARD
CITY OF
OREGON
1408
E & C Builders
s i _ ...Permi!. No........._ _.. . .
•F�4
ON%mer ...........
:............. ..
11115 SW Cottonwood Lane
a Building Address...
o A, Au ust
Certificate is hereby given this........ 5... day of.. ... .g....................... 14.x!...... s
that said building may be occupied and
that it complies with all requirements of ,
he Cit of Tigard, Y
the Building Code for
y g • {;�,aw
':. is approved by the Tigard City Council. '
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Building -:....................
9 i
Inspector
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City of Tigard
INSPECTION REQU ES TJ 1
for
8PECTION TIME: PERMIT N0. :.-_ I
DATE. / DATE ISSUED .,._[-/_ I
NNERS NAME : .
ADDRESS:
)N TRACTOR :
ST : Air ❑, Water❑ , visual ❑ l_abnrato, --_._
CULT: Approved'�)< Disapproved C Pending
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BUILDING PERMIT APPLICATION 1OF
1T TIGARD DATE
THE UNDERSIGNED HEREBY APPLicS FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND A13PROVED iN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON97
LOT NO.
OWNER f. i� ttUild�Y'B JOB ADDRESS 6 HOME ADDRESS `
ARCHITECT
same ENGINEER
BUILDER ADDRESS _
.__ _ DESIGNER _
STRUCTURE ❑NEW 0SEMODEL DAODITION C3 REPAIR ❑RENEWAL _ ❑FIRE DAMAGE [JSLAB RESIDENCE ODU
COMM ❑ECATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ElU
STORAGE SLAB ❑FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USF. ❑DF;;IGN RFVIEW ❑COUNCIL APPROVED ❑SIGNS _
OCCUPANCY _ LAND USE ZONE----BLDG.TYPE—__-- _FIRE ZONE— rLAN CHECK P.r' A HEAT-
Lanat. Sl.1,i1.le Family w. 1.11nt4 , /f t f,,,schwd Garage & baiaoment. -- --- —___
---4 Bedroom 3 both
--------- --
ag
QCC.LQAD ^____.Fl 44RLQ_AA_ ' 2 --_.FIRER
BUILDING DEPARTMENT SET BACKS FRONT REAR 2f) LEFT SIDE RIGHT SIDE
Permit AA.fJC =------- __---- --^__---------------_----THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 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 COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. r,ONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
btate Tax 7.34 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWEII, PLUMBING AND HEATING.
Total 251.9A »-
By
"- --- APPL ICANT OR AGENT —
Approved I� `
PP� Receipt No. r
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OA FE INV. TYPE INSPECTION REMARKS PLUMBING —�
_ --- _ v DATE
ejO
T C• �.. rontrar for
Permit No. KI l $-i3-7�
Ro -in
fixture
- _ Final
HEATIN(
-
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Contractor
Permit No.
ca:or oil
DRou •in
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Final
SEWER
Final
DRIVEWAY
'- Final
- - _ Storm Drainage
— — (Rain Drain) Final
-- Sidewalk
Curb ar Street Final
RLDr OEPT. $INA1 A f00CI1
TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
( 1_andscaping
Zoning Final
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Address /��//-`� �t+—ti=�e �^*' - P e r m i t N o. ? /3 5
Permit charge
Owner
—��,�( � Connection fc:e
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by
Type of building ^���-o _,_ Date connected
Serui.ce rate _ �a Inspection fee
Contractor Paid by Date
Size of connection Assessment paid
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