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BUILDING PERMIT APPL,CATION TIGARD DATE i()/9/- 3936
THE LIN,nERSIGNED HErlEBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OR A5 SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
OWNER.I r��V :'l i l l t-r. L,ll; JOB ADDRESS 9770 SW roc LOT NO. 11 �- CUPPF'R CP•
ARCHITECT
BUILDER srin c* 1'.O. ENGINEER
ADDRESS
3►ox 23291, T ccim �' DESIGNER Jay :°li11Chr.
STRUCTURE [?'NEW 1:1 REMODEL ❑ ADDITION_ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
M RESIDENCE ❑ COMM M EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE I SPP 5?: —
— BLDG.TYPE FIREZONE "" PLAN CHECK841ti _HEAT—gAF__
X98XXJ`X*t Construrt nincTle fa,ql}► tiwr;Ill.r(7 01attar_t►ed qaraqe. 4 E?nr; r
r ori r
3 Satl�R.
SEWERPERMITM 23852
OCC.LOAD FL OOR LOAD HEIGHT 1 NO.STORIES 1 AREA 1793 NO.BEDROOM_S 4 vAI_I)E 7 2,7 n n
BUILDING DEPAR rMENT
SET BACKS FRONT ;R REAR LEFT SIDE 5•r MIGHT SIDE r,
Pen.ilt — �� (? — THIS PERMIT IS ISSUED SUBJECT TO THE REVULATIONS CONTAINED IN THE BUILDINj CODE, ZONING
Plan Check 1.1 50 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
Sub-total
49•5Z1 WITH ALL APPLICABLE CODES "NIU ORDINANCES. THE ISSUANCE GF THIS PLAMIT DOES NOT WAIVE
— — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTf ACTORS TO HAVE CURRENT CITY BUSINESS
Stale Tex 2
LICENSE.SEPARATE PFPM17S REQUIRED ron SCWCR,PLUM FING AND HLAI ING.
�' • a
Total $31, SDC—
By P1 ' PDCM TI$100.00 Tiny AAfor�AUEr7 -. -
Approved --dwh Receipt No.
_.. __•__ 7 ADDRE98 rF�r���F
DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE
Contractor
Permit No. /0-19-8/
Rough-in
/o- u
Fixture
-- .L 4i r T-- Final
HEATING
1_�1 ��_ � Contractor
—� Permit No Q
Gat or Oil r
- -----'— Rough-In
Final
--`---- -- SEWER �p
_. ------- —— - ----- —-- Final //-`>/
DRIVEWAY
�_. -— --- •----- - _-_-___--—-�panel
---— -- -- ------ --- Sturm Drainage i
(Rain Drain)Final
Sidewalk
Curb IN Street Final !
Approach
BLDO.DEPT.FINAL TEMPORARY CERTIFICATE OCC. Final
— r
CFRTIFICATE OCCUPANCY /.2 / n� /� �
�f 2 h Landscaping
V
Zoning Final
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