9815 SW COOK COURT a.
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BUILDING PERMIT APPLICATIONTIGARD DATE_ lr�, u� 3943
_A_.. �-___ ,�s
THE UNDERSIGNED CREBY APPLIES FOR A PERMIT FOR i HE WOF HEREIN INDICATED BUILDER PHONE b�9-3101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.------—
OWNER'�'Ilnlatin liev, C:O.JOBADDRESS 9815 SW Cook CCalirt � LOT NO, n
ARCHITECT
ENGINEER
BUILDER Ec. mc'' ADDRESS 15300 Syi 116th Ave. DESIGNER TLIC
STRUCTURE ^ _l NEW ❑ REMODEL ❑ ADDITION L-] REPAIR O RENEWAL_ ❑ FIRE DAMAGE ❑ DEMOLITION
URESIDENCr ❑ COMM O EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS LJ PATIO ❑ CARPORT_ ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE L"5PL"BLDG.TYPE 5 -FIRE ZONE "" PLAN CHECK SY HEAT_—._'a$
C+annt.ruct single family dtellittin w/tatta.c hed crarnae. 3 Facaclr oms 2 Fatha
f'()rP", T10N SffF ?T ATT7.CHLD. - -
SEWER PERMIT12.31;5 — '.1�'.C'« _�- --- �tJ11^,'ie7� AZO s .ft.
OCC.LOAD FLOOR LOAD 4I HEIGHT 13 NO.STORIES I _ AREA 12fl5 NO.BEDROOMS 3 VALUI r�
BUILDING DEPARTMENT SET BACKS FRONT 14' REAR 1_r LEFTSIDE�y RIGHT SIDF
Permit $193 or, THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7ONId
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
Plan Check 9 f,,•rtn WORM, WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND OFDINANCFS. THE ISSUANCE OF THIS PEnM11 DOES NOT WAIVE
Subtotal 289•5U RESTRICTIVE COVENANTS. CONTRACTOR AIN D SUB CONTRACTORS TO H/kVE CURRENT CITY BUSINESS
State Tax 2
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA SING.
' �• �
SDC- dttO.Or
Total ._1297.2 2 _
PDC# 100,,0CE APPOCAi4fOFiAGEN1
By P1
f�C`Y Receipt No.
Approved / ADDRESS -_- _--_--_. _-- PHO14E J-
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DATE INSR TYPE INSPECTION REMARKS PLUNdING DATE
,? - _ Contract-, a --
�� Permit No '7
Rough-in
&ot r__r Fixture
�/-db �! Final
J / A Contracto -
�' — Permit N
cat or Oil
Rough-in
—— -- -T Final
SEWER
_�_— ----__ Final �/- ,✓ l
DRIVEWAY
Final
_ Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFY qTE OCCLIP CY
CERTIFICATE OCCUPANCY Final
Landscaping
ton+nn Final
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