12480 SW BROOK COURT 1 ,
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12480 SW BROOK CURT
BUILDING PERMIT APPLICATION `IT TIC ARD DATE__�__�:._�__L—_..,
THE UNDERSIGNED HEREBY APPLIES FOP .A PERMIT FOR THE WORK Hr REIN INDICATED BUILDER PHONt=/��j_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO. _--____
OWNER Jail JOB ADDRESS 124o0 SLS Urouk I,0i.►1'.L HOME ADDRESS
ARCHITECT --
ENGINEER
BUILDER ^ _ ADDRES^�S DESIGNER
S0
STRUCTURE []NEW RI []ADDITION ADDITION DAEPAIR DRENEINAL ❑FIRE DAMAGE ❑DEMOLITION
O R--ESIDENCE []COMM COEDUCATIONAL 3GOV'T ❑HELIGIOUSOPATIO ❑CAR PORT 0GARAGE ❑STORAGE 0SLAB ❑FENCE
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� BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW DC:OUNCIL APPROVED ❑SIGNS
OCCUPANCY_—LAND USF ZO'JE !Y7 81 DG.TYPE_�LN __FIR" ZONE._'. PLAN CHECK BY---!.'TU HEAT
I:arlstruct Le" r: 11,t oto rsr3 >!hstl all per plans.
OCC. LOAD__F—LQQB_L_QAt'_ —�IElSi�1IN Z�2 � AREA �_.�EQF�QQM `_---,iA �00I •
BUILDING DEPARTMENT SET BACKS FRONT (1K R E)EiIi i, PLNNN'SLEFT SIDE RIGHT SIDE
Permit Iq�JU
-- THIS PERMIT IS ISSUEC SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDING CODE, ZONING
Plan Check 10.01) REGULATIONS AND ALI, APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
'— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Will,
Sub total 300 U0 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICT!VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINFf�
State Tao* a 80 t(CENSE. SFPAFAT� PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 6300 Sp
By plC.PPI If ANT OR A
��. G7".f_----.. _
Approved Receipt No.
DATE INBP. TYPE INSPECTION
EEEE REMARK3 PLUMBING
DATE
Contractor T
---_ Permlt No.
Rouph•In
Flxtun
Final
HEATING
_ Contractor
Permi
t No,
-- _ _ —_--
Gas
ar Oil _–
Rough•In
F'nal
SEWER
Flnel
DRIVEWAY
-- Final
Storni Dre'nepe
(Rain Drain) "nal,
Sidewalk ~—
Curb&Street Final
Approach
BLDG. DEPT. FINAL IPORARY CERTIFICATE OCCUPAN]Y --
CERTIFICATE OCCUPANCY Fln9l
9
Zoning Final
Adriress 12480 S.W. Brook Ct. Permit No._
Permit charge__r___Yw�
Ownei _ Connection fee ZLi .00
Paid by Allan Paterson
Type of building :des. Date connected
Service rate _ Inspection fee_____25.00
Contractor. Allan Paterson i Paid by _.Da�e_.____._....,____
aize cif connection_ 4" _ Assessments _Pa.[.d_`____._..-.�
PERMIT TO CONNECT
tic S
Tigard Sanitary District
PERMIT N? 1453 LATE
PFRf11IT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ffi__ ............................TIGARD SANITARY DISTRICT
_ •B7
CONNECTION INSPECTED AND APPPOVED
Mice Superintendent