11050 SW GAARDE STREET 11050 SW CAME STREET
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ADDRESS f ' -`5CJ ,(.(,� do � Q. , f PERMIT NO. 115' ��
PERMIT CHARGE none
O��1tiER CONNECTION FEE --
_
PAID 8Y04
1'1
TYPE OF' aUILVIt'G -'� � I DATE CONNECTED _
SERVICE RATE _ 9y . — o !� (/S J INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT w PAID
�•3 n
BUILDING PERMIT /',i'PLICA110.N CITY
TIGARD DATE-.
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 'THE WCRK HEREIN IND'CATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMP"LAYING Pt ANS AND SPECIFICATIONS. OWNER PHONE
110.6p LOT
OWfjt 2 62A1jdA1 l f_LR.,JOH ADDRE. ---3W [inikr I■ :it, HOME ADDRESS
ARCHITECT
ENGINEER
DI LILOER _ ADDRESS DESIGNER _
ST'''JCIJRE _- C�i NEW DREMODEL - ❑ADDITION C1 REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
RESIDENCE ❑COMM L0_,CDUCATIO-NAL ❑GOV'T ❑RELIGIONS❑PATIO ❑CAR PORT '❑GARAG; ❑STORAGE❑SLAB [:]PENCE
[]BOND ❑MOV ING LJCONDITIONAL USE [-]DESIGN REVIEW LJCOLINCIL APPROVED ❑SIGNS `
CCUPANCY— .LAND USE ZONE_ _BLDG.TYPE, „�F;RE ZONE,.. PLAN CHECK BY,EXW__ HEAT f".1ldC.
__._.. �;, ,�tx,uc�. ��ll�l, �xtm�rlt a�:i1�a +�.�_� _�:?�L�. ► �Y Do 0 tl:tllc>l Pro
PwlrMit 17-dt) w $3115500
yrs 2t3 1 46-2 k. .i
U����49R—.�FL5?S2LLS�1(Z____._._ __HIsllStfjl —_�Q� SSB S ALE[ _ __ N_Q�bEDf3124 .— VAI
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BUILDING DEPARTMENT SETBACKS FRONS111113. PLsan REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONING
Plan Check 1A2--;,n REGULATIONS ANG ALL APPLICARI E CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1HAT THE
WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICARL - Ct ',ES AND ORDINANCES. The ISSIJANCE OF THIS PERMIT DOES NOT WAIVE
-- r��- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONIVACTORS TO HAVE CURRENT CITY BUSINESS
State Tax . 11�AD LICENSE. SEPARATE PERMITS REQUIRED FOR SEW!q, PLUMOING AND HEATING.
Total za1.4� SIAUG.lit
Poc 0.1 11 300.00
By -
- - APPI-ICANT OJ 4IAQ NT
Approved r o i,l010;fI Receipt No. e
DATE INSP. TYPK INSPECTIOPI REMARKS PLUMBING DATE
Contractor
Permit No.
12. ;PP Rough-i
Fixtura
Final
HEATING
Contractor
Permit No.
Gas ar Oil
Rough-in
Fiva,
SEWER
Final
DRIVEWAY
Final --
Stara Drainallis,
(Rain Orsini Final
Sidevoolk
Curb&Street Final
Approach
J.
0LDG, DEPT.FINAL TtMPORARY CERTIFICATE OCCUPANCYFin.l
rEPTIFICATEOCCILIPANCY
Landscaping
Zoning Final