9680 SW O'MARA STREET 9680 SW O'MARA STREET
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BUILDING PERMIT APPLICATION TIGARD DATE___�`:'v• 1._-____,is_____ 4244
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THF WORK HEPcIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEVFICATIONS. OWNER PHONE
LOT NO. .
OWNER l�.
iti 'JOB ADDRESS 01 'avi
ARCHITECT
BUILDER ADDRESS . Fa7x'lRf3lr i 1. E911+SNER
STRUCTURE ❑_NEW Cl REMODEL ❑ ADDITION_ Q'REPAIR ❑ RENEWAL ❑ FIRE DAMAGEW ❑ DEMOLITION
O:#iESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT L7 GARAGE ❑ STORAGE ❑_SLAB[] FENCE
OCCUPANCY _LAND USE ZONE x `__._BI_DG.TYPE FIRE ZONE - PLAN CHECK BY HEAT -
- -',1'`"�•�:�.l,` ��..Y'r,? �1;!1"?i��''' �.T7 'w�.T1.:+�,' '.�I't�,1.1� '>'."''x.11�s�r c:':�,x''_^ ("'3l1 s C:`.5 i �'��i' }':�1.��_. _-.,.-- -------
,.. 1 i;'tf"l f? �.,. :t:,Rt vt� ',tr 10;3;1 �Ok.� LY,C • �0cG'_ta
0..
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS ANn ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check �~ ' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANU SPECIFICATIONS AND IN COMPLIANCE
WITH ALI. APPLICABLE CODES AND ORDINANCES. THE. ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ " ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�+ LICENSE.SEPARATE PERMITS REQUIRED FOR,f.EWER,PLUMBING AND 14EATING
State Tax 5 SDC—
Total -- —
PDCP APPLICA�A 1F.1`i
By
-- -- `,1 - Receipt No. 'i
C
PHONE
1PLUMDING DATE -
DATE INSP.I TYPE INSPECTION REMARKS
C,,ntractor - - -
Permit No.
Rough-in -- -_.
!. ' Z7`_
i Fixture
Final
- , - HEATING
Contractor
Permit No.
`- - Co::or Oil
Rough-in
Final
-- --- SEWER
- - _ Pinol -r
---� -- — DRIVEWAY
-" - Final
_ Sturm Drainage
-- _ - Rain Drain)Final _
Sidewalk
Curb&Street Final
ech
BLDG. DEPT.FINAL -T---TEMPORARY CBRTIFMCATE ttCCUPANCY Final
ICF."TincATE OCCUPANCY
Landscaping
Zoning Final
i
r)U'LU!iNu rcnlvil I mi-rLIUM I IUI'd OF ••• -- — "--
THE UNDERSIGNED HEREBY APPLIES FOR APE RNIIT FOR THE WORK HEREIN INDICATED 13UILD'.RP>,v,w_f* -32.2_�-
OR AS SHOWN AND APPROVP IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHc',1E11�
LOT NO. _
7
�() 1o�s��R�s Q �7
_ ARCHITECT
ENCINE
Y�110E!3 ' DrSIGNF t
, DESIGNER _
iTRU. T IRE _ NEW LJ Rt*'cTrl � LJADDITIOy��_ REPAIR - ❑RENES:I-AL _'IAS OAFnACiE DDE:.10uT1.
Zi RER'I'VICE ❑COMM ❑EOUCATIONAL LJGOV'T ❑RELICIpUS OPATIO OCAR PORT QGARAGE ❑STORAGE QSLAB []FEN
`VCt 'P rL=Y2is2_LAND USE ZONEI� DLDG.TYPE :.ZlJC`-.FIRE ZONE= PLAN CHECK BY_ C-ilt- HEAT_=L—
n1/7
a
PERL13.1 1[
No .STORIES c�=AREA NO.SEDROQA?5•S MAL; 600
yt1lLOING DEPAR I'MENT 1 SET BACKS FRONT REAR --_ LEFT SIDE RIGHT SIDE -_
LL��LL THIS PER`."tT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONI
I a^ Check 1 REGULATIONS .AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS H=REBY AGREED THAT 1
i
---- -- — WORK WILL BE DONE IN ACCORDANCEWITH THE PLANS AND SPT-CIFICATIONS:,ND IN CGIVIPLIA.NCE Y1'
,.)-*at 41 ALL APPLICAM.E CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOi WA
— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUP,nFr4T CITY 9USiN
`?Cate 1"ax II LICENSE. SEPARATE PERMITS REQUIREL FOR SEWER, PLUMBING AND HEATING.
-
Total 5DC I / PDC -
r - #
APPLICANT OR AGENT
[AFOruvM — Receipt No —
�'l�RF55 PHONE
SDC -
PDC - #
SEWER CONNECTION S6
SEWER INSPECTION
SEWER SURCHARGE $
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