9790 SW RIVERWOOD LANE-1 9790 SW RIVERWOOD LANE
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BUILDING PERMIT APPLICATION TIGARD DAIS — __._' ,s 4 2 4
THE.UNDERSIGNED]IiEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN &,IDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE—
OWNER LOTNO.__�!,opV0r Creek 11
_ n l r�riyn 4v LY��yea B ADDRE39 g; „� �3;y ,
ARr-HITECT
ENGINEER
BUILDER_Swne ADDRESS 11731 SH Wimlmi.11• UP DESIGNER L'IeT'y1y—t;arclay
STRUCTURE`—LA.NEW O REMODEL ❑ ADDITION C.7 REPAIR ❑ RENEWAL 01 FIRE DAMAGE _ O DEMOLITION
a RESIDENCE 0 COMM L1 EDUCATIONAL 11 GOV'T O RELIGIOUS O PATIO i_7 CAR PCnT ❑ GARAGE ❑ STORAGE O SLAB FENCE
OQCUPANCY ti-3 LAND USE ZONE :Uk.YWALDG.TYPE _S+=AFIRE ZONE-----' PLAN CHECK BY 14`f” HEAT G, `
Construct S jp%le _Fam.ily Dwelling w/attached Garage
See correction sheet attached 3 Bedrooms
2 Baths
SEWER PERMIT# 2560-1
OCC.LOAD FLOOR LOAD '_ HEIGHT 14 No STORIES_= 1 AREA 1:3a, NO.BEDROOMS 3V VALUE h"t,Ut 0
_BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE 16 RIGHT SIDE —�
Permit 32k*00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 213.21.! WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal S41*;!0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUP CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITts REQUIRED FOR SEYIEA,PLUMDING AND HEATING.
State Tax
SDC— W.-?�1'''.�i.,U`J'�..� ``•` �' ``'''""
Total 554.32 By
PDC# 11 1t,1i1.0() APPDCXRT oR AGEN i
Receipt No. ,/
Approved— _ � `^ /r' Sl7 ADDRESS �—
DATE INSP. TYPE INSPECTION REMARKS--� PLUMBING DATE -
_ '7� �` Contractor
�(7GCr �L"—`�—ya �es�L —rl.s_T_ Permit No.
IV Rough-in `
Fixture
YI
Final
HEATING
( Contractor '< E ` /�' kx X 1+110//e
Permit No. 226
Gat or Oil
- --_- --._ Rough-in --
Final
--- — ------------ SEWER
Fin.1
DRIVEWAY
--_.-- -- ------.�.__. �.—_-- - Final -
-_ Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Strout Final
------ Approach
BLDG. DEr T.rINAt, TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -
Landscaping
Znn+ng Final
t
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-- _ -,., T l rte.,,, �Q
BUILDING PERMIT AP LICA . ION T1GAa� DATE_(w�/� t9tiC52
THE UNDERSIGNED HEREBY APPLIES FOR A PER INA IT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THF ACCOMJPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
V �p, p LOT NO. Of`'
OWNER 4IV� De V, J08ADDRESS -921a ) '3tQ*4jQ1V # bam
ARCHITECT
(714
z_
BUILDER �pt..ynp' -� ADDRESS It L2�h, DESIGNENGINEER I -I
ED ? !!
STRUCTURE NEW ❑ REMODEL ❑ ADDITIONv ❑ REPAIR ❑ RENEWAL E FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE Q SLAB 17- FENCE
(XIGUPANCY -�" __,Lt�ND USE ZONE-n_BLDG.TYPE 'IRE ZONE PLAN CHECK BY _ EAT—
SJR
____--- -- -._ ___ ___ • _._ ___ .z3
SEWER PERMIT M
OCG.LOAD FLOOR LOAD jtp HFIGHT No .STORIFS / AREA 13( (0 NO.BEDROOMS_ VALUE(CS, 00
BUILDING DEPARTMENT SET BACKS FRONT Ad REAR 27 LEFT SICE RIGHT SIDE S
Permit3Z[>►.&O& THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN "HE KUILD'NG CODE,ZO- t�NIG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE) THAT THE
Ilan Check 2 1 •t O WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-0117 WITH ALL .APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THI:, PERMIT DOES NOT WAIVE
5utrtotal �_' Z 0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOPS TO HAVE CURRENT Cin' BUSINESS
`� �Z LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
;Stato Tax
Ste,
Totalipoll,n /
PDC11 APP CANTO ENT
By
_ Receipt No.
Approved ADDRESS PHONE — -�--
SDC �aU
PDC — S - - 00 _
SEWER CONNECTION $ `Vz3 Wi L' '/
SF-WER INSPECTION $ 33
SEWER SURCHARGE $
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