10120 SW TIGARD STREET 10120 SW TIGARD STREET
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BUILDING PERMIT APPLICATION 10 Y TIGARD DATE 6-14-17 19_— 4 o
THE UNDERSIGNED LIEREBY 4PPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 649 5541
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWN. RPHONE-
LOT NO.-_�
OWNER 661 V: �,W I11 JOB ADDRESS 10120 Tiusrd St• HOME ADDRESS
ARCHITECT
L ENGINEER
BUILDER �li9sJn Const. ADDRESS j0Q U11StlC1n 'ESIGNER _
STRUCTURE ❑NEW E EMODEL . ❑ACDITION ❑REPAIR _ ❑RENEWAL ❑FIRE DAMAGE ❑DEMOL.TION
E RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORAGE❑SLAB (]FENCE
DBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QCCUPANCY_______LAND USE ZONE BLDG.TYPE FIRE ZONE_ _PLAN_CHECK BY HEAT-,
r0mclVO ®xietiny ruoflr,y and lodf drackiny rwplacu w.Lth ,dw ciecking unu rltiili-w !.
shinula 2351
_-_NQ..SIMEi AREA _(y,Q..9.lio(DO_M.S_..,CALIIE �L s_
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 24•Qfi
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED UI THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
WORK WIL I BE DONE IN ACCORDANCE WITH THE PLANS AND'SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-t.)tal ALL APPLICABLE CODES AND ORDINANCES THE ISS''ANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB COF,TRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7L LICENSE. SEPARATE PERMITS REOUIRED FOR SF.WER. PLUMBING AND HEATING.
Total 24.72
BV
APPUA;ANT OR AGENT
Approved p Receipt No.
�� SwF
DATE INSP TYPE INSPECTION REMARKS PLUMBING JAT E
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No
Gas or Oil
-- --_-- — R ou h in
---- - �—�_—_ _ — Final ---------- ------
SEWER
_ Final
DRIVEWAI
-- -- -- --- — --- -- Final — — —— ---
_ tA
Drainage
Drain) Final
alk
&Street Final
__ achBLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPCERTIFICATE 0: 'UPANCY caping
g Final
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