15985 UPPER BOONES FERRY ROAD 15985 SW UPPER BOONES FERRY ROAD
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BUILDING PERMIT APPLICATION TIGARD DATEr_j_l}LV_1—__.___,19 ,.,3 4509
THF-UNDERSIGN ED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ 6U"41�_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
1:'i ' .!pper Honnes berry Rd. LCT NO.
OWMEP J.Ly OL 'Ligan, JOB A^DRESS ►s'vL v,xM;' I r
- -- _Sart/ 5�� Ash A'tve. ENGINEER � ---'
BUILDER ADDRESS fl�/_55
DESIGNER
STRUCTURE [I NEW D REMODEL Ll AlDIttON ❑ REPAIR ❑ RENEWAL ❑ FATE DAMAGE MOEMOLITIO_N_
Ll RESIDENCE ❑ COMM I"1 EDUCATIONAL I] GOVT ❑ RELIGIOUS ❑ PATIO C CARPORT ❑ GARAGE !] STORAGE ❑ SLABD FENCE
OCCUPANCY -=LAND USE ZONE ._ BLDG.TYPE FIRE ZONE_.—PLAN CHECK E_Y _=L_HEAT.—--
Dei:x fish otio U) Single Story Struettme – all_fir codo. —
PIr P -i ] fill SeptiC t®tll, per otate code.
(rollilia'A ;arkot)
SEWER PERMIT N
OCC.LOAD FLOOR LOAD _ _HEIGHT NO.STORIES AREA_ NO.SEDRCCoM� VALUE
BUILDING DFPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHTSIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO (HE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— REGULATION£ AND ALL APPLICABLE CODES AND ORDINANCES, At`D IT IS HEREBY AGREED THAT THE
Plan Check_ WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND 3PECWICATIONS AND IN COMPLIANCE
o tar" WITH A'.L APPLICABLE CODES AND ORDINANCES. TAE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOF,S TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWcR,PLUMBINQ AND HEATING.
State Tax
— �--- SDC--
Total
-� PDCM APPLICANT 001 -AGENT �-
By
— Receipt No.
Approved ": ,.il_�r..n ADDREBS -- - -- -- PHONE
C
f
13AIC INSP.1 TYPE INSPECTION REMARKS PLUMBING DATE
Pprmit No.
Rough-in
Fixture
Final
HEATING
Contracts
Permit No.
Got or Oil
Rnwif-in
Final
SEWER
Final
DRIVEWAY
Final
Stirm Drainage
(Rain Drain)Final
Sidvvmlk
Curb&Street Final
Approach
SLOG. DEPT FINAL —TEMPORARY CERTIFICATE OCCUPA i4CY
CERT*FIrATE OCCUPANCY I Final
L,,ndscaping
Zoning Final
y.
BUILDING PERMIT APPLICATION T1%GAR:) DATE_ r 7
IHEUNDF-RSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE IT__w_���
O�ILS*
SHOWN AND APPROVED IN THE:ACCOMPANYING PLA SAND SPECIFICATIONS. OWNER PHONE.G T__w_L LOT NO.._.OWN EP ���. JOB ADORESS Q iQd
-- '
'-� ARCHIT C
ENGINRER
9UILDER A ADDRESS DESIGNER
STRUCTURE_ Cl NEW G REMODEL ❑ ADDITION ❑REPAIR ❑ RENEWAL ❑ FIRE DAMAGE EMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATiONAL ❑ GnV'T ❑ SLIGIOUS Cl PATIO ❑ CAq PORT ❑ GARAGE Q STORAG.E Tj SLAB❑ FENCE
OCCUPANCY _ LAND USEZONE BLDG.TYPE _ FIRk ZONE_ PLAN.CHECK BY AM-HEAT__,.
IL
SEWERPER ..fTlf �...v,...�.�.,....,.� ., I�
OCC.LOAD r---•Fl�dRt'171CD'"""" '-" _
BUILDING DEPARTMENT�� SET 3ACK^�. -! - -"�""""ttf'TIM�EC -•+......mit T L]t -
Parmtt THIS PERMIT IS ISSUC:U SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONIN,3
PEGUL ATION S AND ALL APPLICA'A.F-CVDES AND ORDINANCES,AND IT IS HEREBY AGREED 1 4AT 7 PF
Pla.i Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IPI COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCiES. THE I:.SIIANCE OF THIS PERMIT DOES NOT WAIVE
Sutrtclal RESTRICTIVE COVENANTS.CUNTRACTOR AND SUB CONTRACTORS TO HAVE CURRFN'I*CITY BUSINESS
UC.F.NSF_SEPARATE.PERMITS REQUIRED FOR SEINER,PLUMEI.NG AND HEATING,
I State Tax • y _
�. � SDC-
Total
DC- - -------- - -- - ---
Total
PDCN AeAUQWWfM ":ENT
BY
, - 1 Roeceipt No.
Approved rW ADDRESS ��-- --�--� PHONE —
SDC
PDC — -
5EWER CONNECTION
SEWER INSPECTION
SEWER SURCHARGE
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