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J WILDING PERMIT APPLICATION TIGARD DATE_._-6 22j 19_81 3783
THE UNDERSIGNED hIEREBY APPI IES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 641--7727
OR AS SHOWN ANCA APPROVED IN TKE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHQN
J"E 6 40 ��
LOT NO.
OGUt� E3m H 81.
OWNER Donald H. Her, JOBADDRESS 10430 SLI 'View Terrace _
------ w ARCHITECT —
ENGIP!cER
BUILDER Owner —ADDRESS P.O. PDX 230160 DESIGNER Pfercy Barclay��
STRUCTURE LX NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
® RESIDENGS ❑ COMM F1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ ft-3 _LAND USE ZONE N"?_-__..BLDG.TYPE' �N MIRE ZONE "" PLAN CHECK SY doh HEAT ��$
CDnstruct singlq-family dwelling-L, attached _gerags. 3 Bedrooms 3 Deths. _
SEC CORRELTION SHEET ATT4CHED,
Permits required for plumbicmL;.han,ical and wand stave.
SEWER PERMIT# 23.166 n }j° XX 1750,00 _ H136
OCC.LOAD FLOOR LOAD 40 HEIGHT 2.3 NO.STORIES _2_ AREA 2426 NO.BEDROOMS 3 VALUE 9Q♦20 1.
_ BUILDING DEPARTMENT SETBACKS FRONT 32 REAR `— LEFT SIDE— RIGHT SIOE
Permit s'Lt'9.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION!; CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODEF AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ PAID WORK WILL BE DONE IN ACCORDANCE Wild THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SUb•total 269.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
Sfa1BTe% 10. 76
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
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Total $279,76 SDC— $401�• -- _-- -- -- -
PDC# II S PLIGENT
.00.OUACANTORA
By p1 _ 77
--- --- — — Receipt No. - --- ----- 71 f—
Approved dwh I ADDRESS PHONE
s i w ar w t
DATE INSP. TYPE INSPErl!ON REMARKS PLUMBING DATE
--- - - --' Contractor
Permit' u'_
Rough'
n
7 _ - /_M4,e22�—�_Za� . rF.n.1
re ----------- --
G -^-
9-/ v, 1'J II v — _- - -'-- --.
HEATING
// Contractor
Permit No. 02 14 F/
lies or Oil
- — ------ -- Rough-in — -
Final
SEWER
Final —
DRIVEWAY
_.----__.-.------ - --- Final
Storm Drainage
(Rain nrain)Final
Sidevelk ----
Curb✓i Street Final
Approach
—
BLDG.DEPT.PI"dAL TEMPORARY CERTiP1CATE OC CUP Cr Final
�TIMCATE OCCI.IPANCY /2 ., 7
-1 Landscaping
�� i'.oning Final
. _. - c to• � -
BUILDING PERMIT APPLICATION TIGA :) OATEN"e,' 1961 X41- 7727
THE UNDERSIGNED HEHEFRY AFP1IES, FOH A PERM IT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
vti A5 S�iOW'N AND ,PPROL'E:D IN TF?E:,C CO 'PANYINC; PLA!,S AND SPEc;IFICATIONS.Bu'9. PHU ' C 1Mzo
.G LOT rJO.— C` ~-
J�' Fp I'� . Y`tl" JOB ADDRESS 1 V �F_�O �CL—�..��—
Q0�( 2so1� ARCHITECT
�✓ ENGINEER r e
SUILOEA 10hay ADDRESS -- 'r"'"'47SIGNER 1 : _ g
STRUCTURE :X NEW ❑ REMODEL G A-nIT10N _❑ REPAIR ❑ RENEWAL ❑ FIRE DA AGE LJ DEI-ol r-,Tlow l
RESIDENCE C COMM ❑ EDUCATIONAL ❑ G--OV'T ❑ RELIGIOUS ❑ PATIO_❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑
OG---UPANCY LAND USE ZOVE R:7 .. BLDG,TYPE y+�_.FIRE ZONE ` PLAN CHFC_K BY HEAT__.
e- _--
I, �- 3
SEWER PERMIT M _ _—� � ��Z•�2G 9b,�O(�
Or'C LOAD FLOOR LOAD HEIGHT � NO.STORK AREA NO.BEDROOMS VALUt
BUILDING DEPARTMENT — /
e SETBACKS FRONT � z.REAR IW SXLEFT SIDE RIGHT SIDE 7 '!+•
Permit ` THIS PEA1111T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOt::!Iw
-GULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TYAT FL,
Stan Check_ Pd• .3�,3�• K WILL BE DONE: IN ACCORDANCE WITH THE: PLANS AND SPECIFICATIONS AND IN MmPLIANCB
. WIT APPLICA81-E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 269• RESTRI IVE COVENANTS. CONTRACTOR AND SUB COV ;AACTORS TO HAVE CURRENT CITY 86SINESS
LICENSE EPARA.TE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
4tats Tat
SDC—
Total
pC—
Total _
ToIZ�Q�76► PDCt1 APPLICANT OR4GENT
By Receipt No. G2o _�CaZpl�i�.t�i
Approved ADDRESS �NE Or 2�
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:;EWER CONNECTION
INSPE CTIQN
r WER SUr,CHARGE _. !
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CITY OF TIGARD-12420 S.W.MAIN-•TIGARID,OREGON 97223
RECEIPT /
DATE: AMOUNT: d ------
`DOLLARS
NAME:
.- .- CASH: _
__�. _. L7
� ADDRESS: —
` M.O.:
!
all
POR; ACCT. PIRMITS SURCHAR911 AMOUNT
SEWER BILLINGS 40•-364
yy BUSINESS LICEN3F. 05-331 ---
r•� V
PLUMBING PERMIT 05-3,12 S.
i MECHANICAL PERMIT 05-332 - -- -----�
I
BUILDING PERMIT 05-333
SEWER CONNECTION 40-363 -- -
SEWER INSF'E4',1!ON 40-365 ---------
SYSTEM DEV.CHARGE 25-a56 ---
PARK DEV. CHARGE #1 30-361 ------
I
j PARK DEV.CHARGE #2 ?0-368 ---
' ZONING ADJUSTMENTS 05-362 _ _ ----
s13 I
I TOTALS .----
RECEIVED BY: __4
_ —
PTRMIT NUMBERS AASIGNID:
lmount Number Amount Number_ `Amount
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Ff f-54 Fly- .2 9 11 ?cp
FP I-q K &-+ l I
FP 2-(0 x 7- It 2-n
gad .2. x z ('6.+ ?,-Z) _2Cv
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1233
42n z¢3 117(o
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Q 27u 23 621
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Clrf OF T117ARD
WASHINGTON COUNTY,OREGON
BUILDING DEPARTMENT
PLAN CHECK APPLICATION Date
This is to cortify that the following plans have hnen submitted
for plan check pursuant to the Oregon Structural Code and Fire
& Life Safety Code, 1979 Ec,iti.on.
Owner
Job Address
Lat No.
Owner/Applicant AddressCa_ + ----- -----
/� Phone No.
Description:_ lni l \NJO
6v Vo
fba-�cw 9kedh
C ' f Tigard, Building Dept.
Y .
s_ — 12420 S.V 4. MAI,V P.O. BOX 23397 TIGARD, ORFGON 97223 PH: 639-4171