13260 SW VILLAGE GLENN DRIVE 13260 SW VILLAGE GLENN DRIVE
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BUILDING PERMIT APPLICATION TIGARD DATE - ---- 3215
I'HE 0NDER`.)I(.aNED HEREBY APPLIES FOR A PERA"Il FOR I HE WORK HEREIN INDICATEC BUILDER PHONE O•� —z:tt)0�
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
L"VNER .JOiln SChul)`le JOBADDREa9 13260 `.i1i.: ':Jena)
1 v14;e )r. LOT
AR__ _ �— --
- — - CNiTECT --i
;gtiyF, ENGINEER
BVILDEP ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL It ADDITION ❑ REPAIR ❑ RENEWAL_❑_FIRE DAMAGE _ U DEMOLITION
''RESIDENCE ❑ COMM 0 EDUCATIONAL ❑ GOV'T O RELIGIOUS ❑ PATIO ❑ CARPORT F l SARAGE ❑ STORAGE L1 SLAB❑ FENCE
_-.--
OCCUPANCY 71 LAND USE ZONE fd7 —BLDG.TYPE- N_ _FIRE ZONE__ PLAN CHECK SY HEAT--—_--`
s.maicrtrr WWW rJacL and fl 3t3. _s clition to vidut. Sinfe1 Ea)nilq �wellin a
---__—_-- All V= plana and rode.
SEWEP PERMIT#
OC LOADFLOOR LOAD 40 HEIGHT_ _ NO.STORIESAREA AO_ NO.BEDROOMS.. VALUE
-- BUILDING DEPARTMENT SET BACKS FRONT ""' _ REAR LEFT SIDE RIGHT SIDE
Permit lu• )(1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILWNG CnDE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AUREED THAT THE
Plan Check WOR•.; WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN "OMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ _ 10100 WITH
rOVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
_I
State :ax .40LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
—•�
Total 10,40 I SDC—
LAppr,�ved
PDC# APPLICANT OR AGERTv' _Recelpt No.I)�i ADDRF..88 ---�------ PHONE
•a
DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE
Contractor
Permit No.
Rough-in
v Fixture ~+
Final
HEATING
Contractor
Permit No.
Gas or 011
Rough-in
Final _--- - –
—` v`SEWER
Final
-- DRIVEWAYFinal
Storm Draintsge
(Rain Drain)Final
Sidewalk
Curb&Street Final
Aa_nroarh
9..DG. OFT.FINAL T TEMPORARY CERTIFICATE OCCUPANCY
CERTIF7C 4TE GCCUPANC` Final
Landscaping
Zoning Final
A.
N i ?� DA T'4��O� -,
191L�
BUILDING PERMIT APPL_I ,ATIO TiG�,
THE UNDERSIGNED HEPEDY Af r LIES FOR A PERMIT FOR TIME WORK HEREIN IND,:.ATED BUILDER PHONE G3q
OR AS SHOWN AND APPROVED IN THE ACCONIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
Q �p
OWNER V�V% 1) fry- JOB ADDRESS Oil LOT NO.
--��" ARCHITECT
ENGINEER
BUILDER qam e ADDRESS �&MZ DESIGNER
STRICTURE ❑ NEW ❑ REMOOEL ADDITION :1 REPAIR Cl RENEWAL ❑ FIRE DAMAGE Cl DEMIOLITION
RESIDENCE r, COMM r,3EDUCATIONAL ClGOWT ClRELIGIOUS ❑ PATIO ClCARPORT ❑ GARAGE [ISfORF.GE C SLAEI❑ FENCS
j�--- =--
O uCUPANCY .�C1:1—.LAND USE ZO_NE �E1LDG.TYPE +FIRE ZONE-3—PLAN CHECK BY HEAT
wos� _
SEYVER PERMIT k -
A VALUE. 006
OCC.LOAD FLOOR LOAD T HEIGHT - - NO.STORIES AREA,3qU N0.BEDROOMS
9UILDING DEPARTMENT _ SET BACKS FAONT --REAR LEFT SIDE RIGHT SIDE
Permit O.•OO THIS PERMIT IS ISSUED SUBJECT TO THE RE�WL.ATIONS CONTAINED IN THE BUILDING CODE,ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED TMAT THE
Plan Check I ' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANu SPECIFICATIONS AND IN COtA�lI.0.NCE
WITH ALL pPPL.ICAIT-- CODE.'. AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIVESub-total ��• RESTRICTIVE CCYENANTS. CONTRACTOR AND SUB CONi'.ACTOAS TO HAVE CURRENT CITY t3USINCS3
__ }� LICENSE.SEPARATE PEP`.Si TS REQUIRED FOR SEWER,PLUM31NG AND HEATING.
State Tax L/
-
Total — ---
--- - PUC# AP'LICANT OR AGENT
By
__
Receipt No. ADCRESS -�� __-___-__-�__-- PHONE -�--��—
Approved
SDC
SEWER CONNECTION $ r
SE , rR INSPECTION
SEINER SURCHARGE S
Comments • ---
PERMIT TO CONNECT
Tigard Sanitary District
HERMIT N� 1195 DATE
PERMIT IS GIVEN TO ---QI __–� ----
O;' -- _—_---- - __ — ---TO CONNECT A --_-
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT__L „4J GC ---X=+�-, �£y �laVrurr_1 _
THIS PERMIT MUST RE POSTED OW THE DESCRIBED PREMISES UNTIL CON-
NECTION Ib MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PERMIT FEC PAID .....s. . .v............TIGARD SANITARY DISTRICT
By
FON vv.wws,
CONNEC...MON INSPECTED AND APPROVED
SuPoiinfcndent
it
Address T/�1n /S� � `�i�l�i ��� .L:� Permit No.Permit charge
Owner ,/�.�.61 • � �s�`%�..�' Connection fees
Paid ))y--
Type of Buildingd--, .. �, roc+ -I K _
Date connected
Service Rate Inspection fee!
Contractor
Paid by _Date�y
Size of connection 1-7111 Assessment -Paid._
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