11745 SW 66TH AVENUE 1.1.745 SW 66TH AVENUE ---
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BUILDING PEPMI'f APPLICATION TIGARD DATE_�'11zt' "3
THE UNDERSIGNED I.EREBY APDL:FS FOR A PERMIT FOR THE WORK HEREIN ii,400ATED BUILDI rH PHONE _
OR AS SHOWN�AND APPROVED IN.AE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE W2—
C'_C S '1-rw—,or+4-5 l�x/C3 LOT NO. --- D
OWNER � .IORADDRESS 11745 :+W 66th Avo.
ARCHITECT
ENGINEER
BUILDER Door Properties InC.ADDRESS 10175 514 halrUur !:Tyci, DESIGNER
STRUCTURE — ❑ NEW _❑ REMODEL 11ADDITION ❑ REPAIR _❑_RENEWAL 11 FIRE FIRED_AMAUE CfY_EMO_LI;ON_
RESIDENCE 0 UOMM 'Ej EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE. f 1 SLABL3 FE CE
OCCUPANCY '-3 LAND USE ZONE rp _BLDG.TYPE —� FIRE ZONE— PLAN CHECK BY HEAT
.•.t illi: exist. hmse And ,sraF*e. !?.e•-.wva foundation 1 h, utiliC
-- — — 'tt ads anti remove septic tank per �laS eroi _�.
Cap a.tilit_ieu .at property
SEWER PERMIT M CL -_�I
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES — AREA — NO.BEDROOMS` VALUE
BUILDING DEPARTMENT SETBACKS FRONT Rt AR LEFT SIDE RIGHT SIDE
Parmlt l '`xl ','HIS PFRIAIT IS ISSUED SUBJECT TO fHE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATI,�NS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
15.�M WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUAN(IE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
St— .60 LICENSE-SEPARATE=PERMIT S REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _
i5.G0
SDC -
Total
By .�j
PDC# APPLICANT G,l AbENI
Approved
of�! ,,.t.,r Receipt No.
ADDRESS -- — —PHONE
DATE INSP. TYPE INSPECTION REMARKS I PLUMBING I DATE
Conb..ctor ---
�� Permit No. — --
-- Rough-ir. --
�` Fixture
—
HEATING
— --- -`_ � — —�--- Contractor ----
- —` A------ Permit No.
Gas or Oil —
__�. Rough-in -- — _
Final
SEWER —�---
____—
Final
- — DRIVEWAY
------ ---.—T -- Final
Storm Drainage
(Rein Drain)Final
Sidewalk
[Cu:,b:&,,reet Final _ ---'
Approach
BLDG,DEPT.FINAL —� �—TEMPORARY CERTIFICATE OCCUPANCY -- ,
Final
CERTIFICATE OCCUPANCY —
Landsc.pmg
Zoning Fine'