13515 SW 72ND AVENUE-1 13515 Sw 72ND AVENUE
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CITTIGARD DATE 6 I 7�—DUI DING 'kR �IT APPLICATION THE UNDERSIGNEDH:.PE6'f APPLIES FOR APERMIT FOR rliE Y%_)RK HEREIN INDICATED BUILDERP!iONE4;Q7�'�ee�
OR AS SHOWN ANE) APPROVED IN THE ACCOMPANYING PIANS AN SPECIFICATIONS. OWNER?t-uNf__..
/� LOT Nb JUVO->lE�� � ���
VNEp //rmvrat ism,� --- _1r1E ADDRESS / !� -_ ��! __—
_. ARCHITECT
g'7 ENGINEER
hL 1 AIIN+ ADD FSS DESIL;NER
;IRUCTURE NEW LIS FMODE L ADDITION C7 REPAIR ORENEWAL - ❑FIRE DAMAGE C�G`- 'DLIII
,,-OMM LEDUCA'IONAL OGOV'T ORELIGIOUsQPATIO,L3CARPORT $IGAR�AGE --❑STORAGE O°LSF, T� t
}rl Uc.,. AND n r1 !- •4 FIRE 7ONF PLAN CHECK a
�y.� ! '`' / �I fIG f�PE-J N � -. Dmf ►'1►- __ HEAT
4 .k rA.
All par- vl� 40A, /q`w 2 _.
SEWER PERMIT /
QCC LOAD Fl L^GANG. FIEIClHT_ _' NO STORIES AREA2i� NO °I DROOMS �., /Al . 3LDOO
_ y t
BACKS -RONT r NEAR . LEFT SIDE _ RIGHT SLOE X
22 5 PERMI-v IS ISSUED SUB.)ECT TO THE REGULATIONS CONTAINFO IN THE PUtIDINC CODE. 2ON+'
(Plan C'^rCk II /�,00 •lli.ATIC)NS AND ALL APPLICABIE CUUFS AND ORDINANCES, AND IT IS HEPEBY L(,FEECI THAT T!
WILL BE DONE IN ACCUROANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGNFLI6N•-'E 1',I
�'S 7 tOiAI it ,9th, 0O APPLI e f CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DC ES NOT WAI
- -• STRICTI�6. JVENA,NIS CONTRACTOR AND SUET CONTRACTORS TO HAVE CUPn!NT CI"✓ RUSI'lE
tdtP Tax 1 f ENSF. SEPARATE. PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
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AaP�,i("ANS Op VC•ENT
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SDC
PDC
t WE R _ONT [ T 1 ON_$ -- . - - - --
SEWER INSPECTION $
SFWF.R SURCHARGE
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CITY of 75 N° 0416
BUILDING PERMIT APPLICATION TIGARD DATE--- 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMiT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
OWNER �:_ + ql;r:, ADDRESS I I
_ BUILDER PHONE,
ENGINEER
BUILDER__' ARCHITECT DESIGNER
STRUCTURE ❑NEW ❑REMdDEL ❑ADUII�-TION ❑REPAIR ❑RENEWAL ❑FIR'_ DAMAGE -ISLA,
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T I_1RELIGIOUS❑PATIO ❑CAR PORT ❑GAI AGE '3 STORAGE L JSLA3 ❑FENCE
❑BONG El MOI 'VG ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _
OCCUPANCY_ LAND USE ZONE--____.—BLDG.TYPE, FIRE ZONE— PLAN CHECK BY-_ HEAT_
Rec,,"i 4,s„r&&#A with comp. •hJuglee • Approx 6 cquarea --
OCC.LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA VALUE _
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE `
Ii•ermit -5. -- - --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS C.IgTAINED IN THE BUILDING CODE, ZONING
Ilan Check REGULATIONS AND ALL APPLIr ABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 114F
WORK WILL BE DONE IN ACCORLIANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WI1 H
Recording ALL APPLICABLE CODES AND ORDINANCES. T14E ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PEMr.11TS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total $5.L5
By x f&
APPLICANT OR AGENT
Approved Receipt Nu
ADDRESS — �—
■
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No,
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Firial
Sturm Drainage
(Rain Drair.) Final
Sidewalk
Curt)&Street Final
Approach
[LOG. DEff, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final