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16310 SW 72ND AVENUE ADDRESS: 1 (03 1 D SKI 7A *4 uE r. f- N Y n� c� w J I:\records\i-nicmllm\targetslbuilding.doc BUILDING PERMIT APPLICATION TIGARD OATE�C°�1� 19 o )13 7-7 Sys THE UNDERSIGNED H=REOY APPLIES FOR A PER.MIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE 2 OR AS SHOWN AND APPROVED IN THF.i-ACCOMPANYING PLANS AND SPEGFICATiQNS. ' OWNER PHONE 22/' � ./ n'f � ,�, LOT No. _ O'�lNER ��N ��_< < -! JOB ADDRESS /�cec f (�ySeU ZG� L Q �uf 7/v�, ENGIARCiNEER ITECT �A O ADDRE 0'# �'On pf.. -GE6�9f1t"{1 STRUCTURE ❑ NEW _(�REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE4COMM ❑ EDUCA-i oONALLd GOVT ❑ RELIGIOUS � (:1 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE C1SLAB❑ FENCE O�.GUPANCY L-2 LAND USE ZONE . 1L1_'� BLDG.TYPE �� FIREZONF PLAN CHECK BY HEAT__ -Taftz- ► -�rr� ars, o r- oh(a�r���vs Us K SEWFR PERMIT K --- OCC.LOAD FLOOR LOAD S HEIGHT.Z' g NO.STORIES I AREA�7.231 NO.BEDROOMS VALUE�l cx•�� >� BUILDING DEPARTMENT SETBACKS FRONT S<< f W M REAR LEFT SIDE RIGHT SIDE Permit y Jf0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,O G REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TYAT THE [Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE r'..,,NS AND SPECIFICATIONS AND IN COIAPUA14CE � Ti f WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE A RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ,, �V (UCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. ;:ila(n Tax To �- 11i o SDC l -yi V 1v 1 qQ Total -- pOCI# APPUCANT OR AGENT By . ,�. _ 3 Recu)pt No. ADDRESS PHONE Approved SDC - 7L PDC SEWER CONNECTION S CC SEWER INSPECTION $ SEWER SURCHARGE S W J ♦ I DATE MACKENZIE ENGINEERING INCORPORATED CHKD.BY DATE 1 K'- CONSULTING ENGINEERS JOB# SHEET NO. , OF 1,40 �• OREGON THOR���� ►�-z 4 � �l.��) = tom- `� jr- h4l 1 i 2 ton zLD ► M ep 4— ��►'►'t e = ,.fid 5 -�- �,a��, o. � _ �- ©r -Tena - f rv�ler 6iv5. BUILDING PERMIT APPLICA-TION TIGARD DATE 'I HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT'FOR-I+-+E WORT,HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHC:YE j I.OT NO, �.- — ------- OWNER Ml??h;tNFl? -- T'"",'P JOBADDRE53 ' 1,1 :. 7 '. ir�3 fU "4 ;2m! _ _-____` Suite 90't ARCHITECT !.. rEre�z "t)rri9Atl I'tI. ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE ❑ NEW Ll REMODEL ❑ ADDITION L7 REPAIR CI RENEWAL 1:1 FIRE DAMAGE ID DEMOLITION ❑ RESIDENCE E�COMM L] EDUCATIONAL L1 GOV'T FJ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE Li STORAGE U SLAB❑ FENCE OCCUPANCY_'I'%,LAND USE ZONE _BLDG.TYPE I FIRE ZONE- - 'PLAN CHECK BY - ' HEAT —— _ ;'rynlnl- i-x1i(ication .for Sohl:;r "lro,.,'l,l'' 4'nifr. , '11 — :311 I)PT plaiAn nrid r..`: ,ic Iytll l''i'1 '. iF?t!i;,�ly1C:+� "Y fl Ya ;T'S{.fF'c1• SEWER PERMIT N OCC.LOAD FLOOR LOAD HEIGHT N0 STORIES AREA NO.BEDROOMS _ VALUE _ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit "' ' " ' THIS PERMIT IS ISSUED SUBJECT rO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check r ' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Stab IotAl _ '�' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax I SDC— � Total PDC# APPLICANT ORAGENT f By - ,r Approved Pecelpt No. ------ __.-- � DATE INBP. TYPE INSPECTION EMARKf PLUMBING DATE Contr a tor — -— -----ftn 0—e Permit No. ------Z�Ilflie 1-0 31?tcl -05 Hough-in ,`I� P tea,/ ��T� Fixture_ __ Final HEATING Controstor A Permit No. %Cd6ct, Ito Gas at Oil Rough-im Final BMW&" Pinel DRIVEWAY Final CD Storm Ursinap- tii (Rain Drain, Final Sidewalk Curb&Street Final Approach BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE CC'!JPAACY Final II Landscaping Zoning Final �w I BY E_—DATE. MACKENZIE ENGINEERING INCORPORATED CHKD.BY DATE CONSULTING ENGINEERS JOB# _ _ SHEET NO. `- OF �L ff r1 r". I 0637 z� REGUN 1H ORN��a ` �G