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10555 SW DEL-MOICE DRIVE
BUILDING PERM!'f APPLICAPON 10 Y TIGARD DATE�`F_:
THF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILOERpI-IC,N�, �.�._,�.�.�.._...
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PFCf4E-....
I_OT n0._— --
OWNER"Uk_rfil JOSS ADDRESS_ 1(ji !j Fi ! (!�a
ARCHITECT
ENGI INFER
BUILDER — ADDRESS A--_—_�— DESIGNER_
STRUCTURE_1-ONEW R�F umnDEL ^— OADDITION _ — ❑REPAIR CIRENEWAL ❑FIFIE DAMAGE rr,, ❑DEMOOLITION
M_ ESIDENCc OCOMM ❑EDUCATIONAL (3GOV'T ❑RELIGIOUSCOPATIO []CARPORT ❑rARAGE 0STORAGEOSLAS L,UFENCE
❑BOND ❑MOVING- EICONDITIONAL USE ❑DESIGN REVIEW 000UNCIL APPROVED _ CISIGNS,
OCCUPANCY.—.__.._.LAND USE ZONE--_-__`-BLDG.TYPE. FIRE ZONE-- -PLAN CHECK BY- ,-- HEAT _
L FdfTi1: kla.l. Ill' lst&n:h (Jer;,A(e Alred to living elr6ah mairttiAn t ii.v ae w.,��attrjn all,�AL---
code z efiuit ements
HEIQtjT --- -._-S:$ZQRIES AREA ----���R�:1?$4QM�.______�3LE
BUILDING DEPARTMENT SET BACKS FRONT HEAR LEFT SIDE RIGHT SIDE:
Permit --..---
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT -HE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPL..CABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMiT DOES NOT WAIVE
HESTR'CTIVE COVENANTS. CONTRACTOR AND SUB CONTR4CTORS TO HAVE CURRENT CITY BUSINESS
State Tax 040 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total 1k#9 1171.40...___— API'I (CANT On .•GE.NT
Appl Quad LJ Receipt No
t
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contra^_lor
Permit No.
,
Gas or Oil
- --- Rough-in _--
Final
SEWER
Final
DRIVEWAY
Final
StoeW Drainage
(Rain Drain)Final i
Sidewalk
_ Curb R Street Final
Approach
AL,DG. DEPT.FINAL TthIPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Lan,iscaping
Zoning Final /
l
Address 10555 S.W. Del Monte Permit No. 51 .12
Owner: Walter Engler Permit charge
`-� "L'R7S BILL 'r 400.00
Owner Calway Hill Connection fee
Home Owners Association
12705 S.W. Pacific_ HwyPaid
Tigard , Oregon 97223
Type of building Res. Date connected�s�l,J_�
Service rate 9.00 Inspection fee_
Contractor. ;tan Ad 1, in, [laid by______, Date
Size of connection Assessment___ Paid