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BUILDING PERMIT APPLICATION TIGARD DATE_ 'Tune 10 ,q � 4 1.0 4L
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWORK HEREIN INDICATED f1UILDER PHONE 297-5,*_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANE;AND SPECIFICATIONS OWNFR PHONE._
Jw"lliq LOT NO. 16llll$ OX'Giiaxfl
OWNER :;. Fontaine �— JOB ADDRESS 123.17 �W� Lhanl�fii-lly Cts____.____ —
ARCHITECT
Alpine C1u►itbe Cbnit. ENGINEER
BUILDER ADDRESS 9345 S.W. Wilshire Ptl.DESIGNER
STRUCTURE F} NEW v fr REMODEL_ ❑ ADDITION L] REPAIR ❑ RENEWAL ❑ FIRE DAMAGE O DEMOLITION
l7 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ G,`RPORT ❑ GARAGE ❑ STORAGE ❑ SLABO FENCE
OCCUPANCY R LAND USE ZONE R� _BLDG.TYPE .__' FIRE ZONE'��FLAN CHECK BY it HEAT--
Construct rvi;n.brced cunite in and Swimming Pool all per rjans anrf colt.
to Mach. pearmi11. required.
SEWER PERMIT N
OCC.LOAD FLOOR LOAD HEIGHT "' —NO.STORIES _ —AREA.,..-- NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT Ne nl an REAR LEFT SIDE RIGHT SIDE _
Permit �I041S0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
67.93 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLATS AND SPECIFICATIONS AND IN COMPLIANCE
172.41 WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total —_�RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax _
.`A LICENSE.SEPARATE PERMITS REUUIRED FOR SEWER,PLUMBING AND IIEATING.
Total SDC—
By
ft j PDC# ApPLTCANT 6R AGENT
Receipt No. f,
Approved del f ADDRESS Ph )NF
DATE INSP. TYPE INSPECTION REMARKS
PLUMBING DATE
Contactor
Permit No,
Rough-in
Fixture
\1• -_ Final
HEATING -----
tY I,r 1('i /11�p i Centrect
Permit No. ��$,
8,ro 6-io-8z
Gar;or Oil
_ Rough-in —�`--
-- — Final --- ---
`SEWER
— —_-_—_.-- Final
DRIVEWAY
— Final
-- -- _ Storm Drain. —
(Rain Drain)Final `-
-- --- Sidewalk — --
-
Curb&StreefFinal
BLDG. DEPT.FINAL. Approach
TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Lan aping
Zoning Final
I
7
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- aktEs oRrhARc,
BUILDING PERMIT APPLICATION TIGARD DATE � =31 ® 2R 4
-.:_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR-I HE WORK HEREIN INDICATED BI ILDER PHONE 6 2
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.1__:._Aaw UIC'-
OWNER__Tay `j ter, _so tttlOSAOD_RESS 1.2357 34 D_u51631.1y Court
ARCHITECT
ENGINEER
BUILDER saeUl _ _ ADDRESS Pso.pox 2.32 1_i i?ard DESIGNER I• 'j—ug
r
STRUCTURE `NEW J REMODEL ❑ ADDITION J REPAIR ❑ RENEWAL L FIRE DAMAGE 0 DEMOLITION
U RESIDENCE J COMM J EDUCATIONAL O GOVT J RELIGIOUS J PATIO J CARPORT 0 GARAGE J STORAGE J SLAB❑ FENCE.
OCCUPANCY _ —LAND USE ZONE — _BLDG.TYPE _ FIRE ZONE PLAN CHECK BY _ j{EAT
Construct single family dwelling ur/a.ttached (,•erage & ;)sol hh—otu+Re e
qn'' CORPFCTI11I -TT?FT A►'TTA(Inrp. 4 ln:ir. nrtiq AA "'nthte .
SEWER PERMIT#23-9 1.I' — $3100, r a e i 39 sq . (t .
OCC.LOAD FLI..)R LOAD 40 HEIGHT 2 • NO.STORIES AREA ,F "t8 1 NO.DEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT 4 REAR LEFT SIDE 1 RIGHT SIDE 'l
Permit '{3 •�)�� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
7 3 q 5 REGULATIONS ANR ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ I WORK WILL DE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
� 1 a WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE 7F THIS PERMIT DOES NOT WAIVE
Subtotal _• ' RESTRICTIVE COVENANTS. CONI RACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMNING AND HEATING.
State Tax 4 , '.3 .32 SDC—
$400000
Total g i1 S. 17 10 0.U
1 PDC# APPLICANT OR AGENT
By �'_
Receipt No,
Approved iwh �" � � ADDgE98 � �i� 1dj
1
DATE INSP.. TYPE INSPECTION �jREMARKS PLUMBING DATE
!07r'-,r-6i � t—_yam Contractor(?r,� �,r� 723
t�-
r Parmit No.-- '31p
31 p 3" j'- ~00,20 .��•�Z
0 tl' . \ Rough-in
G'y✓- s ��ssr Fixture —.. --
�/ Final
HEATING
Contractor 1 s lob/8 1131
-_ Permit No. z�3 .� �Qz ,1#-t4Z J�
Gas or Oil
Rough-in
Final --
SEWER
-- ---- —_ Final
DRIVEWAY
Final
Storm Drainage
(Plain Drain)Final
Sidewalk
Curb&Straet Final W
Approach
BLDG DEPT. f .NPI_ � TEMPORARY CERTIFICATE OCCUPANCY Final
iCERTIFICATE OCCUPANC f `
Landscapirg
Zoning Final
i
t
ty- rW '01 bi v,d iviede'larlic-al Perallt
r4r)w lnsialljw lxReplace Lj Helocatioll Addiflun Li Alteration DATE:
HEATING
CONTF?f,('T(-),
Vk 9 -- OWNER_ Cie—
T "'2 V,
AUDI I I
MICINE
I-Icat Input fiat it i u pur Hout) ro
itc;je,fe7U� Flun 'Sif.i)
FUEL OIL Lj GAS K U-LLL I L'j UMLH ;� — A F .---;2 -2,---
ly
Tt
ITEM I;E 1. 10, Nlr, FEE
Fier Issuance of Permit
SEE [1ELOWFach Ni I landling Unit or Duct System 7.50
incl. 100,100 tau Gainimiscial hood System7.60
flew 16JT'Le Lvf, Othar iment - Cach
Wondtrurnlnr�Stovn 4,52 1 1,111.) Inspection
4.50
Wall-Floor. Sv-,Pf.,Ilfjefj Ei,1Cl M i�lrctmdirion Compressor - tip to Pt Incl. iaT 6.00
Venj systarn w/ran 4.50 /\ir Condition Corn ics-ior -.1.1 to 11.00
(.3.00
cl*r'y BUSINE'J,, I I ilE(V kED BY ALL CONTRAcTORS OR SUB-CONTRACTORS 1
JO M.
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