11690 SW 134TH TERRACE F
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BUILDING PERMIT APPLICATION TIGARD DATE.-.' 'i tC�uiper 28 .19 84 5041
THE UNDERSIGNED HEREBY ADPL FS FOR A PERMIT FOP THE WORK HEREIN INDICATED BUILDER PHONE 620-7416
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-- -
/k LOT NO.
OWNER 'lQW er JOB ADDREFS �iat,
_SW 134th Terraco — � —
-- �r aka
ARCHITECT
ENGINEER
BUILDER Same ADDRESS 11270 SW boons Ferrti, DESIGNER
STRUCTURE EXNEW L] REMODEL ❑ ADDITION ❑ REPAIR C..', RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
I1 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS EI PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[] FENCE
OCCUPANCY LAND USE ZONE _gn7—BLDG.TYPE FIRE ZONE--PLAN CHECK BY *R HEAT_ d
Construct single Family dwelling a/attasched garage.
Subject ti: $360.00 MartiWedgewood Se-wer Surcharge b $150.00 Iwron Heights Sewer Surcharge*
2 bathroom 3 Bedroom
SEWER PERMIT B 27971 Garage 445
OCC.LOAD FLOOR LOAD 4U HEIGHT 12 NO.STORIES 1 AREA 1583 NO,BEDROOMS 3 VALUE 04 rWO.
BUILDING DEPARTMENT SETBACKS FRONT ;',l' REAR II DEFT SIDE 20- RIGHT SIDE 5'-6
Permit 325•00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 211,25 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
Sub-total 536.25 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State rax 13.00
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
_
Total .549.25 SDC—
SSUU.Qt; ! _
PDCN APPLICAN f CRNT ��
C, ,�50.00
By c�. Receipt No 50.00
Approved tick ADDRESS——
—- ---- -- --__ PHONE
u -uuu W,P:.Uilsj U 13D
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. 2_1
Ole-
Rough-in
A
Fixture Final
CZ9 ee�
Gtv U4
HEATING
Contractor
Permit No. 4 ld-2.2—W
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Strout F, inal
Anproach
BLDG.DEPT.rINAL TEMPORARY CERTIFit:A"&'g OCCUPANCY
CERTIFICATE OCCUPANCY r Inal
Landscaping
7,in�np tinal
Building Permit No.
Location
r�� U
to
Certification of Registration
With the Builders Board
61 Trj( doing business as (dba) , ,
am registered under the provisions
of URS Chapter 701 Oregon Homebuilders Law) .
Fly Builders Board Registration Number is3-7
My registration is in full force and effect and expires cn
�7
Signature
THE UN0ERSIGNtD N`HEUY AN.'LIL-S 1-Oki AI't-Ii%III 1'OH ItIL ..IJ 11N Ilt hili+ i
GR AS SHOWN ANO APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. a rNE�aI�ol
/AT
l'/'� f l JOB AOOr�ES; t u Z rr�Rn�c.L i%.,'�( c �Cl�l
, ARCM TELT
C" ENGINEER
AOORES� OESIG'VERrr,,
Cl ❑a001T10'T ❑RcP.IR UR?NE4'IAL LJFIREDAMAGE UOE7•IOLI
STnUCTuRE NEW _ _ --
r`.,)' nESII�C^ICC ❑CO►r.M ❑EDUCATIONAL UGOV'T UREUGIQUSC�7Ai10 UcAe PO17T UGARAGE U STOORAGE USLAB Of
------------ — —
11 PLAN'CHECK BY - NEAT =.
CCCUP•ar_-�v LAND USE 70rlE �-oLOG.TYPE—__-_--. _ - _
CONSZRt1S:T SINCL F_M 1. I)WF1 i.IN(_ W/A�pf;liEllCARACE — -
} I h r 13 :ZBATHROQM 3 BEDROOM —_—
.SEWER PERMIT niL— Garage
^�,�_�q•_p FLOO�LI °D `� Q NELG►�T�f—. NO_ST R1 I AREA] 5 3.'_: NO.8E RO klS,—
1 91l11L011v•;OEPARrMENT � SETBACKS FRONT REAR _ LEFT SIDE 2 't- RIGHT SIOE, �--
THIS PERMIT IS ISSUED SUB-JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 2
^! R I / l �— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TNA
r— { WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS o;.140 SPECIFICATIONS:.Na IN CGl.iPUI.NCE
' ia7•WfJI f - ALL APPLICABLE CODES ANC ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT
4
�•— RESTF'CTIVF. COVENANTS. COrIiP.ACTOR AND SUB COi1T'riACTORS TO HA`JG CURRENT Cl"* Bl1!7. .
at+! Tax I - LICENSE. SEPARATE PERMITS kk.3UIRED FCR SEWER. PLUMBING AND HEA;INV.
SDC
Tucal I -
PDC#
r —
_ APPLICANT OR AGENT
Receipt No
lA^rgrUtM 1 D ------ —
�nr,RftS
S)C (Storm)
SDC - $
PDC - $ # 1 —
SEWER CONNECTION
SEWER INSPECTION S
----- —� ,,,r MA f2T/�\QED C,1�/
SEWER SURCHARGE S
Comments : ''
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