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CITY 0P 7442 0108
BUILDING PERMIT APPLICATION TIGARD DATE------,19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HFREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIC/ UNS. OWNER PHONE —
QWNER __�___ ADDRESS _ 041cif is mw.: • BUILDER PHONE.
-arput Villa ENGIN-.R
BUILDER — AR HCSHIITEST — DESIGNER _
STHUCTJRE _❑_NEW ❑REMODEL _ ❑ADDITION ❑REPAIR _ URENEWAL _❑FIRE DAMAGE— ❑DEMOLITION
G RESIGtNCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ❑STORAGE[: SLAB ❑FENCE
—❑BOND_= DMOVING ^❑CONDITIONAL USE El DESIGN REVIEW __❑COUNCIL APPROVED LJSIGNS
OCCUPANCY----LAND USE ZONE—.--.--BLDG.TYPE_._--_ FIRE ZONE__ PLAN CHECK BY.--_.
-- ---- � X qty 4J>a'1.l 9! Dry ____ —_ -------- --
OCC, LOAD FLOOR LOAD_ HEIGHT NO.STORIES f _AREA VALUE _
BUIL-DiNG DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Pp,mit lad Ju
THIS PERMIT IS ISSUED SUBJECT TO THE P.EGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABI-t CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— -'- ' WORK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIANCE WITH
Recording ALL APPLICABLE COCES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE /'OVENONTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUR9ENT CITY BUSINESS
1%State LICENSE.. SEPARATE PI RMITS REOLUiRED FOR SEWER, PLUMBING AND HEATING.
Total
BY .—_-_�-.__--- APPLICANI OR AGEN1 -----
—Pp
!-_ - -
Apoved Receipt No.
- `— ADDRESS PHS— --y-------
DATE !NSP. TYPE INSPECTION REMARKS PLUMBING DATE
-let lo, Contractor
- Xj— I
OX Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rou h-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage—
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
w
CITY OF V l
BUILDING PERMIT APPLICATION TIGARD DATE-11--1__- 19 74 N° 0108
THE UNDERSIGNED HFREBY APPLIES FGR APERMIT FOR THE WORK HEREIN INDICATED
OR AS Ati!) APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
UWNEHaim Altkan —_ADDRESS -8,q_S.W-_17gCifir j�Wyw BIiLDERPHON2 _
ENGINEER
BUILDER Carpet Villa _ rr---tt AR HIT€CTv __ rr��DF,IGNER
STRUCTURE ❑NEW ❑REMODEL _ L.JADDITICN ❑REPAIR ❑RENEWAL. 1_IFIRE DAMAGE ❑DEMOLITION
CJ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T URELIGIOUS❑PATIO UCARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE.
❑BOND QMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED Wsicqs
OCCUPANCY LAND USE ZONE— BLDG.TYPE_ _FIRE ?JNE_ PLAN CHECK BY--_.—._— HEAT _
2 X 16 Well S i a n—___
Q.QQ LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA — VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit It ft f,n
—"'- 46we 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 N[REBY AGREED TIHAI THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATION';AND IN COMPLIANCE WITH
Recordine, ALL APPLICABLE CODES AND !ORDINANCES. THE ISSUANCE OF TI-41S PERMIT DOES NOT WAIVE
--- --- RESTRICTIVE COVENANTS. CONTRACTOR ANn SUB CONTRACTORS TO -411.VE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HATING.
Total _--10.00` `x
By _ �4�t-•
APP- (CANT OR AG NT
Approved RFceipl No //' �� G�._�ps J,—
ADDRESS _.-.-_ __._ PHc) _