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BUILDING PERMIT APPLICATION TIGARD DATE-- 2Z17/ 19 60 3407
THE UNDERSIGNED HERLBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE-AC>;OMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. _-_—
OWNER Uon Schtiefor JOBADDRESS U53Q 51,! Pfaffle Street
ARCHITECT
ENGINEER
BUILDER AM Pole StructurA8 ADDRESS_— _ _ _—_DESIGNER
STRUCTURE LX NEW ❑ REMODEL G ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE — C) DEMOLITION
Cl RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GO'A'T ❑ RE+..IGIOUS fl PATIO ❑ CARPORT X GARAGE n STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —_tet LAND USE ZONE R-1 BLDG.TYPE ?N FIRE ZONE_ PLAN CHECK BY bCT HEAT
Construct detach d_puki _garage.
SEWER PERMIT M _ -----_- —_—.------ ----
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES 1 AREA 8b4 NO,BEDROOMS - _ALUS44 f,100.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit x+26.p0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL. APPLICABI.E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 14.00 WORK WILL BU 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 '+''•OU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax h�� 1•j,
SDC
Total T54 3•1
PDC# APPLIC NTOR AGENT
By pl
_ bCr I Receipt No t 7�IC' ADDRE88__ mow...-- -� �` NE
Approvod __JJJ_J
r
r..
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
\ — — _ Contractor
— —� , Permit No. —�
Rough-in
Fi-ture
Final
HEA'TINo
Contractor
Permit No.
Gas or Oil -
--- -- Rongh•in
Final --
—!— SEWER
Final
�._._ ------- ��.._------ - -- DRIVEWAY
— ------ ------------ Final
Storm Drainage
--- -----T—r _ �-- (Rein Dreinl final
Sidewa I k
------_-- — ----^---�•- Curb&Street Final
- -------- --.
Approach
BLDG.DEPT. FINAL — TEMPORARY CERTIFICATE OCCI
CERTIFICATE OCCUPANCY /O / �U Final ——
ILanthceping
Zoning FirJ
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3IJILDING PERMIT APPLICATION of DATEp�.�
��1_Z_. ,9�
:E "?.''',, D !HEREBY APPLIES FOR APERMIT FOIA THE WORK HEREIN INDICATED eu1LDeRP�,oN
=5 51 ::N -%%D APPROVED IN THE ACCOMPANYIP+G PUNS AND SPECIFICATIONS. OWNgRPHO
�j LOT NO _
OWf1E C7�► 1Gi+ ADORES$ !Q�3Q / ^t.+C AUS)PESS_
- ARCHITECT
ENGINEER
DESIGNER - --- --- -
FE w 0REMODEL 0-DUItIONOPEPAIR _-CORENEWAL ❑°IRE OAMAGt QOEMOLITION
71 NCE Cj: .VM DEDLICATIONAL 013OV'T ❑RELIGIOUS CP;T10 ❑CAR PORT GARAGE LJ STORAGE OSLAB ❑I ENCE
1,2ND L3MOVING ❑CONDITIONAL USE ❑DESIGN REVIF,W CICOUNCIL APPROVED DSIGNS
��uaNC�v!=hI LAND USE ZONE .7—_BLOG TvvE _ �N FIRE ZONBG PLAN CHECK BY_-2ge_.•_^ HEAT_%/_^�
-510AREA-;X-WL G-,VPLU!T 0 0 0
I BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
'etmit •
THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1 Plan Check RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE i, AND IT 1S HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
rl.;h-fntal-� f L/ 0 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVF r,OVENANTS. CONTRACTOR AND SUB CONTRACTORS 'f0 HAVE CURRENT CITY BUSINESS
mate Tax IMI NSF!. SEPARATE PERMITS RFOL)II,I D FOR SEWER, PLUMHING AND HEATING,
i Total -3 •��
iIsy
— -._----- —_ APPLICANT 04 AGENT
I�FAppI oved Receipt No.
— AUURESS -1—
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