11095 SW 93RD AVENUE 11095 SW 938,7 AVENUE
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BUILDING P116MIT APPLICATION TIGARD DATE `���' 1s _ 1189
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR i HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE. �_-
LOT NO., 4 —_—_—
OWNER t '.:J;" >t '� JOADDRESS 11U`� +
ARCHITECT
ENGINEER
BUILDER ADDRESS 2955 M7 Corm , r'C:I. l} ',t OESIGNER Aicherel7
STRUCTURE ❑:NEW 0 REMODEL ❑ ADDITION Q REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
dh
OCCUPANCY ?LAND USE ZONE i'"�� BLDG.TYPE r' _FIRE ZONE ` _PLAN CHECK BY w HEAT
., -r ict single! finilY ciwelliny w 3
nl , ,r t
A,
SEWER PERMITM i G`,t' 3.1)
OCC.LOAD FLOOR LOAD 41) HEIGPI 12 N_O.STO_R_IFS AREA " '�' NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT— HFAR I FFT SIDE RIGHT SIDE
Permit _ 1 1 THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING -ODE ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check ' 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_ ry _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESr
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax Qf�O 00�_�----p SDC—
Total • '
PDC# I s"l fl0100 APPLICANT OR AGENT
By
—. ----.W__� -- Recelpt No.
Approved �� > / ADDRESt3 PHONE
DATE INSP. TYPE iNSPECTION REMARKS PLUMBING DATE
� _�Gs/�7,, -- -- -- — Contractor oAAA94
I` 19 JA`s. /`7C�rs�Si — Permit No. C.?
Rough-in --
o- Fixture v —
J/ Final
� HEATING /
Permit No,
Gas or Oil
-------- ------- Final -- - -
-- SEWER -- ------
Final,
— -- s_ - —�_--- DRIVEWAY
— —.—_--_ Final —
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb A Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCC NCY Final _
CERTIFICATE OCCUPANCY C�
C Landscaping
Zoning Final -�
IF
BUILDING PERMITAPPLIC-ATIONTIGDATE-Q.1A 198
THE UNIOE RS!GNED WERE APPLIES FCR A PEMMIT F09THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCO APANYING PLANS ANC, SPECIFICATIONS. OWNER PHO�E ._
ot'rNIEP FAL to 4 1:0w►SMUC7J88"AD ESS �NOV ���- 113 (!4 � — ----
ARCHITECT
ENGINEER /1 �' LL
BUILCEA ADDRESS1MlN_ (� i• DESIGNr:R �GtIeMp,��TNG•
STRUCTURE ` T NEW ❑ REMODEL ❑ AODI-f!ON ❑_ REPAIR ❑ RENEWAL Cl FIRE DAMAGE ❑ DENIOLITIOr
RESIDENCE G COMM ❑ EDUCATIONAL
❑ GOWT ❑ RELIGIOUS G PATIO ❑ CAR PORT Cl GARAGE ❑ STOR GE ❑ SLAB❑ FENCI
Cri,�urA ICY _ '3_�LANDUSEZONE !4'_��BLOG.TYPE .a� :- FIRE ZONE _PLANCHECKBY HEAT• E
SEWER_ peF,M1T a
OCC.LOAD FLOOR LOAD O HEIGHT It NO.STORIES AREA 870 NO.BEDROOMS VALU_ OO10
BUILDINGDEPARTMENT SETBACKS FRONT 20 REAR 44' LEFTSIOE /0 RIGHTSIDE
Permit S�• THIS PEFl14'IT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOrcu"
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HER"c3Y AGPEED THAT iHl
Ph.nCheck `�p WORK WILL BE DONE IN ACCORDANCE WITH THE. PLANS AND SPECIFICATIONS AND IN COMPLIANC!
WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT W:IV!
5' u�fatal _ (-_ ,�_ RESTRICTIVE COVEPIA?ITS.CONTRACTOR AND SU9 CONT RACTORS TO HAVE CURRENT CITY BUSINES:
�� I O LICENSE.SEPARATE PERMITS R OI!IHED FOR SEWER.PLUMBING AND HEATING.
15 tAta Tax • '
SDC— Cj _ � `_—aMlwC JO►l�f T QOr'.�
Total --� —
F OCIi APPUCAWT OR AGENT
By
Receipt No. ADDRESS PHONE
Approved
4ou ,
11, 100
;EWER CONNECTION S 773
;EWER INSPECTION S 3y'
;EWER SURCHARGE
---- -- --
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