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BUILDING PERMIT APPLICATION TIGARD DATE_ 1!1l! ,s_' , 3991
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _684-0060
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
11300 Sk+ 94th Avenue LOTNO. 12-0 '1A el Acres
OWNER k`c11con Constr. r.17 6ADDRESS 111133XXXXI9iM>tE! lNlENGINLER
- ARCHITECT
BUILDER ADDRESS
g�rno 8955 Sj-, C'oraercial `-"t.DESIGNER 1,tudio 5
._� _
STRUCTURE EX NEW ❑ REMODEL 11 ADDITION ❑ REPAIR ❑ RENEWAL O FIRE DAMAUE ❑ DEMOLITION
('RESIDENCE ❑ COMM L"J EDUCATIONAL ❑ GOV'T 0 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY Ft-3 __ LAND USE ZONE !P"`5 BLDG.TYPE SN_FIRE ZONE PLAN CHECK BY ciwh HEAT f'1k2C•
- Construct sin_ggl fa!rily Owellinq w/attacheri ctArnge, 3 Bedroom 2 Patthp,
R1"—ISSUE UP Penlit 03AS9 (11285 Sw 94th Avenue)
SEWERPERMITM 23074 - eirvin.oG -�r3 `eft.
OCC.LOAD FLOOR LOAD 4 D HEIGHTI 9 _ NO STORIES 2 AREA .1474 NO.BEDROOMS 3 VALUg-54♦10�•
BUILDING DEPARTMENT SET BACKS FRONT REAR 5 3 LEFT SIDE r- ." RIGHT SIDE
Permit •DD THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
1� � 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
.113
�1 • WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERfAkT DOES NOT WAIVE
Subtotal _ O(A RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
3 11 .92 LICENSE.SEPARATE PERMITS Rt-QUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC
Total 3 2 9.`a 2
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PDC# 1��Q •CI 'APPLICANT O Ami GENT -
By Pi
L.Approved dwh Receipt Na ( 14 ADDREBd_-_----�i — PHONE
h
__±ATE INSP. TYPE INSPECTION REMARKS
PLUMBING DATE
Contractor
L)
'S
P
Contractor PLUMBING
B'
Q4
Z Permit No.
30/
jg
4 A-) Hough-in
Fixture
Final
HEATING
Contractor
Permit No,
Gas or Oil
Plough-in
Pinel SEWER WEWE
R
Final
DRIVEWAY
Final
Storm Drainer
Main Drain)Final
Sidewalk
OL Street Final
Approach
DO. DEPTtiNW—,.ziEMPORAWY CR
� IECIKRTIPICATE OCCUPANCY TIFIC�T7FNCY Final
l.andscaping
11
'j,oninp iinal
BUILDING PERMIT APPLICATION TIGAHM DATA. �'�^ 1s Z 3
THE UNDERSIGNED HEREBY APPLIES FOR.A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE Oy'G6(9O
ORAS SHOWN AND APPROVED IN'HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER.PH NE_
��++'-'• 1� �a �O w LOT P:O. �.� fye Inc N
Ir0.�Cvh(20"S Ut; 01'108/k DRESS I 13 oo
Q Q ARChlTECT
ENGINEER
UILCER ✓G•me, _^ ADDRESS S 7J�J' S� �j� DESIGNER —')-L p 5
TRUCTURE NEW ❑ PEMODEL _0 ADDITION 0 REPAIR ❑ RENEWAL_❑ FIRE DAMAGE Cl DE1,401- of
i RESIDENCE ❑ COMM ❑ EDUCATIONAL El GOVT ❑ RELIGiOLIS El PA710 ElCARPORT ❑ GARAGE ❑ STORA E ❑ SLAS❑ FENCI
GZURANCY - _LAND USE ZONE ��`5 BLOC TYPE _FIRE ZONE_PLAN CHECKB—Y HEAT;_
CC.LOADFLOOR LOAD 440, HEIGHT 7 NO.STORIES X ASR—�—EAs f—y7!;�NO.BEDROOMS YALUrjfVjpQ
6UILCING DEPARTMEQNT SET BACKS FRONT 20 REAR LEFT SICE G•9 RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE, 7OPCi4t
REGI.!!A1'iONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED T'XAT"P.'
I_nChe;k WORK WILL BE DONE IN ACCOP.DA14CE WITH THE PLANS AND SPECIFICATIONS AND IN COMWLIANC.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO' WAIW
`.•falai_p !3 3, RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY FJSI`ES!
Q LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
/4i
cital
PDC# iAPUCANTORAGEN7
'-
Iy
1pproved Receipt Na.
` ADDRESS -- -- ---- PHONE
,c
'IJER r.ONNECTION
ALTER- INSPECTION S __
"UER SURCHARGE S
/3 I
mMorlt.S; 1.248" 1.2- „461;AG-"s- •Yaavlve 4f, limIs
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