11900 SW 98TH AVENUE 11900 SW 98TH AVENUE
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(DEMOLITION)
BUILDING PERMIT APPLICATION TIGARD DATE July 1D ,11e 131 3 814
THF UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 649-0755
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE. 530-8142
LOTNO.— __ __
OWNER Herb Book JOBADDRESS 11900 5W 98th Street ❑fFJCB..
-- ARCHITECT
3ohnson koros. HOUSSMOV®L'S FNGINEER
BUILDER4pil dwaxplimml ADDRESS 206.25 SW Kinnimon Rd DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL. ❑ ADDITION_ ❑ REPAIR ❑ Rc:NEWAL ❑ FIREDAMAGE DEMOLITION
tR RESIDENCE ❑ COMM 0 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE D STORAGE ❑ SLAB FENCE
OCCUPANCY ,—_ I.AND USE ZONE BLDG.TYPE ----FIRE ZONE FLAN CHECK BY HEAT
U001K M011111119 d-ZI1*?fiSW-uStl1 Km11X_TU�T1j
:,ovv existing house at 11900 Sty) 9E 1 St. , Tigard. This structure is
ject9d to y eu®r:-Tne seFier . _nn+wi [is -expaa-e3 a �paco-e y-�c�ie�e
rl approU& nma iontal l ed—Lily impar{ i yin rrgQtji tmrj,, �- --- -
SEWER PERMIT M
OCC.LOAD FLOOR LOAD _ HEIGHT _ NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT_ REAR LEFT SIDE RIGHT SIDE
Permit_ 10.0p _ THIS PERM:f IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES kND ORDINANCES, AND IT IS HEREBY AGREED THAT THE.
Plan Check WORK WILL BE DONE IN ACCORDANCE WITF THE PLANS AND SPECIFICATIONS l'NO IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax .40
Total
10.40 SDC
—�T� -- PL)CM -A PLICAN ORAOENi `r
By
---
Receipt No.,-, -- ----- --- ----__
Approved — _ (.),J.� ADDRE88 PHONE
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D TE INSP. TYPE INSPECTIJN REMARKS PLUMBING DATE
t
ntractor rmit No.
Uugh•in
/ Fi(ture
— TE Final
vj
HEATING
Contractor
— Permit No.
-- — — — Gas or Oil
Final
— -- ----- ---- SEWER _
Final --
DRIVEWAY
Final
---_-- - -- -------------- Storm Drainage
(Rein Drain)Final
— Sidewalk
--- --- •—_ ---�_—^�— Curb&Street Final
Approach
BLDG. DEPT. FINAL f EMPORARY CERTIFICATE OCCUPANCY Final -
CLRTIFICATC OCCUPANCY ---1 -
'-Landscaping
Zonina Final
� 1
BUILDING PERMIT APPLICATION OF TIG ARD DATE I9 x' s5'
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INC'ICAT�UILOERPHON1-�' �
OR S PiFO� AND APPROVED IN THE ACS N__.tiNO SPED►=1CATIONS. V VIr+EP�HonE.h3� _
ve
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QvdWEp • JOB ADDRESS
� W ENGINEER
n y(Jryry� Q� 1_ ADDRESS �4�/:( _� hs yj/�q• r-I DESIGNER -
STfI ❑
UCTURE _ NEW LJ RE---Mn�-0EL--- ❑ N ❑
A001110yr REPA17-- ORENL:WAL ❑FIRE DAMAGE ❑OEMOLITI-3N
RESIDENCE [I COMM ❑EDUCATIONAL 0GOV'7 �RELIGIOUSOPATI0 El CAP.PORT ❑GARAGE Q STORAGE Cl SLAB ❑FENC E
- .
i�r.l,_UPiNCY-.—„—_LAND USE ZONE _ BL G. TYPE,__. _.FIRE ZONE_ PLAN CHECK SY _ HEAT__ T,___
` — (Qct u�.r.Gt �f --
-EWER PERMIT
9-C.9 r)-!�P__—Fj,QQRIOAD __NQ.STORIES___ N RjQvt$_ I E
81JIL11ING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
P^(I"It
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
j I•tin Check REGULATIONS AND ALL APPLICABLE CODES AND OnDINANCES, AND IT IS HEREBY AGREED THAT TH
i------
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS:.ND SPECIFICATIONS AND IN COMPLIANCE WIT
S.l!7-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
r RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEt
r at? Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
- _ SDC -
Total ROCS
APPLICANT OR AGENT 1
App(fwFd Receipt No � ti �--�V
SDC -
POC
SEWER CONNECTION
SEWER INSPECTION
SEWER SURCHARGE
z97
Comments :
t
AddressPermit, NO,
Permit charge
Owner ukttjl Connection fee
Paid by � —
Type of building �
L Date connected
Service rate -- Inspection fee
Contractor chid by date _
Size of connection ���'
Aaseeament paid