13845 SW 104TH AVENUE-1 � t �
13845 SW 104TH AVENUE
I
Li
W
Q
i
O
'-i
3
N
Ln
1*
m
M
r-1
1
all
Nvs
it.
40
zol
4-2
4-3
-All FI
IN
V 0
A.Al!
C)
to
4.1
60
as
GD
-4
gab
F-4
r 79 cu
13.
•1 PCs 4-J
:e E
C, bl)
44
�4
eo?4
Cw
NAu V)
4. 00
U 14
c w U)
(n V)
9 C)
I Ln
4j
bo 0
O L)
Terf
IN,
uorl. ;!iki 4 -R
Z%
MA Jih
of
BUILDING PERMIT APPLICATION TIGARD DATE---- _— ! is__- .� 3502
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED E 1ILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMP.iNYING PLANS AND SPECIFICATIONS 'jWNER PHONE _
)TNO. 6-Tigard
OWNER J—Ent Constr. JOBADDRESS13845 SW 104th Avenue
APC;HITECT _
ENGINEER
UUILDER same ADORESS 5203 SE 20th, Ptld. DESIGNER R. jeans Designs
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR Ll RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Cl RESIDENCE E] COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT [I GARAGE ❑ STORAGE Ll SLAB❑ FENCE
OCCUPANCY _LAND USE ZONE R"7 BLDG.TYPE - 5N FIRE ZONE__ --PLAN CHECK BY du h HF.AT
�1'- - ConaLruct single gamily dwelling w Latteched gerage. 3 Bedrooms 1 b,-,th.
Re-Issue of Pyrmit #3497 (1393Lj SLI 2. 4th twenua) -
SEWER PERMIT# J269 — t7a0.F'(J _ garao® 4Qj}_8q_ft.
OCC LOAC. FLOOR LOAD 411 HEIGHT _ 12 NO.STORIES _1 AREA 1008 NO.BEDROOMS 3 VALUE�;l r
_BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 34 LEFT SIDE RIGHT SIDE _
Pe mit II 163s00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
flan-Check_ 10.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
� WITH ALL APPLICABLE CODES AND ORDINANCES. IME ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total •173.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANU HEATING.
State Tax "1 6.52
---- -- SDC
Tota. _ 179, 52
By p 1 _
PDC# 41APP
00.00 LI ANT OR AGENT
_ _ _
Recelpt No.
Approved
dwh ADDRESS PHO N`
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
1,2-3-kgJ9-e,Z-o6 —K.,.
1,V 67-
Permit No. C)
jL Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough in
Final
SENER
,lFinal
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
,646RI Approach
T. AAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
AL_
71—
BUILDING PERMIT APPLICATION DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR Ti iEWORK HEREIN INDICATcD BUILDER PHONE 279
OR AS SHOV'JN AND APPROVED IN THE t COON PANYING PLANS AN SPECIFICATIONS. OWNEP PHONE _
Z�'c'J- � LOT t 40.
;, rR A/115�, JOB ADDRESSi' SW � e .a �n
Q, MARCHITECTENG
•�
yL'IL�Ea .rLLBDt�_ ADORESSS2, 28 Q ,�• OFSIIGNER•-12 .jean-5 h5
STRUCTURE IVEW Cl REMODEL C ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIREOAM^GE ❑ DE+JOLITION
RESIDENCE C COMM ❑ EDUCATICNAL -1 GOVT C RELIGIOUS a PATIO C I_ 9 PORT Cl GARAGE C STORAGE ❑ SLA80. FENCE
CCZOPANCY USE ZONE R- z_BLDG.TYPE. ". -t?_.__FIREZONE PLAN C'1ECKBY 2# _ HEA1 --
Fes'ly Isoe lI
SEWER PERMIT J► - �aYP� SOU _-_ -
OCC.LOAC` FLOOR LOAD 40 HEIGHT NO.STORIES AREA /OOc9 NO.BEDROOMS VALUEy�i?Q�
'
YBUILCING 5DARrMENT�
L. SET BACKS FRONT Z•0 REAR LEFT SICE RIGHT SIDE .S
At* -00 THIS PERN111T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILENNG CGOE, 70N:"J-
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERi=3Y AGRcED TY,AT TH.,
1.1mi Check ( � � - WORK WILL BE DONE IN ACCORCANCE WITH THE PLANS ANC SFECIFICATIONS AND IN CO'cFLIANCt
—�- WITH ALL APPLICA13LE CODES AND ORDINANCES. THE IF%SUi.NCE OF THIS PER,•I;IT DOES NOT WAIV:
Sub-tct�l 1��•�d RESTRICTIVE COVENANTS, CONT 7iAC.TC,; AND SU9 CONTRACT ORS TO HAVE CURT ENT Cl i f EUSI%
r- LICENSE SEPARATE PER.,!I rS RE0IJIRED FOR 5EWER,PLUM84TJG AND H;aTING.
3 tato Ta% o i
Total - � _.Jiz• SDC- �I (. --
PDCS APPUCANTORAGENT
Receipt No. 9-ar. Zz2'-9fk6?
`Approved '�'�!� ADDRESS PHONE
117C
r
w
EWER CONNECTION S , 7 ✓__
rJEt- 1N3PECTION
31- R SURCHARGE1;2-b
i
16-13 �edWyeest' r Z Vat44� 0 L. �,4 -t,�"_4J?g
1012,0rJo d�hc���'GJ-����n --_
tt�/s U �CtOt• Q