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BUILDING PE3MIT APPLICATION TIGARD DATE_..-_.-11 24/ — 19_80 349:?
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED E .ALDER P46T @-0` u __—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT;ONS. OWNER PHONE
LOTNO.- 1'3—NqT h rnxn
OWNER StIRVO 5piagOl JOBADDRESS 11190 ;r L1 100th Ave. ►part of TL 300, 151-A OA
ARCHITECT
ENGINEER
BUILDER same ADDRESS 6S15 Sl.! Miles Ct. pPtlOESIGNER s pieclel
STRUCTURE t NEW ❑ REMODEL ❑ ADDITION 0 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 11 DEMOLITION
RESIDENCE O COMM El EDUCATIONAL. 0 GOVT ❑ RELIGIOUS O PATIO ❑ CARPORT (�] GARAGE ❑ STORAGE ❑ SLABL_' FEN-_E
OCCUPANCY LANDUSEZONE -E•-7 BLDG.TYPE 5N _FIREZONE —_PLANfHECKBY dIJh HEAT ELeC•
-^- - l.unstruut single family dwelling w ARIA cletacherl�axaye. IX 1 erixm. Z tstath
RF-ISSUE of Permit 1,:3494 (11180 SL.! 106th Ave. )
SEWER PERMITM 3iO3 — '17;0.00 _ l .___—�.
OCC.LOAD FLOOR LOAD 40 HEIGHT 1 NO.STORIES I AREA 76V NO.BEDROOMS — 'VALUE$27 0 a0to)
BUILUING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE! RIGHT SIDE ti
Permit 71•�-1 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
Plan Check 1Q I)9 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIO14S AND IN COMPLIANCE
_ -- WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total x.31. OC) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,Pi UMBING AND HEATING.
SDC- S400.00
Total I �1
PDCM APPLICANT OR4 �-
By p 1
Approved duh Receipt No. ? 1 ADDRESS -__._ __ _ ---- -_--- PHONE
I,
DATE INSR TYPE INSPECTION REMARKS PLUMBING DATE
/,l•,�,Q-,r �� �caa�,�:-- _ � Contractor
_ r
..1••/%�� [/ �.ol�,.I• _�— - - Permit No.-
Vf _��. y� ;("- Rough-in
Fixture ---
�_2 u� ----- -- Final
HEATING
Contractor
Permit No.
Gat or Oil
Rough-in
Final
SEWER ----
' Final /t A —
�'- DRIVEWAY
Final
Storm Drainage
(Rein Drain)Final
Sidewalk
- -� Curb&Street Final —
_ -- -- —v- APPt Lech
13I.13G. DEPT. FINAL TFMPORARY CERTIFICATE OCCUPANCY Final
'
CERTIFICATE OCCUPANCY
Landscflping
Zoning Final
BUILDING PERMIT APPLICATION TIGAZ:) OATFl-V _2'� iy�pO
THE UNDERSIGNED HEREBY APPLIES FOR A PERM IT FOR THE WORK H'-;:REIN INDICATED BUILDER PHONk�Tb�33�
OR AS SHC)wN AND APPr OVED IN THE ACCON PANYING PLANS APD SPECIFICATIONP l OWNER PHONE
JOB ADDRESS-1/190 Q7 ) �� l°.. �1_ LL—�_�Z_�, A
ARCHITECT
�+, ENGINEER
U JI1�Er7 Q,�Q. ADDRESS r��J'`13—_�`6.��� f�(dC• DESIGNER
STRUCTURE , NEW ❑ REMODELr C AD0IT!0_N—_❑ REPAIR_ ❑ RENEWAL-0 FIRED-,MAGE 0 DE11,0LIi10
RESIDENCE C COMM ❑ EDUCATIO
N
A
L
j-G--OV r L%aELIGMS i.J =A i iO u CAR PORT 7 GARAGE Q STORAG2 C SI Pr--' FENC
Cti.:UPANCY -3 LANE)USE 7.ONE �'� — �✓N � —
_ _ �_BLDG.TYPE —__ _ _TFIRF ZONE__-_PLAN CHECK BY HEA
n m t y 11 !'80-�Co l oo
✓ELVER PERMIT k �� dw- 22o
OCC.LOAp� A FLOOR LOAD 40 HEIGHT N0.STORIES _ AREA _NO.BEDROOMS f V/•.!OF
may. 7.f�t�v
BUILCING Dc?AHTMENT SET BACKS FRONT ,2 REAR 3 LEFT SICE .•t7 RIGHT SIDE 2O
0^rr tit l 2-1•0 0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 1•H_ BUILDING CGj)r,ZOPI:N
1 REGULATIONS AND ALL AP�'LICABLE COCIES AND ORDINANCES, AND IT IS HEREBY p•GpLrp THAI i Y,
AlinC'teck WORK WILL BE DONE IN ACCOPrANCE WITH THE PLA14S AND SPECIFICATIONS AND IN C-0,MPLIANC
Tom"" WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEAL"IT DOES NaT 'NAIL'
ISustatal __ 3 �� I RESTRICTIVE COVE?!ANTS. CONTRACTOR AND SUB CONT a1'ACTORS TC HAVE CURRENT CI Eu-SINES
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Statm Tax I ,L�'1•'
Total �_
SOC—
POCA APPLICAN7ORAGENT — '�`-'-' ----
sy
Receipt No.Approved _ ADDRESS ------- PHONE
0C
1
I[)f"� �. r/00
E W E,q CONNECTION 5
_-- — - 11~1,1 7S? P 33.V11 2p,
: ii IINS PECTIGN S
VJER SURCHARGE S 27 ,3z9
V
2? $ o
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