11452 SW 115TH AVENUE a
o ..
1
BUILDING PERMIT APPLICATION TIGARD DATE JUlv b1964 4906
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN,iAND SPECIFICATIONS. OWNER PHONE --620-52 15
LOT NO.
OWNER JOB Fill,). JOBADDRE_SS _ 1141r,` SW 115th INI-UCV
ARCHITECT
ENGINEER
BUILDER %Arse ADDRESS DESIGNER
STRUCTURE 1-1 NF..w REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
l RESIDENCE l COMAS 17_ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO D CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ ik-3 _LAND USE ZONE --L-A, BLDG.TYPEN—FIRE ZONE----PLAN CHECK BY�
- ----__ ..-----Inatall "Zero Clearas,ce" f1etal YjI, ?lncc [ r_aalzxt2YeAl- specs-
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO STORIES AREA NO.BEDROOMS VALUE 9(1(1
BUILDING DEPARTMENT SETBACKS FRON1 REAR LEFi'SIDE RIGMTSIDE
Permit _ 15.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COKE, 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 Ai4D SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N01 WAIVE
Suu-total 15100 RESTRICTI`JE COVENANTS. CONTRACIOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWED,PLUMBING AND HEALING.
Stats Tax •6k)
SDC-
Total 15 0 60
- -- PDC# APPLICANT OR AGENT
By c1i
Receipt No. f �
Approved Ji(ati ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMt3ING
DATE
Permit No.
Plough-in
Fixture
Final
HEATING
Contractor
Permi No.
Gay or Oil
Rough-in
Final
SEWER
F11.81
DRIVEWAY
---
F-nal
S,,),m Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. rifii—L —TEWPORiRY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Firal
CF.I
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE_
'THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEP PHONE
, - LOT NO._ ?�-a D
gwr1ERL!i] T�.LlI/�' JOS ADDRESS j - `i - v �'L7
ARCHITECT
ENGINEER
F3UILOER ��'/!.1 E ADDRESS _ ^ DESIGNER
STRUCTURE ❑ NEW __0 REMODEL _ Cl ADDITION _ i REPAIR ❑ NENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
(2'RESIOENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Cl PA710 ❑ CAR PORT ❑ GARAGE ❑ STORAGE Cl S1-48❑ FENCE
OCi;UPANCY w t.AND USE ZONE < '�—`' SLOG.TYPE S"'�� FIRE ZONt;:-.' PLAN CHECK BY HFAT
SEWER PERMIT N
OCC.LOAD FLOOR LOAD HEIGHT_ NO.STCRIES AREA NO.BEDROOMS VA.LUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT_SICE _ RIGHT SIDE
Pormlt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SU1L,1. G CODE,ZOr1'!1
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TeAT TE:
Plan Check r WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPr:CIFICATIONS AND IN COMPLIANC
r WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
Sutrlalal _ nESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING_
Stam Tax G
ISDC--
Total
PUGS APPUCANT OR AGENT,
By
e , Receipt No.
Approved . AaDRLss fltioNtl -- ---`---
SSDC --- --
SDC
PDC - _
SEWER CONNECLON
SEWER INSPECTION _S
SEWER SURCHARGE S
1. -!-1 m n n t C
So