12000 SW 116TH AVENUE L.1 11.0 11 11 11 11 U' II
•0• SW 116TH AVENUE
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CITY OF N'0 0874
BUILDING PERMIT APPLICATION TIGARD DATE_—.puna �• C7
THE UNDERSIGNED HLRI.BY APPLIES FOR APF.RMIT FOR THE WORK HERD: 'd INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEr'FICATIONS, -OWNI R PHONE_. _
fJER ��'• '' Iti` +t",» S ii.I> 4DUR=3S 1200np, I ±''I"I 4.16th BUILUEFIPHONE
AU.ILDEfl---_1�— --__A I�� ..iCf —. — ----.__ DESIGNER
STRUCTURE ❑NEW _❑_REMCD_EI. ❑ADD1710N— —❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
EI RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T CIRELIGIOUS❑PATIO ❑:.'Ali PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND OMOVING ❑CONDITIONAL USE .J DESIGN REVIEW C,COUNCILAPPROVED ❑SIGNS
OCCUPANCY---LAND USE ZONE Ftp-` -_BLDG.TYPE � FIRE ZONE_ PLAN CHE,K BY_—;_Tj HEAT
1l-istxuct lkl-2" x IJ 'x3" _.earl and lbl-i:( 23' F amily I;uut;l
No addit6onal Vedroom -�
-- — Plumbing Permit, t.lcag.
4 C1
OCC. �bLOAD FLOOR LOAD � HEIGHT `. NO.5TORIES_- AREA _ VALUE
— BUILDING r EPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 44,00
THIS PERMIT IS ISSUED SUBJECT TO THF REGUL ,TIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICAt1Lr COVES ANF ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORVANCE WIT4 THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND 01101NANCES. THE MSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTF)A( 1617 1,ND SUB CONTRC.CTORS TO HAVE CURRENT CITY BUSINESS
1%State 1.3 LICENSE. SEPARATE PERMITS REOU14ED FOri SEWER, PLUMBING AND HEATING.
Total Qac Jd
By AP' -AN1 OR AGUNT
Approved ] —W---I Rece lel N _ u
ADDRESS JONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
_Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY—
Final
(Rain Drain) Final
Sidewalk
GUrb&Street Final
Approach
BL:–DG.DEPT.FINAL TEMPORARY�,i CERTIFICATE OCCUPANCY
CERTIFtCATE OCCUPANCY Final
Landscaping
Zoning Final