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BUILDING PERMIT APPLICATION � DATE_ -__ _ 19_ 0)740
THE UNDERSIGNED HEPEBY APPLIIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BOILDER PHONE
OR AS SHOWN AND APPROVED IN T4E ACCCP iPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER :[1i1f1Ii JOB ADDRESS r r cAve j
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ARCHITECT
ENGINEER
BUILDER
Samam�` DESIGNER
STRUCTURE Dt NEW [J REMODEL [y ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE El DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T P 9ELIGIOUS I] PATIO ❑ CARPORT 19 GARAGE ❑ STORAGE ❑ SLAB[:] PENCE
OCCUPANCY ___A1_LAND USE ZONE ___jZj_BLDG.TYPE _ _.tea FIRE ZONE PLAN CHECK BY TLP HEAT
Con s�ruCt garage, all per Lum", rmen's p.raC t kit, to be 1ttL,rsj tc) exis', ;ng
aingle family dwelling.
SEWER PERMIT k
OCC,LOAD FLOOR L^.".D 04nCHEIGHT ± NO.STORIES _ ARF_A _ ��}{�rL NO.BEDROOMS VALUE
BDTMr ( '
_—BUILDING--LDING EPARENT SETBACKS FRONT REAR I_FFT�,;^� _RIGHT SIDE
- act, n -- _ _
Permit _ i. THIS PERMIT IS ISSUED SUB,'ECT TO THE REtoLJI AT[o;d; ';ONTAPNED IN THE BUILDING CODE, ZONING
52.33 33 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT' THE
PlanCherk WORK WILL BE DONL IN ACCORDANCE WITH THE PLANS AND ' PECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE IS'-UAN.;E OF THIS PFRMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REf)UIRED FOR SEWER,PLUMBING AND HEATING,
State Tax :I.22
— — SDC— n.
Total 0-5
PDCM APPLICANT OR AGENT
By
Receipt No.
Aprroved ' d ADDRESS PHONE
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4ATE INSP. TYPE INSPECTION REMARKS PLU:.Ii:bING
DATE
s _ _ �r Contractor
�1 _L+�sT7if,�• �- Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No,
Gas or Oil
— — Rough in
F r nal
SEWER
F ..1
_— DRIVEWAY
Final
—�_---- _ Storm Drarnalp
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach -
kII.M DEPT,rINALTEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning
— ZoningingF Final
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for inspectionF call 639•-4115 /' -`7(
PEggIT NO.
CITY OF TIGARO 639-4171
DATE
1 O Pj�
P.O. Box 297, Tigard OR 91227 TAxMAP 5/c/'4_ LOTN-O-. -f tt1s�uaaV_l
a)ON
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OWNER ' �G�1�/G% JOBADoREs.-, 14117f S w / r ��/
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BUILDER �'��� �Gj��fyu c
STATE REG.NO Eltl".0/1TE
BUILOER'S PHONE -
ARCHITECT - PHONE - OTHER -.
STRUCTURE ❑ NEW ❑ dEMOOEL AAOOITION ❑ REPAIR ❑ MOVE ❑ OTHER C] OEMOLITIOH
RESIDENCE ❑ OOMM ❑ EDUCATION ❑ INo - ❑ RELIGIOUS, (:'ACCESSORY ❑ GARAOf. ❑ THEA ❑ FENCE
OCCUPANCY [ LAND USE ZONE 2L 1 6LDG.TYPE FIRE ZONE PLAN CHECK BY _ �►1EAT f�
SEWER
_
OCC,LOAD fLOURLOAO HEIGHT f NO.STORIES AREA C( /,/NO.BEDROOMS - VALU ,!2 �N�L
` -
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE rid-' I '
THIS PERMIT tS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IM TI4C BUILDING CODE, ZOI,
REGUUITIONS AND ALL APPUCABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT The.
Ptan Chock 6-2 3 WO1tK WILL aE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATION-ANF)IN COMPLIANCE
WITH ALL APPLICARLE CODL-S AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOV WAIVE
ry pL Fw;s �{ESTjjKMyF COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAS(PERMI SEPARATE PERMITS REGUIREO FOR SEWER,PLUMBING ANO HVnNG.
Slate Tax 5 C C. 5600 • �__ "Z
SOC- P, -
Tol.l
APPLICANT OR AGENT
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Pr.pA_
- Rec:.Ip1 No AOORESS r►.pNl
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SSDC --- $
S0C -
-- \ RECEIPT N
POC =,
I DATE P0.
SOWER CONNECTION I Ce AMOUNT PD. _
SEWER INSPECTION S
SEWER SURCHARGE S
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GENERAL NOTES
1 . All construction to conform to the Uniforir- Building Code
(UBC) , local and state codes.
2 . All footings to bear on firm, undisturbed soil capable
0 of supporting 2500 p.:f permanently.
3. All footings to be minimum 18" below finish grade . Y _
4 . All concrete to test 2500 psi in 28 days .
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5 . All plywood and application to be in accordance with I
American Plywood Association standards .
t 6 . All wood in contact with concrete shall be pressure
treated.
7 . Trusess shall be approved by a licensed s�ructural
engineer for. 25 lbs. live lead and 10 lbs . dead load
on top chord.
8 . All winduws shall be aluminum single glazed.
9 . Provide sheet metal flashing as required for a water
tight job .
10. All electrical work shall conform to the Nationai
Electrical Code , State of Washington Electrical Code
and Local Cedes .
24 x 36 9 . 5 L
Garage moo
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