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BUILDING PERMIT APPLICATION TIGARD DATE ___ _ 19 80 . 32 .7
THE UNDERSIGNED HEREBY APPLIFS FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHOIZIP-41 15
OR AS SHOWN AN-'APFROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
L01 N0• 3271443" ' % 7:1I.'
OWNER J–L,-it Curisti. t.AOBADDRESS 1935 SW For;no Crr: f k Dri_v_a
ARCHITECT
ENGINEER
EIVILDER samo ADDRESS 5205 SE 28th,Ptid. _ DESIGNER vans Ossigns_—
STRUCTURE VNEW ❑ REMODEL ❑ ADDITION C] REPAIR ❑ RENEWAL L FIRE DAMAGE ❑ DEMOLITION
U RESIDENCE ❑ COMM ❑ EDUCr,I'IONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO L7 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY fv– LAND USE ZONE —8_7—NLDG.TYPE _5N FIRE ZONE--3 - 'PLAN CHECK BY �" ' HEAT
Con3truct sin le Family dwelling w/attached gars e9 • (zero _Ut ling
_ --- 2 dadroome — 2 Uaths.
F e-Issue+ of Permit 1x3216 - 799ti SW C.i,eak Drive ) -
SEWERPERMIT# •110 - g.7n;;_nn Ann
OCL:.LOAD FLOOR LOAD QO HEIGHT 18 NO,STORIES 2 AREA 1 NO.BEDROOMS VALL*
+BUiLDING DEPARTMENT SETBACKS FRONT If! REAR 18+ LEFT SIDE '1, RIGHT SIDE
Permit $166.00 THIS PERMIT IS ISSUED SUBJECT TO THE R,_GULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPIACARI.E CODES AVI)ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check if.).LIQ WORM. WILL BE DONE IN ACCORDANCE 'Ni i H HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISPUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 175.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOPS TO HAVE CURRENT CITY BUSINESS
SiP',e Tax '' 6.64
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER.PLUM91Nf AN.'HE!.TING.
�SDC – A�jyQ�.UG ,
T• tai S182.64
PDC# !-I $100.Of)APPLIC,NTOnAGENT —�-
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()1�1F{ RPc,elpt No. .it
APproved� ADDRE S ---- PHONF
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
A—
,. Sr* Contractor
1 Ott -1—
-.Z-7-jb �"- e ?, Permit No.
ftpoN
Fixture
Final
HEATING
0 Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
SMetaelk
Curb&Street Final
Approach
DC16 PT. INAIL. TEMPORARY CERTIFICATE OCCFt CY Final
CERTIFICATE OCCUPANCY Landscaping
Zoning Final