10330 SW MEADOW STREET 10330 SW MEADOW STREET
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DATE 4/14 ! -,11-L—
TIGARD �;4066
.,-•1,7415
BU PERMIT APPLICATION 39-5715
OWNER PHONE
THE UfJDEfiSICaNED HEREBY APPLIES FOR OPERMIT E�RPLANS AND SPECIFICATIONS. BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE AC LOT NO.
JOBADDRESS 10331) ? '� lea_ '1� �'r�� ARCHITECT
----
OWN y L. _i p 1 e --- ENGINEER
"1('. 132nd i'L Id DESIGNER
C o-n q t'r. _ ADDRESS 1830
_
BUIL— -
❑ NEW 0 REMODEL--��—ADDITION DAMAGE
❑ REPAIR__ 0 RENEWAL l; GE F.]STORAGE ❑ SLABO FENCE
STRUCTURE —._._._._ .r-------�-_-
41411 HEAT
[YRESIDENCE O COMM CI EDUCATIONAL C 7 GOVT [7`RELIaIOUS C� PATIO [�O CAR--PLAN CHECK BY„ M�.
4',-3 BLDG.TYPE ---51 FIRE ZONA_^
OCCUPANCY -___— LAND USE ELONE �__—_ 1 tae 1. L i n"•
" construct s�.e�nttcu>!c addition Lo
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------------
-���—
SEWER PERMIT# _____ ---1--- AREA ''_a _ VALUI�`� 1
t.U NO STORIES NO.BEDRO_ BMs"
nn e r. HEIGHT --- U
OCC,LOAN FLOOR LOAA c� LEFT SIDE 3� WIGHT SIDE
_ REAR -_--------------- - ----
BUILDIN DEPG ARTMENING
__T__ SETBACKS FRONT_` _ I CODE,
Permit J U O•")U __ THIS PERMIT IS�INSSUAED APPLICABLE CODES AND ORUINANCFS.THE REGLILATInNS IAND IN SHHEREI'JYDIAGREED THATTHE
P REGULATIONS
heck IANCE
$2•3 3 WORK WILL BLDONE LE GLIDES AND"CE WITH THE PLANS AND ORDINANCES. THE ISSUANCEEOF HIS PERM T DOES NOTISIS AND IN WAIVE
Plan C WITH ALL APP
I 19 Z •Et 3 PESTRICIIVE COVL_NANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY t3USINES
Sub tote LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
rl
1,22
State Tax SDC—
7'13 6•0 5 APtr1LI— - AGENT
Total PDC#
By �— - - - X P NE
Receipt No. ADDRESS
Approved __—�-----
DATE INSP. TYPE INSr-ECTION REMARKS PLUMBING DATE
Contractor
7 ;.
Permit No. ----
i Y ` Y Rough-in
-^y Fixture
Final
HEATING
Contractor
Permit No.
Gas rn Olt
Rough-in
Final
— — SEWER _
Final
— DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
--_—� • Sidewalk
Curb&Street Final
APProaat
SLOG. DEPT.
IN,'L TEMPORARY CERTIFICATE OCCUPANCY Final
CE"TIFICATF.r1CCUPANCY ---
1andscaping
Zoning Final
y
3'JILDING PERMIT APPLICATION 1u Y TIG,',RD DATE , ,9 N.
-"f HSIGNFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-If-
SHOWN
HON If-
;S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIE ICAT IONS. OWNER PHONE 16 rte
LOT NO.
/ JOADDRESS LC
•
"T`.PY� G _. _�_ �U_� ARCHITECT
^1
ENGINEER
' IJL—ADDRESS
R y�j ,11 G DESIGNER
UHF �1'JLW (REMODEL DDITION L_JREPAIR f-`.,,RENEWAL OF IRE DAMAGE ❑F)EMOLINON
C; NCA 111,10M ❑EDUCATIONAL, OGOV'T OREIIGIODUSQPATIO ❑CARPORTT CIGARAGF 0STORAGE SLAB []FENCE
OND IIMOVING OCONDITIONAL USE ODES_IGN REVIEW ❑COUNC'L APPROVED ❑SIGNS _
ANCY
LAND�USLlONF � �. BLDG—TYPF ZONE._ PLAN CHECK BY^ HEAT__, "+
c".0 t.QAD I LDC)I' l C)gjZJOIL�1 AREQ.Zpy NO•„5EDROOMS r YAL41 �
BUILUIIv_, L i PAHIMI NT _ SET BACKS FRONT REAR LEF1 SIDE RIGHT SIDE
I ?rI mit
THIS PERMIT IS ISSLIEO SUBJECT TO THE RFGULA110NS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
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WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Suh total 2 rJ ALL APPI ICARLE CODASL AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED F WE R, dIC� AND HEATING.
ti TotalBy
Kp
AICAN1 oR wFN1
1Hecelpt No. /�_', ?
- ADDRESS -� PHON � / -- —
,,.
PERMIT TO CONNECT
Tigard Sanitary District
oo
PERMIT N0 944 DATE
PERMIT IS GIVEN TO ...
OF l 1
TO CONN EvT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS rERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BYRN COM-
PLETED.
PERMIT FEE PAID $.... .............................TIGARD SANITARY DISTRICT
By
�.wv�.w .,w.�rv�:waMw�wry
CONVECTION INSPECTED AND APPROM
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-------..___._�_-Date i— — �— Superintendent
I
Address 1033�?�� F�Ql1l� Permit
Name of Occupant Permit charge_
Connection fee_
Paid by — — - -----
- D&te connected'-/,5 747_------.----- -
Type of Building _ - Inspection fee -
Service Rate Paid by Date
Contractor --_-- Assessment . -_ _Paid
Size of connection_______.._.�_--_-_-- - --