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BUILDHIG PERMI"i APPLICATION TIGARD DATE__;'-_ 19 33 4397
T.-it!INDERSIGNED HEREBY ADPL IFS FOR A PERMIT FOR THE WORT;HEREIN INDICATED BUILDER PHONE2
r)R AS SHOWN AND APPROVED IN THE ACCOMPANYING P�ANS AND SPECIFICATIONS, OWNER Pfa tC _
LOT NO.
OWAER iaa,;78 lhad�r,scm JrBADDRESS-1',4iO SW PSlaaciCiwtat+d '"Y � .
ARCHITECT
ENGINEER
BUILDER Sa,1n ADDRESSUt. 3 Bax 286 A Sber oOESIGNER PiEnecy 'iiArclay_ -___
STRUCTURE 9-1 NL W ❑ REMODEL. ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
N RESIDENCE Cl COMM_L_EDUCATIONAL ❑ GOV'T L RELIGIOUS U PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY �" ^�LAND USE ZONE 16 BLDG.TYPE 5 + -___FIRE )NE_..-_-..._..PLAN CHECK BY �1 HEAT t'a8
--- _onntruct ai.ia'�le family dwallin.->' wrattached ;,arsi*e
s'ee correction sher, attached. 3 Eterdroo,38
!0-issue of. Permit P 409,' 5 "Iu rlJ f_:oantlo ochis Ct. , 3 Baths
SEWERPERMIT_k_ _ ('ttrltb;R '4
OCC.LOAD _FLOOR LOAD Ni) _HEIGHT 20 NO `"C^'E8 AREA NO.BEDROOMS 3 VALUE '7,700
_ BUILDING DEPARTMENT uET BACKS FRONT 31 LEFT SIDE 9..`e RIGHT SIUF
Permit 31.f� .uO T'IIS PERMIT IS ISSUED S' 'IJECT TG THE PFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALI APr'LICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRE':D THAT THE
Plan Check 10.00 WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPI'INCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE_
Subtotal 4.32+00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— ` *08 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax
SDC-
Tota' }45.uo
— — PDC? 1. APl'L CANTOR AGE
By i �j
Approved '"'` Receipt No. -- ---- ----—
�ADDRESS PHONE
i
DATE INSP. TYPE INSPECTION REMARKS —_ PLUMBING DATE
_ — Contractor
' /�r - i k 'Pin — Permit No. �'1
�_—— —
L Rough-in
3 h—' Fixture
G o" -_ -- -- _— -
G`- Final
G;20- 6.7 1 , �is�_� HEATING
;; A2 Contractor�`�� i
` u1.7oYl /i� 1 "Q 2 Permit No.
Gas or Oil
Rough-in-- -- --
��--- ---- ------- Final
-•---- — ----------- SEWER --
_— Final
DRIVEWAY
Final
Storm Drainage
` gain Drain;final
Sidewalk I
Curb&Street Final
�_ Avproech
BLDG. DEPT.PIN/L I TEMPORARY CERTIPICATE OCC..IPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final �—
I
17
BUILDING PERMIT APPLICATION TIGAFI DATE _
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE�_ ,��
OR AS SHOWN AND APPROVED IN THF ACCOfAPANYIQNG PLANS AND SPECIFICATIONS. OWNER PHONE _
O'l1NER �-I AM'1� G�Q�W� JOB ADDRESS !&q 7o d �4 � LOT NO._4�r%ii
Q (_t_� ARCH _ f
BUILDER ,,,�A.�� ADDRESS "� ��o 4G�'15he t�rl tVa
E IGNER �j - a,vak IV
- -- T � a
STRUCTURE NEW ❑ REMODEL ❑ ADDITION 7 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE. ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SIAg❑ FENCE
OCCUPANCY_ _` LAND'JSEZ�ONE '_]�- BLDG.TTYYPE _1 FInEZO E—'___PLANCHECKBY
--.—. �/oalu�� '._?1��'°��'�►'� 4�!���� Iv_/�� I�'1'Z�r/Pi
(Ze µsr
SEWER PERMIT M
OCC.LOAD FLOOR LOAD Q HEIGHT ,20 NO.STORIES - Z AREA gf�t'p NO.BEDROOMS 3VALUE �oo
BUILDINGDEPARTMENT SETBACKS FRONT 20 REAR LEFTSir,,Ea_ RIGHTSIDE
Pcrtnii _ �R,t�o THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON'.NG
�
^ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check C�' WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
iiWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF •PHIS PERMIT DOES NOT WA;Vr_
I Sub-total 4 MOO RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN`eSS
IIIIII � '� LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Sista Tax
is e-0
- --
'otal SDC
POGO APPLICANTORAGEN7 --
c�
�—- Recnipt No.
AppfavedyN ADDRESS-- PHONE —
SDC
PDC
SEWER CONNECTION S
SEWER INSPECTIC'N
SEWER SURCHARGE S -
116
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