9445 SW MOUNTAIN VIEW LANE 9445 SW MOUATAIN VIEW LANE
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BUILDING PERMIT APPLICATION TIGARD DATE- ---------_---.19 3330
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON��jyyE X20-669b- I
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEGIFICATIONStax LOT NO.OWNER 1Jo" —� UU
OWNER Dan JOBADDRESS 9445 5u)-Mountsin-!►ieW Lane
- --`- ARCHITECT
ENGINEER
BUILDER _ 1381718 ADDRESS _same DESIGNER T--
STRUCTURE _❑ NEW _❑ REMODEL )CA ADDITION ❑ REPAIR _ ❑ RENEWAL ❑ FIRE DAMAGE 0 DEMGLITION
EXRESIDENCE ❑ COMM C EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS U PATIO CAR PVRT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —LAND USE ZONE I h BLDG.TYPE -fin F!RE ZONE---PLAN CHECK AY _ HEAT
0I0t~LucL bath addition to _exi_ eting si ''ale ramiIY dlea111nq, _
all per plants :anti coda.'
SEWER PERMIT 4 -
OCC.LOAD FLOOR LOAD aU :*1% 11 NO.STORIES 1 AREA- U) NO.BEDROOMS "" VALUES st U1010•
BUILDING DEPARTMENTSET BAG FRONT -- HFAR 70 LEFT SIDE "' RIGHT SIDE 'J
Permit CI.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— REL:UI_ATION; 4N0 ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREEU THAT 1 HE
Plan Check 10.00 WORK WILL RE )NE IN ACCORDANCE WITh THE PLATS AND SPEJIFICATIONS AND IN COMPLIANCE
WITH ALI AP�)LII. BLE CODES AND CHDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WP'IVE
Sub-total 30.100 RESTRICTI 'E COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENISE.SEI`ARATF PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax !t •8
- �-' SDC-
Tota! �30,8r.3 —_ .-----..... --- ---
Pi - PDCq APPLICANT OR AGENT
By
dWh Recelpt No.
ADDRESS PHdNI --
Approved
4
DATE INSPI—TYPE INSPECTION FCMARKS PLUMPING DATE
Contractci
��--� I Permit
�_`�I � �✓�—
Rough-in
Fixture
17 f/ IQjL
—
Final
^�- — -- HEATING
Contractor
Permit No.
T Gas or Oil
Rcugh•in
Final
---- — _._— -- -- _� — SEWER
-� Final
-- — DRIVEWAY
-- _-- —^ f�T
-~
rainage
rain)Flna!
k
Curb&Street Final
�— Approach
Bux- DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final -
CF'RT IFICATE OCCUPANCY —
Lendscaping
Zoning Final
t P
Bl!ILDING PERMIT APPLICATION TIGARD OA TEE I�•, ��_ is C1�
'rHE UNDERSIGNED HEREBY APPLIES FCR A PERMIT FOR TFiE WORK HEREIN INDICATED BUILDER PHONE�Zd"G�►"��•
OR AS SHOWN .AND APPROVED IN THE ACCOMPANYING PLA"IS A,ND SPE(lIFICATIC)N;, } p1P+fVEP,PHONE _
r.* IG N LOT N0. .00
DINNER V J_e 11 _
JOB ADDRESS ���+C_
^-� AHCHirECT
r; n E14GINEER
BUILDER ADDRESS Qi��l�bl /DESIGNER _
STRUCTI,AE C1 NEW ❑ REMODEL ) AODITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ 7EIAOLITION
RESIDENCE C COMA ❑ EDUCATIONAL ❑ GOV'T C RELIGIOUS C PA710 ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLA,'0 FENCE
C-CC,UPANCYLAND USE ZONEBLDG�TYPE
� /�;.. _FIRE ZONE PIAN CHECK BY _X&HEAT.__.
- ._ 01
SiEWER P_ERM1r#
OCC.LOAD FLOOR LOAD HEIGHT" it NO.STURIFS �� AREA j-
(Q`NO BEDROOMS -- VP,LUk,2GOC7
BUILDING DEPARTMENT SETBACKS FRONT REAR (j _ LEFT SICE _� RIGHT SIDE 41
P^►mit .Zdre THIS PERMIT Iy IS^LIED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODS, cON:140
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBf AGREED THAT TF!E
Plan Check _ '�� I WORK WILL BE DONE IN ACCCPf:ANCE WITH THE PLANS AND SPECIFIf ATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND k2RDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total �d' RESTRICTIVE COVENANTS. CONTRAG'GR AND SUB CONTRACTORS TO HAVE CURHFNT CITY 86SINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
O
SOC
Total V'✓ - _ _
pDca APPLICANT OR AGENT
By
Receipt No.
Le-proved ADDRESS PHONE
3 0 C
� # �P•WT�N"� �-o'�vLb1Um
:10C 33a v
;EWER CONNEC-f ION S / Q
iEWERi INSPECTION $i!7Z_
SEWER SURCHARGE 5
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