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CITY OF TIGARD BUILDING PZPARTMENPLAN CHECK N0.
T L. —_--
PLA17 CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:--
This
AID:_This is to certify that the attached secs of plane have been submitted for plan
check pursua.it to the Oregon Structiral Code and Fire 6 Life Safety Code, edition.
•
PROPERTY OWNER: C /S OWNER'S ADDRESS:
CONTRACTOR: 1 ELEPHONE:
J08 ADDRESS:
` LOT NO. b MAP: --__
DESCRIPTION OF WORK:
Appc•ovals Required SPECIAL DOTES
aPlanning Dept. Reissue
OEngineering Dept. �O Flood Plain/Sensitive Lands
0 Fire District O Sewer Availability
O Othei 0 Other
Itews Required
0 List of subcontractors
OBusineae Tax
'L- Cal :ulations
0 Truss Details
O Parking Plan
OLandscape Pian
0 Other
COMMNTS:
City o Tigard ldi ag DepartVWnt
NLAN 4htl.K NU.
for inspections call b:t9•-4 175
CiT�f OF TIGARp ;a9•�1�1 r x`P�P.i�i?' NO.
gUILOING P PM.T DATE _ ?,'- // .._..�lo�_.._.
1 .0. 2.S"` tl saVIS10N
U. Box 2 397. OR TAX MAP
OWN FA I/ E D L S�y.E _._ JOB AOORES� 2 C
tiUILOtR _ _ 'f d L Z�
STATE REG.Y0. (ZZ
BUILDER'S PHONC. y y GAY
ARCHITFCT__, l _: :_ PHONE /� _ l �' 01'HEA
3T AE f NEW _. ❑ REMOOEL ❑ AOOIWN ❑ RSPAIR ❑ MOVE U OTHER L] DEMOLITION
!J RESIDENCE C COMM ❑ EDUCATION ❑ INO ❑ RELIGIOtI'3, ❑'ACCESSORY 0 GARAGE Q OTHER Q FE►.,E
OCCUPANCY j_1LAND USF ZONE Y BLDG.TYPE y.A.�_FIRF ZONE,,.",_PLAN CHECK BY M EAT
Construct single fami1Y gwwe_1Iina w/at ached na``r''e, at�.,ap•proued p� s -
_i''�ef.t to H5 code. lug �! Q �C _.
SEWERPEAWT/•,� O '(idu) 1 baths., -c� -t aPs__ uarijoe area„goy _ -
OCC LOAp FLOOR LOAD NEIGHTeV't_ NO.STORIES AREA/' No.BFDAOOMS VALU
BUILDING DEPARTMENT SET BACKS FRONT HEAR LEFT SIDE RIGHT SIDE �.„.
Permit """ THIS PERMIT Le I'YSUED SUBJECT TO THE REOULATIONS CONTAINED IN THE BUILDING CODE.ZONING
REGULATIONS I,NQ ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HFREBY AGREED TMAT TME
PtanCIHI.`k (J WONK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND JIPECIF'CAnONS AHD IN COMPLIANCE
WrTN /,LL A"tACABLE CODES AND ORDINANCES,THE MUANCE 09 THIS PERMIT OQES HAT WAIVE
PL Ck.F" RE$TRN;TTVE W'/ENANTS,CONTRACTOR AND SUN CONTRACTORS TO HAVE CURRENT CITY OUSINESS
TAX PER/rrM SEPARATE PERMITS REOUIRED FOR SEWER PLUMBING AND HEAnNaL
Stag Tax ssoC
I w +�. SUC _
TWO^y f M POCKAPPqjCAkW,OR AGENT
*°
Pr 6d
q Q P.ecew NO: ADDRESS ►.+nr+t
I.Due "1 (C ! . I�ihJ
Issued 9y __... ._----J►CWovrf By_._�_.----- .`
SSDC
soc
RECEIPT #
POC - DATE PD.
SCUER CONNECTION 5 ! AMOUNT PD.
SEWER INSPECTION
SEWER SURCHARGE:ommentsS
Y 'y
7 �