11593 SW SHEFFIELD CIRCLE 11593 SW SHEFFIELD CIRCLE
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for inspections call 639-4175
CITY OFTIGARD 639.4171 DATE �l _t9-mss•'— ,�"��'°w�
BUILDING PERMIT _ ,yJ
F.O. Box 23397, TigardOK 97'L23 TA%MAP --LO' N- SUBDIVISIO --
OWNER— � / JOB ADDRESS // �3 � /�
BUILDERSTATE
STAT[REG.NO. __._._EXP.0 TE
BUILDER'S PHONE 46
ARCHITECT-----.-- PHONE OTHER
- � - -
STR_UCTU_FIE 1:1 NEW 'L7 REMODEL ❑ AD^TION ❑ REPAIR ❑ MOVE- C1OTHER — C! DEMOLITIO
❑ RESIDENCE ❑ COMM ❑ ED"�"1TION ❑ IND ❑ hFLIG10US El ACCESSORY U GARAGE ❑ OTHER ❑ FENC
OCCUPAN:Y LAND USE ZONE BLDG.VYPE FIRE ZONE PIAN CHECK 9Y __ HEAT
IL
SEWER PERMI f s Z
OCC.LOAD FLOOR LOAD HEIGHT I NO.S7,-`RIES AREA ` ^NO.BEDROOMS I VALUE
_ BUIL[NNG DEVARMEN
TT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Ilw�� sme��Ssr�Y�e i�
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONIN
-- — - REGULATIONS AND ALL APPLICABLE C00:iS AND ORDINANCES,AND II IS HE.RE&Y AGREED THAT THE
PlanC'wk _ WORK WILL OF DONE IN ACCORD (:E WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-� WITH ALL APPLICABLE CODES (%INANCES. THE ISS NCE OF THIS PEVMIT DOES NOT WAiVF
Pl.Ct.FirsRESTRICTIVE COVENANTS-CO ' TOR D SUB CONT ORS TO HAVE CURRENT CITY BUSINES c
--` -- TAX PERMITS.SEPARATE PET RRI IP f OR SEINER U04DINO AND HEATING.
State Tax ,
--- SDC
Total ANT OR AGE
POCA
Prepd. ^�r� PHONE
— --- ReaelPt No. A DRESS (i-r� w' (Tri �7d s
Bal.Due
�J--- - Issued By---- ..__J1pProved By —
SSDC - $
SDC
PUC
131-
SEWER C[)t4NECTION 5
SEWER INSPECTION —S
_SEWER SURCHARGE S
Comments;
CITY OF TIGARD PUILDING DEPARTMENT P'�AN CHECK NO. :_: i�f C
PLnN CHECK APPLICATION FATE RECEIVED:--2--t 2�P�"'
P.O. Box 73397, Tigard OR 97223 P/C DEPOSIT PAID -t�
This is to certify that the at t; ^'ped sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER-. , OWNER'S ADDRESS:
CONTRACTOR: TELEPHONE: Gp
JOB ADDRESS: / _J (_=J LOT NO. & MAP:
DESCRIPTION OF WORK:
Apprcvnig Required SPECIAL NOTES
OPlanning Dept. O Reissue
OEngineering Dept. (D Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
OOther O Other
Items Required
C) List of subcontractors
OBusinesa Tax
Calculations �In
OTruss Details
0 Parking Plan
OLandscape Plan
O Other
COM14ENTS:
City of Tigard Building Department