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BUILDING PERMIT APPLICATION TIGARD DATE - _ „19 8a 3418
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INrICATED BUILDER PHONE b3L--9713
OR AS SHOWN AND APPROVED IN rHE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0,33—Picks landing
OWNER Gena Clayton _ JOBADDRESS 16355 SLI Sylvan court _ _J 1
ARCHITECT
ENGINEER
BUILDER sane ADDRESS G?. SW Touchstone, L.O DESIGNER & A&$QC.
STRUCTURE QflXNEW _ F REMODEL D ACEITION ❑ REPAIR_ _I" RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
rC.1 RESIDENCE 11 COMM Fl EDLICATIONAl_ ❑ GOV'T ❑ RELIGIOUS ❑ PATIO_❑ CARPORT ❑ GARAGE El STORAGE ❑ SLAB❑ FENCE
OCCUPANCY __��" _LAND USE ZONE N 7 PO BLDG.TYPE �N FIRE ZONE PLAN 1,,HECK BY ^dwh HEAT
onstructsingle family dualling w/atfiacheu ererla. 4 Uedrooms 3 Eaeth!�._
SCE CORRECTION SHEET ATTAGHEQ.
SEWERPrI MITM 1,,;,7.:Q.00 uarguy �G1 sr• Pt.�
OCC.LOADFLOOR LOAD 40 HEIGHT 11 NO.STORIES _l AREA 1970 NO.BEDROOMS 4 VALUE4
BUILDING DEPARTMENT SETBACKS FRONT 32 REAR -- 2b _ LEFTSIDE 0 RIGHT SIDE 7
Permit _ 1.00 _THIS PERMIT IS ISSUED SUBJECT TO rHE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 1J 3.JD WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPIJANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Suh•total :340.bU _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 9.08
CIu
�rsdy, --- soc— 4 ,,; ,. AP
Totei ----
- - PDCN 11 s1QD.On PLICANT OR AGE NT
Receipt No.
LAPprrved — duh C„ ADDREBA ---� PHONE
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Kw
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"N
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
lContractor
Permit No. 2390 J-2.'-" 10,17-80
�d--2 R oi.gh-in
Fixture
9—)vr a w4v opt..,
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainag(
Main Drain)Final
Sidewalk
Curb&-Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUP Ncy Final
CERTIFICATE OCCUPANCY
JLandscaping
Zoning Final
BUILDING PERMIT APPLICATION TIC^, D DAr�--P�-- Is �"O
l'HE UNDERSIGNED WEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE4*314-1 Z3
(JR AS SHOWN AND APPROVED IN THE^.CrnMPANYIN0 PLANS AND SPECIFICATIC11IS. OWNER,PHONE
_ c�l,' l LOT DJO.;�_-�"
J:"1NER _ � v� _ JOB ADDRESS��p 3�� ?_w_��p��T'
ARCHITECT
( .) ENGINEER
BUILDEfl ADORESSGz�T0tAe- S�N4- DESIGNER LfJI �+t�jNi6Mr
STRUCTURE NEW _❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ F!RE DAMAGE Cl DEMOLITION
RESIDENCE�C aCOMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIG!OUS ❑ PATIO ❑ CARPORT Cl GARAGE ❑ STORAGE ❑ SLAS❑ FENCE
Cri..;UFANCY LAND USE ZONE 7 P SLOG.TYPE FIREZONE PLAN CHECK SY HEAT_(�A-0& _
luod
SFtiWER PERMIT M
OCC.LOAC FLOOR LOA HEIGHT Z NO.STORIES Z AREA /l 2& _m_s AL VALU- f/pp
�- BUILDING DEPARTMENT SETBACKS FRONT 3z REAR 2; LEFT SICE RIGHT SIDE �-
_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING BODE,ZOtt:NG
I S� REGULATIONS AND ALL APPLICABLE
CODES AND ORCINANCES, AND IT IS FfERc'?Y AGREED THAT THE
olanCheck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND RJ Com, L1ANCE
h,,, WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEFMIT DOFS NOT WAIVE
Su` ICIal _ _ S4*. S-_ RESTRICTIVE COVENANTS. CONTRACTOR ANO SUS CONT RAC T ORS TO HAVE CURRENT CITY 6US INESS
ei 'nf� LICENSE SEPARATE pERb1iTS RcOUIRF.a FOR SEWER,PLUMBING AND HES\TING.
::;ate Tax ��''� _
SDC -
- PDC# APPLICANT OR ti:.eNT
By
Receipt No.
`Approved --T —�- ADDRESS "ONE
DC — S /00
5EWE-R CONNECTION S7.2J'
3Ew[F INSPECTION S ,ZJ
,EWER SURCHARG--
Wiwi�oWnwim-- -
C�.�►y ro
I(, 3�s— SUIa 3x�uaH C:*• (, 3� - � Layrl�f'�o� y
Frrs+ wool.
130 " �3q� 4/3,5`87
Iq *7(p s71 9�1a
�• � 24-4 X 4 Ira O
zq — x
28- 1 x
20 —
SLI ca,>
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�• �►. � w • • .�e.�• �.r s .rutin ofrr.r:*� • �.. +u.� _ N , ..y,...... ._...._. � �,._..
Fea y
New Instaltat an Replace ❑ Relocation Q Addition ❑ Alteration Stm-
Im�,erial Mech.
?OTAL._
CONTRACTOR OWNER Gene L. Clayton
ADDRESS- PO Box 06327/97206 -� �- WORK ADDRF,S_16355 SW Sylvan Ct .
PHONE 777-3801 AoPLICANr Imperial Mech.
H,:dt Input Rat,ng (BrU Per Hsur) 16OP 0000 q -- - -- —
_ ... Vent Silt------------'• Flus S��e
UEL OIL GAS L-Sx ELECT Cl 0rHE.R
ITEM NO. FEE ITEM � It
hFEE
For Issua
'Ve►y � =�_ -G.- G-,r ' ', -ire, t�t� �h' � ___,___ ___
A., ya IJ ;J�Cr'. •t
y?►Y t0U y �7 F;(L►&Aver _� -f._..._.5�vl
A Hand' n�Over tUc,:-,* - -- s.
✓ _ ! .G�C
Floor Fu<< .:ce - .--
Fl.. 4 0^1 y EY,;;oroi,ve Cool.,
.:aI!• .or Suspended - - '4.ilj ---
install Vr „ „ ---� -__ — __._�__._ ._... I 2.00
Reoa;
_�4._____... 4_�0 Ftixi Commer• ,i -
Air Con J,. -in r'n n ,r _ co
or . ..— 3HN Ar,a_ C.~ ztcrc3l'
4ir Coni: ._ _
,r ,.. ,sir 0to '5Hs
'NS?ECTOR'S COMMENTS
;ITY BUS►NESS LICENSE REQUIRED FUR ALL CONTRACTORS OR SUB-CONTRACT,;
APPROV,:D P111-._...__ DA'rF t:,StJ�D BY �_�-- DATE
RFCFIPT NO.
I