7005 SW SANDBURG STREET 7005 SW SANDBURG STREET
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BUILDING PERMIT APPLICATION 1OF
1T TIGARD DATE—
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE �.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNFRPHONF
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OWNER-0-1 -ii i.at_ _JOB ADDRLS*( rl<< 5,W ;At.af.L�y�=l� HOME ADDRESS
ARCP'ITE:CT J ..11t j;mi,Ii ? 411hit k►�1
ENGINEER
BUILDER ,, . ;tiwTl' A .)MIiusfj_" ADDRESW�'14; 'Jr[an[1(1 Uj„ DESIGNER:")Asia.11 "
STRUCTURE ❑NEW Q RI MODEL ❑_ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE C�ENV61L7 ) N
CRFSIDENCE J3COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑l'ATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLA6 (:]PENCE
❑BOND // ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCYal [[....LAND USE ZONE_1L!_____BLDG.TYPE` " _ FIRF ZONE, PLAN CHECK BY I IN%�4_ _ HEAT_., _-`_
on!lruct office A war®house additiun to v,&jvtjng bull ;Y11 chit ;JL", _.
pirmits rugulred for Firm 5prillkjyr_5tam.
0cc_L.4AQ FLOQP LS) Dra__ b1!ElS,dT Z.� 1 AREOt')(3 NO.BEDROOMS __ VAL 140OU00.
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AA _ _N9�tLQRIES —
BUILDING DEPARTMENT SETBACKS FROISEE PLAN`.>REAR LEFT SIDE RIGHT SIDE
Permit A.341.or� — - _ — ---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7.0NING
Plan Check 17 A REGULATIONS AND ALL APPLICABLE CODFS AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 40,, a ALL APPLWABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PEPMIT DOCS NOT WAIVE
- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax I � � LICENSE. SEPARATE PERMITS REOUIREG FOR SEWER, PLUMBING AND HEATING.
Total A4,36
By p1 --— — -- -
-� —_ APPI WANT OR AGENT
Approved '
Receipt No
ADDRESS ---.... - MION. �.�
DATE INSP. TYPE INSPECT40N REMARKS _-_- _-PLUMBIN:• - DATE
Contrector
+!'7T OC S'�A —_—_—.------- Permit No. -�
— / Rough-in
�� /,7.79 ��r'I r(.�/'•—l'�/!�1/OLf ---- — Fixture —
/- 3' �d iT P,4.�•/a �K T Polit, 'srir ��y�,N o/�, Final
I - f!O / AC ! y STC0 I O HEATING
Contrector
Permit No.
'--_ -- -- ---- _���-I Gas or Oil
-- ----- -----...---------- Rough-in
—�. -------------- ---------t
- SEWER
-- ---- - - al lli. 2P,?9L-- DRIVEWAY
al
-- - Sturm Drainage
-- (Rein Drain)Final.
Sidewalk
Curb R Street Final
-_ _— ---- APProac6
-EE—
BLDG. DEPT.FINAL TEMPORARY RTIFICATE OCCUPANCYtF —
CERTIFICATE OCCUPANCY ----- -caping
g Final
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OF
BUILDING PLK10I I E;I'P[..ICATIUN "'y TIGARD DATE -- �_. t9 :�- Al `
1HF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HERL-IN INUIi.AIED BUILDER PHONE..2.Z.?7w.9,
GR AS SHC)WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS vv•NETTCHa,+r.?90 ijoc: u
b '50 7" LUT NO
r .y14�R f Z*A-'-& ` �'D JOE ADDRESS 7OC� 1�,�AIV�f 73 Li1? (Q ..... AkCHITE.CT �Tl+�Q
ENG
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— - '71 INEER ���
nRESS 3�5 e ,�'Jv�.IOIJC_1=��� rrr!!I�AI��r^I_ -�-1
51FUCTURE ❑NEW ❑FlEMfIOEL AUOITION ❑REPAIR ❑'+ENFVIAL l._1FIRt DAMA515 - 1_1CICMOLIII)r
._._.__�._._t.-1 _ ..-�__..�_. rr•--�� _ .� .
❑ MM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSIJPATI0 ❑CARPURT ❑GARAGE ❑STORAGE❑SLAB !_J�LNZCI
II�-----____-•_
�,�•af K Q °./Ac-•. lF__.I.R—E1.I._O_a.N�Fx.(�-• ', 1`1 AN CHFCK H� yImo.
� HEA'
: !R b1spo
—Oil C416 it _ e�r�.•
c l_ mip SOC. pp Git N I�lr. �goew�t� Q�k �N
- --
SEIJEF PERMIT. _
(//� i G R1 AREAfr`O Nn
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LOAD FIpS � -;: I FIEIC,HT �i _.._. ..NOSTQ_ 0 '--
p� RIGHT;;M `
- 9IF6 PI&A REAR l_EF 1 SIDE
yUi�R�NG f' A4(;KS FRONT - .. ..- _ -- - _- _-__•__-- .:.
�Fl, mt 3 , 0o i
f WS I`ERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THC BUILDINC CODE, I
'w4_C2 :LILA1't0NS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HE42EBY !•.GREED THAT fi
;ih WILL Sr' DONE IN ACCORDANCE WITH THE PLANS 4NO SPECIFICATIONS AND IN CONIPL16NCE
Iola ( ('� Q ;U L APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DUES N'1' WA .'
STRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACIORS TO HAVE CURPFNT CITY
;;qtr Tar /3• . 88 rNSE. SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING
T, •`38)tal Lr •`3$ Dc,#
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l .APPLICANT OP AGENT
LnI eipi No �,� `•�'
nnnaf 5� - _ -+oNE
SUC
PDC _ ._$ ---- --_ S�"
Srw R ONNIFETION
SEWER [INSPECTION 9
SFWER SURCHARGE $
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