9685 SW SATTLER STREET i WIN
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BUILDING PERMIT APPLICATION VATE_ sk 491-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FO THE WORK HEREIN INDICATED BUILDER PHONE _ 32 4W
OR AS SHOWN AND APPROVED IN THE ACCOMPANYI ANS AND SPECIFICATIONS. LOWNER OT NO.PHONE
OWNER Dt+Ist>ze 1.i i u+ JOB ADDRESS 05 4! jattltr AF;,HITECT +�
TiKaYd ENGINEER
Y,U. flux 23961 DESIGNER
BUILDER Dglt$ Western ADDRESS _ - ----- --- -
STRUCTURE_ El NEW _ ❑ REMODEL____D�AGDITION Cl REPAIR ❑ RENEWAL ❑ FIREDAMAGE ❑ DEMOLITION
❑ SLAB❑ FENCE
f� RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE-❑ STORAGE E _- —CE
3 LAND USE ZONE _ -3.5 „'1 FIRE ZONE PLAN CHECK BY HEAT
OCCUPANCY _ {' _BLDG.TYPE i_ - --- ----
('.onstruct $: _le tstd�Ktion to exipt:i a rem i..jeRLk#Lbmjjdiu&, -- --
SEWER PERMIT#
OCC.LOAD FLOOR LOAD 4 ) _HEIGHT-,-.--9 NO.STORIES _ 1 _ AREA 24u N0.BEDROOMS VALUE 7 aA1tJU_
— -"—
BUILDING DEPARTMENTgET BACKS FRONT REAR 3>)- _LEFT SIDE RIGHT SIDE
Permlt 0)7.5u THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINE-? IN THF BUILDING CODE, ZONING
REGIII ATIONS ANS ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check �` 40,63 WOR, WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
€
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 1
Sub-total 103.13 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 2.50
SDC-
Total PDf q PPCICANT� OR AQEN ---
By -l:d l ---__
Receipt No. ADDRESS PHONE
Approved bCti
-. ---.--- - 1t<I, 3-7."4.•-;•,4 sr. :.63 Isalance 00e $65.()Q
DATE INSPP, TYPE INSPECTION
REMA iIKB GING DATE
Contraclof
�,��"r 'l
armit No. V—'
hn "fr. Rnugh-in
y S'✓ w-A Fixture —_ -- —
4Final
_
_ �y -- -- HEATING ---
C� Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
_ DRIVEWAY
_ Final
— _ Storm Draivagr
_ Main Drain)Final
Sidewalk
Curb&Strert Final
Approach — —
BLDG. DEPT.FIN.; rEt` POR R CERTIFICATE OC:'.IJPA r'Y ---
CER"IFIc:.TE C PANCY Final
Landscaping
Zoning Fifurl
I
__--
THE lJlvl?E RSIGy'c0 HFFiEOY APPLIES FO11 APERhII It f Uil 1 hIF: '�l.I)HK IIL1IcIN INUII:AI LU tlulLucfl P:i0ra -�� .��
OR AS SHO%VN AND APPP,OVEO IN THE ACCOMPANYING PIANS ANU SPECIFICATIONS. oWNE►ttNOfIC ____
V 44 E f I rC'A, 1 AODRE$J �Cl _J _.�.r's— �V �- _-.----
— AR AITECT
E N G I NEER
'trTf11� Y li�Sy/r!S/V/ AOORE�i, ~1 �` i �/ _fr._�'��OESIGNER _ ----
5yf;vC;u_RF i_1NFW _ IJ REM1I()OEL ADDITION _ ❑RGPAIR_- DFIREOA:AAGE ❑DE:.IOLITI
�RI:SIOENCE ❑COf«-1 ❑EDUCATIONAL ❑GOVT ❑RELIGIOUSCI?ATIO ❑CARPORT UGAHAGE USTORAGEUSL,B (JFE�
z-)
" �. f
CCt VP.v;.Y ANO USE LONE1] .QLOG.TYPE ^/ FIRE ZON PLAN CHECK OI� �/ HEAT
SEDER PERMIT
;y �t_q_p FLOOR LOAD v` HEIGHT NO,STOn;E5Z AREA Y' NQ•BEDROOkIS VALUE �
I SIALCIN, DEPAR TMENT SET BACKS FRONT REAR LEFT SIDE 0 RIGHT SIDE
�- — THIS PERMIT !S ISSUED SU3JECT TO THE REGULATIONS CONTAINED IN -,Hc: BUILDING CODE. 20N
3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HEREBY AGREED THAT 1
1----- / WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE V.
' sx)-total I / ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
L�_ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CUxRENT CITY tIUSIN
` etr, rax I� S� LICENSE. SEPARATE PERMIT'S REOIJIRFD FCR SEWER. PLU-MBI14G AND HEATING.
SDC
Tu�yl
PDC
— 6 #
APPLICANT 017 AGENT
AFDfuveo �:I,e, Receipt No. —,
1!lr•RFtS
SDC - $ �� 3 _ 23
PDC -
SEWER CONNE TION $
5ElJER INSPEC ION S
SEWER SURCHAR $
Comments : i
EI t
CITY OF TIGARD -12420 S.W.MAIN–TIGARD,OREGON 97223
RECEIPT
DA i E ~- 3 - / AMOUNT:
_DOLLARS
NAME: --� 446 s�'404''1� c .�J�f/ ---- CASH:
ADDRE;iS:� �.0x CHECK:
• OF
FOR: ACCT. # PERMITS SURCHARGE AMOUNT —
SEWER BILLINGS 40-364 S
BUSINESS LICENSE 05-331 _
PLUMBING PERMIT 05-332
MECHANICAL PERMIT 05-332 — --
BUILDING PERMIT 05-333 ---
SEWER CONNECTION 40-363 _
SEWER INSPECTION 40-365
SYSTEM CEV.CHARGE 25-366
PARK DEV.CHARGE #1 30-361 _ --
PARK DEV.CHARGE -`2 30-368 _.—
ZONING ADJUSTMF�NTS 05-362
TOTALS S $ '
RECEIVED BY
PERMIT NUMBERS I,SSIONED: _.--
Number Amour:f Number Amount Number Amount
-– --- $-- - S -- RECEIPT 0
17539