8320 SW LA MANCHA COURT 13320 5W LA t IANCHA COURT
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BUILDING PERMIT APPL- 3320IGATION TIGARD DATE-`'^�'�_� �` is '7
THE UNDERSIGNED HEREBY APPLIEI;FOR A PIER;AI T FORTH E WORK HEREIN INDICAl ED BUILDER PHONE __'fit ►3;L1
OR AS SHOWN AND APPROVLr)iN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTP10. ;',anrl+a ^.wt
i _1a.'HER T:• )1G1'.l'�i^. J013 ADDRESS
ry rf S.W. T„��tM`tlPi l:t.
AR(;HITECT�
BUILDER St►rt1[al ADDRESS 7935 ,SM Villow--ere Dr. _ DESIGENINNER
ER Studio 5
STRUCTURE 761 NEW ❑ REMODEL_ L ADDITION_ 11 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
bikRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ S_TORtiGE ❑ SLAB❑ FENCE
OCCUPANCY LAND�—LAND USE ZONE —Q-5 BLDG_TYPE __St4 FIRE ZONE PLAN CHECK DY adr HEAT G�0_-_
C.onatr_uct sztilgla family dWalllng, with attaelled R trage. --
PeIRSue of Per ,it #31)19 (14920 6.1,►. 83rd Ave.) — - 2 bedr, --
SEWER PERMIT# 23:41
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES 1 AREA 893 NO.BEDROOMS 2 VALUE 409701
BUILDING DEPARTMENT SET BAGoS FRONT_70 REAR 25 LEFT SIDE 1.5 RIGHT SIDE 111
Permit _ 160•Ul) THIS PER781T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
111900 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
170*00 W11H ALL APPLICABLE CODES AND ORDINANCES. THE ISSL".NCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOhS TO HAVE CURRENT CITY BUSINESS
Statetax 41 6040
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANL`HEATING.
_
Total l 76.40 SDC– 400*00
PDC# 11 100,00 APPLIOANT OR AQEITT- -
By _
Approved ddr Receipt No.
PP i ADDRESS --
--- -- PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contract
Permit N
v
Rough-in
gas-- Fixtum
Final
HEATING Contractor
7eiPermit No.
—Af-a4. Gas or Oil
Rough-in
Final
SEWER
Final zf2C
DRIVEWAY
Final
Storm Draltinge
(Rair Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CLRYIFICATE OCCUPANC -Final
Landscapi,,g
Zoning Final
10,
; .
BUILDING PL-R"AITAPPLIGATION TIG RD DATE_Y*A3 ,;e-
THEU NDFRS!GNED HEREBY APPLY S FOa A PER?AIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THc a
ACCON�IPANYING PLANS AND SPECIFICATIONS. OVV{VEP,PHONE
�/d .�L�C' ► e�JOB ADDRESS
LOT NO. �
— _ 3�0 Stt�fid"C4 _ __mss
ARCHITECT
BIIIL^cR JQ.YYIQ.�__ ADDRESS . s YM_1 �) Ow N1 ,r. J NE R
L
STRUCTURENEW REMODEL _0_ADDI7lON El REPAIR RE!'A!R � RENEWAL ❑ FIREDAMAGE --Cl DE►lOLlilO
RESIDENCE C COMM L ATIONAL , GOV'T ❑ RELIGIOUS ❑ PATIO r] CARPORT ❑ GARAGE C STOP. E ❑ SLABQ FENC
OCCUPANCY _�'�.LAI;D USEZONE _�"JF:-BLDG.TYPE -��P FIREZONE .+ PLAN CHECK 13Y _HEAT_ QA
o
SEWER PEP MIT a
GCC.LOAL' _ FLOOR LCADD HEIGHT �Z NO.STORIES AREA S(j NO.DEDROOh1S - VP.!UT b
r— -— --- ------ - -I�- -----
I BUILCINGD`cPARTMENT -- SET BACKS FRONT 2'O NEAR Z,r L..EFfSICE /� RIGHTSIUE IO
--- d 00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THti EUILDING CODE,ZOtl:'{
REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HERc3Y AGREED THAT TF
PlartCheck j �•�� WORK WILL Sc DONE IN ACCOPCANCE WITH THE PLANS AND SPECIFICATIONS AND IN Gp;nPLIANC
WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER?.11T DOES t;OT WAIV
j Sub-tatal /D •�_/ RESTPICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACT07S TO HAVE CURPENT Ci Tf BLISI%- S
I — LICENSE_SEPAPATE PEA`.1Ii'S REQUIRED FOR SEWER,PLUMBING AND HEATiNG.
St�ta Tax
SGC—
Tota,-- � (�
PDt;# APPUGANTORAQENT
By
�-Approved Ar ceipt No.y ADDRESS PHONE
7'
00
,�WER CONNECTI&I S 7 7- --
F Ij E
- --EWEINSF"ccTIO1 S 3J
:i_UER SURCHARGE
1310
- 48 a.
t! !! MAW
New in. a11at nn Q Replace 0 RelocationAddition L Alteration LED DATE:
HEATING Imperial Mech. OWNER _..- �2Z - M�P-P
CONTRACTOR _ P -
ADDRESS PO Box 06327/Ptld. 97206 JON ADDRESS —al0 SWi.arna111"ba ('t -
PHCItE 777-3801 _ gPPLICANT_— Imperial Mich
'1llXAIY!^' r 4" 4 11
feat Input RahngIBTU irPr Hour; __�___.�—.�Q.•-0�4- Vent Srre� Fife Srze�._._-- ---- - -- -.-
f UEL 01L L] GAS LIx ELECT lj OTHER — - --
ITEM — - NO. FEE ITEM ^ NO. ^FUF
For Issu,,nce of Perm _ SEE BELOWEach Air Haidlinc_Unit or Duct System 7.50
New up IL &_ incl. 10 000 BTU 6.00 Commercial Hood .Systern 50
New 100,000 BU:Cs & over _ 7.50 Other_E ui ment Each 4.50
Wocdburnint3 Stove — 4.50 1 1 Trip Inspection —�_ _ 4.50
Wall—Floor. Suspended _ 6.00 Air Condition Compressor • up to& incl. 3 H.P. 8,00
Vent System w/Fb. _ 4.50 Air Condrtian Compressor•3.1 to 15. H.P. incl,
11.00
}le,t Cvcl;r� 600 ....._.._..��
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTCRS OR SUB-CONTRACTORS ! !
PERMIT ISSU_ANEE 10.00 C;ornmen+-s
FEES
SUBTOTAL gQ,00,J
_ %- STATE I Issued By__.
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