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F.% i"LDING PERMIT APPLICATION TIGARD DATE "="'""'__ .s-__'. 4586
Ti ,E UNDERSIGNED I iERL13Y APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE __2.97-1493 ..
OR AS SHOWN AND,*PPROVFD IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHOU,_____
LOT NO.—
OWNER r., r JOB ADDRESS ii'1 i"i Loth?bit T r.
ARCHITECT
ENGINEER
BUILDER '.34Tp ADDRESS 7412 '* `%ey. =Iilla. 'iwy. DESIGNER Job #260
STRUCTURE ❑ NEW ❑ REMODEL n ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Q' RESIDENCE ❑ COMM EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS_ ❑ PATIO❑ CARPORT ❑ GARAGE ❑ STORAGE_❑ SLAB[] FENCE
OCCUPANCY _ "� Y LAND USE ZONE 1�1 2BLDG. TYPE __5"' FIRE ZGNE_v� _ PLAN CHECK BY 'rT'1 HEAL _- . _-_
Ccns[msct i.ngle W4mily oveil ins, w/at:taehed Garne.
Irlrlun of Perth #4566 2 n-ath 2
SEWER PERMIT M 71)471 _ —_grin"e 2�0
OCC. LOAD FLOOR LOAD _ HEIGHT 20+ NO. STORIES _? AREA 1245 NO. . B_E_ DROOMS 2 VALUE 49 ,oju.
BUILDING DEPARTMENT SETBACKS FRONT 121-- REAR 91—k) LEFTSIDE NIGHT SIDE 59-0
Permit 218.50 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
r;�.�� REGULATIONS AND ALL APPLICABLE CODES AND U-IDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check I WORK WILL BE DONE IN ACCORDANCE WITH THE F'_ANS AND SPECIFICATIONS AND IN COMPLIANCE
1 WI;1 ALL APPLICABLE CODES AND ORDINANCES. ThF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal I "1.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
—1 LICI r7SE. SSPARATE PERMITS REQUIRED FOR SEWER, PLUMuiP:^ AND HEATING.
State Tax _ 1 1 • 14
Total 329.44 SDC — / $4000oU ! Cl
t.,Ls L:l
By
cit PDG# 1()(' •011 APPLICANT OR AGENT,'
Approved Receipt No. ----------- -----
ADDRC9t3 PHONE
__I 0T... ', 1 64
DATE E [
11NSR TY INSF'CTION REMARKS PLUMBING
r� Contractor-
Permit No.v—
_ 0- 7 �1
Fixture
Fine;
HEATING
Contractor
Ilf•�+�- -�� — Permit No.
11—�� �GGass or Oil
I Rough in
UFinal
—�
SEWER
11
----.-- _ _—
`—~ DRIVEWAY
�^ Final
4 — Storm Drainage
(Rain Drain) Final
— _ Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Fl .al -
CE.FlTlFlCP.7E OCCUPANCY
t. andfraping
1
fff�
ii
2BUILDING PERMI PPLICATION TIGARD DAT` --
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
O SF'..1: U AN0ROVED IN THE ACCOMPANYING PLANS AND SPECIFICAYIONS.
O:"�NER �/ •� /I vzhp. JOB ADDRESS 11 11
ARCHITECT
r_/,`J ENGINEER
ADDRESS797 S��/�^'" 1 IGNER
4 �—ko
— 19
BUILDERPHONE4 / �
OWNER PHONE
LOT NO.—
Il '.), j6
BU I LDC .---.----
STRU RE _ NEW _❑ REMODEL _ (71ADDITION ❑REPAIR ❑REN AL ❑FIRE OHMAGE _❑ DEMOLITION RESIDENCE ❑COMM (] EDUCATIONAL E -i GOVT ❑ RELIGIOUS C1PATIO Cl CARPORT ❑ GARAGE G STORAGE ❑ SIJ�B❑ FENCE
OCZUPANGY LgNOUSEZONE _ D/y BLUG.IYPE
---Z-
-7-1 1
FIREZONE
!—Z-
SEINER PERMIT N -11-'e T I
OCC. I O_AD FLOOR LOAD 49
BUILDING DEPARTMENT
Permit .Z S
Plan Check u �o
Sub -total rU
j State Tax —_ 1
Total -
By —
Approved ''✓0l ---
wi
FIREZONF -f— PLAN CHECK BY jg 1%-�. HEAT _
1
d HEIGHTUI NO.STORIES Z AP.EA12yS_N0.BEDROOMS Z
- VP.WCJ—�
SET BACKS FRONT /'Jp HEAR �= DLEI-TSIDE �G '-O RIGHTSIDE v
_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 701"W'40
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C011!PLIANCS
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVS
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES:
LICENSE SEPARATE PERMITS REQUTAED FOR SEWER, PLUMBING AND HEATING.
I
SOC —
POCJI
Receipt No.
S D C - -~
POC
SEWER CONNECTION
SEWER INSPECTION �+
SEWER SURCHARGE S
E cmmonts
APPLICANT OR AGENT — —
ADDRESS