Permit CII' OF TIGi4 R® c17YOFT16ARD I-'1 :�1:2M1:'r N(:) . : 131..03E32388
COMMUNITY DEVELOPMENT DEPARTMENT o4Eoo
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 I]A'T'I : :: :I:'. :i ! :i l.IE ::O : 1. / / f3' y
PPTM 1 :'MT NI) f3f7'?38E :3
t.l( :)Ei A ID 1)R'I :`5Si : :1.0250 SW "' ST
T'Ax MAr' /I...OT 51.lB : I...:1: NC( :)1... SQUARE:: I...T : 1 :1< :
I...ANI :) USE :'
L_CrT' S :I :°l::E::: VAl_.LJ t T I(:)N : $ 23 ,'100 4:sli::'TBFI( "..I <!a
I:: rt(3N r : PEA I::: :
WC) i:Tt< (::I...AS S : AO1:) :'r:1 :(:)N DWE:1...1.... UN1 :TS : I...1:::I: T : r;:E HT :
(.1SiE: 'TYPE:: CC)MME::1 :2C:I: Al... NC) . 8E . . IDROOMS : EXT . WAI...l..: C:ONST :
CONS T•. TYPE: : :I :IIN NC) . BATHS : N: S: E: W:
0( ::Ca.lI? . GP ' . : E32. PROT . OPENINGS :
OCC(JI= '.I...OAI ) N: S: E: LJ:
TOTAL Aral : : :A : E37 1
N( :) . S : s T 0 1: :! 1: i :S's : :15. ..: C37 ROOF CON! :Yr : • C FIRE r' LIT? 'YES
HE: : 2ND : AREA SEPAP ? NO RATED :
I :3AS1: ME: :N'r? N O 3RD : • OCCUP . SE: :PAP? NO RATED :
ME: :ZZANINE? NC) BASil :KM' T
i°'1...(:)Oh 1._0AI :) : GARAGE : FIRE Ssl : :'r:i<I...rt'7 NO AL..APM'? NC)
EI_.OW ( GPM ) I :)ETECT Nt.)
I••Ir :'AT 'T' Y I " • I..lDr: I:) Af" f ":G :'Sc;'7 Yi ci r''rtl ::.c;? YES r.;
I:'I...AN C:I••IE::cI< BY : ,j h.
r'E: :MAR1<S
Acic:l :I.t :i.tart of vest :i.to(.t:1.r•:: for ATM PE: :1:Sss1..1E: OF NC).
No i.nt r.:+r1ctr• tocacl:i.-1' :i.c;; in. t:I.tort 1..A5T r:1 :1 :SSUE:
O I ::•E::E :S :
W S*2cauri.ty Pa.: :i.•f :i.r.2.13ank PERM :I :T $:1.6.1.;`.iO
N 1 : :IL.AN PE: V :I :1::: W �1i:I . ':3 ■
E
R I: :E.1:4::: i :)E :I"'T 9i65 . (30
!ST'AT'E:: - TAX $8.22
•
OTHER I
C . _ IDEV EL. OP ME: NT CHAR( ;1 : ::5:
O ID1 : : :1z:RY ,.)AY .5I)((ST'O PIM )
N
T PERRY CONST'RucT:I :NG SOC ('.:iTI: : :1 :T )
R 3107 SW AITh1OI...1) PI :)C ( :11 )
A
C Port :I.ia.rtd OR %72 :1.9 1:'VII :::PA1:I:) < $:1.72.8:I.>
i 'HONE:: (. "t03) 214-0769
O
R IQI: ::(:STRATION NO . Perry TOTAL. : $:1.72 . t<t%l
I.1 : : :cI ::I:PT NC) . /62/OS
This permit, is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby nE :G1u ]:I ::I:: :I :) INSPECT :I : :)N Ss
agreed that the work will be done in accordance with the plans and 1: 00T
specifications and in compliance with all applicable codes and SI...A13
ordinances. The issuance of this permit does not waive restrictive
F A M :I: NG
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and 0 T'1:11 „:1 :. xi
void if work is not started within 180 days, or if work is suspended or I::' I NAI...
abandoned for a period of 180 days any time after work has •
commenced . It shall be the responsibility of the permittee to assure
all required inspections are requested and approved. ,
C V
Per itt Sign ure
Issued By
L.: ALL. I' (.)H INSPECT :E ON F.)39 ---. :I. '75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 7
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 r'
Tigard, Oregon 97223
Phone: 639 -4175
Type of Inspection lO t6 e 07/72CC.%
Date Requested � 0 23 F'Y Time A.M. P.M.
Address /72050 , � item 'Permif *Z`3t
�
Owner 4�.P.C��/Y L� -� /' ti/JGfi��� Lot #
Builder / r / ��7 ��
The following Building Code deficiencies are required to be corrected:
•
eel/204 #
Presented to proved
Inspector ❑ Disapproved
Date J — 3 2
CALL FOR REINSPECTION g- y S�
❑ YES ❑ NO
id)S 1 Washington County Fire District No. 1 ... . CONSOLIDATED FIRE AND RESCUE
City of Beaverton Fire Department
. j • Tualatin Fire District,
• FIRE MARSHALS OFFICE
(503) 526-2469 POSTED:
OCCUPANT ..21Af1%q Lluif
I -
CONTRACTOR BLDG. PERMIT 4p,re.
PROJECT NAME PLAN REVIEW 0
LOCATION /0 a C 0
•
JURISDICTION: 1= Be. 2= Du. 3= 5/Tu. 6= Sh, 7= Wi. 8= CC 9= WC ifi= MC
COVER SPECIAL ,FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
0- Framing 0 Separation Walls Sprinkler System
0 Shaft
Fire Dampers (Overhead/Underground)
Alarm System Hood'Extng Systems 0 Conference
Spray Booth 0 Ceiling Cover Other
r -
4-1
-
•
•
•
Date: 2 3 c Inspect r :