Permit BUILDING PERMIT APPLICATION 11111guip DATE 5 /e/ MM. ,g 87 1•722 •
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIDE WORK HEREIN INDICATED BUILDER PHONE 232 -0817 -
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
blllsti LOT NO. ■
OWNER t
� �f�QQADDRESS �.�� �' '��
Ammo i Assoc., Inc. ttIM X7202 ENG NEER
BUILDER ADDRESS 0083 SR 13th, J2, DESIGNER
STRUCTURE ❑ NEW CrREMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB ❑ FENCE
OCCUPANCY 232 LAND USE ZONE BLDG. TYPE 5 p FIRE ZONE PLAN CHECK BY ETT HEAT
Aug 2 val*la to existing Rainier Bank, ail per code requirements. Suite 10OB
Main fire sprinkler system.
SEWER PERMIT#
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE 1200
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 20•5. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 13•32 WORK 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
Sub -total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
State Tax J2 . /,
SDC — f
Total 3A-65. F
PDC# APPLICANT OR AGENT
By
Receipt No.
Approved ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
s p Contractor
,/ Permit No.
Rough -in
Fixture
Final
�I HEATING
Contractor
Permit No.
Gas or Oil
• Rough -in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
•
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639 -4175
Type of Inspection Cdi A
Date Requested S lime C IA. P.M.
Address / —,0+ • ^` � 7 - Permit # 6 2-Z-
Owner Cl.! �7.r .A._ Lot #
Builder 2-3Z ` /
The following Building Code deficiencies are required to be corrected:
t
A
Presented to LJ Approved
Inspector ...4 ❑ Disapproved
Date ✓ /,,
CALL FOR REINSPECTION
❑ YES ❑ NO
FIRE PREVENTION BUREAU •
OFFICE OF FIRE MARSHAL 39664
INSPECTION NOTICE •
OWNER _ DATE
OCCUPANT �'�� �� i ✓t
OCCUPANCY �? Z
LOCATION /(,'2 5 v S. �� c.bd��j � v• 7.P 7CJC_ <3
YOUR ATTENTION IS CALLED TO THE FOLLOWING FIRE SAFETY DEFICIENCIES:.
Xer 0°<4 A"?..-ye./ — 1
•
FAILURE TO CORRECT THE ABOVE CONDITIONS WITHIN DAYS WILL MAKE YOU LIABLE T PROSECUTION SHOULD FIRE
RESULT FROM SUCH CONDITIONS YOU MAY BE LIABLE FOR DAMAGES TO PERSO PE TY.UN R.OVISIONS OF
ORS 479.190
BY r
WASHINGTON COUNTY FIRE DISTRICT #1 FIRE MARS AL
20665 S.W. BLANTON STREET PRESENTED TO
•
ALOHA, OREGON 97006 649-8577 .
FORM 900 • 40