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Permit CITY OF TIGARD 639 -4171 iOR INSPECTIONS CALL 639 -4175 January 14 0b 5 7 5 7 . BUILDING PERMIT DATE 19 TAX MAP j L . LOT NO. ...". •-.) OWNER Pactrust JOB ADDRESS �° S6: 72ad Ave BLDG. 10 .L Green, 111 SW 5th, Suite 2969, Ptlnu 9/204 / - / -J l BUILDER STATE REG. NO. 6 a EXP. BUILDER'S PHONE 221 --0020 ARCHITECT Maekensie /Saito PHONE 224 -9570 OTHER STRUCTURE ❑ NEW kJ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOV,F.••""F ❑ OTHER ❑ DEMOLITION L I RESIDENCE x❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS LI ACCESSORY ❑ GARAGE ❑ OTHER © FENCE OCCUPANCY :52 LAND USE ZONE BLDG. TYPE 3N FIRE ZONE PLAN CHECK BY "" HEAT .. , ,.. - , .:y ii iiiiiik 4 gviori {ficatinn All par apprnvo4 plan* & code requirements SEWER PERMIT # ,yams rpr OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR l+1afs LEFT SIDE RIGHT SIDE Permit 3..49- 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 52.33 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 6W re ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI. t Frre 32.20 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS. SEPARATE PE -MIT RE IRED F R WER, LUMBING AND EATING. State Tax 3.22 c— ( SDC — Total 168.25 APp Al )7 i(fi NT PDC# a r_. . : --- Prepd. -0 - p/ Receipt No1OO Iv ADRE PHON ... Bal. Due 168.25 ' . / li 1c Issued By l i ' Approved By L ./ DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE L a 4 . :; /la `� Contractor r� ' /444_ Permit No t� Itti. C- t Rough-in Fixture t Final 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 Final • CERTFICATE OCCUPANCY Landscaping Zoning Final