Permit r.w / / •
6.:1-1 C ` 7 V a it)
CITY `
BUILDING PERMIT APPLICATION of TIGARD DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF
OR AS SHOWN AND APPROVED. IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO.
OWNER JOB ADDRESS HOME ADDRESS
ARCHITECT
:-t ? "st �
r7 ENGINEER Piq erst ff
BUILDER r � - `, ADDRESS DESIGNER y
STRUCTURE �� 06 REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL OFIRE DAMAGE ❑DEMOLITION
❑RESIDENCE llJCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS ❑PATIO ❑CARPORT ❑GARAGE ❑ STORAGE ❑SLAB ❑FENCE
❑BOND CI MOVING ❑CONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG. TYPE FIRE ZONE PLAN CHECK BY HEAT
+ ai.:. , 4.i.. r,3 ..i• a 1L
Jal an Col. Line IC i .0 O
41umbing Permit Required.
OCC. LOAD FLOOR LOAD ' )ncrettf1EIGHT NO. STORIES AREA 1200 NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check , L ,, , Jr; 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 COMPLIANCE WITH
Sub - total LEI_ 10 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax .4,48 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total $L72.48
By pl
n � APPLICANT OR AGENT
n
Approved Receipt No - 6
nnnRFSt . — — PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
74 i?
of.�.L� i.. �i) /,
Contractor
I ilL, f/, Permit No.
v Rough -in
Fixture
Final
HEATING
Contractor
I Permit No.
Gas or Oil
Rough -in
Final
SEWER
Final
DRIVEWAY
Final
Store Drainage
(Rain Drain) Final
Sidewalk
Curb & Street F inal
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY) I
CERTIFICATE OCCUPANCY Final
9 %7
Landscaping
Zoning Final
3HIi- Di'`:G PERMIT APPLICATION C T Y � � . DATE_._ - 2 _ ,t9 7? � '746.N
-- E C RS' CNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HERE!N INDICATED BUILDER PHONF 2 2 4 - j`OG
_`R AS S-1CWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER ?HON P
• LOT NO
— _ -_- IV{/ / JOH ADDRESS z 7 V i . c-- • '' RE -
- - - -- ARCHITECT 0 i - dins
ENGINEER '�i
[e.
4r
R ?�lhaV1 ADDRESS - - -- - - -- t -1..__ _DESIGNER 1
:_. LIRE- - IRNEW ❑ RE��C_DEL ❑_ ADD! PION - ❑ REPAIR DRE NEWAL_ DIRE DAMAGE ❑DEMOLITION
`•!CDENCc MM ❑EDUCATIONAL ❑GOV'T ❑RFLIGIOUS❑PAT IO ❑CCRPORT OGARAGE 0 STORAGE OSLAB ❑F ENCE
_FOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW - ❑ COUNCIL APPROVED ❑SIGNS .
. USE ZONE _' ../..t1 DC_TYPE _S A - FIRE ZONE :X. PLAN CHECK BY ) HEAT
- - ....f..- .. . _ . _.. ILA ad 4.1# ld -# ", / i-. .
. _ .., .....,.. r,-..,.....,.... b._ - •
' " - c_I QAQFLOOR LQA H�ICHT_ NO. $TORIES / ARE� NO. BEDROOMS - VALL'F�� '
_ BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
' -Emit I ___ =-- ---- - ---
1 -- -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'Iart Cheri, $, 4,1! REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
n WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
S..1'.)-total T I I 6, D '� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
/ D y RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
;.Seta Tax / 4 v LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
I Total /
_
11- __..L _ it .
BY I - _. _ ^ -- I I 4 I -- APPLICANT OR AGENT
I ^^ni oved I a /
- Receipt No. ADDRESS L - . - 2 6 , F3 PHONE
�
-
s — W
Rats
...._._: •
... —
.,- .tsar
3 JILDING PERMIT APPLICATION FY TIC, DATE ,19 N°
'HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
DR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
LOT NO
� � R
JOE ADDRESS ,
HOME ADDRESS
ARCHITECT
ENGINEER
ER _ ADDRESS DESIGNER
;,LURE NEW ❑ REMODEL ID ADDITION 0 REPAIR DRENEWAL OF IRE DAMAGE ❑DEMOLITION
-, . SI_DENCE _❑COMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS ❑PATIO ❑ CAR PORT ❑GARAGE ❑ STORAGE DSLAB ❑FENCE
EI OND � ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
CUPANCY_ . _ LAND USE ZONE BLDG TYPE _ FIRE ZONE_ PLAN CHECK BY HEAT
OCC LOAQ___ FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
I Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 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 COMPLIANCE WITH
Sub -total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
APPLICANT OR AGENT
App' oved Receipt No.
— -- ADDRESS PHONE
•
•