Permit So P 0L JNu P 4.) NT' frt RL PERMIT 0201? F
BUILDING PERMIT APPLICATION WT TIGARD DATE is 79
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
/�
' / V. Nu• LOT NO.
OWNEF ti lItV f Ind. nd. C 780
•ntekB ADDRESS 5 SW AEiker HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑NEW ❑REMODEL El ADDITION ❑REPAIR DRENEWAL OF IRE DAMAGE ODEMOLITION
❑ RESIDENCE ❑COMM DEDUCATIONAL DGOV'T ❑RELIGIOUS ❑PATIO ❑CAR PORT ❑GARAGE ❑ STORAGE DSLAB ❑FENCE
DBOND ❑MOVING DCONDITIONAL USE ❑DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS
OCCUPANCY :...L LAND USE ZONE I � BLDG. TYPE ' FIRE ZONE__ PLAN CHECK BY e _ HEAT
Construct tenant Modification - Bays 1 -, 2-4, ono 3-4 x 140'.
,ncluds 2 hour well and office area. No Occupancy until all requiroment
met. Requires plumbing permit and eachanteel permit.
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES _ AREA NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT 4$ REAR LEFT SIDE RIGHT SIDE
Permit .44.0_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check '.2.00 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 66.00 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 1.76 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total $67.76
By P- 1176() APPLICANT OR AGENT
Annrnveri Receipt No
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
r Contractor
11111 ,( dar • p Permit No. �/ / 3lil�i��•
II ' r l ��01 -i% � \: • Rough -in
i Fixture
Final
III I / _ / i / HEATING
�� �_ I I Contractor
- i I Permit No. •• 6. y ->, .9y ice..
Gas or Oil 1 9 7 3.7z 4 - 17 - 79 `/Sr,
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storer' Drainage
(Rain Drain) Final
Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUP i
CERTIFICATE OCCUPANCY Final
Landscaping
/ Zoning Final
4t Z CO
3 1 JILDiNG PERMIT APPLICATION FY IC RD DATE /— 1 9 1 7 N° .s
- -.F L NDEf- ?SIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
1,R AS SHOWN AND APPROVED IN THE ACCOMPANY, PLANS AND SPECIFICATIONS. OWNER PHONE
ADDRESS 7V J HOME ADDRESS
__ � ARCHITECT LOT NO
ENGINEER
# /7 DESIGNER
ER ADDRES
",URE ❑NEW ❑ REMODEL ADDITION_ ❑ REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
'.SIDENCE ACOMM DE DUCATIONAL ❑GOV'T ❑RELIGIOUS ❑PATIO ❑ CAR PORT ❑GARAGE ❑ STORAGE ❑SLAB ❑FENCE
E. JROND ❑MOVING ❑CONDITIONAL USE 0 REVIEW ❑COUNCIL APPROVED, DSIGNS
_
_CuPANCY- _'LAND USE ZONE /rl" _ -- -BLDG TYPE. /. FIRE ZONE__ PLAN CHECK BY HEAT
- - 9'',r �a�(-S.C.�- u,ln,-- r - -,.- 22 peek
� � % i _________
_ •
(?C.C_LQAD ______ _ _FLOOR LOAD HEIGH __ NO. STORIES' I REA ...---NO. BEDROOMS VALUE •ZOO
BUILDING DEPARTMENT lll`1���
SET BACKS FRONT �/ EAR LEFT SIDE RIGHT SIDE
�Permt C a
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I 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
1
Site Ta - LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By r�
APPLICANT OR AGENT
App' oved () ATII Receipt No.
- -- - ADDRESS PHONE
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