Permit r igg" ---
BUILDING PERMIT APPLICATION immlir DATE_ 19 77
•: ?:THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICAT S BUILDER PHONE . •
• • OR -AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. •WNER PHONE
LOT NO. S1
OWNER a nallbari JOB ADDRESS 7420 sr jungillor spite C
ARCHITECT 224 --3052
BUILDER Hallberg
ENGINEER uulary �i•
ADDR ESS DESIGNER
STRUCTURE ❑ NEW g REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY a2 LAND USE ZONE Cp BLDG. TYPE 3 PLAN CHECK BY i3CR HEAT
Teisat modification ■ all per approved plena. Second ! f loor
Tests J i J Malls offices
SEWER PERMIT#
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA 600 NO. BEDROOMS VALUE 3
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit - 33.:50. 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 -' •
„.o. .03 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 1.54
SDC — ... o.- . , - ,�
Total 65.07 .mac • f /
. PDC# OR AGENT
_BY . 40.43 f - - ,- , ��� _, 1 �,-, • ? tr�`/
Approved - -. . Receipt No. �� ...- ‘/-•/ .1 .... j7 w.. .... , �f
PP 24.64 A
.. W ._
DATE I SR TYPE INSPECTION REM RKS PLUMBING DATE
/ ik;�S!, lam /✓ Contractor fv\ 23 b 6/ i
cl NA��/ ' ` /- ' Permit No. !'3 r
�� /I ' / Rough -in
Fixture
411, 1 Final
/ HEATING
Contractor
2 Permit No.
Gas or Oil
Rough -in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
r
Curb & Street F inal
_ Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
tor inspections call 639 -417S
RR
P
PERMIT NO. 6 `0
CITY OF TIGARD 639 -4171 -? C
BUILDING DATE 'o
Gi MIT
P.O. Box 23397, Tigard OR 97223 TAX MAP ® LOT NO . ' " -' �L SUB � DIVIIS � ION
OWN .. . /L. .•. JOB ADDRESS 7f f) -'<' 1,7k?fZ//e►t/' Airthrk
BUILDER - i STATE REG. NO. EXP. DATE
BUILDER'S PHONE _ N/� .
ARCHITECT I ..411' X..i r.R 1a / e PHONE 7/2. -( 7d 8 OTHER
STRUCTURE 0 NEW La REM ODEL 0 ADDI ' ❑ REPAIR 0 MOVE 0 OTHER 0 DEMOLITION
O RESIDENCE 0 COMM 0 EDUCATION 0 IND • 0 REUGIOUS, O•ACCESSORY O GARAGE 0 OTHER 0 FENCE
OCCUPANCY y LAND USE ZONE - 'e BLDG. TYPE FIRE ZANE -.—_ PLAN CHECK 8Y tiEAT
_ 4e-4 a.A..± net 0 ci., __,0e2,7c.( 7-7d2-e2..2.....
___:1„, - @ ,4,c.�a 4 =- 1,
SEWER PERMIT N. - . - - • -
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIE AREA �bO NO. BEDROOMS V - LI vv
BUILDING DEPARTMENT ) SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Fawn* ' 1 X/ THtS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPUCABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Chock ' I WO11K 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
Plat. Fin _ /4 TAX PERMITS. RESTRICTIVE SEPARATE E� ITS ACTO RE FOR SEWCONTRACTORS
R. ACT ING TO HAVE
HEATING.
CITY BUSINESS
State Tax / r SscC
/ SOC - - -
Total APPLICANT OR AGENT
' PDCs
Pre pd. 110- L"i r+,oNt
Receipt No ADDRESS
Bal. Due
Issued 5 y Approved By
SSDC - -- $ /L /v T ..5' 4-47,3- ES T i' �i�Za Pee An, n,
SOC - c,i _ - FF! • RECEIPT #
POC - - DATE PD.
SEWER CONNECTION S IS y AMOUNT PD.
ejLeAkj SEWER INSPECTION S .--1-0 (SP
SEWER SURCHARGE S
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