Permit . irliMillt RON APPfirrO . A Asrc ,
BUILDING PERMIT APPLICATION TIGARD DATE ,19 Al . :844:
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 655 -21®
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE . 1 13 2 1•■I $
LOT NO.
OWNER J JOB ADDRESS 7420 > , 7
ARCHITECT
ENGINEER
BUILDER �� • ADDRESS 157,0 21t Plass'a,Ciac. DESIGNER Piero! Bare MY
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL Cl FIRE DAMAGE ❑ DEMC )N
❑ RESIDENCE a COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB ❑ FENCE
OCCUPANCY _ L-72 LAND USE ZONE eP BLDG. TYPE FIRE ZONE PLAN CHECK BY etw HEAT ""
fr suite "F" Tenant space for Ron Appleton a AS' 0c .
SEWER PERMIT#
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE $40004
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit $28.00 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 14 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•tot 1 + . RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS iS
"! . . LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
State Tax
1. UDC
Total $54.32
. PDC# APPLICANT OR AGENT
By
Receipt No.
i.. Approved ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Sr + tom 44. Pleo•ci at Contractor %Sonde, p 61 '
fj
• 2-y 77v+v�^i a . Permit No. 270 12. 6 -11-8(
2 0 2 / Rough -in
? 4 Cr.�.+- TIII..•• !i 1( /� 1/.,2 a #Ol.B/� �l s 3/ Ay Fixture
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 OCCUP CY
CERTIFICATE OCCUPANCY Final
/O '�- �1 /
Landscaping
Zoning Final
-- . --- — =�; .._..w_
CITY w.. I - - __. T� ` _. — •
BUILDING PERMIT APF ,AT10N of TIGARD DATE_ , T4 /
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF - , ✓`6 2d /, "
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
LOT No/Cl/ - ,2,5'/ - /t?R
OWN ER ,„„_ s _ .B ADDRESS • �� _
ARCHITECT
� ENGINEER -----
'nUILOG4. ..,� _ „, I�.._...� . ADORES.S/ I . i DESIGNER' /� ° �.� _
NEW 0 REMODEL DADOITION D / AIR ['RENEWAL '
STRUCTURE
D ['FIRE DAMAGE ['DEMOLITION
0RESIDENCE DCOMM ❑EDUCATIONAL DGOV'T DRELIGIOUSDPATIO OCAR PORT ❑GARAGE 0 STORAGE DSLAB ['FENCE
OCCUPANCY'Z'"Z _LAND USE ZONE d� BLDG. TYPE - -' FIRE ZONE PLAN CHECK BY l P HEAT
i
O
SEWER PERMIT #
OCC_LO=D FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE
I EIJILOING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
1O00 QQ�
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONINC
1
'n Check v , REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
i - -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WI
1 I , ' 'S ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
r RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES:
gate Tax L LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
To tal SDC -
' i• PDC#
� ,
A APPLICANT OR AGENT
Lpproved I � � � Receipt No
L_ AnnRESS PHONE
SDC - $
PDC - $ #
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE $
Comments: c___ _.-". ,e -1 - ,r/