BUP1978-2481 N? 2481 .a
BUILDING PERMIT APPLICATION of TIGARD DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING�P�L� AND ECIFICATIONS. OWNERPHONF
7 �J91 c� `QJIJ LOT NO.
OWNER JOB ADDRESS Q(-' 7 HOME ADDRESS
- v ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑NEW ❑RI MODEL ❑ADDITION ❑REPAIR [:]RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T EJ RELIGIOUS❑PATIO (—]CAR PORT ❑GARAGE [:]STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE EI DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY ETW HEAT
1.u I �a—fab steel build3.-..-
sns as prepared by Art Middleton A.I.A. Construct 2 hour firewall a,-
i0
wi0 protecte r sada w/labeled assemblies.
`'Eger hermit P17569 — $72001-nn
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRON{7e1 REAR LEFT SIDE RIGHT SIDE
Permit 4170 -,
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 208,75 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 626.25 ALL APPLICABLE CODESAND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 16.70 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total %642995
By pi
APPLICANT OR AGENT
Approved jA Sh Receipt No.
n nnoccc PHC)NF
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
-. R ugh-in
Fixture
Final
�o( / HEATING
4-
-� Contractor
C3 li, Z Permit No.
G A Gas or Oil
Rough-in
Final
9. SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final