Permit r'rr rnM1''r '('...
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BUILDING PERMIT APPLICATION CITY TIGARD DATE 8':c----'
19 79 r
22/-267e'
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
' Hrm • d (787c) LOT NO.
OWNER '•l l JOB ADDRESS '30 ` W Hun Rd•HOME ADDRESS
ARCHITECT
i , m 117" "1! r ` II} ,
BUILDER metro ADDRESS tt' t. NA2fAnt� OPe DESIGNER ENGINEER • (� • inf-Pr taf
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR DRENEWAL ❑FIRE DAMAGE ODEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑ RELIGIOUS ❑PATIO ❑ CAR PORT ❑GARAGE ❑ STORAGE ❑SLAB :PENCE
BOND 0 MOVING DCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE M BLDG. TYPE FIRE ZONE PLAN CHECK BY HEAT
f i'1.3i;1fi4. CU: ASTON; (between s:ul. Inee R q
All per plane and code.
OCC. LOAD FLOOR LOAD roncret EIGHT NO. STORIES AREA NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 44.00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 22.00 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
3� 7 a I APPLICANT OR AGENT
Approved Receipt No
nr,,occc PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/W /, i 7 (` Contractor
;1
z ( l (0/ Permit No. q �5 /6-77
t / ` ter 1
�/ � Rough -in al ( �ji G� � O Z� ��� / L 7
9) Fixture ®�� 9-7)-I
/ v im / ) _,/ . Final /
�` C_ c 7
-A- ^� �L� -9-7A 4C j v HEATING
J
` Contractor
Permit No.
Gas or Oil
Rough -in ✓ '71-
Final 9j ' 7
SEWER / "
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL. TEMPORARY CERTIFICATE OCCUPAN
CERTIFICATE OCCUPANCY '767
Final
Landscaping
Zoning Final
Rir Tou //'� _ rTevi 0.K — ._� - 2582. BUILDING PERMIT APPLICATION c oT TIGARD DATE 4 1 19_? '
THE UNDERSIGNED HERESY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE.y'Z . 4 ?4
OR AS SHOWN AND APPROVED IN THE ACCOMP YING PLANS AND SPECIFICATIONS. OWNERPHc -OUP �� /�► L + T4,� LOT NO 1 0 1 _8D
OWNER i 1`� {T11 JO A DD F� E55 ? OS /
M Venter -. _._ .-
- - - --- ARC
ARCHITECT C
N'M 3 11/1/ Si. �W IV . DESIGNER 1
BUILDER RriNiAillA --ti...._.. AID 0RESS ��6^ -- _ -- —_
STRUCTURE ONEW Alt mnou_ 0ADOITION O REPAIR -- ORENEWAL ❑FIRE DAMAGE ❑DEMOLITIJI
❑ RESIDENCE COMM ❑EDUCATIONAL OGOV•T ORELIGIOUSSDPATIO ❑CARPORT ❑GARAGE 0 STORAGE DSLAB CIF EN"
OCCUPANCY- 0.2LAND USE ZONE /A' _ BLOG. TYPE _ -g_ ^; _FIRE ZONE _ PLAN CH ECK BY ..CHEAT 401.1
-- -- Ti , -- it ed rclt e - RESIN Lre cot t ? is _8_41
___Alt ?Pr__ v 6,40 4 coQ.,
SEWER PERMIT _ -- __ -__ ._- _ _ -_ ---- - - - - -- -----
_-
OCC_1 OAD - - _ _ F LQ_OR LOAD nwe I•IEIQ_HT 20 . -NQ, 5TQRIES _ ARSA 29.0 NQ_B PR QQMS —! vai.v.:_ * 0 r _ _ S SUIIDING DEPARTMENT i t BACK FRONT - ._REAR - I LEFT SIDE RIGHT SIDE_ __ •`. . -
� ermlt - � f
CIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON.N
PI;; Check ! REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT Ti-
-- - -- - ^'•ORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO PLI.•.N•:.:E WI i
Sul total �. r ! ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIN.
-- - - -- - -- -------- : :STRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN-
State Tax 9. I LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
- - - G?� ADC -
Total r_ ' ?DC# .
APPLICANT OP AGENT --
[ A p uruVFd y�Lelpt N
--
��- AnngF55 vi -�ONf
SDC - $
PDC - S
5FWER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE $ ■
Comments: `` . 8 23 - ? 1
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