BUP1977-1261 BUILDING PERMIT APPLICATION 11 Y TIGARD DATE 1'lg"77 IM
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
�y U• LOT NO.
OWNER ,-ih± I mil Co. JOB ADDRESS 11440 SU Raelfie " UME ADDRESS
�+ py
ARCHITECT
BUILDER i.anste Cop ADDRESS Ray re 6aoka.. ENGINEER
DESIGNER
STRUCTURE ❑NEW ❑REMODEL El ADDITION El REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑SLAB [—]FENCE_
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT
Const. 2 all metal oanop$as over lalan"o per pyw C-1 of 3 and C-3 of s3
or-oared by Ray f. Backer Cog
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO. BEDROOMS VALUE 14�.SOO.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1.40 fjU
00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
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
State Tax 3*21' LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 111.2F.
By
Af- CANT OR AGENT
Approved Receipt No:/,�
i-
ADDRESS PHONE
DATE INSP. TYPE I SPECTION REMARKS PLUMBING DATE
-77
J Contractor
6-147 Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rou h-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
ADproach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
CITY OF 192..7-- N
D'✓'LDING PIRMIT APPLICA70N' TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN
�AND
fAPPROVED IN THE ACCOMPANYING PLANS ANJD- SPECIFICATIONS.
OWNER PHONE
OWNFR /%�/Lf�LL�f �L�l �/ ADDRESS �//C1 ) �G!/�L �i /�•k1/gBUI LDER PHONE
ENGINEER
p AR HITECT DESIGNER
STgUCTURE NEW REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL OFIRE DAMAGE ❑DEMOLITION
1 RESIDENCECOMM nEDUCATIONAL 'GOV'T ❑RELIGIOUS OPATIO ❑CAR PORT ❑GARAGE ❑STORAGE SLAB ❑FENCE
❑BOND 'MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCtLAPPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE--A8-13 LDG.TYPE�FIRE ZONE-!::� PLAN CHECK BY HEAT
OCC. LOAD FLOOR LOAD HEIGHT NO STORIES 1 AREA VALUE ')y' ZOCJ
8U!LD!NG DEPARTMENT SET BACKS FRONT
Permit ,I
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
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
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR A'. ;B CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1,State 2 LICENSE. SEPARATE PERMITS REQUIRED FOR vER, PLUMBING AND HEATING.
Tota
i�—
�y f APPI_tCHNI uH AG�
i Approved i I Receipt No.
ADDRESS PHONE