Permit BUILDING PERMIT APPLICATION TIGARD ` DATE July 25 ,is >ia 4951
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _620 - 9361
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER Lyle Hathaway JOB ADDRESS 9538 SW Tigard ate 251_21
ARCHITECT
ENGINEER
BUILDER SIMS ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL Ut ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE CaCOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY 11-2 LAND USE ZONE BLDG. TYPE 5 " FIREZONE PLAN CHECK BY HEAT
Install Pre-- t•abricated spray paint booth subject to inspection by
Building and Fire Dept.
SEWER PERMIT #
OCC. LOAD FLOOR LOAD r^ot!C ,HEIGHT NO. STORIES 1 AREA "!IF NO. BEDROOMS VALUE 500.00
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 15.00 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 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 1S.U0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER LUMBING AND HEATING.
State Tax .60 �
SDC —
Total i 5.60
PDC# APPLICANT OR AGENT
By Ctl
Receipt No.
Approved ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
I Contractor
Permit No.
Rough -in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
I Rough -in
Final
SEWER
i Final
A. I
DRIVEWAY
Final
j Storm Drainage
(Rain Drain) Final
Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY ! Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
�y9s�
BUILDING PERMIT APPLICATION TIGARD DATE 7- 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 6 0,2 -95 /
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
,,// LOT NO. c 7
OWNER I y �� ././A ?HAtVA )OBADDRESS �s� R S� ��G�C?,ei? � 2 l - � � k
ARCHITECT
ENGINEER
BUILDER /s?/= ADDRESS .S-.rlm DESIGNER
STRUCTURE 0 NEW ❑ REMODEL ,ADDITION 0.REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITIOI
❑ RESIDENCE to COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE 0 STORAGE ❑ SLAB❑ FENCI
OCCUPANCY H z LAND USE ZONE BLDG. TYPE S -A/ - • _PLAN CHECK BY — HEAT
n/.:5 — ' - i _-L- P/P F - F AR R I C ik- 5 PI!A y/ IVA, iu r ' e ,oc'1 1/
S c�C�SEC_ I" N _SP F. ? /O/`/ R y - Kut L C7/ Ad C., A>11 1=7 /?I=
El T.
SEWER PERMIT
OCC. LOAD -- LOAD r' ,_HEIGHT NO. STORIES I AREA / 2 NO. BEDROOMS _ Vh.LUEn o
• BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit �� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONEN
_ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT TH
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPUANC
t c, v WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIN
1 Sub-total /�s • RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES
It
UCENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
S tate Tax •
6 SOC—
•
Total � -�
PDC/ APPUCANT OR AGENT
By
. Receipt No.
Approved ADDRESS PHONE
SSD • - -- $
SOC •
PDC
SEWER CONN TION $
SEWER INSPECT iN $
SEWER SURCHARGE S
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