Permit Twat 1 it- y. • =
lfJ ,,,Q j 4 its
c,. " BUILDING PERMIT APPLICATION TIGARD DATE //! ! 7 ..
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE.2B$ aU
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. T OWNER PHONE r✓o 20 — /(o 0
.......0 � ) 9 � 2 I JOB ADDRESS 6 / g ' 7 , A (o►x 'Z LOT NO. O� C
R. � !
OWNER •
WW�� �1 CO. �� �[ ! ARCHITECT - OO -f 400` • . -
BUILDERCID1f� &ft e&I%d. ADDRESS N• RIII�I��s�li et , D EN ES G I I G N N E E E R R 5 t � ' 1
STRUCTURE ❑ NEW ❑ REMODEL ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 0 PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLABO FENCE
OCCUPAN L AND USEZONE R' BLDG. TYPE SU FIRE ZONE= PLAN CHECK BY # HEAT • "'•'
d
tat ?? {° , /SOQst t ',, _ 12-14401 41 . - .1 J Cole, • - -
L t "
SEWER PERMIT # •
NfA,r I o °o
OCC. LOAD FLOOR LOAD lab HEIGHT /1' NO. STORIES I AREA T.7 I NO. BEDROOMS VP.LU OOO
BUILDING DEPARTMENT SET BACKS FRONT 1
Q11 REAR LEFT SIDE RIGHT SIDE
Permit ■ 34ij p THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON :NG
i pn / =- AIE ONCES, ANTI H T H TH
I Pian Check i (r d'► !� �"2 3 WORK REGUL WILL TONS BE AND DONE ALL IN ACCORDANCE APPLICABLE COD WIT H AND THE P RDI AND SPECIFICATIONS D I ISA EREBY AND AGREE IN C
E
Z F ( P p ; � 3 t. , WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
GI( O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
j az UCENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
State Tax • , ?I
Total • I I 999. 3Z SDC ek01 .YG44I1Vs P GN Act
PDC# APPLICANT OR AGENT
BY . •
Receipt No.
Approved I ADDRESS PHONE
SDC - $
PDc - I # fia„ COQ To401 1958.9.6'4 n y 3.:oa 313 ?. /S
aor M %60. ikiAeh.reZ, Pet.l -r o•sZ
SEWER CONNECTION $
Aye . S c4Das . Rey: •
SEWER INSPECTION $
Wii4e. : I, A00,000
•
SEWER SURCHARGE $
GMS. 2- /G'S L s 3:Da
Giic.. 5 D R
Cn .C: lea ' l -,q•g1-1q.92. ✓ sels ho &Away fp, fit vOi1b1 '
I
2•11 •4 &lit All, t e s ? U ,- 1 2'23 * . 2,-'
2.11 Li, .114644 • 1'1. cit. owe IK� 044 4. Au. �O�• fi s J A, DR.
W
3•tz, a , WO *a. 3 - - 1 0 - 6z.
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone: 639 -4171
U
Type of Inspection POU'1
Date Requested { 14 — 3 '‹Time A.M. X - P.M.
Address S1J l Permit # yG
n
Owner \n' 1TA t _ & j-r'°dS Lot #
Builder 'KV G<41—
The following Building Code deficiencies are required to be corrected:
r
Presented to [./Approved
Inspector ❑ Disapproved
Date _? — 2S /
CALL FOR REINSPECTION
❑ YES Ejil(10
` .
\ ��_
/ --,
l Mire ErNstR^e0 Xriapecitk3n Ntsi^�a
8405S.VV. B|igsen Road
TU8i�t|n.
Oregon 97062
Phone 682-2601 . __`
__. -_-
� \ F1
/ | ' • -
Building Name -_----- ' Audm6s
V�
Pursuant to Section(s) of adopted codes, the following item(s) M0et.ubng:
FL) si4y3LC
y7
`/ --�����f����
-�-i '---- ---------- ---
� -. `
� � � � �` &�-
` ':~ � � � � g C:TeZ.v
--
� �� r r
. 'w~ _
---�� ~ �n -��'/ CA.) � ' --------- -- -
__- _-_-- _-_- --- -_-- _--
-- ' - --
--_. -_-_-__'--
--------- ----- ----'-' --
- '---_' �--_'-___-
Dato� �� ~� Inspector - _- _--
' «_- ---- [.J --��----- '-
'OR
�� BU UUU ��U���� DEPT/
'~/ ~yr�r��� 4-/
'
Two% rT k t4(Gt K- /IdL v' 18 . e t 82
Loco ba °er - Cce e Vila' 063* 00 0
E.9iNete 41)2.00,00e ) **/o/9/ �a.Q
,20 ®oo l,boo�o•0 1-20.9
P� 914wcgt . CK br
Nnvi* 2. 3 1 0% 51)
?kMt3&- et4 1, s2'• 5.$ 1i3e 414 .
TkFt• 13e. ZO 1113. AS 5
Tax �3• $� 4 _
TALI? ilea- !0 3132. CO 31 2,4 ?. 3z
d*' Overmsooll a1a geA 40 R4. Au 0 1.1 MS Ao. . t Cou was'
Pia" de . sc : Comas. ))%A.Q.)
Atut . e.t.a fvf
o s3 s - tg — 3 "
��x 3
3t� t 2 � !� y1
TRFD 2o3y + 1 ?3•t° . 36 ° — 251;" _ _ z1.`o
Q $8,51 (04.37
PQM:7-1-V
111
(.;
. -
RECEIPT --5
: .
r ,
DATE: / • - c- - ‘"" AMOUNT :$ :-------; / - -- '"---::: •
, fv
--....".:1 ii..} L_..Q...2.._ ---Aud-e....t..4_<t. , (...,i) 6-....) , ,,)1 1 1 ,...,.... f ,k_k,‘_ a3,•:. ___ i .e.v
G...
..,
H '-:_r. 1 1 k...) ,-__.--;...-'---, i f=-0--n CL‘c..,., --,-, cr—_,- --------------- D 0 - I L A R S
1 1 I
..,_... --"= _ -- .•":
1 ' NAME: !CI- v 1 ,4-c3-( 161--e_./ . 4 ' 2. ., C.--i' c.--) - 5 -7- CASH:
,..
;, ADDRES( "
...\......._
M.O.:
# OF y e
' - FOR: ACCT. # PERMITS SURCHARGE AMOUNT 4 Lk
. ..
SEWER BILLINGS 40-364 $
BUSINESS LICENSE 05-331
PLUMBING PERMIT - 05-332 $ ll 1
:. MECHANICAL PERMIT - 05-332 . 1;
. - 1 4
..--:--
BUILDING PERMIT - • 05-333 / c1-__
- SEWER CONNECTION ' . 40-363 ' . . , il .k3
...,- .:!
SEWER INSPECTION" 40-365 • - . - • " i •
SYSTEM DEV. CHARGE 25-366 ' ' '
'
- PARK DEV. CHARGE #1 ' - 30-367 . - -
. .„
PARK DEV. CHARGE #2, . 30-368 • . •
- • ZONING ADJUSTMENTS 05-362 . .
- I - - ,Q_ 1 ' f 05 ,;71_c, il
,
, 1 A
• 1,i
; .
tj 4
li :!
. . . TOTALS $ $ - 5 . 5 / .. - • /5: r-• , .
j2_
•
RECEIVED BY:
- I,
PERMIT NUMBERS ASSIGNED: .
•
Number Amount Number Amount Number Amount .
I
A KI/Adt e_ , ,,e. 4 - --h..e dm. /-( $ P73 '2, s
• (91-i 7;02;A- 61-z.4( T T F.1 $ $
•f 1 ). U$ / a) AV-ell k 6.4 .7 : - ...1 ) 7, $ _ $
• 11 ti
•
$ $
' -‚ RECEIPT # '''' e -1 q o
.: .1. I ..,. . 1.• •• . ;
1
. , --1 ": .■ ;-:•:=....4._77-1-....;;L:=17:12-1:•::::•=7-...= . -..--' . 7.:::: ....:.f .::"....'..,t ... ...__.;:.. -.• -- - .: - ..=.,4_, 14.... 19
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