Permit Q2aliNwAy CITY
i �� •
BUILDING PERMIT APPLICATION of TIGARD DATE 19 =;Si —C1r
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN AND APPR D IN THE ACCOMPANYING PLANS AF iPPIF C�DONS. OWNERPHONF,.
Mr fuNT I zzGo e LOZNO_�46
O oTtlanc, I 1ioctLIL• JOB ADDRESS aW SChOlia/ HOME ADDRESS
Q /l ARCHITECT Sobel _
BUILDER r R • f:Of t ADDRESS 11°5-- 17' ✓ � , C am- c4 4 DESIIGNFR Lyons ` 23-6 ? .
STRUCTURE ❑NEW (=I REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS ❑PATIO ❑CARPORT ❑GARAGE ❑ STORAGE ❑SLAB DFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE 0 DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LA D USE ZONE Ci4 BLDG. TYPE FIRE ZONE_ PLAN CHECK BY �tW HEAT
• FULLY FIRE 3PRINKLERED. Construct casserole' building all
plai►: anu :ca. Building shell to bs completed thrtough tenant modifica,
Ire sprinklers to be extended.
See sewer Permit for Building A.
onarets 19 -7 1 16,400 --
OCC. LOAD FLOOR LOAD ri EIGHT NO. STORIES AREA NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT Pt REAR LEFT SIDE RIGHT SIDE
Permit $752.,, I' oar
376.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 376.00 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 95.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
�e1 r�
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 30.0 €' LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1 ' ;3.0 3 w9'iVa BY P..k &.,
By 'I
41 1 APPLICANT OR AGENT
Approved Receipt No. .Y"- 7 7.
DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE
G ' ® Contractor $
Rough-in CP ( C
_
Fixture
� 1/l y _ , � i �• Final
"-7 , Lf+, / - � «� HEATING
Contractor ■
MINIF4-0 _ , _ Permit No.
Gas or Oil
Rough -in
Final
SEWER
Final
DRIVEWAY
Final
Stonb Drainage
(Rain Drain) Final
Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERT ATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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FAILU TO CORRECT TFI,E.;A'BOVE; CONDITIONS, WITHIN( ;. .,DAYS,•WILL MAIKE' fOU,'LIAB4E T O' :P.R OSEE UT,iI� 'ON','SH'OUL,D FIRE
RESULTF . SUCH COIVDI YOU MAY .BE LIABLE F_'O R'`D,AM'A TO NS' O� R PJ'R �O E y}/y1 R T•Y U,IVDE,R PO'V;I S,I,ONS,.OF '
F OR S 47. '190 •`�.,, ... \ C ' f .. , r y 1( PERSOyI W/�i :1 • ' R • � ,
WA SHINGTON 'COUNTY FIRE'DISTRICT #1' ' ; ,' " ' ' , ;" , F IRE M ARSHA L' I -
20665 �S.W: BLANTON STREET iP :O. BOXY 1, ` -/ . j' ' -
ALOHA, OREGON' "97006. 64 9. 657.7'• • ' • PRESE 'T O'
FORM - 900, . '. Ili 1 0 �
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' " , •'FIrRE' PREVENTION; BUREAU.' . K _ '' . ` • •
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A I'LUR'E T0 RR ECT' TH.E` ;AiBOVk',CCN DI T I ONS.WI T H I N _ DAY9 WILL MrtiKE /V,OI'1 A'BL /E�I T• gvR R'? SECUaTIO N', SH 61:111-7 IR E• -
• 'F _RESU.LT' FROM SUCH CONDITIONS S' Y,OIJ• MA •;BE- LIABLE FOR O
DAMAGE T0i1PERS ' ' l ONS R R'jui fg.RR,T UND-
ER / 15 [ � 1 ( 0 y N S • •
• OR9147A_ 11D0, . , .: ,. J . ' - B IK 1 j ' 417, '✓Y- ."- 17. ' ,
WASHIN;OTON CO.UNTY'FIRE;DISTRICT #1' ''..' f FIRE MARSHA? - L^ - " - .
k .120665 S.W: :'BLANTON " STREET',P 0 BOX t - "' _' _ U r a
. ALQHA;I OREGON- ,97006 . ` , 64 854 - r- r ' ' '• P.RESBNTE.D. TO; . - /. •