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Permit
rBL.DG. - TFMAMT M nIFICATIO�! COUNTRY D L£ OR f S . BUILDING PERMIT APPLICATION I DATE SO T GARD • D E s THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 228 -8535 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ LOT NO. OWNER Portland r*cture Jb9ADDREss 12260 SW Scholia . eA.Ry - _ a-D ARCHITECT ENGINEER BUILDER Country 'Peddler ADDRESS same DESIGNER R &- if Construction STRUCTURE ❑ NEW ❑ REMODEL I}' ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION 'C! RESIDENCE El COMM ❑ EDUCATIONAL ❑ GOV'T El RELIGIOUS ❑ PATIO El CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB CI FENCE t, s Still OCCUPANCY _2 LAND USE ZONE ' -4 BLDG. TYPE FIRE ZONE PLAN CHECK BY HEAT Tenant Modification 25' X 70' Store Front 1 Partition, all per $U M X1I Code requirements. Finish Ceiling, etc. SEWER PERMIT # ' - . OCC. LOAD FLOOR LOAd oncretif=IGHT NO. STORIES • AREA ' BEDROOMS VALUE" ' BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit -4.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check l7i ©[' 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 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE .Sub -total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS • 9>� LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. State Tax — I f Total $36.96 SDC PDC# APPLICANT OR AGENT By pl _ _ Receipt NO. _ Approved — 9 tW � � ADDRESS PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Y . 7 r 5 J �IyI , - /2/ f] Contractor g u-c2 J ilry Pxl. Zo-a.4�0/ I�_ Permit No. 2 3 ? ! 1l , ca ° - L - ? J Rough -in R' �� -�Q 0 ‘2. Fixture �� I q - -5gtz, C —b c.) ,` Final 1Z —Sr° l-Q.e..4..p 0., UV. HEATING Fe) � � i,�/. Ot— Contractor Permit No. • Gas or Oil Rough -in Final SEWER Final DRIVEWAY Final Storm Drainage - I (Rain Drain) Final I Sidewalk Curb & Street Final Approach BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OC . -ANCY I Final CERTIFICATE OCCUPANCY ■/ • Landscaping Zoning Final . .• v _..__ .. �_ . .- �. • - - - - — _ - - P a BUILDING ERMIT APPLICATION TIGARD DAT 1 !� :.,� 19 Qd THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREI'INDICATED BUILDER PHONE2 .I 9.?3S OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. O':iNER PHONE rr f� N :::':�;ER b- _v emJOB ADDRESS • •' • • • - . a Cie 614.5 ``4 LOT ..0. r RCHITECT . (� ENGINEER /2 BUILDER .14,%1 1711 FE'I b La ADDRESS 24:.rt,Q DESIGNER / j- // STRUCTURE 0 NEW REMODEL 0 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE GMM -V EDUCA TIO • L 'J GOVT ❑ RELIGIOUS 0 PATIO G CAR 'PORT 0 GARAGE_C STORAGE ❑ SLAB0 FENCE . CCUPANCY g-i.- LAND USE ZONE G 4 4 BLDG. TYPE FIRE ZONE PLAN CHECK BY T �' HEAT- s' / 7d ' S - -�ic.K c.1 7 A.0,AA w- Pa 4. . . . • • . a •P.ti .o . ....c............1' - c�........t... . SEWER PERMIT # • • b OCC ��- IL LOAD FLOOR LOAGI, HEIGHT NO. STORIES J AREA / ?Sd NO. BEDROOMS VALUEOee BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit OOL} 0 0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON:NG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 1 2 oO 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 ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS � UCENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING_ Stata Tax Total PDC# APPLICANT OR AGENT By Receipt No. Approved ADDRESS PRONE DC - S •• DC - S # EWER CONNECTION S rWER INSPECTION S EWER SURCHARGE S • na • 64e,,,,r7c/ pe_iclAt UNIFIED SEWERAGE AGENCY / 4 0 scJ f4 FIXTURE UNIT VALUES FIXTURE FIXTURE JNIT VALUE, Toilet 6 1 . Urinal 5 • Sinks: Lavatory 2 � Bar Sink (Commercial) 3 Soda Fountain 3 Pot, Scullery etc. 4 Service (2" outlet) 3 - (3" outlet 4 • Hose Bibs Bradley Sink 5. Floor Drain . 2 Bathtub (lz" outlet) ' .2 - • Bedpan Washer 5 Dental Cuspidor i Dishwasher (Commercial) 4 Drinking Fountain 1 Laundry Tray • 2 Shower (each head) 2 Food Waste Grinder (dwelling uts)15 Clothes Washer ' 12 1h, + +asher - 12 20 lb. washer 20 30 lb. washer 30 Extractor 6 Each 16 Fixture Unit valuesequal one duelling unit. o • C IH FIXTURE UNIT VALUES CITY OF TIGARD WASHINGTON COUNTY, OREGON FOR COUTRY PEDDLER ADDRESS 177A0 FERRY RTl bldg. FIXTURE NUMBEROF FIXTURES FJ XTURE UNIT VALUE- TOTAL TOITET 6 URINAL 6 SINKS: LAVATORY 1 2 2 BAR SINK (COMMERCIAL) 2 .SODA FOUTAIN 3 PAT, SCTTT.T.RRY ETC 4 SERVICE (2" OUTLET) 3 (3" OUTLET) 4 BRADLEY 5 CUSPIDOR/WATER ASPTRATOR 1 DISHWASHER (COMMRRCTAT. 4 DOMRSTTC 9 DRINKING FOTNTA N 1 FLOOR DRAIN 2 -INCH 1 7 2 . 3 -TNCH 5 4 -TNCH 6 GARBAGE DISPOSAL 3/4 -5 32 COMMERCIAL 34ORF. THAN S 4R BATH • ,TACTTZZT/ WTRT,POOT. 4 TUB / SHOWER COMRTNATTQN 4 SHOWER • GANG 1 PER HEAD STALL 2 WASHER,CTMTHRS 6 WATER EXTRACTOR 6 TOTAL 2 T OTAL 4 REMARKS: / `n 12755 S.W. ASH P.O. BOX 23397 TIGARD, OREGON 97223 PH: 639 -4171