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CITY OF IIGARD Permit No __,U__65-86
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown
in the accompanying plans and specificatio.is.
SIGN LOCATION ADDRESS: _ 9020 SW Burnham Street _ ZONING:_CBD_
NAME OF COMPANY: Tigaal-,.d_Communit,v-(.ou.th_ Services
APPLICANT/AGENT: Cindy Chittenden 620-2621
The pity of Tigard imposes an annual Business Tax which must be kopt current
on alk persons dozng business in the City . Do you presently have a current
Business 'fax? NQt Ap2ljfaAJJe
PROPOSED STGN:
PLRMANENF (XX) F'Ri--ESTANDING (XX)
TEMPORARY ( ) WALL ( ;
BILLBOARD ( )
SIGN DIMENSIONS: ,isles X 72 inches____
TOTAL SIGN ARLA (Sy. ft. ) : � sn•
WALL AREA (Sq. ft. ): NIA `
HEIGHT (ft) : __W inches
PROJECIION: _ N/A '-
ILL_UMINATION: YFS ( ) NO (XX)
COPY: 'T i Bard C,(=unity YouSjj_ Services --� ---�----- — -
MATERIALS: __VLQQA.
EXISTING SIGNS -
OTHER PERMITS REQUIRED: YES ( ) NO ( XX)
COMMENTS:
PLANNING UEPARIME:NI _ All sign permits must be accompanied by a
Permit Fee: Waivedscale drawing and plot. plan. If work
Receipt No. -------- authorized under- ai sign permit has not been
Approved By: D.S. completed within r'nety days of Lor the
Date_Auguat 13, 1986 �— issuance of the permit, the perviil .hrAll
becowe null and void .
I CERTIFY THAI I AM THE RECORDED OWNCR 01 1111
PROPERTY OR nN AGENT AUT 40RI.ZCD BY 111E oWN1R .
App icant' s Signature
Add re s s
nn�• •1..A7
Jy'.•ri 4r�'!w�*.:, .»�.,.:r,,„,...x�a +$'•.�{IMi"T�"'��isY,"w.r,
CITY
BUILDING PERMIT APPLICATION of TIC ARD LATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HERE-A INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
OWNER lEt` . _ _ _07
I )� FL •1xCttpt ` I' BADDRESS
----
HOME ADDRESS _
ARCHITECT --
BUILDER 1"010Tig
-- > Y'4 ;tl1os-7111ADDRESS j"o ENGINEER
DESIGNER
STRUCTURE ONEW ❑RF'MnDEL DADDITION ❑REPAIR ❑RENEWAL— ❑FIRE DAMAGE 1]DEMULITION
G RESIDENCE DCOMM ❑EDUCATIONAL ❑GOV'T ❑R-I_!GIOUS❑PAT!O ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [-]FENCE
❑BOND ❑MOVING ❑hONDITIONA1. USE ❑pESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS —
w? - ------ - ----— -_ -
OCCUPANCY..-_—, .LAND USE ZONE__ "�+ _BLDG.TYPE __FIRE ZONE- PLAN CHECK BY _ HEAT
r'.I_ITItrUCC an, tacld'"M tr$ tbQ POUCO ,•:F :,t:i0f) (j;gkww 't• Df,""l n aua.f recorcfn
tVomY per piclrtea &TlwI cote.
50 —1iVQbT tS NO.S IE I�F3EA NO.BEDROOMS - VALUE
BUILDING DEPARTMENT �►
- --- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit • • - - "-
- •�.� THI PE .MIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS ANCI ALL APPLICABLE CODFS 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 A'rLICARL.E CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NO( WAIVE
•f • 'AESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE;S
Sta.It Tax _J LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING VD HEATING.
Total •0•
By _i �' -------- --'— --
APPL.ICANT OR AGENT
Approved •T'• Receipt No.
DATE INSP. TYPE INSPECTION REMARK'S PLUMBING DATE
r Contractor —�
i�."T 1 A/
`- it Permit No.
A rvi
Rough-in
Fixture
--
Final
HEATING
Con tractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
— a
Stonh Drainage
(Rain Drain)Final
S idewal k
Curb&Street Final
— -- Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATEOCCUPAFinal
CER"1-IFICATE OCCUPANCY _ �7y
Landscaping
1
Zoning Final
�. OF O
G� CITY OF TIGARD C�
OREGON
Owner:.....Ut.y...Of...Tigard.......................................Permit No.......7.3--.22.8
Building Address......9II2D..S...W....Burnham..S.tr,aet........... .............. ..............
i Certificate is hereby given this....11th..day of... a.cembss........... 19...7.3..
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
Building inspector
I
City of Tigard
i INSPECTION REQUEST
for
�y
INSPECTION TIME ; PERMIT
DATE /At DATE I SSUED'-1___-/
OWNERS NAME ;
I ADDRESS:-
CONTRACTOR :-
TEST .
ONTRACTOR :_TEST . A r r1J, Water [I , Vise ci La' .ratory n
RESULT. Approved Disapproved _l , Ppriding ❑
I SKETCH:
I
INSPECTOR DATE
•h supplemental test data heretal
���'J•� ��r� Lam- -- - - _
7 ���� r �uT� ti r s ,-✓ r-
G{s ev
r+
City of Tigard
INSPECTION BEQUEST
for
iy,3PEG'TioPj TIME PERMIT
DATE'./2 DATE ISSUED'._ -1
ADDRESS
TES*lViter -,I , Ll
RESULT Apprwied 0 , Di:,c-pprove2—<-,.
o
SKETCH: L'Al
INSPECTOR DATE
E:NOTE Attach supplemental test .luta
CITY OF TIGARC1
12420 S. W. Moln Street
TIGARD, OREGON f=
APPLICATION FOR BUILDING PERMIT
New Construction N Demolish ❑ Addition lS Remodel ® move ❑
ZONING DATE ISSUED /,-5—-4 - 73 BUILDING PERMIT
DATE RECEIVED
BUILDING FEE, $ — Mo• 73
—Q�
BY PLAN CHECK $ Q. _ --- --
OTHER $ s�=-"�� VALUATION $ �
TOTAL $ 12 Sv� RECEIPT No.�
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT M`;f'18M, MAP #j I - CENSUS TRACT w 8 _ JOB N
Architect or Engineer OF
Address_ 1,74-2v s. s,,,, ek2ditU S r�r Phone 6- 3 cl -4..171
Owner --
Address Phone
13Uilder
Address Phone
BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ® Industrial❑
OCCUPANCY GROUP-,Z No. of Stories_ Total Height /(,G' Area of Lot.
�"_-
1�5GP.�
Type of Construction I II III IV (D 11 Floor Area B 1_ 5Q_ 2_
Set Backs: Front__ Back ;;,5_y L.Side _ 4D _ R.Side ;�o_
Private Sewer Pipe Size � _ Seweru,:.).a '[%t Tp9eptic Tank ❑
.r
water Service Pipe Size Storm Sewer ❑ Ditch Drywell❑
Street and Curb RequirementsY €dr.:)j� w _
Driveway width No. of Parking Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS }ASSIGNED cicdeQ
FIELD CHECK BY v _ _- -- -- - -,�-`DATE :O -5q- 73
PERMIT APPROVED BYZ �
It is understood that all wotl: will conform with applicable codes and ordinances
of the State of Oregor, and the City of Tigard, Oregon, and that the building will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Ir,spe•:tor.
Mggnature of Applicant
.M-M%A MMvMMrM_wLMRP�
C4
Address W 2 0- _A_41 Permit No, IL
Name of Occupant Permit charge
Paid by
Date ccnnected • �7
Type of Building 0"',e'a Inspection fee
Se,vice Rate Paid
Contractor Assessment_s� Paid
Size of connocnon-4
i
APPLICATION FOR SEWED SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, :-gulations and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from time to time when due and before such cl .t7es become uelinquent.
I fully understand that all unpaid sewer service charges become a lien upon the
property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made b: bonded contractors and,/or
bonded and licensed plumbers.
--- -Owner _—�-
APPROVED BY
Supen"filendent
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon