16445 SW KING CHARLES AVENUE ..,_., ..,..,,. +L., .,.::.,.u.:.». �;.N..::_,,:�,...+..,.:. �.......... _. ._,�....z.. ,.,.:..;.�; ...,..._,:d:j,._...w.._.:i�..a.W,. ,;i, ., .rLHa �a..a.a t:w'.,.f.+.naW..�U:i�;�Y. ...u 'w;.0*•�h.i: ,.,.e..•r.
Q�
ll1
to
x
H
z
0
x
�a
t�7
L
c:
i
i
r
i
(
A
i
(
16445 SW KING CHARLES AVENUE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 3usiness Line: 639-4171
BUP
_ —_Date Requested L) AMl____PM BLD
Location I (- 4y y5. 5,4-1 � 1� g'��„��s /C C., :'.site MEC Zee 1,P,6 e/�
Contact Person _ _ —_ Ph PLM —
Contiacto' Ph SWR
BUILDING Tenant/Owne, ELC
Retaining Wall EL R
Footing Access:
FoundationP SG
Ftg Drain ,\ .r ;f /y>e,/W 1
Cr^ Jrvin Inspection N tes: — SGN
Sku ------ --- ------ -- ------ --- SIT
Post&Beam - -
Ext Sheath/Shear
Int Sheath/Shear - --
Framing ----: -1 :_�� cL=�. , --------. -.� - ----__�.�--------
In sulation
Drywall Nailing ------- -------- ---------- --- --------_ —
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --..__--------------------___._.._-----------------._ -__._ _._- ___--
Roof
Mise ---- ...
Final -- - -- -----
PASS PART FAIL ------- -------- - - ------- -- - __ --
PLUMBING
cst„
bean-
Ur
ean Ur iter Slab
JTo(Out - --- -- --
t�rater Service
Sanitary Sewer ----
Rain Drains
Final ---
�bL PRT FAIL
MECHANI _ - - ---- - —
am - - - -- --- .. --..- ------------ -- —
Rough Ih
Gas Line -- -- ------ -
S oke Qampers
ASS ' PART FAIL
E TrCTRICAL
Service
Rough In
UG/Slab _
Low Voltage
Fire Alarm
Final
PASS PART FAIL _
SITE —
Back,,a/Grading —
SF itary Sewer
Storm Drain [ ]Reinspection fee of$ ed before next inspection. Pay at City Hpil, 13125 SW Hall Blvd
Catch Baasin
Cat c,�Basi
Line [ J Please call for reinspection RE:� _ ( ] Unable to inspect-no access
Fir-ADA
Approe.•;h/Sidewalk
Other Date a/- ?�yam - Inspector Ext
Final
PASS PART FAIL DO NOY REMOVE this inspection record from the job site.
CI7: OF TIGARD BUILDING INSPECTION DIVISION
2d-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: _ — �,.L;� I 9/7� - I /� -A.M. P.M .- MST: —
Location: ���S (� l�-c �'1 l_ Q/LL'0 — _ _ Bi 1V:
Tenant: r� Suite: __!ildg: _ NIFC: _
Contractor:-.a,mal m,�n Phon?: ----__ _ PLM: C�
Owner:-- _ _�_Phone: k3_1-e I-7 _ ELC:
-- - - --- ELR:— --
_ SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Sit.: Post/Beam Post/licam Post/Beam Cover/Service Sewer/Slonn
Footing Roof UnaFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer hood"_)t_t Reconnect Vault
lismt Damp Drywall Stonn S. I-timace Tema Service MISC.
Masonry Ceiling Rain hr in VC UG Slah
Shear/Sheath Fire Spklr/Alm Cr & d Ir I leat Nimp Low Volt
Approved -_Appy Approved Approve('. Approved
n;)lniSd%vlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
i
D Call f'or reit tion ?Reinspection fee of S_ required before next inspection 0 Unable to inspect
Inspector __- __ — ---- --- hate: e /� _ — Page_ of--�
tt.
DI i OF TIGNRD
Plumbing ,application Recd By
13125 SW HALL BLVD. Ccr,rnercial and Residential Cate Pec.
TIGAR,D, OR 97223 care to P
=-
(501) 639-4171 Cate to CST
Permit s L U
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called —
i
-- varve or CeveicomrnuProlect FIXTURES (ind(vidual) QTYPRICE AMT
Job sink _ 5700
Address Street Adsress Suite Lavatory 1 1 9.00 1
I L,[L 5 ;! J k, Ck!< 7uo or rublShowcr Como - 1 9 00
ow;s .tyrSlate o Shower Only —
hlt' �rV., Ole 27I 9.00
Name / 'Nater C;oset 1 I 9.00
C.4 C srwasner I I90 01��GL-
► I
( Owner ailing address q/ Suite - uaroage Disposal I 1 9.00 1
/� S � n ��ur�Kl Nasnng Machine e 9.00
Gty/Slats �I Llp PhonF!oor Crain --�+-
t'.2t't iZ�'l'""���� 12� 9.00
I
varve �' 9.U0
—_ _ 9.00
Occupant MO*V Address Suite Nater Heater _ 900
—� _ Laundry Room Tray 9 00
i I fylSlate Lip Phone LJnnal
9.00
Name Cirer Fixtures(Specify) 9.00
�U+ A✓1 ----— 9.00
Contractor \lading Address / Suite w --- -
• /Zs�iS Si.J�/.17i: �(/v� I— - ----- _� 9.00
C.tyr;tate Lip r-hcne - 9 CO
l� yY 0 G1 1 3 I /.L�r_1tM � 1 9.00
Gregor.Corot.Cont. Board Uc,0 Exp.Dale I - _- — 900
Arc#Copy of (-)(—7 1 L �LAS 4-? ---—_--— - 9 00
Cawrvrtt P1Vnbing��u- vP�s I E-xp wre Sewer- 1st 100' 70.00
Llceno�a � _
�— 2/ q Sewer-each add tic .al ;CC
COT Business Tax )r Metros exp.Catr. �_-_
�^ 'Nater Service- 1 st 1 Uo' 30 00 1
Navr 5ernce-each additional 200' 2500
Architect [Name
_— Storm S Rain Drain- 1st 100' I 30 00
`L-.
or I Mailing Address Si .e Storm d Rain Cram-ea,h addibcnal 100' 1 1 25 00 I
Moose Home Space I 25 00 1
Engineer �Mstate �;p I Phone _,rnierGal Sacx Flow Prevention Cevice or Anti- I I 2500
r";iILticn Ce,.ire
--scribe ibe Mork Vew O Addition O Aiterailon 0 neoair pL �4tesid,^nal Backflow Prevention Device- 1 I 15.00
I
'a be done' Residential, Non-resioennal O Any 1 rap Cr Naste Not Connected to a Fixture I 9C0
-
kkMkrW descript.on of work I _
I Cat:.h Bann 1
'ns C.at Eaistirg P!umom.g �i 0 00
I Cr->flhf (
-_xt;yp use"t `—_ �CQG 1dy Requested InsCec;;dh5 "0 00
%�s9 or property L __ _ _ I I cerihr
I Ran rain. s-ngie family,,7weilin9 1 ; 30.00
-'mposed use of Grease Tracs-
audding or property, .— _ — I 9.00
GUANTI rY TOTAL
Are yot. capping. moving or reclaong any rixtures7 Yes No Isarerc x nor 14grarti a rec_uuw':oars
_ 4y'cta� s >9
(If yes see back of form) _ __ •SUBTOTAL
I hereby arxnowlecge that I ha,. edit;his acplication that Ire mfcrmat on
;rven.s sornxt.Lr,at!am Uie c.-,ner or authorised agent of the owner and _ 5°4 SURCHARGE
11rit dans suomitled are n cdmo,ante with Oregon State Laws
iSignature of OwnerlAgen. 7.ta PLAN rtEVIEW 25". OF SUBTOTAL
._.. �eCux'M 7nry 1'brtUr»7ty '"tai a>a
tet_ -� I TOTAL I l
Contact Person Name Phono L
J lJ l Minimum ponnit fee is S25• 5%surcharge except?esidenuai Sacxflow,
P•eventicn Cevice. Nr G ,s St5. 5%surcname
',Cs:stptina0p doc 3,S6
CITE( OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd, Tigard,OR 97223 (503)639.4171
f
V
HF'P--Al-'97 TUE 09: 19 ID: FAX N0: 4010 1-02
vK
,ITY OF TIGARD Plumbing APPHCZition Roca 9,,
3125 SW HALL BLVD_ Commercial and Resiaential Cato F Hca
-!CARD, OR 97223 0a1e to P E.
503) 639.41171 pale to OST
Permit s
Print or Type Relatea SWR a
Incomplete or illegible applications will not by accepted called
'� vpntf of Of�fiopmant/Prolecl
P
FIXTURES (individual) QTY RICE qMT�
Jab Sint _ 9.00
Addrass Street^aaressSuite Lavarory oa
(r q
SVkjuboofr rTubrySthgwer Como. 900
slogs
9109a QORoo 11
Q 7 L 7 WaterClosef ---+
Name 9.00
oma'�1 Oiahvresher --- g U0 JI
(}wnsir arllrq Aagfeaa / Sut1e Gareage OisDesal 9.90
ea4 j 5 SW k,' 14, (fit-v4 vhashing Machine
c"fa zip, Vhcw+e Floor Orem 2• 9.00
3" 9.00
A. 9.00
QG.eupant water Heater u 9 OQ
_ Laundry Roorn Tray - _ r.00-
G h/5ute Zip Pl+one� UMaI 9.00 --
_ n arree Otn.r F w s;SPh! — 9.00
Centmetor Ma"Aeanu
z ���.J 41ff�r �w - —
4.00 1
Zip Pnonc
900
' Lainki uR 0-7113 C0 -._i .A -
crtryo Conal.Carol Rolle t-ic a F-xa.0-,10 9.00
AMOK&00"of �4�_ l _ 9.00
C4errf et ung Vit• Exp.hate Sewer-1 st 100' 30 00
Ljerts G/ 25 ou
�'; 4 7 Set.er•rack«::iUaial 100 --- �
Cot 8usrress Tae er Meve a Fx(p..Cato -Water Serv�9- .tt 100 - 70:00 1
fAeh aam"nal 100' - --- 25.00 —�
Names
Architect Storm A Rain Dram-Ist 100' 00.00
gr uad;rn Addrete ---`" g, ;f Sloan 6 Rain Orson-eacn aaaidunal IOG� 2500
AtuOtb dome Specs --- - T-- 2500
(Engineer GryrState iip y Phone -�- Commernal Back Flow Prownuon OeHrx or Intl- 2
5.00
_ Pollution Uq%nce
�snfae wart Vtw 7 A46ition O alteration 0 Ro;a,r -- Rtudential Backnow Preventlnn bevies, ---- 15.00
tp lee Done- qRsid-------------- Arty YAn-rvsidenTa) O Arty Trap ar Vvaite Not Connected to a Finturf 0.00
vdfltlrna rM+rltCunn of won -- �- --� Catrfl Rasta 9.00-
Insp.of E.rinong Plumping 40,00
pr+nRr I
_ _- -- ----. Speoeih Repuestea Inspeerons
".ria"tear of papt r
er property
___ _- - -_-.--
RainC.rain,single farn4y,swelling 30.00
;"Dnrurd Us* 31 Oreatur tra0e ---- 9.00
x,atling or pmpoM_, �. _
_ QUANTITY TOTAL
Are you capping. movhv9 at rapladriq any RxturesiYes 0 No O Isixtuvu;nr nsc.1togrrn a r"ur"n Ouanty,rnm is L a
Itf res s -tw back of form) _ 'SUBTOTAL
I herebv acknowlelge that I have read this appllc tlon,that the ink malion00
pyen,s-oneri.tial I am the owner or oulhodzee agent oft"owner.ane S% SURCHARGE
mat oiane tuommed are in Mmollance with Oregon Sate Laws.
iignatun of OwnfnAgfnt - ^-=1- I Data PLAN REVIEW 25%OF SUBTOTAL�Y�
lecurecl snip r Too."ory mrr•�:1
TAL
��Contact Person Mame / � Panne
� /� f 7 / Mininwm P91tryi foo ie$26-$it•swM4141110.eagept Residential BarAAg
frr
G /�r / � I G� "/ 6 Prevention 6"aso,whirr is 113� 51%surUtarge
i•�r�r — - - - : a..�...,........w,...line
`?EC--IVED
A PR Q 1 1.997
uirr DEVELOPMENT
/ CITY OF TIGARD MECHANICAL PERMIT
r CITY
PERMIT#: MEC2001-0021 1
DEVELOPMENT SERVICES DATE ISSUED: 06114/2001
-- 1312:, SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 PARCEL: 23115BB-07700
SITE ADDRESS: 16445 SW KING CHARLES AVE
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: ALT FLOUR FURN: EVAN COOLERS-
TYPE OF LIGE: SF UNIT AEATERS: VENT FANS:
OCCUPANCY GRP: R'; VENTS'N/O APDL: VENT SYSTEMS:
STOi:'ES: _ BOILERS/COMPRESSORS--- HCODS:
_ FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: 100.000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS OTHER UNITS:
FURN >=-100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Ins+allation of gas furnace.
Owner: _ _v _ FEES _ _ `J
KRI_ISE NAOMI P Type By Date Amoui.. Receipt
16445 SW KING CHARLES PRMT BB 06/14/20( $72.50 KING CITY
KING CITY, OR 97224 5PCT BB 06/14/20( $5.86 KING CITY
''otal�^ $78.30
Phone: v — --
Contractor_,_,
ROSE HEATING CO
9945 NE 6TH DR
POR rLAND, OR 97211 REQUiPED INISPECTIONS�_
Mechanical Insp
Phone:503-283-5183 Final Inspection
Reg#: LIC 00002.084
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore
Specialty Codes and all other applicable laws All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the O,egon
Utility Notification Centel . Those rules are set forth in OAR 952-001-0010 through OAR 952-001 0080.
You may obtain copies of ase rules or direct questions to OUNC by calling (503)246-9189.
Issue 9y: ! �� lr .f / Permittee Signature: (7')L
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
06/13/2001 12:15 5036393771 CITY OF KING CTT`,' PAGE 02
Mechanical Permit Application
Date received: '0_j1),-61 Pern, .no.:
City of Tigard Project/appl.no. wtpirr:dare:
C ity of Ti Addrvss' 13125 SW Hall Hlvd,Tigard,OR 972 3
Rand 1 Itcc
Date issued: --- Dy:✓.1'. eipt no.; -
?'hone,: (503) 639-1171 i1,\ll �-- --
Fax: (503) 598-1960 Case rile no- Payment type:
Land use approval: " Building permit no..
XI &2 family dwelling or accessory U Commercial/industrial ❑Multi-family U Tenant improvement
U New constriction ❑Addition/alteration/mplaeement U Other;
r
Job address: Indicate ey•iipment quantifies in hoxe;t below.Indicate the collar
Bld .no.: _ Suite no.: value of all mechanical matetia13,equipment labor,uverheni,
Tax ma /tax lot/account no.: - pmrit.Value$ .
tat: --"' Hl�k 8ubltivisionc--- - 'See Oiecklist-for irnpertantapplicatiminforTnntion and
Project name
ju,indiction's foo schedule for residential permit tee.
City/counry: - ZIP:
Description and locatio ork remises: INK
---- Fee(o.) Total
Gst.date of complehon/lnspection: lfkxtlptlon Res.only Res.onl
Tenant;mprovement or change of use.
Is existing space heated or conditioned'!O Yes O No Air handling unit __CFM_7
Is exisHaacensuatees n ild?U Y 0 No A.r crindi�oning(site Ian require ) —"
existingspace Alinrnhnn n cx
fIVAC system
In 111010 oile�mprrassors
Business name: State boiler permit no.:
— HP Tons HTIVH
Address: Ire amnkedam rrs/duct smoke dotectots
Cit r Crate:pNeatrump(arra p an requ red) --- -
y G - n9tq IacefernacxA�urner Tl
Phone: tom _�1 �Fax:�a-�- -mail: 1i 1
CCEt no.: Including ducrworldvent liner Q Yes U No J�
,Isis r p ac relocate heaters-Auspe�nced,
City/metto lie.no,: 9 � Wall,or floor mounted
Name lei se tint : -- `_ r - liancrretherihanlrmracz--- _
e +!ups op:
Ahsorptinnunitp___ BTUM
Millers -__.-- _
Nltme: -- ---• HP
Address: ----- ___ —_ — Co tcsaora lip --
-- �tls` { rnimmenEa ust and ventilation;
City: state: ZIP: A liancevenr
Phone: Fax: E-mail:
ust
Hoods,Type II res.lure n. azmat
hcaud fire•appre.alon syaMrr. _
ExhsuWan with s;ngle duct(hath fans)
Mailing addrr.s; x s"at.item a art.from heating or AC
-_ _— e P P VA a nit up a oa eta
City. sten: ZIP: •ry Llai ___ NG ____ at _
i9ton Fax: Email: ue I in eaa%."additinnal over 4 outlets _
recess piping(sc errahcrequirer
7Arpilcaro's
Nnnlbci of outletsi".[iasize or Teat;Stnt.e Tl11': Insen rw� oo etnv pe etstovc ex. E mall:r.igrtatu . - [late: �� Other; —{
Nano (lit int): K
Permit fee...................".$
NM all IuridicAnlw r�qA tteNt carrL,piner all,.w dtetlnn(m own Innerr,dlael Notice;Thl. CrrT11t M1 licelirm
0VW ❑Mgtnrcud PP Minimum fee................$
expire.if a permit is not nbtnined plan review at 9F.
redly sad numbs, within IND days after It hat leen ( ) '--
state surcharge(89F) ....$$
'--Forte of ei A,+ivn en cr�il c � accepted as complete. TOTAL ........... ...... ....
��—'�C'i�li•+l�r il�nNirn Arw�wt
__ ___-- _ •MMr17(RalnKllM1
7_ v v ° 0 I �
a
m j' ii C Y z z rn r- - z m
x 0 V < 0 c7 m x Vf C r
z m p O
r I m U �� ` O
Ln in
V -n r C� O z Z
p m r ,� N [� d y
m o W
n �1 ; -< >
0 y m O .9
M -4rxaN II� O rr Z r r
n y x D x r 9 D u rn
En
o Nd� r � g r�ir 'S� �o O O m >
mvm0toOr- z
D -4 O D O D 37
xOooOD m C O m y
Dmm � UvNi Y m ❑ 09 O
9y0 -r = In m x O = Z m v
2 V � O r Z n m y z
N o > N v I �� CZ 31 -n qcf
a G
p O z :a mm ❑ y -, C.)
rn n CxOzrA � x T T U 2 m ''�, �
'^ j xnamm� D m z mo t?!) O
O O0 � SOm z NO m O �� D m
A T 7Ym Z G ❑ V', z � 7CC�
00 N m .y
P O n X D G1 O AA _ rA w r92n
N rn zC x I Ax V
IZ *c-4 - o . m pp ❑ m m
x r~00 N O f7 T
rn O v x
a0mZD0 , D I� M
M
\ C")
z
a0 ~ rnu r
h r- ZmD7_ rzir n ^� 0 O K D
G -4C2D C ❑ p -4 t7
w > z n R H ry m Z G7 r -4
mDZNO -, �( � n O
Z -4mmy 4 m A r-
0 y �, z m
D_ w N
O 0 D D < o GD1 J
D O it z ^
a -4 V nI Ail , ro m l_..1 a ~� O
x � O , < L.J :M2 y r Z
z
D bNON -i mj m C) O m
imvvzixm I D m m
m x v
� n7oZmpp x I O
pS_' nNc_ x O O O m
x �m m z
70002 D m
r00 O N N ff
0inym0 m C
r izr 00 m N �1m
0 XN
< x
�� 1
King City CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE ?g--
o 1o C7
p
�_ -,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HER'IN INDICATED
Om AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ~'ER PHONE _
LauT J�rl !'_Iuma L",44)
OWNER ADDRESS _ BUILDER PHONE
ENGINEER
BUILDERARCHITECT DESIGNER
STRUCTURE ONEW ❑ rI--17 REMODEL AUDITION ❑REPAIR ❑RENEWAL Elf-IRE DAMAGE ❑DEM-)LITION
^ L..'
❑ RESIDENCE OCOMM ❑EDUCATIONAL Lai0V'T ❑RELIGIOUS❑PArin ❑CAR PORT ❑GARAGE ❑STORAGE EISLAB ❑FENCE
❑BOND UJ MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL ',PPROVED ❑SIGFJS
OCCUPANCY--LA,ND USE ZONE BLCG. I'YPE FIRE ZONE._.— PLAN CH,CK BY`_ HEAT______
dwril0q, >. e! i,,g@f CaAAl
CC LOAD _ FLOOR LOAD HEIGHT _ NO.STORIES AREA VALUE _
BUILDIfIG DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
--- THIS P..!1AIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian Check REr,ULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
--`-'- WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFIC:.TIONS AND IN COMPLIANCE WITH
Rncordinq A! APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
HE.STRICTIVE COVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSIt'=SS
1%State — LICENSE. SEPARATE PERMITS RFOUIREO FOR SEWER, PLUMBING ANC HEATING.
Tot,l1 _ ..
By ow
-----------------
----------
------- r.r rANT r1R AGENT
Approved Rereipt No
•+rr.IgM*+yryn.:. �.,.,nrw7«M.'NM^F"P'w,4,1PMT=,rwra,,, .,�,.. ,:r,w}rw-� �giYllYi ;rti+*�.: ...r.wyr�w,...
King City CITY OF ' U
BUILDING PERMIT APPLICATION TIGARD DATE, ct �Ly+r 17 19 �° 10 8 0
THE UNDERSIGNED HEREBY APPLIES FOR APERM!T FOR THE WORK, HEREIN INDICATED
OR AS SHOWN AND At'PROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE ...—.
4rold Kt u6 s ;++i:a hi�Yg t.J►ax lila
OWNER ADDRESS BUILDER PHONE
01' I?�AM, 140,1fing ENGi„iEER
HWLDER ARCHI'TECT _-� DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION C1 REPAIR ❑RENEWAL ❑FIRE DAMAGE. ❑DEMOLITION
❑ RESIDENrE ❑COMM ❑EDUCATIONAL ❑GOV'T El RELIGIOUS❑PATIO 7- CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CON-)ITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY__�-__LAND USE ZONE_ - BLDG.TYPE-- FIRE ZONE.-_ PLAN CH:CK BY_ HENT_=
OCC.,LOAD -FLOOR LOAD HEIGHT V NO.STORIES AREA VALUE �,43.Of)
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGF'T SIDE
Permit -
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BLALMNG CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLF. CODES AND ORDINANCES AND IT Is HEREBY AGREED THAT THE.
��----- WORK WILL BE DnNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE.WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. TNF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
'- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE SEPARATE PERMITS REOUIRFD FOR SEWER, PLUMBING AND HEATING.
Total
By — ----- ------
-- - ----- Ar CANT OR AGENT
Approved Receipt No.
�– ADDRESS -- — ---- ^HON