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10800 SW NORTH DAKOTA STREET M - 10800 SW NORTH DAKOTA STREET I m 1 U� �J 0 m e � W t l� INSPECTION NOTICE City of Tigard Building Department C1 P.O Box 23,197 ' Tigard, Oregon 97223 Phone 639-4175 Type of Inspection - CC r �— / Time u A.M. P.M. Data Requested /, .� q (70— /L-�.&G1G1 r��fQ L _ Permit #_O Address �---- Lot # Owner -- ' Builder �f The following Buildinq Code deficiencies are required to be corrected: Presented to rl Approved Inspector _ ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO - L01INIG PERM11 . . ' CITY OF T IOA RDI31.1J i-SPKI'T NO . HU890790 COMMUNITY DEVELOPMENT DEPARTMENT CIT��Tmop I V.- ) 131255W 1-IM18hd.110 Box 23397,Tiqard,Ofegon97223.(503)639-4175 01r.)'Y'k-K ZI/ 1.2/E:3' IrI Al.)OF411E.Sta . 1OU00 tjw 001-40.1 DAKU11A !;i I MAI:,/L,.01 Vii 2300 !aur ANI) (TY VALAAA11ON : 5I;::TBAL,KS FAON'r : L)Wl;:.I..L. UN A: NO . EXT .W ALA CONST : NO 1%)Y I P5 , N W N !i : C." ; W '101 At.. (4411::'A 52E) CONG1' : C FA:PE: PEl"? 111 :1 GA.I'T Al-.4FA SEPAP"? IPWTEA) -:5 F!0 F 1-f)(111, I 11-JEN4 F J.RIE Al-Alim'? 1!1. 11,1,111: OF M, 0 W P,A N D A I I DO t 4113 0 50 N 1.0('100 1:)1,) NCIVI'll 1-1 DAKO I PL AN 6t F.v V52 . 33 E R $/l. 015 C 0 N T R A C > T 0 R N Cl This permit is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it is hereby W,I' 1 1 OW) 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 restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void if work Is not started within 180 days,or it work is suspended or abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure all required Inspections are requested and approved. Permittee Signature C. Issubj By ;?., 1.711..1 1 (JI-4 TWO I 10P Z)37 71:1. 7�-. SEPARATE PERMIT'S REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF TIGAff" , PLAN c11ECK nPPLzcA1 zo/RD ,p Cf710f9aAW PLAN CHECK 11 _Ll" ��" _ COMMUNITY DEVELOPMENTDEPAr2TMENT PERMIT H 13125S.W.1/d101rd.P-o.Can 23397.T1g&rd,0ftyon9rM.(W)619-A175 n p,�-, DATE ISSUED (/ J00 ADDRESS: I() (`� e- -, 1.�1 ► .1> Y �1(��ri►�� I AX MAP/LOT SUB: LOT: LAND USE: ---- _ �- r - VALUATION: L- OWNER SPECIAL NOTES_ NAME: �1 . (~ _ REISSUC OF: _ \ r r� c�L� ' ► - LAST REISSUE: ADDRESS: FLOOD PLAIN/ SENSITIVE LAND: PHONE: s - � � Ra"', S REQUIRED L _ PLANNING OONTRACTOP N� RTNG NAME: - - — FIRE DEPT ADDRESS: — -- OTHER: �__�_._-___ ITEMS REQUIRED PHONE: -- LIST/SUBCONTRACTORS: ARCII/ENGINEER BUS TAX: CALCULATIONS: _- NAME: — TRUSS DETAILS: ADDRESS: ---- -- _ PARKLNG PLAN: LANDSCAPE PLAN: PNONE: _ OTHER: COMMENTS: --..--- PERMIT H ACCT N DESCRIPTION AMOUNT AMOUNT PD. RAL. DUE 10-432 00 Building Permit Fees 00,5 __---- _ 10--431 00 Plumbing Permit Fees _ ----- _ 10- 431 01 Mechanical Permit Fees ---- 10-2.30 01 State Building Tax (5X) o=ff - --------- Bui ldirig u Plumbing - Mech _ 10-433 00 Plans Check Fee 'j 3 Building r --- Plumbing Mech 30-202 00 Sewer Connection - - --- 30-444 00 Sewer Inspection -- 51--448 00 Street System Dev Charge (SDC) - 52--449 00 Parks System Dev Charge (PD(:) - 31-450 UU Storm Drainage Syst Dev Chrg 10-230 09 TRFD -- 10-230 f,6 Washington County fire H1 (95X) - 10-220 00 Amart/Wilgewood _ 10TAL. 1.3 RFI. H APPI-ICANT S'LGNnTUR Iy� 1 '� Received By. � (��fi�.J _ Dale Received: cn/3587P/i&� March 14 , 1988 �ITYOFTIOARD \ OREGON Don Randall 1.0800 SW North Dakota Tigard OR 97223 .. Dear Builder: i �1 Re: Lot 2300 of 1S134AD accessory bldg. only Date of Application: June 1987 The application for building permit for the above described lot will expire on March 31 , 1988. __—______ as per the UBC Chap. 3, Sec. 304(d) . You may either pick up your building permit or request in writing a 180 day extension from the building official. If we do not have a response from you by — z ri 1 1 1 gRF1 — we will cancel your application and return your plans. If you have any questions, please contract this office at 639-4171 . Very truly �yours, I/C. 4/ . C�1tCL��c GLC. Jul ,_.ie D. Ouellette Building Permits Clerk. JDO/cn156 13125 SW Hall Blvd.,P.O Box 23397,Tigard,Oregon 97223 (503)63�-4171 --- - — ... v AL PAli Aw NO rtw �� xern` .�� .�n w1Ny.�'� rj1 , mf±jT�11 ,hl, IL si�11+'�-�r ►-ff►h gid*+ �^( a ;III.KAL VIa� �'� T AV y rit p l \ �� .� h r• � ro I '� � 7,�.� 0 to a� CW1+, too 't «' � rTj 4. O H H �' Cd 't � a '•;�� F N HI b vtwo 0 4j u �j �fM ^ ' c o. piLn V4 pCo to 0 UJ '. aks , Ae \ Ll ( P!. Ilk F 4 ��j ,v'�<`Y �, U•. (�' ftpc��(I�r�"" ��f��l �l♦11�UI, ,�� .i.! '�� `1�G� � �V� �,' �. �"*� .,�y :`• � �?�''-$1' � :( ..I� alit' N 7Ar. '� I)� 'IM!'.. ;R •,�� + �,. �.•, �,, `�M•'Lwr:• � W W WtarMUMM CITY O "I� GARD PLUM BI NNO iqu 9"'id CR 97 LU%Kj• 223 Applicants must hold Oregon Registration to conduct a plumbing PERM I1 6394175 Ixrsiness or must be property owner/operator"hiring outside help. Name of Development mS 3 3.;)— PlubuiµPermit No. Address Descrlpbon !r�kv0 S �.t.7 .y� r-`.',�.��c• r. �', ORS 814-21-6%0 DUAN. _ PRICE AMT Job Tax Lot Map.No. —� �— Address _ _ FIXTURES _ -7 lam! 61act Subcfrvlebn Sink -- — 7.50 /1 Name or name of business) Lavatory �- 7.50 _— Tub orTub/Shower Comb. _ 7•50 ' a rng Address Shower Only -- �— 7.50 Water Closet - 7.50 Owner CNy/ fele -- — ZIP - 750 T Dishwasher — Phone Garbage Disposal7.50 --- Washing Machine 7.50 Name ----- � _.. ...- Floor Drain 750 ar ing Address ►'►,one_----- Water Heater -_-- f`! 7_50 -- Laundry Room Tray l 750 �' Occupant 7.50 Urinal ----- ._._ - --- -- �— TTarne-- 1 e Other Flxtures(Specity) _ 7.50 7.50 ress Phone 7.50 G �. p 1'Q — --- -- Contractor 7>/Stats zo 7.50 MISCELLANEOUS City Bus Tax No 80~t at 100' 3000 2Q -1 Co.' - � Sawar♦a.Adrift.100' -- 15.00 a o tete s s o. - - (Residential) Water Service lit 100' ihe - _ that I have read this •^-- thld 7e information Water Service ea.Addit.�r 15.00 hereby acfumwiedpe appNcation, given is correct,that l am reglrbsred with the State Brnildoes Board.and also, Storm&Rein Drain 1 at.100' �— 30.00 have a Stete Knit"license that the numbers given ars owrecx.that all —' 15.00 pkmib*V wait wie be doe In accordance with apfracat"p d Ore- Stomp d P tin Drain Addd.100' — _- _ . gon Revised Stahees r hapters 447 and a93 and app Wmble code's and that MobiN Home S _ 2500 no help will be enxAnryed uroeis Hoensed urder MS 603. (11 exempt horn Davi Flow Prevention Stale regatkxr,please give reason tek w) ku ?so HOMECMNtri ERS -•I hereby osr*y ed I am the owner d the property de Device or MB PolkAion Dev+ce — sabrM above,rM~bcatlon I propose 10 mays a p4artdrhg ketaNatlrxr for Any Trap or Waste Not OAS My owe'use arxf s prerty opis not being o"trucled to sok,Naas a raw" Coninecood los Frxhre _ — 7.50 Caleh Bain 7.50 _--_-- _----___-- _---_ insp.d Exhit.Pkmrbirq 40.00 Per Hr ---- -_-_ Specially Requested InspedbM 40.00 Per Hr AIMr of Pkxnbkq wltlrin on Exi@*V Bide 15.00 min_.._ — i 26.00 m m AU IZED SIGNA iURE Orae New 810g.or Build.Addlkrr - -— a faMl Describe wort new(7 addition I I aftwotlon n mpalr❑ drel.ling 15.(70 be done residentia_IL]_.__ r►On rosidMtlal Exdrdnp use Of bu**V or pxofwrtv SUB-TOTAL / ,/ �of !-� Jp ttaM/IrylKk4/11W1: bt�tXP�Pe►tY._ - - - - "�_` ---- _ T'OTMI - �p,: Ttth pmi Oe00eMe Aunt seed wvid N work a oorsseuoaon rapwnxed r not qom annoed t+aMtprt 1f10�i 6 osrs�nraMon a cork dt tirperdad o abardrx�ad fw a period d 1110 days of any M»alder work to comv% need MrIOIAI-.OOeDfTXJNtI ----------___---- - -- - D. i' CITY OF TIGARD 639.4171 GATE 610 011' BUILDING PERMIT TAX MAP B134AD LOT NO. 2300 SUBDIVISION OWNER-_-Dot_&-je-_Ann Randall ____.-__ _ -_ ____—__ JOB ADDRESS 10800 SW North Dakota St. BUILDER jarmco STATE REG.NO. 32400 EXP.DATE 5119/87 BUILDER'SPHONE _----646-6226 _-- -- ----_ - ARCHITECT -___- PHONE OTHER STRUCTURE I I NEW I.1 REMODEL I 1 ADDITION ❑ REPAIR 1 MOVE ❑ OTHER X DEMOLITION I*RESIDENCE I I COMM I 1 EDUCATION ❑ IND ❑ RELIGIOUS Ll ACCESSORY ❑ GARAGE I I OTHER L_I FENCE OCCUPANCY LAND USE ZONE ?BLDG.TYPE ,moi FIRE ZONE _PLAN CHECK BY F"1'fnT HEAT __. Demolish existing dwelling. Site to be cleaned, street to be kept free of. debris. House being replaced by 6701. _ SEWER PERMIT N OCC.LOAD _ FLOOR LOAD _ HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE BUILDING DEPARTMENT LL. SET LACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 15.00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY A'3REED THAT THE Plan Check 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 PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS MUIRED UMBING AND HEATING. State Tax � f( ---. -- - SDC- l/L Total 5 X 60 PDCN ICAPPLAN R AGENT - Prepd. --- Bal.Due _ _ __f��cs(� Receipt No. ADDRESS PHONE Issued By--.—.—Approved By---..__— r CITY OF TIGARD MECHANICAL PERMIT HtlK_61`'10 Permit# Dowsocriptloon TabN 7A MoChWftW Code QTY MACS AUT City of Tigard 13125 S.W. Hall Blvd. 1) Permit Fee -a -0 10.00 P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit 3•00 639-4175 1) Furnace to 100,000 BTU 6.00 incl.ducts&vents_ 2) Furnace 100,000 BTU + 750 Incl.ducts 8 vents Nene ol DeveOpment 3) Floor Furnace 600 incl.vent ( Job4 gess Suspended heater,wall heater 6.00 Address U 0-O C' t.'.� N . r7 C I<? c._ or or floor mounted heattr re■t d?3 Cr Mev NOt t 3 y ry v 5) Vent not Incl,In 3.00 1.W Blodr Subdivision appliance permit Name(or nam of buslnm) s) Repair of heating,refr ig„ 800 D (' c ,rA "-LC_ —^cooling,absorption unit _ MWiing Address - 7) Boiler or comp to 3 HP 600 Owner absorp.unit to 100,000 BTU Cnyrstate Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU _ Nem. Boiler or comp 15-30 HP 1500 _9) absorp.unit 1h-1 million I a&V Address Ph"- 10) Boiler or comp to 30-50 HP 50 absorp.unit 1 -1.75 million _ 2` Contractor tinyisfate — - -- zip -- 11 Boiler or comp to 50 HP _ 31.50 absorp.unit 1,750,000 BTU -v --- - Air handlingunit to State Rep4elrenOn tVo City n,.. ix.era, 12) 10,000 CFM 4.5U I rw;reoy arae,.-wlsdge OW l have rPA brsAir handling unit - 7.50 appiicatlnn mat the information pivnn Is 13) 10,000 CFM + .zxret.;,met I am to rwrer A oor autt.,rued spent of the owner,mat plane eufxnMMd are In — -- — - coffvkw cs web Stale'.we.nw'i em ro&tm*d wl h Mte state tkdlden'9ord,mst nv 14) Non portable 4.50 number given is oorrW.(n exempt from statte registrOv pU,ee"reason below) evaporate cooler 15) Vent fan connected ! 3.00 T� to a si le duct - - - 18 Ventilation system not ` 460_ - Included In appliance penult 17 J) 4 Hood served by a � mechanical exhaust .60 ` Signsh"(owner or*v M) Dele t 8) Domestic type 7.50 Describe work ❑ addition ❑ alteratkrn n repair ❑ Incinerator to be done residential 9 non-reeidential ❑ 19) Commercial or Industrial 3000 Existing use of - type Incinerator �_t +.ti) •� t_._ Other i.e.,woodstove,water ? building Or ) 4.50 Proposed t� _ 20 heater,solar,clothes driers,etc. _- bUllding or property 21) Gas piping one to four out*9 0,00 lype of fuel-- oil ❑ netural gas Q LPG ( I eledrlc ❑ - - 22) More then 4-per outlet NQTME StMTG'TAL, I HIS PERMIT BECOMES NULL. AND VOID IF WORK OR CON --- ------ STRUCIION AUTMAIZFD 18 NOT COMMENCED WITHIN 180 4%9URCPWRW 11 DAYS, OR IF CON UICT10N OR WORK 16 SUSPENDED OR PLAN REVtl1*25%OF tAII,TOTAL ABM l?ON POR A PERIOD OF 190 DAYS AT ANYTIME AFTER _ Tam�Stsedal Date Issued.6_.__' ?:—by �\ BUILDING PERMIT APPLICATION DA1E� 1'HE UNDERSIGNED HEREBY APPLIES FOR A'ERMIT FOR TH6V1'ORK HEREIN INDICATED B64"720GUILDER PHONE ' OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIC IS. OWNER PHONE LOT NO.`_'---341117• 'i7L OWNER �� jdt�ttGlrriel�--- JOBADDRESS 10800 171 N. r)alWtC4'54:. _ ARCHITECT ENGINEER BUILDER ADDRESS .7t87.Ci[ � I17L. 13si3 r Tnt*tlrtttt ,'I17.97?l:l DESIGNER �flfiN?1' _ STRUCTURE _ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 1.7 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION [J RESIDENCE ❑ COMM CI EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO F-1 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY _LAND USE ZONE R4 ) BLDG.TYPE— —�"*IRE ZONE PLAN CHECK BY _M HEAT �yr� —+1.1i.1.`.+. '�g t�Z +_w' r_ �2•j�'_�r'-I l i tla�w l"1 trC., ' g- nIl .mss , 4 I-�l s. QW., tC'' -LY..._s�1.�s.l.,i- ..-+ti-:ra:1�`��'— n �,x'�T�i•t t' � 1 � � c 1 � ..' ____ c- SEWERPERMITM -tol 2--1.0-•77 cn istis�, I;�y=`=2 -- 3 Ualtlz, 1) ,u — =ew OCC.LOAD _ FLOOR LOAD 40 HEIGHT 2O-F NO.STORIES 2 __AAEA 225410.BEDROOMS 3 VALUE 101,0m r BUILDII IG DEPARTMENT SET BACKS FRONT 60 REAR �►f'�J LEFT SIDE 1 r' RIGHT SIDE r _ Permit 135'50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 2a3.Q7 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Pian Check 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 Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Z?.42 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC— Total 735.91 ---- PDCM APPLICANT 08 AGENT Receipt No. ApAVOICL- f 1r, ��i ADDRESS -- .. -- -- - PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING ^ DATE `-Jc>a'J 42. ' Contractor Pxrmlt No. 1 35 - Rough-in Fixture Final HEA'rING --------- Contract / Permit No. S1 Gas or Oil "or Bough-in �hl/Gi �w Final r r"o�J LT !/lY�� C4 �— SEWLR — / Final DRIVEWAY --- d- ? e � Final Storm Drainage (Hain Drain►Final Sidevw+l k —•�I— �1 _ Curb&Street final Approach �BLM DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Fine, — CERTIFICATE OCCUPANCY 'Lar duapmg Zoning Final MUMM L, I t a r retp.rcli.ng h e bui. l.di.i it (p cl":j In i.r1pact tc7 t.hp SvciLem:: R rl V j t J. n a p-It (:I t.1'- :L and r eOl alca! CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : PLAN CHECK APPLICATION DATE RECEIVED: P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: rKl This is to certify that the attached 2-- sets of plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire b Life Safety Code, edition. PROPERTY OWNER: b�pn Q�ti� JET v[ ,C'� OWNER'S ADDRESS: y 6 ( 7 2G) 10""W"- �t CONTRACTOR: TELEPHONE: JOB ADDRESS:f DiI L�"C) I o _l /l�. 1�� /�a. OT NO. 6 MAP: DESCRIPTION OF WORK: A22rovals Required SPECIAL NOTES 4?lanning Dept. P'� , O Reissue OEngineering Dept . O Flood Plain/Sensitive Lands OFire District O Sewer Availn'.�i j r y O Other �ther Items Required List of subcontractors -i C2e-e,-Aej 1144 OBusiness Tax L1 Calculations 01"T russ Details O Parking Plan Landscape Plan 0 athe r COMMENTS: City of T rd Building Department BY: �I I PLAN CHECK NO. for inspections call G:19•-14 l75 i CITY OF TIGARO 639.4171 /1 ER�I J N � 0. aUIL01NG PERMIT DATE P.O. Box 23397, TLgarOR 97 3 TAX MAP /�/, 4gAO� C7LOT TN �_ O. SUaorvISION !!! oWNE �h "� ._�L� �I�VI 1\a�da� _ JOBADORESS WILDER - Q rnG1=L� / STATE REG.NO.. __EXP.DATE BUILDER'S PHONE i L/ /7 2 L ARr.NITECT PHONE OTHER ST URE NEW 0REMODEL C) ADDITION ❑ REPAIR E) MOVE U OTHER C3 DEMOLITION RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY D GARAGE U OTHER U FENCE OCCUPANCY LAND USE ZONE �—BLDG.TYPE _5- / FIRE ZONE�_ PLAN CHECK BY gkAT Construct single family dwel I ing wiattached garaeA, all I,, ijpr,rnvgfl pl�rrt SS co—de, SEWEnPERMIT/ — '(idu) �!) baths. ,IV traps _ ardoe area QyL� OCC•LOAD FLOOR LOAO (4 11 HF_IGHTORV+h NO.STORIES �,. AREA-12 V` NU BEDROOMS � AlllE��7/�Q� BUILDING DEPARTMENT SET BACKS FRONT 14 f) REAR � ��1 LEFT SIDE /•r �� - RIGHT SIDE S y. v®. P°r^+11 J� 401 THrS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE faUILDING CODE ZONING PtanCt+eck • REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND Ir is HEREBY AGREED TIIAT 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 P1.CAL FW RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER.PLUMBING AND HEATIN0. Slala Tax 4 y Ssoc Total SDC— APPLICANTOR AGENT Prepd. POCS Receipt No AODRf.SS PNONI Bal.Due le�ued B -Approvod By _-- SSDC --- g ,a. 11 SOC - C- A* _ RECEIPT #,�-� POC - _ DATE PD. C. Z.11 '7 SEWER CONNECTION �.r.-� AMOUNT PD.�� n iEWER INSPECTION .,v SEWER SURCHARGE S S3 J y y y lip '" l X0118' W W1"WA A11 m A! dF w �;pr kS�'1ee� PLAN CHECK NU. for inspections call 6:39•-4175 PERMIT NO. v CITY OF TIGARD 639-4171 DATE 19--- BUILDING. ox 2339 7, TAX IAAP LOT NO. �avlslaN P.O. Box 23397, Tigard 0119�7223��, � ► v r ► .ri��1 ��A TWINER ` ��JY1 '' ��t ) `13L:1 L•- � JOB ADDRESS �� l�'1 `J lA� l JT`l 1 Lr ► ► __ STATE REG.NO. EXP.DATE BUILDER (� BUILDER'S PHONE - 11 • PHONE OTHER ARCHITECT OEMOLIiION STRUCTURE ❑ NEW C1 REMODEL (71 ADDITION ❑ REPAIR ❑ MOVE (I OTHER C1RESIOENCE ❑ COMM ❑ EDUCATION C) IND - ❑ RELIGIOUS. ❑'ACCESSORY Q GARAGE O OTHER ❑ FENCE OC(XIPANCY LANG USE ZONE BLDG.TYPE .___.—FIRE ZONE PLAN CHECK BY ��T _ SEWER PERMIT r, _ ■rte'-��✓�L+'E� �"" - M NO.STORIES AREA _�..BGOHQOMS YA OCC.LOAD FLOOR LOAD HEIGHT ,� ,� -= BUILDING DEPARTMENT SETT BACKS FROM BUILDING CODF-THIS PERMIT ISREQULATIONS AND ALL-APPLICABLE CODES ISSUED SUBJECT TO TH--REGULATIOS CONTAINED IN THE ANO ORONNAN(�ES.AND IT IS HEREBY AGREED TNATNTHE Ptari ChockWOIRK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND gpECIFICAnONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE CIL F" TAX COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS PI TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING- State Tu SSC)C — SOC— --- - - -- -- .- TORI APPLICANT OA AGENT ---- --- POG --- -- - — -- Itecelpl No ADOAE55 Bal.nue S L�__-- pproved©y — Issued 9y SDC --- S OC — - _ RECEIPT N OC -- DATE PD. _ AMOUNT FUER CONNECTION EWER INSPECTION S E:WE>� SURCHARGE 5 ,T immente: ,--k KLAN CHECK NO. for inspections call 639-4175 PERMIT NO. CITY OF TIGARD 639.4171 OATS — BUILDING PERMIT P.O. Box 23397 Tigard OR 97223 TAXMAPA+�LOTNO. -2-2""o SUBDIVISION _ OWNER JOB ADDRESS 1 , BUILDER _ («Ni r' c STATE REG.NO. EXP.DATE BUILDER'S PHONEL - A •� 6 ---- ARCHITECT _ PHONE OTHER - -- STRUCTURE amEW ❑ REMOVEL ❑ AnOITION ❑ REPAIR ❑ MOVE ❑ OTHER C7 DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑'ACCESSORY OrGARAGE ❑OTHER ❑ FENCE OCCUPANCY /�1 /-LAND USE ZONEL�'y 6 BLDG.TYPE -�_FIRE ZONA PLAN CHECK BY �_4EAT - SEWER PERMIT s, - OCC.LOAD FLOOR LOAO._'_^< HEIGHT NO.STORIES AREA /,' NO.BEDROOMS VALUE�_3u` O BUILOING DEPARTMENT - SETBACKS FRONT > REAR . 5-<'_5 LEFT SIDE RIGHT SIDE _2 r- PetrtNl THIS PERMIT IS ISSUED SUBJECT TO TH's REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING r/ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE PtenCh*ck 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 PI.Ck.F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS -- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. SWe Tex •' Ss DC SDC- _ - Total 1 -' APPLICANT OR AGENT - -- POC Racelpl No ADDRESS ---� �— - PNON( Elel.Oue �i �_-j -- Issued By---__----Approved By---- SDC y _--SDC 0C _ r RECEIPT # UC DATE PD._— CWE R CONNEC T I 5 AMOUNT PD.� -WER INSPECTION -WER SURCHARGES )mment6: