16290 UPPER BOONES FERRY ROAD Am
riQ.-
'•,ilk'} .}(�'?, '� .a�, �'�' r,�. � # � `.;,'� •'�1, yF`04 1 � � '�
Too i
OF
OCCUPANCY
CITY OF TIGARD
oREGON
Permit No. 5517
Owner:
Address:
n crJ tion rRd. Hldg. E 1
Building Address: ��
I Occupancy:— u ---- Land Use Zone: IL `Bldg. Type---LN-
"Heidelberg
ype 3N"Heidelberg Press
"
Comments: —
j �nrt, da of December , 19 $S
Certificate is hereby given tads --- y
that said building may be occupied and that it complies with all
ode for the.
requirements of the Building CCity of Tigard, as approved ;
F.
by the Tigard City Council.
r � \
�Fire
A� 6Pector Dept. � y"
Building Official
Post Certificate in Conspicuous Place
,� -__ � `r.> -moi,,. ,�i✓ try U.► 1� )
A�.a .+ 1t�4A,. U, .il• r"ry4«�j,}•. '.�/ -P y �.'• ,' 1_ .., y _
�'�� �V�+`t���w,c�/� ���, +�p"�%. b'�P •fir
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St. i
Tigard,Oregon 97223 `
Phone: 639-4171 /00,
Type of Inspection –
Date Requested _._.._ -_L Time A.M. P.M.
Address �C_�_ Permit
Owner /�=� Lot # _
Builder
The. following Building Code deficiencies are required to be corrected:
Pnisented to
_._ ----- -- El Approved
Inspector
-----.—. ❑ Disapproved
Date
CALL FOR REINSPECTION
YES El NO
1 .
BfDILDING PEWTA PLICATION TIGARD DATE_ —1119-' 7_- ___,19 5517
THE UNDEF4-1GNI=D HEREBY APPI.IFS FOR A PFFIMI1 FOR T AL V%'�)RK HEREIN INDICATED BUILD"R PHONE ry21-1 +o20
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL SNS Af:D SPECIFICATIONS. OWNER PHONE_
LOT NO. _..
OWNER PAf,TPI JOB ADDRESS 16290 S'., ('1Ni5eIlly x,. I r.
III Sfi41 5th AVe• 5r-2960 ARCHITECT - 1dC�Ilg7G�!`
1I• to t'au'ten PortlAnd OR 147204 ENGINEER
BUILDER ADDRESS DESIGNER—,ALTO d ASSUC,
STRUCTURE ❑ NEW P REMODEL ❑ ADDITIU'' C1 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE EXCOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 1-2 _LAND USE ZONE 1^1__-BLDG.TYPE 3;.4 _FIRE ZONE_-. PLAN CHECK BY '.�.Ti: HEAT- —
Tonant ;'Odificatims nI'I -r approved plans nn coda Req. - - ----
SEWER PERMIT a 78Y19 r,tit'•I'i�,an Tera{t required
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIIES AREA !4f>I i:' NO.BEDROOMS VALUE 1.�*!'''•'
BUILDING DEPARTMENT --] SETBACKS FRONT '•%RNAR LEFT SIDE RIGHT SIDE
Permit I 1 I•2j!) _�THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
�4• REGULATIONS AND ALL APPLiCABLE CODES AND ORDINANCES, AND 11IS HEREBY A'JAEED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANJ IN COMPLIANCE
7103 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRNCT)R AND SUR CONTRACTORS TO HAVE CURRENT CIT`' BUSINFSS
+��7 LICENSE.SEPARATE PERMITS REOl11F.'V FOR SEWER,PLUMBING AND HEATING.
State Tax � V r
-
Total 1
SDC-
� ��• '�'
—� ---- - PDC# APPLICAfVT0
By
Receipt No.
Approved ------- - ` (� ADDF�E88 � ,' l Ham`_.--- ----
DATC INSP. TY E!NSPECTION -- - REMARKS � PLUMH NG —� DATE
--- r r,J iit it Tll
Perm t No.
Hough-in
F,KtUri
Fins; -
HEiAY1Nf.
_—_�)Contractor �`--
P_rmlt No.
Oaa or rJN—_l-s_!�
Finunhain
_---- - -i---_ —_ _ _ ._----•-- --- final ------ -�----
_. SEWER
Pinel —
DRIVEWAY
Final — --
Storm Di sinape
(Rain Dalin)Final
Sid^wah
Curb R Streat Final -
Approach
90-36.5BPT. i71 --'--7---YEMPOFtAR CEFTIFIcATE OCCUPANC" Final--
fIrRTIFYCATE OCCUPANCY —
y 7 n r7/�js Lands-ping
Zoninp Finn!
4e lde, oekv rirv-
BUILDING PERMIT APPLICATION TIGARD 0A L-Af.),
HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN IN'ICATED BUILDERPHONE
'THE UNDERSIGNED
OR AS SHOWN AND APPROVED IN THE<,CCOM.PANYING PLANS AND SPECIFiCATIIO�NS. C•.VN,R PttJhE Z G
. LOT NO.
OwN[R ;�.�;'_%1 ►'I �. JOB AUORESS _ fp D /�\v G�
� - ----- ,
-- -- -' ARCHI T :T r
ENVINEER Y�1(4' f7��� I
iZ.
8UIl0ER i ,(/ / 1 _ ADORESSL�YT 4'• DESIGNER_
{�+ �� '
STRUCTURF. _ ClNEW _ REMODEL ;:1 ADDITION ❑ REPAIR _ ❑ RENEWAL Cl FIRE DAMAGE Cl DE►AOUTIOI
RESIDENCE ! COMA ❑ EOUCAT10NAL t❑ GOVT ❑ RELIGIOUS Cl PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE n St.Aen FENC
XZijPANCY LINO USE ZONE _Z__-L_BI-DG•TYPE '� tI FIREZONE;0—m- PLAN CHECK SY C- L HEAT•
S,EWEAPEAMITM _ .�C1
OCC.LOAD FLOOR LOADZ__�_)_ 1 c_HEIGHT� ?`` NO.STORIES � AREA��ICJ NO.BEUF1C70MS VALUE y77
BUILDING DEPARTMENT SET LIACKS FRONT 'S ,, /� ty�L� '"E SI- RIGHT SIDE
W rtnit L' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN
RLGULATIONa AND ALL APPLICABLE CODES AND ORDINANCES, AND rT IS HEREBY AGREED TYAT TN
tie kj� l ��� WORK WILL 8E QONE IN ACCORDANCE W17H THE PLANS AND SPECIFICATIONS AND Ri CD'dpLIA.NC
((b�, WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
Su. �t�T` RES.RICf1VE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITf BUSINcS
LICENSE_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Sista Taity [
Total
-- POCS AP'UGANT OR AGENT
By
—� tlecelptNo.
AD OR --- -_----� �—PtfONE
Approvcti!
G C
Dc
EWER CONNECTION S .4 `�-
EWE:R•_INSPECTIQN S
EWER SURCHARGE
�i BUILDING RECEIPT
�! DATE �_._.�_ -r-
AMOUNT
AOCT M DESCRIPTION
10-432 Building Permit Fees --- -—
10-431-600 Plumbing Permit Fees
10-431-60i Mechanical Permit Fees s -
10-230-501 State qui lding Tax s -- -i--�-"�
10-433 Plans Check Fee —
30-443 Sewer Connection (201) —
30-202 Sewer Connection (80X)
50-444 Sewer Inspection s -
51-448 Street System Oey. (urge (SDC) s ---
52 449--61.0 Parks I System DQy. Charge (PDC)
52-X49-620 harks II System Oou. Charge (PDC) s -
31•-450 !;torn Drainage System Day . Chrg (SSD(:)
10-230-505 FRFD (95x) s
10-478 FRFD (5%)
1, -230--505 Washington County Fin 01 (95x) f
IG-A78 Washington County Fire 01 ;5%) s
1a-..20
4mart/Wedgewood S --
�J e
TOTAL
(be/1214P)
i