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12700 SW 72ND AVENUE 12700 SW 72ND AVENUE I W z A ?a N r 3 0 C) N ►� I -- im- SIGN PERMIT PERMIT #: SGN91-0199 DATE ISSUED. . . . : 11/26/91 EXPIRATION DATE: elo/u- PARCEL. . . . . . . . . : 2S101AC-00700 ZONE. . . . . . . . . . . . C•-P BUSINESS NAME. . : PAULY, ROGERS AND CO. ,P.C. SIGN LOCATION. . : 12700 SW 72ND AVE APPLIC.ANT/AGENT: GENE GRANT BUSINESS TAX NO: SIGN: PXRMANENT (X) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL. (X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 3.6' X 10' TOTAL, SIGN AREA. . . . . . : 35 sq.ft. WAIL AREA. . . . . . . . . . . . . 300 sq.ft. WALL FACE (DIRECTION) : E; SIGN HEIGHT. . . . . . . . . . . 3 ft. PROJECTION FROM WALL. : 1 in. ILLUMINATION. . . . . . . . . : NON DESCRIPTION OF SIGN: PERMANENT WALL SIGN. 3.6' X 10' = 35 SQ.FT MATERIALS. . . . . . . . . . . . : FOAM/ALUMN EXISTING SIGNS. . . . . . . : 0 ELECTRICAL PERMIT REQUIRED: NO BUILDING PERMIT REQUIRED. . : NO ADMIPISTRATIVE EXCEPTIONS. : N/A PERMIT FEE: $ 25.00 APPROVED Bl : ---�� -. Al-_I� - — DATE: 11/26/91 IN--rnut No. CI'T'Y OF TIGARD SIGN PERMIT APPIJCATION The applicant hereby applies for a permit for the work indicated or as shown in the aaxffpanyinl plans aryl specifications. SIGN IDCATION ADDRI'S.S: !27 00 iJD 7,OA77NG: NAME OF BUSINESS: PRS c Y �r_o 6 LAS b �-O. - f •C APPLLCANr/AGWr: C. Ge.tw-r- OOMPANY: i�P�r'�S• — PHONE: CZ Y_ 2,905 71*-- City of Tigard imposes an atu Real. Business Tax which mist he kept current on all persons c4oi.ng business in the city. Do you presently have a cxnrcntbusiness tax? YES ( X) NO ( ) U.L. Label PPDPOSED SIGN: (Qiecc as many as apply) PEmmw*wr (x) FTOMSrANDING ( ) F aMAAY ( ) OUI2 ( ) BIILHOARD ) BAIXM4 ( ) SIGN DIMLIYSIONs: _ 3, • X /D ' _ FXPI1M'ION DATE: TOTAL slur AREA (Sq. Ft.) -- WALL AM (Sq. Ft ) : _3.�------------ W JL FACT: --------- 11EIGHr (Ft) : PFnnF7C W FIJI WAIL: _!y -- — II TICN: YES ( ) NCa (� TYPE: -- COPY: U Ls f k!Q6"s itw- 4r P.C. CCr et_f!vd—}"Wilir, ceu,jt"ts I& 4VC0 MATERIALS: — �F�,t�L_�2�- 'n �¢l�=41 EA C£� Leo- B QKs D EXLSrIM SIGNS: -�— 19L1trM F�� AUIUCISIRIMVE LXCEM' CN: N/A ( ) APIWVF-D ( ) HOW MUCH_ k AREA ( ) H GIT ( ) PLANNIM DEPAIZUKENP X11 sign permits must be acoampaanied by a scale Pet-mit FFee: 19-S IC -- drawing arra plot plan. If work authorized under peoe__pt i - _ a sign permit has not been crmpleted within ninety 1 _vtrei_yI3 _ days after the issuance of the permit, the pemi t Date: J/ - a 6 — _ shalt become reill and void. L-Lk) IC AL PERMIT I CEMM THAT I AM TIIF rM-JJ 3)FD OWNER OF MIE PEJUIRFD: YES ( ) NO (�) PR3P AN =O�JAIM"qZFI) BY THE OWWM. BUILDING PERMIT RE7UIRFD: YM ( ) No ( Applicant's Signature 17300 _S.W. tjUl? 6 2 y ZYVS c p/BIQPE 1W Addis Telephow- N:\WC!tD\CONN\ I t I �1 e�� 'I 1 � �1.�' ..- � ,•i�0 ,•.�r � T�`r-�,R r;1�1I' I /I ' ��r i' _� ac � � � - :fir'':; .,► l r cy A � in WWx Wwjuw R � 3 C4 UN I o a O Ji 1' • .: : � �_ � 7 111 � � ,� , �_ d•S '� � ,;'� ' r� �" `ilii � I I .,n'1�J•J1�,+h�MIM�tUa;M�� �•fy�11 1 O O Q 10 R O O O J O yaJ � o �j b© n i N - I m -I I A ON � pN � p 0 a w ; " i co 1 KOS Fi M d C) 4-1 o o CO aiEi o 0Ld N� rya a dGa) r � sb U � a � G N 'L7 � O u� b C NN N P4 f+ O O aj $4 w E-I to " a U � W) d w .N " w O u) x w a cL Q AV)x 0 ■[ ® m rx Wr Wr N �a SIGN PERMIT PERMIT #: SGN91-0200 DATE ISSUED. . . . : 11/26/91 EXPIRATION DATE: 01 PARCEL.. . .. . .. . : 2S101AC-00700 ZONE. . . . . . . . . . . . C-P BUSINESS NAME. . : PAU'.Y, ROGERS AND CO. ,P.C. SIGN LOCATION. . : 12700 SW 72ND AVE APPLICANT/AGENT: GENE GRANT BUSINESS TAX NO: SIGN: PERMANENT (X) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL (X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 3.6° X 10' TOTAL SIGN AREA. . . . . . : 35 sq.ft. WALL AREA. . . . . . . . . . . . . 836 Bq.ft. WALL. FACE (DIRECTION) : S SIGN HEIGHT. . . . . . . . . . : 3 ft. PROJECTION FROM WALL. : 1 in. ILLUMINATION. . . . . . . . . : LION DESCRIPTION OF SIGN: P,3RMANENT WALL SIGN. 3.6' X 10' = 35 SQ.FT MATERIALS. . . . . . . . . . . . : FOAM/ALUMN EXISTING SIGNS. . . . . . . . 0 ELECTRICAL PERMIT REQUIRED: NO BUILDING PERMIT REQUIRED. . : NO ADMINISTRATIVE EXCEPTIONS. : N/A PERMIT FEE: $ 25.00 APPROVED BY: DATE: 11/26/91 r Permit No. � �� moa crr•Y OF Tr[c,Aw� SIGN PE144TT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the a000nWnying plans aril specifications. SIGN I-OMTI(YI ADDREv.S: 17-700 it1!� 70NING• C NAME OF [3ITSIT[I S: PA4 G yt APPLICANT SAG—Wr: �. CGA9SiC"DIiM/puSro�1K+- / Gerh..�r CI)MPANY: PHONE: The City of Tigard inv an annual Iksiness Tax which must be kept person c my business in the Ci po ep current on all City- you presently have a current busines�, tax? YES ( No ( ) U.L. Label I PRDIOSFD SIGN (Clux-k as many as apply) — - PIIdwe"r (x) F72EESTAND1% ( ) FRL13gAY ( ) TEMPORARY ( ) WALL F�[]CIT�iIC ainm ( ) BILLWA[KD SIGN DIMENSIONS: 3 f a x �0 TOTAL SI(21 AMA -- - —_ EXPIRATI-ON LVUE: WP.LL REA ( Ft.) : - WAIL FACE: — MG11r (Ft) PR UECIZON FVCM WALL: -- 1111 MI IATTON: YES ( ) NO 00 TYPE: 00PY:MA PA���r oscias �� Co,, l�.C.C[� �_ �scQ�,JI`detts_ a X06_0 EXLSTM SIGNS. AL11 rJ �i4 C� [.��p iq'ip AUGNISTRATIW EXC EPrIGN: N/A ( ) APPRUM -` ( ) NOW MUCH __$ C!14*2 Imo: ARFA ( ) HEIGHT ( ) HAMM DEPARTMENT All sign permits mist be a -� Permit Fie: S drawing and plot plan. If work authorized under Fbe+oe_ipt No: - 6 a sign permit has not been CORIPleteid ninety tvyt�d By: days after the issuance ance of the permitwlthe Pmt shall beccne null and void. EUDCM ZL PERMIT I C 1TFY THAT I AM THE RE71IM: YES ( ) No � POR AN AGFNr AFD 06 *R Or THE ROP ZED BY TNF OWER. MMDIM PERMITy RE)WIRM: YES ( ) NO (� Applicant's Signature (--P/BKKPFmr J'? 3O v s.c.J �1vN ���`F__, , A/. 62y-"Or N:\V"M\CUMEV\ Aci<iz s Trele#ione li , ( +i 3 All Uy Ij, ^ � til I'•u � r '"• �N.- Ili; �� '. OL a Iwre w t 44 ry I 4' I 1 '�_�_ .`,,.,,.x. i a ,fin i �w-----�� _, .• S- � .\S C3 A V � � t N �,-- - w . a ti0 0-6 CD 12) CoQ a) Co U 'J ILILF4 R i 1 o44 0 `L cd CL'J F-+ N •C 1 w O �F•� G=7 1 ^ O ^O O OJ ( O �z : � a1 0 o0 d I CITY OF, RECEIPT OF PAYMENT RECEIPT NO. 391--ppeo9b CHECIR AMOUNT 50. 00 NAME : CLASSIC DIMENSIONAL CA15H AMOUNT 0. 00 ADDRE-lis t GRAPHICS, INC. PAYMENT DATE a 11 25,/c)1 17300 SW UPPER SOONES FCRRY SUBDIVISION TI6ARD, OR 97224— PURPOSE OF PAYMENT nMO(.IN-r FAIL) PURPOSE Car=- r,wMENTAMOUNT PAID SIGN PERMIT F 5O. N0 SCAN ()1-• 199 SGN 41-200 t'r)TAL, AMOUN'r PAID 50. 00 INSPECTION NOTICE /Ii���'� City of Tigard Building Department P.U. Box 2335' Tignrd, Oregon 97223 Phone: 639-4175 7 Type of Inspection Date Requested����_�� 7G Time A.M. P.M. N9 0 Address,—/- O 5 Permit #-&-j P MA - — Owner � _ -_.-_-_ Lot # Builder fhe following Building Code deficiencies are required to be corrected: Presented to f� _ /eApproved Inspector Disapproved Date Q — CALL FOR REINSPECTION ❑ YES ❑ NO 1 WASHINGTON COUNTY INSPECTION CARD Project No _ DEPARTMENT OF LANG USE AND TRANSPORTATIONqMR NO. Z�� � L FOR INSPECTIONS CALL: 640-3561, 24 HOURS — / FOR INFORMATION CALL: 640-3470 DATE C� - ADDRESS ✓ �7 PE RMITEE r-LL DIRECTIO ,-/ r r Cc' -p�'L PHONE NO. SIECTION STRUCT LUM []MECH ELECT _ Sty CALLED IN BY r APPROVED. •, . ]REOUESTED INSPECTION APPROVED HOWEVER NOTE:0 --� NOT APPROVED. REPAIR OR REPLACE AND RE-INSPECT: -` ElSTOP WORK UNTi - DATE Y INSPECTOR WASHINGTON COUNTY INSPECTION CARD Project No DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. A1C i %C, L� FOR INSPECTIONS CALL : 640-3561 , 24 'TOURS z , FOR INFORMATION CAI.[,- 640-3470 r OAl. ADDRESS �� --------.__ _-- PERMII[f - DIRECTIONS ,// !;5PEC110NS: STRUCT 'PI_ � I1M6 [IMFCH E]ELECT [E ' CALLED INY '� F1APPROVED. � �. . , nREOUESTED INSPECTION APPROVED /Cz - _ HHWF-VER NOTE : ? - _ OT APPROVED REPAIR OR REPLACE AND RE- NSPF T: I -C -, EISTOP WORK UNTI� DATF INSPECTOR— -�— V, CtTYOF TWARD BUILDING PIERMIT CrrYOFTWORD PERMIT #. . . . . - DUP190-0089 COMMUNITY DEVELOPMENT DEPARTMENT 0029M F.IRTM. VIERMIT" " O. -. BUP90--0089 13125 SW Hell BW. P.O.Box 23397,Tigaid,Oregon 97223(6031639-4176 G 39-4 1?1. ��7----DATL-IGSULDa 04Z03/90 SITE ADDRESS. . . : s w X27 00 � ~.--? PARCEL: 2SIOI(-)C-- 00*700 SUBDIVISION. . . . .. SE.VELAND NO.2 ZONING: C P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 13 REI SSUE s FLOOR EXTERIOR WALL CONSTRUCTION- CLASS UF WORK. ;DEM FIRST. . . . .- Sf Na S-. E W: TYPE OF USE. SF SECOND. Sf PROTECT OPENINGS?__...__.._.. TYPE OF' CONST. :5N THIRD— — :: s f N: SC E.' W OCCUPANCY GRP. :R3 T 0 T A L----.....-..-. 0 S f ROOF CONST: FI RE. R E'.I OCCUPANCY LOAD: DASEMENT. : Fif AREA SEP. RATED; STOR. -. HT. e ft GARAGE. . . Sf OCCU SEP. RATED: B S M T ME Z Z? REOD R E Q U I R E D FLOOR LOAD. . . . s psf LEFTS ft RGHT: ft FIR SPKL: SMOK DE-T. . .- DWELLING UNITS: FRNT.- ft REAR: ft FIR AL.RM: 1-1 N 1)111 P ACC: BEDRMS: BATHS IMP SURFACE-: PRC CORR: PORK 1146 VALUE. $1 0 Remarks: demolish existing single fitni dwelling. septic tank nILkst be PL(pnied -Ancl filled, o-r sewer nittst be capped (:)ff !inspectic)n t,equi-(`ed by city) Owner: ........... FEES PAUL Y/RODGERS PC type A1110LInt by date--_ v c.. 12950 SW PACIFIC HWY P,R MT $ 15. 00 TIGARD OR 97223 PAYM $ 15. 75 BCR 04/013/90 Phone #c 620-2632 Contraetar: CENTREX CONSTRUCTION INC. 1.2900 SW PACIFII'; HIGHWAY TIGARD OR 97c 23 Phone 0.- 503--684..0443 S 15. 75 TOTAL. Req #. 56358 REOUIRED INSPECTION'..'; !his permit is issued subject to the regulations contained in the V-00t/fOLInd IiW 11 t'?� •Line Insp Poi Tigard Kunicipal Code, State of Ore. Specialty Codes and all other PI n npp-r/WWlk Insp applicable laws. All work will be done in accordance Pith P1 I b '�Zs,nsp Fii7 nspeetion approved plans. This permit will expire if work is not started Mpo-chai C T- nsp within 180 days of issuance, or if wuO is suspended for more P-rn-r,,_t q t Insp than 180 days. F-r a ni i n q nsp F IAIP I (:Ip Insp Ga ine I -isp I 190.atk) 111 S p ....... Vley`nlitte- ....... 6 a7,d Insp I we-(` Ins I%Sued' Hyl .......... Ra i n r n Insp Call for inspection 639-4175 �► Lw- w a r Cll'v OF TIGARD — RECEIPT OF F'AYMFwT RECEIPT IPT 190. a 90--FJOO1 6 CHE C"J%, AMCl(.1PJT e 0. 75 I, itIF a CENTRE:X CONSTRUCTION CA H AMOUNT e 35.00 #', ) IRIESS a 1.2900 SW PACIFIC HOJY PAYMENT DA1'E: : 04./fly/9,. � SUBD I V I cE;,I ON a 1'a (314RD, OF' 9"�::'.'-04.47. F 0f-,:F'QSE✓ OF PH i'ME N T AMOUNT PA I E) PUPPOSEr OF F'AYMr...IT AMOUNT PAID kU ((._[)1N1(3 PEPM'ET_.__.._. 1`).00 ST. WILD PEPNIT' TAX 5% I (I I I1 •...r.r,e:nfea!r.0-.'YiC!�'rxwensxp;,e�m., .. r,+N�,..'.u+<vr wa.r_rrnn in x.•:mrN�t,:�;r.,iMy:.rYr..4e�F^IA.Pnal. 1.717J4 T.. w .. -.�^'.y 4r'iKb". APPLICATION — STREET IMPROVEMENT/EXCAVATION COPY TO: ORDINANCE NO. 74-14 ❑ (WRITE)-FILE ClE �� (YELLOW)-INSP,�( (INSTRUCTIONS ON SEPARATE SHEET) A9F(PINK)- , J (BLUE)-APPLICAN /1 APPROVED p APPLICATION NO.: NOT APPROVED �(� CI I'Y OF TIGARD, ORL'GON FEE AMT.: PENDING FEE. PMT. RECEIPT NO.: PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY __ DATE—, I —� — PENDING AGENCY ''OK'' ❑ %pplicelion and Progress Record MAINTENANCE BOND x PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED — ANNUAL LI PENDING VARIANCE ❑ EXPIRATION DATE: —I PERMIT NO.: r— `�_- DATE ISSUED: _---I2 �°l ''"�'! BY: ---�_'----- --- ( 1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ Y LLd'.1 J,r AS DESCR!BED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT _ _ I�l'1 e [ r—_�_ r:(�R AtlS __ � _.__ CITY '► PHONE / � 7zz� CONTRACTOR .JJ��7'il J(UC ". ("-nljt i 101/0 Ajlm6 ) 1I f.Ala.I F"t ��L., - �I�� ADDRESS CITY /IFNONE PLANS B Y `.Ju �r ( .Qt ._ Ijl � •r NAFAV ADDA CITrI. r� ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): DOLLARS (2) EXCAVATION DATA: Foie OFFICE USE: —-- �_—CmIN- _ 0.04 X f_— STREET" DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY STREET 'T N D INSP C- __�, R TION E Q -- lJ ESTIMATED STREET OPENING DATE: —1_—_L _ g ESTIMATED STREET CLOSING DATE: / / T E ( 3) SECURITY NO. _( ��/,qj1 SECURITYAMT.: S—�_'� CLOSED SURETY CO.: Jf ! Ir Sllll. �,.�,1c� /5-��-�, !' . ,. FINAL — — _-_ _CERTIFIED CHE�1( O( - CASH ❑ •PND INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL ��e3 SPECIALPROVISIONS / CONOtTIONS: r"EATURES; EXCAVATION LOCATION AND EXTENT. - --- - I 1 A CURB ( I I I I 1 I 74 ( 1 -->--�s ----- --= -•--_---:-- _– --_.-.–. llrl EREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE NOTE THE CITY Or TIGARD DOES ��T, H NIGHT OF WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THF- STATE OF OREGON. THE. APPLICANT AGREES TO DEPOSIT THE REQUIRED SECIIRI'r1ES, TO COMPLY WITH ALL PERTINENI LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONCUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WV LH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE < � t�Y µ X11 I j�»ri��� DATIK J [� ,C+.+,.w�y .ti, a h C•,ti. N - K �• s '+in F't, n' w 4•""'.+y 4 t R 1k sl.� .lrrp4.,,Nt'n•+ ro•LR e,ur,�, •+fir '�'. , 4'h� nth ! ,et"'Rf,'•r ! _ ♦,, flii�„�'� .tt,�.A .Lr C t4lO• >♦,,. ��d fit. , prig„ ''! ,+�•• JXip °yj°d yyy# MXp -.n ++r..1 t y�, t' u.i ttti�4 f�Fi' t t �Iltn x t �iRy'jlN •rai' r }Yh t'n4sl� tf' .►.„” r► ..„y s'f r +�? 4 4{F ` 6 +e FF rc Ef � r� L~r; �, 11 Mr � !{ (+ Y� ((`i�c E'`'�� ^ �.a. ( t�� � '•+ • !c c. ��f !� �y�cr..trr f � ( ei �: i� �"d `C{svF�ir��tlf�` �`tif`'.e+1SEs�s 111'� M'. (� aW` �i+.i`'L�t����Cl��► `Wi iS��,��ll, ( "�t � !"`t�y t� w v I t {ti Ap co F ij int 1I' m u~�l F c� e4J � to Oto {�.t{i•,h,,, �.4T+I! ' � ^^ •! �-+ � .17 Ca "" ..� .. .,\ uU �+� �2�*�;�ei`:''t t�. to' 4-j ow Tcj ( Ilk �rtPt'• ® � ~T N N n-1 '.� N ^�'�. �I •�ps�- �t c 0 cs 4J v -'•, to -H W 't ,•,ry / A� Ln tj / yLs• x�` � rx N d M � Yr Qti r ��.#4':, +�.t�,, v f� O U Ute.+ � �� /t� � • ..� � � •rb�rriP�p,'. r\T lit I t I YR}yt�ti w t`tt, � / .4•:••:iri,..i.;.Y.�. '.11 �qt.. .......... .� --�-�r�m . {{{< v.� �S1R''y '.*�/ ill�'r { `.1rgCR'� j a r y��ti�,� W�.'�y�*�lF(tp �ItNI�S:yta`2`�jl�,s 1�`,��y�9f .aG:n44C:'7,''��+,:•t��'y�e sf��,�irt�'GFq �u dBIM ��,�,,�rCrl{p ,t��t:y ��V t ry,��- st b .I� \t'r'y/�� ,., , �'��ffj-WP �t,�"Z�•`"r 'AI''M.t�! �" +17Th' h.� .'�' 'i=r� /� A..wij '`�7' •��ry'm t�' "R4!'�N'�,1C� `/i L) �"� +l,�r•'•,,at' '� a ,�rt,.�F, y�., .'^. �� t M; M�1t�ft`.:i�jif �'a'�'�! t .t,,;�, (l I ,n n �.•� ""'•�•��_i•�..i-tel ..=•"=�,s\.�'�`/'�. .w•,w �i.�'��^�,�__��1-.��-.^` �-\_ .�, �! 1 BUILDING PERMIT APPLICATION TIGARD DATE-_ -* 1_-_-__, 19-1511 3811 T'HE UNDERSIGNED HERLP i APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 620–:3-2.1 OWNER Gary Reid, Inc. JOBADDRESS 12700 SW 72nd Avenua LOT NO ARCHITECT ENGINEER BUILDER 88MFJ ADDRESS t3atTifd DESIGNER STRUCTURE ❑ NEW Q( REMODEL ❑ ADDITION ❑ REPAIR 0 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION F RESIDENCE COMM ❑ EDUCATIONAL. ❑ GOV'T ❑ RELIGIOUS L) PATIO F] CAR PORT ❑ GARAGE STORAGE ❑ SI AB❑ FENCE OCCUPANCY i-Z LAND USE ZONE BLDG.TYPE ---5A-_FIRE ZONE —PLAN CHECK BY HEAT r2amolish partial area and re—build to existing buil�iinq� SEWER PERMIT# -- OCC.LOAD FLOOR LOAD 50 HEIGHT 2116"NO.STORIES :2 AREA [0 2 NO.BEDROOM_ S VALUE _ BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit $3,,.L.lO THIS PER ' IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check lU�00 {REGULA' JS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK V ILL 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 — 4-15,00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBINr,,AND HEATING. State Tax 1.28 Total $49.28 SDC— ,By P1 PDC# APPLICANT OR AOENT Approved bcr Receipt No. ADDRESS PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE /sn -- ----^ Contractor a --- ��. —�-- Permit No. Rough-in -- Fixture Final HEATING ` Contractor ^Y Permit No. Gas or Oil Rough-in — -- Final --� -- `---- — SEWER ------- -_ final — DRIVEWAY —_-_-�—`-- Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Straw Final Approach BLDG:.DEPT. FINAL TEMPORARY CI£RTIFICAI'E OCCUPANCY Final CERTIFICATE OCCUPANCY ti I O Larid,-nping _� I Zoning Final — ` i ADDRESS _ . i� � 13(A) ,off PERMIT N0 , PERMIT CHARGE none 0ER _ _ CONNECTION FEE . PAID BY TYPE OF BUILDING � / . DATE CONNECTED SEPJICE RATE _ � _ INSPECTION FEE M;TRACTOR PAID BY DATE SIZE OF CO':'.__CT ! ON ASSESSMENT _ PAID 3//7 W Iff i t i' iIt N ■ N BUILDING PERMIT APPLICATION TIGAR:) DATE 19 THE UNDERSIGNED HERESY APPLIES FOR A PERMIT FOR THE WORK HEflEIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL ANS AND SPECIFICATIONS. OWNER PHONE%O_ LOT NO.JOB ADORESS. v ARCHITECT ENGINEER _.UIIrr.,ER ADORESS . !a ' r DESIGNER :TRUCrIJRE ❑ NEVV Cl REMODEL Li AOOIT'!ON ❑ REPAIR Cl RENEWAL El FIRE DAMAGE ❑ DE►AOLaION RESIDENCE C COMM G EDUCATIONAL C GOVT Cl RELIGIOUS C PATIO C CAR FORT C GARAGE C STORAGE [? SLAB❑ FENCE, n-CUFANCY ' l LAND USE ZONE /_J BLDG.TYPE j"'t!FIRE ZONE----- PLAN CHECK SY HEAT L1f/�J LI y /�/�dl;/A 1 /1,1-' _i� AA/,-) .4�6 v✓/_ _ -� �.�;.�y r _^� M r ---rl SEWER PERMI r N f 'CC.LOAD FLOOR LOAD HEIGHT_' NO.STORIES .� _ AREA ANO.BEOROOMSVALUE:_5'C D 1' BUILDING DEPARTMENT SETBACKS FRONT REAR _ LEFT SIC E RIGHT SIDE i _+ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZCit:`tG I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TeAT THE 'i,n Check �v IOP.K WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN MAPL1l,NCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA'V: �:}total RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CO`7TPACTORS TO HAVE CURRENT CITY BUSINESS n LICENSE.SEPARATE PERMITS REDUIRED FOR SEWER,PLUMBING AND HEATiNG. i:at6 TBR • SDC— Total PQM APPU'CANT OR AGENT By Receipt No. Approved ADDRESS PFfONE )c s . C - S :_WER CONNECTION / I -WER INSPECTION -WER SURCHARGE S J L W W W le CAIYOFTIIFARD Caqju"I� PLANCHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK # 13125 S.W.Nall Divd_P.O.Box 23397.Tigard,Oregon 9rm.(503)539.1175 PERMIT V rn o s7 DATE ISSUED _ JOB ADDRESS: TAX MAP/LOT SUB: _ 1-01 : LAND USE: _ VAIUAfION: OWNER � � I - SPECIAL NOTES NAME: REISSUE OF: _ ADDRESS: " �' 'l LAST REISSUE: -:5tj FLOOD PLAIN/ SENSITIVE LAND: _ — PHONE: fCCr}r�? APPROVALS REQUIRED ("TRACTOR PLANNING: NAME: L UtyS fSZ.hG Si1+�I (uR . ENGINEERING: ADDRESS: OQ _�Uj F;FRezj C- 1••1w'? FIRE DEPT - 1'� OTNER: PHONE: C- ITEMS REQUIRED BUILDERS BOARD N: EXP DATE: `. 1 LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: —_ — NAME: TRUSS DETAILS: _ ADDRESS: OTHER: —� PHONE: —._---- . SUBCONTRACTORS: PLUMB: MECH: PERMIT y ACCT N DESCRIPI;')N AMOUNT AMOUNT PD. BAL. DUE T_ 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit, t yes 10--431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing Mech _ 10-433 00 Plans Check Fee P u i l d i ng - --- --- -- - ---- 1 u,4b i ng flech 30-202 00 Sewer Connection 30-444 00 Sewer Inspc±ctian ------ -_-_------ `- --_ 51-448 00 Street System Dev Charge (SOC) 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 10-230 06 fire ----- ------ ------ -------- -- - --- TOT A1. REC N APPLICANT SIGNAIURL Received By: Date Rt-coiVed cn/3587P/18P - -- - - - GRADINWEROSION C )NTROL INFORMATION GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.: PERMIT NO.: - - APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACTOR NAME& ADDRESS: - OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: - APPLICANT: _ _ PROPERTY DESCRIPTION: OWNER; _ STREET ADDRESS AND CROSS STREET/LOCATED GENERAL CONTRACTOR: EXCAVATION CONTRACTOR: - STTE/JOII LEGAL.DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: SITE SIZE,ACRES: - - DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE) (NOTE:Pl.-RMI-IS MAY BE RrQU)Rr:D) CATCH-BASIN DITCH PIPE CREEK _ (CIRCLE UNI:) PRIVATE PROPERTY PUBLIC RIGHT OF WAY EROSION/SEDIMENTATION CONTROLLESC) MEASURE MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC. PERIMETER RUNOFF CONTROL, FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER _ OTI IER - PLAN FOR EROSION CONTROL PREPARED AND SuBMrTTED IN ACCORDANCE WITH'TECHNICAL GUIDi,NCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS"LAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY PHONE NUMBER, SCHEDULEJSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE.STANDARD NOTES. 1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILI CONSTRUCT ANT)MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMEM'()N THE CONSTRUCTION SITE. OWNER SIGNATURE -� APPLICANT SIGNATURE • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • OFFICIAL USE ONLY. RECEIPT DATE ACCEPTED FEE NUMBER RECEIVED BY