11575 SW PACIFIC HIGHWAY 11575 SW PACIFIC HIGHWAY
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CITY OF April I 7CaN-n 0742
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPL.IES FOR APERMI T FOR THE WORK HEPEI N INDICATED '
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE--_
WNER Fred Mayers ADDRESS 1157O S.W* Pacific Hwy* BUIL ERPHCNE
H.
A. Anderson Coo ENGINEER
BUILDER ARCHITECT _ DESIGNER
STRUCTURE ❑NEW REMODEL []ADDITION C3 REPAIR ❑RENEWAL _❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
LINOND ❑MOVING ❑CONDIT'IONAL USr: ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—L--2LAND USE ZONE BLDG.TYPE __FIRE ZONE__ FLAN CHECK BY HEAT_
ConstrUiLt ekpt)rUX, 159 nu11 I mallet. —
QCC. LOAD A^_ FLOOR LOAD_ HEIGHT NO.STORIES — AREA VALUE �`-
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
4)
Permit X15 0 _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANU IT IS HEREBY AGREED THAT THE
--`-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE:WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
46 State - 1 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total— •�' �
By
- - ------- 11PPLICAN7 OR ACGEN7
Approved Receipt No.
ADDRESS -- - - ----- - PHONE— --- . -
1
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
---- — -- Contractor
Permit No.
?ou2h-in
- Fixture
^— Final
HEATING —
__ Contractor
Permit No.
—__ Gas or Oil
--.— — Rough-in
,nal
— -- ----- SEWER ----
_._�— Final
— — ------ -- DRIVEWAY ------
--- --- _ _- Final
Storm Drainage
(Rain Drain) Final
------------ --- _ —_�^. Sidewalk --.
Curb&Street Final
Approach
BLDG. DEPT, FINAL -1—E M—PO—RA--R—Y CERTIFICATE OCCUPANCY r
CERTIFICATE OCCUPANCY Final
�� Q• Landscaping
Zoning Final