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APPROVED FOR CONSTRUCTION
CITY OF TIGARD
PERMIT w. 38 3 - SITE ADDRESS PA.Gi Pt, ,
BY— .� TITLE..
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11945 SW Pacific Hwy
Suite 215
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1:\records\microfIm\ta rgets\build'ng.doc
CITY OF TIGARD BUILDING INSPE&ION NOT E II
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain D-iin Cover,'Seivice FINAL:
Fr 1 inflation Water Line Ceiling Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech,
Plbg.Und/Flr/Slab Plbg.lop Out Insulation lec
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: 1 4-6� , �ntE �
Date: A.M. P M.__ ry:
Address:
I
Tenant: 1.Cc �J-c� Ster2�MST:
BLIP: _
Con/Own: i L w MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspect r: _ Date.
APPROVED DISAPPROVED/GALL FOR REINSP. SCF CO
�__
CITY OF TIGARD RE ELECTRICAL
TdIC TED ENERGY _
G
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: E►.R96--0233
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 DATE ISSUED: 07/24/96
PARCEL: 1 S 1 5DD -03.301
SITE ADDRESS. . . : 11945 SW PACIFIC HWY 4215
SUBDIVIGION. . . . : HOFFARBER TRACTS NO. 1 ZOI\IING:C-G
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :.
Project Description: Installing protective signaling.
A. RESIDENTIAL-••-------- B. COMMERCIAL
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . 1_.ANDSCAF='E/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . MEDICAL. . . . . . . . . . . . ..
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . FIRE ALARM. . . . . . . OUTDOOP LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PRUT ECTIVE SIGNAL. . : X
INSTRUMENTATION. : OTHER. . : . .
TOTAL_ # OF SYSTEMS:
Owner: -_.__.__.__._____..________.____._..____._____.___.____.__...___._______.____ FEES
ALL STAR TRAVEL type cmol.lnt by date r,ecpt
11945 SW PACIFIC HWY PRMT $ 40. Jd0 CJS 07/24/96 96--261991)
SUITE 215 5PCT $ 2. 00 CJS 07/24/96 96-281999
TIGARD OR 97223
Phone #:
Contr-actor: ----_------.----__--___---_-_-_--------_
ADT SECURITY ALARMS $ 42. 00 TOTAL
70.3 NE_ HANCOCK
REQUIRED INSP'ECT'IONS -------
PORTLAND OR 97;:',11', Wall Cover Elect' 1 Final
Phone it: 50.3-284-3265 Elect' 1 Service
Reg #. . : 59944
This pewit is . sued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all othrr Perm it ee Si gnat i.ir,e
applicable laws. f,l work will Lr 1G„6 in accordance with
opproved plan,. Ti's permit rill expire if work is not start,•d
within IN r'.ays of issuance, or if wo^k is suspended for more
than 180 days. I s s o-led By
INSTALLATION ONLY--_--------.------.__.___ ._______.__......._.._.
The installation is being made on nroperty I own which is not intended for-
sale,
orsale, lease, rjr rent_
OWNER' S SIGNATURE: r)ATE
INSTALLATION
SIGNATURE OF SUPR. ELEC N: /_l _cf? DATE: r
LICENSE NO:
Ca? l for inspection - 639--4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
1?125 SW Hall Blvd.
Tigard,OR 97223 PERMI f# i:L A45 -Q a3'3
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED1RI9
TDD No. (503)664-2772 1-01
CI'tY OF TIGAPD Inspection (503)639-4175 ;SUED BY Shu -)ex
PLEASE COMPLETE ALL SECTIONS
1. LOCATIION OF INS T IATION 4, TYPE OF WORK
11?4-5 ju 1-1/s
A RESIDENTIAL—Restricted Energy Fee. . . . . . . . . ,1140.00
` 7 (FOR ALL SYSTEMS)
City State Zip Check Type of irk Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR'i WORK IS SUSPENDED FOR y
180 DAYS, ❑ Burglar Alarm
2. CONTRACTOR APPLICATIOt I ❑ Garage Doo-Gpener'
❑ Heating,Ventilation and/sir Conditioning System'
Contractor jaTA., ygT Type _ /'L�] Vacuum Systems*
103 NF HANCOCK ❑ Other
Address PWLAND,OR 97212
Date J! (�� COMMERCIAL—Fee for each system . . . . . . . 140.011
�..-� (SEE OAR 918-260-260)
Property OwnerSisk-IXRe
r of Work Involved:
Contractor's hoard Reg. No. ^� ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# — ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
. /
El Fire Alarm Installation
V
V I t ❑ hVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
U Landscape Irrigatit.n Control~
City State -7 El Medical
This Permit is Issued untirr OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy Install Pion,000 volt amps or less)ander this permit and to do the Outdoor Landscape Ughting"
fnllosving: -01F1. Only use electrical licensed persons to do Installations where required.(Certain
4 Protective Signaling
residential and other trensactions are exempt from licensing.These have J Other
esterisks(').All others need Ilcensin1V. —"-
2. Call for an inspection when all of th r installations under this permit are ready
for inspection at 503-639.4175. 13 Number of Systems
3. Purchase separate permits for all installations that are not ready fir inspection
when the inspector is out to inspect under this permit. •No licenses are required. Licenses ata required for all other installations.
4. Assume responsibility for assuring tha it corrections required by the,nspector
are done,and
5. Assume responsibility for c in a fina(inspection when all of the 5. FEES
corrections are compic,
The person signi g fo hi ermit must be the auplicant or a person a. Enter Fees $ ��
autharWb t t ilii i(ant. —`
b. 5°!. Surcharge(05 x total above) $ C__
Signature TOTAL
Authority if other than applicant
ENERGAP.C:HP
8
NOME I Q), 1/10
703, NF:; 141 1,1111 D 1/1 1
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M F 14 1 1-it'll IUN I 1-IfI10
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F.V R90L,W2,33
I J 949, 1-04 PAI,I F I C HWY
11'AL AmOt J1.1 I P
CIT1�0F TIFA RDOFT,0WARDr
UNITY DEVI:-LOPMENT DEPARTMENT 0111100114 t::-P MI T
13126 SW HWI Blvd. P.O.Om 23397,T4W,0 gm WrM(603)419-4175 1. f lf.
d4 J
ST
r E-.'* ODDRE —Sb - 11945 SW PACIFIC I-INY #S.- EV15
i-iCJPFARBEP TROUTE-) NO. I C.-Cl
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .. .
RE I SSUE j FLUCR EXTERIOR Wl-ii-l- L(jiq,-,Jt4Lj'L ! l0N-
LLOSS OF WORK. ::HEF, I-I RE-iT. . W a S. L- W:
TYPE OF USE.. . . 4,C0111 ZROILUL, 0I*L'i-,JlIq6�'
'i-Y PoE OF CONS"r. --5N Th-I I PD. Es r Iva S.- W:
QCCJr-IP)NCY GRP'. -E%2 TO 1):, lit C f POOF CON57 -B F. [iE RCI? ., Y
OCCUPIONCY LCIAII f PREA SLP'. Ri--)TED;
STOR. s I HT. : 14 ft 601-41GE. I s. OCCU SEP. RF4'11LD :
b t-i Ivi V 71 1\1 IAC ZZ? .14 RE QV SETBALI'N'S---- fik U U I
FI-COR L(J1:). . . . .. Pi F LEF'f c ft RGH'I". ft r Tri swi-v i\i bIvIOK DFI . . 4,iA
IjWF;A---..-I IN6 UNI'i Ei k : f-C 1t t.V4 11 ft F 1.11 f4L,rit'l im
br-DRIvIS- 1a1-1I 1-16. IR CJ C,0 1".R INI 1.4.,,1-<r'-I 1\16
VALUE. i;: 5 3--t,4 8
Remarlis.- Re-roof blcj4 over Y1-tites- L.orillni-tatIOn Or Wort:
started 1.tnder oriniar,..* permi
Owner:
MILT i1ROWK It y In e atnol.tnt by (nate reept
11945 SW JC"HWAY J.*,.RIfIT * Q,141 bili 03/ ili1/92,
5FICT s iiF. 75 bIvI 1Z13 1)it
TU.)ARD OR 9-i*2,�3
P�tione ff:
Lontrart--.,r-
THONFt6 DELAHEY
335, a SE DOYLE R011)
LSIALALA OR 97023 ......
P11-1(:i17e 646----'. 156 :A19. 75 T074-1l-
i:e 1.1 41. » .36861 RE0J1hJ--D
This permit is issued sub2ect to the regulations conrained in the kivof riallng !Tisr,
Tigard "!litiicipal Lade, State of Ore. Specialty Comes and all athe. 1 final I n s p e r-, c)ri
applicable laws. All work will be acne in accordanc? with .............
approved plans, this permit will expire if work is not started
within 180 days of issuance, or if work is susuenaed for more
than 180 days.
P,e r nt L L-t;e e S 19 n a t 1.t t,e
I s r-1.t e d B y
Call t c)r i n t;p e c:t i o r, L, � 4i 1'5
Permit No. SP 89-124
OF TIGARD —
SIGN PFRNIIT APPLICA'T'ION
The applicant terehy applies for a permit for the work indicated or as shown in the
ac company ii q plans and specificatioj es.
SIGN UX:ATION ADDRIiS: _ 11945SW P;,icific Hwy (Tigard Plaza ZONIIJr;. C-G
<IE o2iS --
NAME OF BUSINESS: All Star Travel —
APPLICANT/AGENT: Jack Vido6i ma y• Action Neon PHONE: _223-3428—
The City of tigard inposes an amrual Business Tax which must be kept currelit on all
Persons doing business in the City. Do you presently have a current business tax?
YES ( X ) NO ( ) U.L. Label
Pmm-sm sic N: (Check as many as apply)
PERMANENT (X ) FREE:STANDLNG ( ) F1 EEKAY ( )
TEMPORARY ( ) WALL (X ) EE=- PONIC � )
OTHER. ( ) BD.LBOARD ( )
SIGN DIMENSIGNS: _ 16' x 3' (approx) EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) : approx 46 sq. £t.
WALL AREA (Sq, Ft.) : aprox 486 sq. ft. —
WALL FACE: east
HEIGHT (Ft) : N/A
PRaTECTION FROM WALL: _
IIjIj1vIINATION: YES (X ) NO ( ) TYPE: _Internal Fluorescent
COPY: All Stac Travel 624-1849 _ �.—
MATERI11LS: Alumin an CabiHt-et with Plex face _.
EXISTING SIGNS: none _— —
ADWRTSIRATIVE EXCEPTION: N/A ( X ) APPROVED ( ) HOW ME ICH %
��.y�,�,� ,fir NRFA HEIGI-Fr
( ) ( )
PLANNING DEPARTMWr-- — All sign permits must be accompanied by a scale
Permit Fee: $25.00 drawing and plot plan. If work authorized under
Reeei No: 1056`'71 . a sign permit has not been completed within ninety
Awroved By: J. 0ff days after the issuance of the permit, the permit
Date: 10-11- shall became null and void.
E LD=CAL PE 1IT -PROFy THAT I AM THE RDOORDED OW TER OF THE
RBWIRED: YES ( ) NO (X) P OR AN(AGENT AUTHORIZED BY THE CMNER.
i BUILDING PERMIT
RDQUIRFD: YES ( ) NO (X) App icant's ignature
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NAME INC. EiulFaAMOUNT
ADDRESS: 4118 S. W. PAYMEN'F DoTE i 10—1 1 H9
OP P 1. Pl (.0.1"
P U F;�'0 S E OF f: Avr1FN1' Atlol.IINT F(411*:i A1,100M I
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ATIN nUPAL FINE PROTECTION DISTRICT NO110E OF PLANS REVIr W Ol *
17 ROY. 127.127. rtIALATIN. OR 97062 (THIS, IS NOT A BUILDING PERMIT) r
PHONE (50,3) 082 2601 1
ut.,Ildtngsigard-PJaza Sp.acP--215-"T_igard-Jrav�e�� �A9en�y' 11-94� �W-Pas3#i�-Highway I -- - --
u m uut ,
Cotmty--Ra. 11gton_.�.uccupancy__IL-2_Off is _
.i on�t ��pl_--- F M ��-� _�_—�_-►'g 1 of---
Arrhttnclcah1�—Lom5tructjQn —_-__ New Bldg. ❑ Addition U Alteration (N Date Received'-22.9-8}--
Ownol _— ----- ---- _— --_—.Adore:.:. -- ------ -Dal�>!V'fiLiwed- 8-43-81_
i--, Attic.�-- Fire Wall
E,_ s Exits 1 _. 3 N
al01ICG�--.A- -91b -- ..- ..- --TOT WIl71N
M Stu r t N OASEM[t�l
Stt1!rs - Vert£hafts NT i aosr.� Sprinkters_.�__ i.._-�7_._ Alarm= S.P. INT. SIZE - rT
- GLOSEU YF5 ANSA COti'n
Ext2A=. � tJCi. --_ Flow�ynE_ Ceihntl�5p._.ltoof.e�_Slr. Member _��_
CI A, NU TYK: AREA-;hV
will co\,-_-coI1L—__ jgyp..br— Htr. rm.enci.,_,.- - Type flue Type Htg.System_..__Fuel_.�-.
The submitted ^'ins have been reviewed for conformity with fire protection statutes and requiatlons of Oregon administered by
this office. Iten No
checked on the enclosed list are applicable These items and any specially noted provisions must be incorporated into the project
to meet current fire protection regulations. Approval of submitted plans is n,)t an approval of omissions or oversights by this
office or of noncompiiancr) with any applicable regulations of local government.
REMARKS:
This is a Fire and Life Safety Plan Review, predicated on the 1979 edition of the
State of Oregon Fire and Life Safety Code.
1. Install not less than one (1) class 2A 1OBC fire extinguisher.
2. Hardware for all doors required for egress is required to be of simple type having
no provisions for locking against egress, with obvious method of operation. Flush
bolts other than listed automatic are not acceptable. Sec. 3303 (see exception) .
j 3. Surface flame spread rates of walls and ceilings, minimum requirement, other rooms
1 - 200. Sec. 4204.
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EXAMINED 13� _Gene...Bir-rhilL. - -- —
co11ES TO_21_City of Tigard 1)__Gene Birchill
300-18
9-A ek
cirY TIC ARD OITE 19 N° 3833
BUILDING PERMIT APPLICATION of
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOP THE WORK HEREIN INDICATED BUILOERPHON�E'uO•,P•2 331
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
VV ll` /� 11, pa LOT NO
OWNEP "O I�i SO N JOB AOORESS I 1 q♦ s `�/ �Q�; G 4w A
_
I� ENGINEER
ARCHITECT �• Q
ADDRESS 2 i9to_L0Lf& ��• '%/11Ah• OF-SIGNER K/7
STRUCTURE [ANEW FIEh,nOEL ❑ADOI PION tREPAIR ❑RENEWAL ❑FIRE DAMAGE – ❑DEMOLITIJN
T' RESIDENCE 'COMM ❑EOUCATION..L 0GOV•7 CJRELIGIOUS{,PATIO ❑CAR PORT ❑GARAGE ❑STORAGE C]SL:,s ❑FENCE
'`2 CUPANCY 1420_LAND USE ZONE_.ti 3� DLDG TYPE _.!r _FIRE ZONE--!! PLAN CHECK B`r_ HE?T
,44 M.'e ;cct�-�° �a4 .Tt*4d dgpe4&q-g?*oe a zat,r, Pv lazy_
2.
FEWER PERMIT #
9-CS,_QQSpj7FI=Aj.OAD �Oh6 HEIGHT NO.SMRIES ARE NO SEDRQOti'S yALU_F
BUIL41VG DEPARTMENT SEf BACKS FRONT9et PILIN_ HEAR LEFT SIDE RIGHT SIDE
Por.rtlt
!j THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
win Check �QI•�� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
r"--'-- — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
yJ'.:� [Oldl 4 • ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
A& nft RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Earp Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Tota! �Z 08 SDCBy -
- PDC# /,
f A'�PLIGANT OR ACENf
LpprovEd Receipt No.
A11nRF55 HANE
SDI -
PDC; -
SEWER CONNECTION
SEWER INSPECTION
SEWER SURCHARGE
Comments : Q124.
lee
BUILDING PERMIT APPLICATIGINI TIGARD DATE_.___ __—___.,1B_? 3833
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER . J. i tt I r C11:JOB ADDRESS
ARCHITECT
ENGINEER
1' Ir• CtTlri.3'vr t j.C.- DESIGNER
BUILDER ADDRESS
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE CJ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO_❑_CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY BLDG.TYPE `�' —FIRE ZONE " PLAN CHECK BY cI''} HEAT
I (,�.''.....+. �..C' 'JL T�( • G�
SEWER PERMIT# I
OCC.LOAD FLOOR LOAV'C"W I's HEIGHT NO.STORIES AREA NO.BEDROOMS - VALUE
BUILDING DEPARTMENT SET BACKS f RONT REAR LEFT SIDE RIGHT SIDE
Permit 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 AGREED THAT THE
Plan Check �.y"__ 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
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total
--"-- --- PDC# APPLICANT OAGENT —T
By
Receipt No. - — - — -- - -- —
Approved ADDRESS PHONE
DAT! INSR TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
3Y3 ' � 5
Permit No. 1J
�) Rough-in --
4'I�SL B Nib (�s. 11�°11 caU f1wb fr/0-4. il1it4_;_ el. itHQZ Fixture
Final —�
HEATING
�
Contractor
Permit No.
cat 16,6 W-1 q-V(
Gas or Oil
Rough-in — — --
-- _•.._ Final
----
- _. Final
DRIVEWAY --
---- - — — —
Final
Storm Drainage
Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
Sl.Dr3. DEPT.rINAL TCT.7PORAR CERTIFICATL OCCtIPANCY
"RTir�CATF OCCUPANCY
I
Landsreping
CITY JF
BUILUNG PERMIT APPLICATION TIGARD M° 0 519
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE --
OWNER_ 'Jior:tft f flip —_ ADDRESS '71Ti.I„art, "I i'r= _ BUILDER PHONE _
ENGINEER
RUII DEELARCHITECT DESIGNER _
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑F'RFCAMAGE ❑DEMOLITION
C3RESIDENCE ❑COMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CA.R PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
OCCUPANCY.. LANU USE ZONE---BLDG.TYPE _ _FIRE ZONE__ PLAN CHECK BY. _ HEAT —
OCC, LOADFLOOR LOAD HEIGHT NO.STORIES AREA - VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit -� ------�
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Clteck REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TAE
WORK WILL BE DONE IN ACCORD".NCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES ANO ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. C7NTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I i6 State LICENSE, SEPARATE PERMITS 9EOUIRED FOR SEWER. PLUMBING AND HEATING.
Total
By _
r PPLIC.ANT OR AGENT
Approved Receipt No
-- ADDRESSPHONE ---------
1',1TE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oi:
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
cotoimj?rainqe__
F
F-
F
(Rain Drain) Final IlSidewalk
Curb&Street Final
A roach
RLDG.DEPT. FINAL TEMP(JHAl?,' CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE- 8-15- _ N° 0037
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE —
OWNER Jeannie' s Hair-em ADDRC�., 21F Tigard_Shopping Con LOER PHONE
ENGINEER
Rule DER Luminite Sign ARCHITECT DESIGNER
S-RUCTURE _ ®NEW rr--��❑REMODEL ❑ADDITION _❑REPAIR —❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM l_IEDUCAIIONAL ❑GOV'T ❑RELIGIOUS❑P,ATIO [:]CARPORT ❑GARAGE ❑STGHAs,E❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL A"PROVED_ —®SIGNS
OCCUPANCY—_...__LAND USE ZONE-----BLDG.TYPE-.---FIRE ZONE-- PLAN CHECK BY HEAT__
Lila
OCC LQAD FLOOR LOAD HEIGHT _ _ NO.STORIES AREA VALUE
BUILDING DEPARTMENT SE1 BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 5.00 _�- -- -------THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED UJ THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 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
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 5.00 /
—4-PPL-1 CA- OR AG
Approved Recewl No. /C' I X13 lS �S•L < ct,� ,
ADDRESS PViON