12710 SW PACIFIC HIGHWAY 12710 SW PACIFIC HIGHWAY
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for inspections call 639-410 5928
CITY OF TIGARD 639.4171 DATE
BUILDING PERMIT ���
TAX MAP �.1�LOT NG. _52f! —_SUBDIVISION
OWNER Gary St►uler _ JOB ADDRESS 12710 SVPacific Hwy.
BUILDER _ No lis"k.-1.Rww±.f�r---
STATE REG,NO EXP.DATc
BUILDER'S PHONE
ARCHITECT FtiONE OTHER
STRUCTURE I_) NEW i ' REMODEL Ll ADDITION REPAIR MOVE OTHER DEMOLITION
I I RESIDENCE COMM 1 1 EDUCATION Ll IND f I RELIGIOUS ACCESSORY I 1 GARAGE _OTHER FENCE
OCCUPAN'.;Y i ` LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY' HEAD
Gemulisir existing sicte Rtructure to w— lice Lldg. & reside existing 61dt,.
No Nloi,. /meth. work. —
SEWER PERMIT N
OCC.LOAD FLOOR LOAD__` _F•rIGHT — NO STORiEo AREA NO.BEDROOMS VALUeW.Aj
BUILDING DEPARTMENT SET h4CKS FRONT9e4 REAR,,1d•y$ LEFT SIDE _RIGHT SIDE
Permit 32.5U THIS PERhii( IS ISSUED SUBJECT TO THE REGULA1'Ir`;4S CONTAINED IN THE BUILDING CODE, ZONING
REGULATION£ AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 21.13 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANrES THC ISSUANCE OF 'HIS PERMIT DOES NOT WAIVE
PI.Ck.Fire _ RESTRICTIVE COVENANTS- CONTRACTOR ANii SUB CONTRACTORS TO HAVF Uu?RENT CITY BUSINESS
-- _- TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATINI:
State Tax 3 •3U
Total Sb.93 APP LICANT oR AGENT
— — -- PDCM
Pre d. ------- ---
F -- T — Receipt No.I, 1�It ADDRER PHONE
Bal.Due
- -------
Issued By ___- _..Approved By------
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CITY OF TIGARD 639.4171
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BUILDING PERMIT t
TAX MAP __LOTNO. ' UBDIVISi N
OWNER- __ &�)4_VE
JOB ADDRESS __��t L L� Tl� -e,
C l f LtJ�cft� EG.NO. EXP.DATE
BUILDER f�.�� 7'�'In't- REG.
BUILDER'S PHONE{
tf�
ARS 1.11TECT /' V�- - �S.y�� PHONE_ OTHER
STRUCTURE 40 NEW REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER t17EMOt_ITiCI+
Cl RESIDENCE 0c MM ❑ FDLICATION ❑ IND ❑ RELI IOUS ❑ACCESSORY Q GARAGE ❑ OTHER Cl FENCE
OCCUPANCY1_ LAND USE ZONE ,� L.BLDG.TYPE ��_L_FIRE ZjDNE�_�PLAN CHECK BY �%LL-HEAT �—
--
SEWER PERMIT (i
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUG,�VG 0
BUILDING DEPARTMENT SETBACKS FRONT a�F_'E' R P-EFT SIDE _—RIGHT SInE
Permit _ '� L� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE DUILDING CODE',ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED 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
Pl.Ck.Flri/l1 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— 2 TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax lr3C
Total APPLICANT OR AGENT
POC*
Pr
Recelpt h ADDRESS
Bal.
Issued pproved By
SOC -
POC -
SEWER CONNECTION 8
SEWER INSPECTION. :
/—/--
SEWER SURCHA CE S
Comments: — --
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o APPROVED FOR CONSTRUCTION
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CITY OF TIUAR
PERMIT NO �f�- SITE ADDRES
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- -- _-.___--.DATE
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