14361 SW PACIFIC HIGHWAY a
ADDRESS:
i:\records\rnicroflm\targets\building.doc
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE i9 0573
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMANYING PLANS AND SPECIFICATIONS, OWNEi1 PHONE __
r1n,2 Tr 14 3nl X *0, Peci"1c- IILIY*
OWNER � ADDRESS BUIL,)ER PHONE 4,
ENGINEER
BUILDER ARCHITECT DESIGNER
STRUCTURE ❑NEW -�❑REMODEL DADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE tjDEh'OLI1-ICN
1 ❑ RESIDENCE ❑COMM OEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENC_
013OND— ❑MOVING - ❑CONOITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
.tCCJPANCY—_LAND USE ZONE---.—BLDG,T'i PE_ _FIRE ZCNE_ PLAN CHECK BY HEAT-__—_
£9'4tf,.T. s x 8 4..°-4tjL) e i aC%?d • difaq w1Juti I:T.if,gi- ---
1 wili ete7l ;gin two pressure t,rcnt u(i .4 x A posts set in
OCC. LOAD �— FLOOR LOAD HEIGHT NO.STORIES ArtEl. VALUE" '
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit r;:s —
w
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIN, CODE, ZONING
Plan Check v- _ I hrGUI ATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN�OMPI-IA14CE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE '!c THIS PERMIT DOES NGT WAIVE.
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO Ili VE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REOUiRED FOR SEWFR, PLUMBING AND HEATING.
Total
By
-- ----- APPLICANT OR AGENT
Approved Receipt No.
ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
I.Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Anal
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Fmaj
Sidewal,
Curb&Street Final
Appi oar:,
---iEMPOF�TR
DEPT. FINALY CERTIFICATE
CERTIFICATE OCCUPANCY Final
L and,caping
Zon,ng Final
1
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Address 1431 S.W. Pacific Ham. Permit No. 124
Permit ;harge
Owner _ Connection fee 1487.50
Fa i d by_
Type of building Comm. (Day Care) Date connected
Service rate In3pecti.on fee X5.00
Contractor Westwood Ganst. Paid by Date_—_—,_,_-___
Size of connection_ 8" _ Assessment Paid
aij
PERMIT TO CONNECT �' r
Tigard Sanitary District
PERMIT Nv 1424 DATE �� 7
rERMIT IS GIVEN To
OF loo"o" s,c"
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PRPMISES UNTIL CON-
NE(`ITON IS MADE AND INSPECTION OF CONNECTION HAS BERN COM-
PLETED.
PERMIT FEE PAID $._. .. .._,._.............. .' IGARD SANITARY DISTRICT
fly
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CONNECTION INSPECTF O AND APPROVED
F1
-- —-
Date Superintendent