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APPROVED FOR CONSTRUCTION
CITY OF TIGA D
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PERMIT NO.Sa -- 131TE ADDRESS-� -_
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BY 0 ___- TITLE_ _ . __-.._--_____ _DATE r
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NOTE : IF THIS MICROFILMED
DRAWING IS LESS CLEAR THAN
THIS NOT IUtc;-'1T IS DISE TO
-ol THE QUALITY OF THE ORIGINAL
..� DRAWING
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12175 SW MAIN STREET
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iINSPECTION PJGTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon .97223
Phone: 639 4171
Type of Inspection
' Time A.M. P.M.
'
Date Requested — __
Address �(,(� !\ _ Permit #
—= --
Owner Lot #
Builder Yom`` 6 �- L)
The following Building Code deficiencies are required to be corrected:
1'".�.�-..• -:�-t..� _ fr e.:.y't-G e..�Cs• Q - "ter--�
I — —
i
Presented to -- Approved
_ ! -
Inspector /n _� [_� Disappr:vad
Date --
CALL FOR REINSPECTION
[=] YES Z N0
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223 �•C
l�z Phone: 639-4171
Type of Inspection
C �- me A.M. _P.M.
Data Requested_
Address --_ 1 Permit
Owner Lot #
Builder
The following Ruilding Code deficiencies are required to be corrected:
Presented to — ___ /Approved
Inspector ❑ Disapproved
Date _ c —;--�---
CALL FOR REIIVSPkCTTON
0 YES LAN
INSPECTION NOME
eity of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested A.M. P.M.
Address X=—, Permit
Owner Lc
Builder
The following Building Code deficiencies are requiredto be corro,,ted:
00,
Presented to 1*1:2. Approved
Inspector Disapproved
Date
CALL FOR REINV�,SECTION
-1 YES I INO
i
5003
_ DATE._ _ —t@lDr -
B IL�G PERMIT APPI-.ICATION
RMIT F. RIt-WO E REM INDICATED t3UILDERRPH d E bb
)MF�ANYING P!ANS AND PFCIF(GATIONS. OWNER
THE UNL`ES�SIGNEp HEREBY qF'i ,_IES FQR�+ F LOT N0. —
OR AS SHi)V'JN AND APPROVED IN THE AG
JOB ADDRESS 1 115 Sw �iiXQ_ _--_-----"
--- ARCHITECT
OWNERjay i1fiL�4�11 - - ENGINEER
DESIGNER
ADDRESS
BUILDER
Fp Mg
------ _❑_FIRE DAMAGE L] DEMOLITION
STRUCTURE _❑_NEW_ __ C] REMODEL LYADUIRELIGIOUS to CARPORT ❑ GARAGE Cl STORAGE D SLAB❑ FENCE
RESIDENCE ® COMM Cl EDUCATIONAL—F7 GOVTT --- -- _PLAN CHECK BY —.E�—HEAT--
FIRE ZONE` _ --- —
OCCUPANCY �'3--- _____-__- BLDG.TYPE __�N=J— --
LAND USE ZONE — -_
k gkd�, neat Co fJxi_Bits+t� llM�t� s -'
C.onr/tt:x� �a Z,�8._Ga,Esete floc-
VALUE g r�QO r-
SEWER PERMITM NONE RZ UIREQ NO.STORIES 1 AREA 448 NO.BEDROOMS_ _�—
HEIGHT t0 IES I ---- -
OCC.LOAD FLOOR LOAD CORC ----- LEFT SIDE RIGHT SIDE ^N
SET BACKS FRONT REAR
BUILDING DEPARTMENT --`—��
(Ie50 _ ONS CONTA
THIS PERMIT IS ISSUED APDL CABLE ODES ANDAORDINANCES,IAND IT S HEREIBYIAGREED THAT THE u
Permlt -- — '— gEGULATiONS AND ALL
cgs IS AND IN COMPLIANCE
CORDANCE WITH THE PLANS AND SPECIFICATION
WORK WILL BE DONE IN ODES AND ORDINANCES. THE ISSUANCE
OTFF HAVE CURRENHIS PERMIT TCITY NOT WAIVE
NESS
Plan Check_ WITH ALL APPLICABLER AND SUB
Sub-total __ ___- i}r 3.3 _
RESTRICTIVE CENSE.SEPARATE PER S REGUIRT D FOR SEWER,PLUMBING AND HEATING.
Slate Tax ---- ----_ SDC — c�`�I C_
_40P_LI CARTORAQENT
Total _ PD r,;#
By CL — , — PHON
Receipt,.o. ADDRE39
Approved — NTb1__ / '�
INSP.DATEA-
TIE SP, TYPE INSPECTION REMARKS Pkr'UMqING DATE
Contract
Permit No.
117 w
r
Hough-in
Qw-
Fi.fiire Final
HEATING
Con',actor
Permit No.
Permit
Gal or 1011
Rough-in
Final
SEWER
Final
DRIVEWAY
Storm[Drainage
(Rain Crain)Fi ial
&&mlk
Curb&Street Final
tApproach
DEPT. F TEMPORARYFN-AL ICERTIr*ICATE OCCUI ANCY CFR"hFTC ATi OCCUPANCY Final
Landscaping
Inning Final
i
c'""TIGARQDate � , , �� -�LA-- No. 047-
SIGN PERMIT APPLICATION OF i" .
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: ._ 121.75 SW main $t..
APPLICANT: Owner_ _ Lessee Authorized Representativex- --
NAME/COMPANY- - -L r•- -IMI., rrQ.- -_-- - _ _ _ - _ - _ _ _ __ _Tel_i,. - - 15'2: `2" -
PROPOSED SIGN: Freestanding -- Wall YY Projecting __.___Other --
SIGN DIMENSIONS
42"x501 AREA 175 ag HEIGHT . WALL AREA 1600 9q
PROPERTY FRONTAGE 0 COST Z NTNG DISTRICT _ILLUMINATION
MATEAIAL - r
19.x I,:ALM COLOR __K111T? . BLUL F?T`E S
COPY . I)OUr1 S ATITO_PARTS _---- - DRB
EXP"MING SIGNS: Freestanding Well Projecting Other
ALL SIUK r. f38
COMMENTS: ING S2F M[JM1T[L�
_
All sign permits must be accompanied by a scale drawing acid plot
plan. If work authorized under a sign permit has not been completes
within ninety days after the issuance of the permit, the permit shat;
PLANNING DEPARTMENT -� become null and vo'd.
Permit Fee $25.00
Approved- - Applicant's Signature P kwh .rter
Re 167 F BoX 23036 ,w 639-4991
Renewal Date I Ad rdss Tigard, OR 97223 Telephone
.,........,w„�;.,.a:,�,.iw.wYiMPnYr,w,+ww++......,,,,,,,,,....n..,erg,an'I�,Pwan.T•.......».�ea..w...+-+M.r+M°"*"wr.«.s�•w,^ ev
tirr OP 7�IV° 0518
BUILDING PERMIT APPLICATION TIGARO DATE 10_3 19
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
-QVIVNER Coug Martell ADDRESS .1`''175 Soli• Main
BUILDER PNONE
u1t ini to rii gn ENGINEER
BUILDER _ ARCHITECT DESIGNER
STRUCTURE ONEW 13 REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED USIGNS
OCCUPANCY LAND USE'ZONE SLUG.TYPE FIRE ZONE — PLAN CHECK BY HEAT
ono double Face psa jectirty sign mount:ej f,l) edge i-jf fi is u e .1,.
illumAnnted
UCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit s: .0[3 —. --- _,_ =— -- -- —THIS PERMIT IS ISSUED SUBJECt TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLIC 'tBLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WIT14
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RES1RICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITL' REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
'— — APPLICANT OR AGENT
Approved Receipt No.
ApDK �— HON . —
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Con ►actor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
_ Storm Drainage
_ (Rain Drain) Final
Sidewalk
Curb&Street Final
Ap roach
BLDG.DEPT.FINAL/ TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
{
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CITY OF TIGARD
:6410 a w me" one
'1eAM oaaeoN sts>st
APPLICATION PVR BUILDING PERlIIT
New Construction C.J Demo 11 sh ❑ Addition ❑ Resode 1 Q More 0
tOHING+� UA-ft ISBUED BUiL.DING Pti1MLIT
BUILDING PKK f NO- "�3 - 223
DATE RECEIVED
I1YPLAN CHECK TI 21.4$ VALUATION f-4
OTHER f_ .21 _
TOTAL f 21_iB RECEIPT Nt?._
Two SETS Of PLANS AND PLOT PLANS MUST HE FUPHISHED 41TII APPLICA"ION
V1T i '.KAP 1 _ CENSUS TRACT _ JOB
Architect or Engineer -
Addresa ---Phone—
Owner
Phonecwrner
—Phone.—
Builder
PhoneBuilder 0
Address �lL1S S.C. I�ooelq�ck ill_,�,qul�yl�rd �.___
Phone ' y
HUILDIN4; USE Single Res. ❑ Multi Res. ❑ Com:. EXE Int metrial
'M'CUPANCY GROUP _ No. of stories,y__.-- Total Hoight� Area of Lot
Tyle of Construction 1 11 III IV V Floor Area
Set Hacks: Front___ _ Back---_ L.Sida
e��_ N.S►de_ __
Private Sever Pipe Sft _ �, Sever Septic Tank ❑
water Service Pipe Site_ _v,__ Stora Sewer ❑ Ditch I orywell l�
Street and Curb
Driveway Width__ 4o. r,f Parklnq Spaces_ SSSS_ ____.______._.
SEPARATE PERMITS REol12REO Pop SEWER AND PLUMHING
SPECIAL INPiRMATION
ADDRESS ASSIGNEU��� 1211A a_u_ ►w al., ... �___r__ . .____�-- -- —_.-
FIELD CHECK BYe11Cr_______ DATI! -2S'»_�___._
PERMIT APPP+7VCU By,
it is understood that all work will contorw with apPlic4h10 codes and ordinance.
of the State of Oregon and the City of Tigard, regon, anal hat the btildinq wi
not be occupied until a certfticece of cu has been f succi by tie City of
Tiqard Buildinq Inspector. �i�-nt
qn ie Xpp
qq v �t
Page No. of Pages
D & B, INC. 2�13
Roofing General Sheet Metal Work 1�
1 Furnaces and Richfield Beating Oil t
4905 S.E.WOODSTOCK BOULEVARD
Phone 774-3224
r+pU1`f.SAI S6nmITTrD TO PHONE DATE
MANNING MITCHELL PAINT CO_ 916 343 ?261 9-7-73__
CROSBY PAINT CO DIVISION - Ioe NAME ^
_ 265 Boeing Ave. y^ -`� _Rental Building - Ac cau_n_ti__ag_offlea
CIEy, STATE AND ZIP CODE JDA LOCATION �.__.
Chico_C,lif `75926 _ 12175 9W Main Tigard O>Ka
AMATECT LD
DF PI AN5-- IF-F) PNONF
ATTMR, WILLEFO 646 6937
We hereoy suhmft s,ecificatwm and estimates for.
Reroof entire building complete as follows: 0
Cut and nail down all blisters.
Mail on one combination base sheet with large headed simplex nails.
Mop on two plies of 06 Perma-Ply fiberglass sheets with hot asphalt.
Flood cost the entire roof nreas with 30# of hot asphalt per 100 sq. ft.
Two year maintenance Runr.Antee included.
I
,
` .n ^s<� No. 4115
1 NMF ••� Ip
.os
STARTING OI1T[ t
JOS ►NONI� FORFMAN ON MECHANIC ANON! TBY CUSTOMER OMOFR N0.
} JOBDESCRINI(AN _
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LCOMPtFlION ORTI '06NA1010
As
490S S. E. WOODSTOCK BLVD. PHONE 1503) 774-3224
D & 'INC. PORTLAND, OREGON 97206
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THF UNOERSIG�cp HEREBY APPLIES FOH A PEHMI I FUtI I tIL ''vVUllK h 01LIN INUIUA I LU UulLuue V:luiik
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. ovJNEr.'P►1orl -j
LOY'FIO
JOB ADORES
S ���� ! —, 5��'✓ �' '"�`i^� AItCr11TECT
ENGINEER
AOORE55 DESIGNER
STnUCiUHE _ NEW nc-an0EL AOOITION _ ❑nep-iri ❑RENS';JAL ❑FIHEOA:.+AGE ODE.'-10
( 111ESIL r--ICC COMM ❑EDUCATIONAL ❑G(,%"T_ ❑RELIGIOUS 0PATIO ❑CAR PORT ❑GARAGE L SEMCX= ❑SLAB ❑FE
it
CCSlQPat_•'=v —rLAND USE ZONE�._..0LDG.TYPE�� _ PLAN CHECK BY •* HEAT —
x "Z1
3EW
=D FLOOQ I OAD L°lC"rti. HE I/j� NO.STORIES AREA ��NO.BEOROOAIS-il"im VAl OJT
5111LOING DEPARTMENT SETBACKS FRONT REARLEFT SIDE """"� RIGHT SIDE
Pcrf-..It S S -
1— THIS PERMIT li ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZO
I'r:gin Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT
T-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATIONS AND IN COINPLIANCE
S..Js7•toul ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREtIT CITY BUSI
ate Tal I j (/ �,.. LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER. PLUMBING AND HEATING.
Total ,A� �� SDC —
� I PDC#
APPLICANT OR AGENT
Apprutf.7 Receipt No.
�I�R FiS PHONE
SOC (Storm
sac - — —,
POC
SEWER CONNECTION
SEWER INSPECTION
SEWER SURCHARGE $
Comments :
Address Permit No.,_�__ T �
Name of Occupant Permit charge
`
Paid by__ —
Date connected
Type of Building_ Inspection fee__._---._a -- _—
Service Rate �Lt C Paid by _.Date I
Contractor_ Assessment——------.Paid i
Size of connection
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