9392 SW TIGARD STREET 9392 SW TIGARD STREET
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CITY op 13)
BUILDING PrRMIT APPLICATION TIGARD DATE------, 19 74 N° 00
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE --._--
QWNERan Cut Saw ADDRESS Q392 9�Ws Tigard BUILDER PHONE --
ENGINEER
BUILDER -AL "AtgQ1 Z�- ARCHITECT ,T,— DESIGNER y
STRICTURE ❑NEW _OREMODEL --[ADDITION - ❑REPAIR_-_ ❑RENEWAL. ❑FIRE DAMAGE ❑DF.NIOLITION
❑ RESIDENCE []COMM ❑EDUCATIONAL ❑GOV'T [:]RELIGIOUS[]PATIO [:]CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
013OND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED - ❑SIGNS
OCCUPANCY----.-.LANE)USE ZONE BLDG. TYPE FIRE ZONE PLAN CHECK BY _- HEAT—_
AVNNXSMMX,'tAVX Stub Patt).ti-f)a
------- THIS IS A DUPLICATE FOR OUR RECORDS — -------
UCG. LOAD f'LOOR LOAD f-_-__- HEIGHT _ NO.STORIES_ ARFA -_^--VALUE -_--
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RICHT SIDE
Permit ? '
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 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 10 HAVE CURRENT CITY BUSINESS
I%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 7,07
Ry
APPLICANT OR AGENT
Approved ! Receipt No. —_---Ji
ADDRESS PHONE—
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
OWL.-- G` Contractor
Permit No.
Rou h-in
Fixture
— _ Final
HEATING
C, F m
Contrarto
Permit No. 'm - LI-I /
Gas or Oil
Rough-in
Final
_ SEWER —
Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
___Y
Approach
BLDG.DEPT, FINAL TEMPORARY CERTIFICATE nccuPANCY
CERTIFICATE OCCUPANCv Final _
Landscaping
Zoning Final
4-0
CITY OF TIGARD
17420 S. W. M&ln 50*0
11GARO, OREGON 01
APPLICATION FOR RUILOING PERMIT
new Construction El Demolish Addition Remodel -Iffl moveEl
ZONING T``� UATE ISSUED BUILDING PERMIT
BUILDING FEE S - No. ,
DATE RECEIVED--,-.,. HA4
fly PLAN CliFCK VALUATION S,
$
OTHER j,!g4_
TOTAL RECEIPT No. I C Z,a 0
TWO SETS OF PLANS AND PLOT PIANS MUST 13F FLIPNTS11ED WITH Ar PLICATION
TA)T 1 MAP TRACT JOB
At-ohitect or
Address Phone----,-
(Wner
Address
Builder
Address
BUILDING USE single Res.N Phone
Multi Res. El Comm. El Industrial
(X:CUPANCY GROUP--,--.- No. of Stories-1 — Total height__-7-,d Area of Lot
Type of Construction I It III IV V FIOLriri!a
Set narkst Front Hack , 4.side
Private sewer w.
Pipe Si .? r Septic Tank
Storm Sewer Ditch DrywellEl
Water service Pipe Si ty-
Street and Curb Requirements_—_ ,— -- -—--
Driveway Width No. of Parkiny Spaces______
SEPAPATE PFRMIT3 RFOUIRED FOR SEWER AND PLUMBING
SPP..,CIAL INFORMATTON
4)(
AUDRESS ASSIGNED
FIELD CHECK BY DATE/-
PERMIT AP RnV y
Y
wit PI i
,h4
it is understood that all work will conform �aepl e t:*tn ances
of the State of Ore,!,.;it and the City of Tigard, evregon, and that the huilding will
not be occupied until a Certificate of Occupancy has been lnqiue!,l by the City of
Tigard Building Inspector.
An, urn of .:cant.
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE G^`J-----, t9- NA ?Y-/?y
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE ':YORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
OWNER L %'T v,� ��c f Ytc/ ADDRESS S4, // .a aL BUILDER PHOIIE
/ ENGINEER
BU11 DER V?(s r� Y/ ARCHITErTT— DESIGNER
STRUCTURE ❑NEW REMODEL ❑ADDITION L1 REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE COMM ❑EDUCATIONAL. ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGN;;
OCCUPANCY2- LAND USE ZONE)L_,/BLDG.TYPE—�—/—FIRE ZONE-;?:;--PLAN CHECK BN' •'� It— HEAT—__--,.
l— i I-C — —
QCC. LOAD FLOOR LOAD —__— HEIGHT NO.STORIES AREA _ VALUE
r
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit c
— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT 13 HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording - — — ALL APPLICABLE CODES AND OHDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY BUSINESS
I%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total
BY -- -------------------
--- - - APPLICANT ON AGENT
Anproved Rcce;nl Na
AobAEss--
— - -- -- --------- {
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE `
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
---.�_-- -- — _ Rough-in
- - -- - -_ - - Final
SEWER
Fina! _
DRIVEWAY
--- -- — - --�-- Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT'.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Z.3ning Final
Y.
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CITY OF TIGARD
13Ms. IV. MMebn..l
TwAm comm erm
APPLICATION FOR BUILDING PERMIT
New Construction ❑ Deswlish ❑ Addition ❑ Remodel ❑ movel
ZONING_ _ DRTE ISSUED_ Z7 1 No.
BUILDING PERMIT
DATE RECEIVED
BUILDING PEE ! _ 3
L�L� --„��';'�
BY PLAN CHECK S ---
--- OTHER $ VALUATION !
TOTAL /;(. (nr. SQ �C>p RECEIPT No._j”
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
IAT ! MAP ! CENSUS TRACT JOB !
Architect or
Address_ __ .__r._—..____.__.._._Phone_
Owner
Address—
Builder_— rs;,�
Aurrre,:s� ��-- � +•,L t�- t- -_ Phone
BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial❑�
OCCUPANCY GROUP -1 No. of StoriesTotal Height_ Area of. Lot_
Type of Construction I II 111 IV V Floor Area B—`— 1 — 2-------
Set
-"- -Set Nackss ri ft _ BackL.Side _ R.F.ide___
Private Sewer Pipe SizASewerSeptic Tank t_I
Water Service Pipe sireStorm Sewer ❑ Ditch ❑ Drywell❑
Street and Curb Requirements
Driveway Width _ _ i---No. of Parking Spaces`
SEPARATE. PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGHEDi_Djj._..__ —
FIELD CHECK
PERMIT APPROVED
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the building will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector. ( 10 N"
91gnatu e 0
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