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SLS DEVEL(1P,IENT INC.
17520 S.W. Cheyenne Way • Tualatin, OR 97062 Phone: 692-4253 or 620-1142
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BUILDING PEF'MIT APPLICATION TIGARD DATE 'Lit %.........—
,19_ - 4 4 8 2
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
OWNER JOB ADDRESS LOT NO.
ARCHITEC I
11/13
�� ENGINEER
BUILDER_ ADDRESS • • DESIGNER
STRUCTURE NEW REMODEL 1 ADDITION REPAIR RENEWAL I ' FIRE DAMAGE DEMOLITION
RESIDENCE I COMM EDUCATIONAL GOVT RELIGIOUS PATIO CAR PORT GARAGE STORAGE SLAH FENCE
r-irCUPANCY .__ t�•.7 __ LAND USE ZONE -_ 1� Bt PG TYPE FIRE ZONE PLAN CHECK BY HEAT
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~ SEWER PERMIT II
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a OCC LOAD FLOOR LOAD HEIGHT NO STORIES AREA NO BEDROOMS VALUE
4. 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
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PI ANS AND SPECIFICATIONS AND IN COMPLIANCE
—I 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
SOC
Total •
--- - _ PDCC APPLICANT OR AGEPIT
By
Receipt No
Approved • t ADDRESS PHf1NE
DATE INSP. TYPE INSPECTION REMARKS DATE
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HEATING
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Permit No
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BUILDING PERMIT APPLICATION TIGARD DATE 1s;'______ 44
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 2.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ?WNER PHONE
LOT NO. .
OWNER JOB ADDRESS . ,
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE NEW REMODEL ' ADDITION Li REPAIR RENEWAL FIRE DAMAGE DEMOLITION
I RESIDENCE I COMM EDUCATIONAL GOV'T RELIGIOUS L PATIO CAR PORT GARAGE STORAGE SLAB FENCE
OCCUPANCY LAND USE ZONE BLDG TYPE '_ _ FIRE ZONE PLAN CHECK BY HEAT
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SEWER PERMIT$r
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-CS OCC LOAD FLOOR LOAD 'HEIGHT NO STORIES AREA NO BEDROOMS VALUE
cD BUILDING DEPARTMENT
w �_ SET BACKS FRONT 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 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TH S PERMIT DOES NOT WAIVE
-- ----------------------- --WITH
_ 4 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATEPERMITSREQUIREDFORSEWER,PLUMBINGANDHEATING.
•
State Tax
TotalPDCN APPLICANT OR AG,ENT
By
Receipt No,
Approved ADDRESS PHCNE
_� _ � � ��
DATE ' DATE
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HEATING
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SLS DEVELOPMENT INC.
17520 S.W. Cheyenne Way • Tualatin. OK 97062 • Phone: 692-4253 or 620-1142
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BUILDING PE_RMITAPPLICATION TIGARD DATE 4;:144""t- (D .19_19.e2 446wZ
THE UNDERSIGNED HEREBY APPLIES For A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 6 92•y2s3
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
/ �j �+ LOT NO. '
OWNER VQ.tisr(A.4- JOB ADDRESS !D 520 to 72 Ave. i _
ARCHITECT
~E.. D n ENGINEER
BUILDER )L 5 104,e OnOa' ADDRESS PO 90X iv93 T�JAi Ps DESIGNER - 5%. 5
STRUCTURE 0 NEW 'REMODEL 0 ADDITION 0 REPAIR 0 RENEWAL 0 FIRE DAMAGE 0 DEMOLITION
❑ RESIDENCE ( COMM ❑ EDUCATIONAL 0 GOV'T 0 RELIGIOUS 0 PATIO 0 CARPORT 0 GARAGE 0 STORA 0 SLAR❑ FENCE
OCCUPANCY1. Z. LAND USE ZONE 7 BLDG.TYPE 5 1V FIRE ZONE_•= PLAN CHECK BY a' HEAT
C:a +MA-G+ Botg.t. mom - 5 : es Wee., 4 K to Tvat.k + ,
ill pet-4)4416 # cocQe_, P11 . r.044— vms 1P.
SEWER PERMIT II _!_ /�a
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OCC.LOAD FLOOR LOAD CUA c,_ HEIGHT NO.STORIES / AREAr�Z NO.BEDROOMS --- E`VALUW_
BUILDING DEPARTMENT SETBACKS FRON1SP� �l�'1 REAR (-EFT SIDE RIGHT SIDE
PermI
3fli•50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
2S.O REGULATIONSANDALLAPPLICABLE CODESANDORDINANCES, ANO IT IS HEREBY AGREED THAT TME
Plan WORKWILLBEDONEINACCORDANCEWITHTHEPLANSANOSPECIFITIONSANDINCOMPLIANCEWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV£
Sub-tG 3 •1 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- SILUCENSE SEPARATE PERMITS REQUIRED FFOR SEWER,PLIUMBING AND HEATING.
State TQTotat1'J . ('7SOC _ J� 1 lo(j c �_�____PDC.A APPLICANT OR AGENT
BY
-- Receipt No.AppADDRESS PHONE
50C -
PDC - $
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE $
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BUILDING PERMIT APPLICATION TIGARD DATE_ Ie _
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE l�� 447.<l'
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER JOB ADDRESS /C-�'S:�C.' S.1 7,2 ' —
}Ari rkv 1 ARCHITECT
ENGINEER
BUILDER .,t,._S TjE I/. _ ADDRESS jam. . -le I r'"? 7,-;.•a.. DESIGNER
STRUCTURE 0 NEW 0 REMODEL AOOITION 0 REPAIR 0 RENEWAL 0 FIRE DAMAGE 0 DEMOLITION
❑ RESIDENCE 0 COMM 0 EDUCATIONAL 0 GOV'T 0 RELIGIOUS 0 PATIO 0 CAR PORT 0 GARAGE 0 STORAGE 0 SUB❑ FENCE
OGGtJPANCY !, LAND USE ZONE BLDG.TYPE `-"i FIRE ZONE - PLAN CHECK BY A,•/' HEM ,
C' 0n1s r R L/C r S 1,e,2, --lode rd a.1—tr ,i FIC E 14,4.r� . .
- — r,yz , AT-Pc- sx_/ --i-Ru C he 1A.1 l 2 $!, c_. 3
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SEWER PERMIT a
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES / AREA j , • NO.BEDROOMS — VALU 3&7c?
'
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
:orrntt i y 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
PIS an Check S 9-/ 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
ISct>total l.,-; Y.3 . RESTRIC.,VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
7 .. UCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
I
:State Tax • l
SOC --
Total 7_6• 2 / -- --- - -
PDC* APPUCANT OR AGENT
By _
Receipt No.
Approved
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ADDRESS _ PnoNE -- —. -
•OC - $
•OC - $ ; #
. EWER CONNECTION 5/
• EWER INSPECTION ,$
:EWER SURCHARGE / S ••
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• SIGN PERMIT APPLICATION COF TIGARD Date , 19_ No. _
The applicant hereby applies fc• r. permit for the work indicated or as shown in the accompanying plans and
specification.;.
SIGN LOCATION ADDRESS:
APPLICANT: Owner Lessee _ Authorized Representative
NAME/COMPANY Tel.
PROPOSED SIGN: Freestanding _ Wall Projecting Other
SIGN DIMENSIONS — — AREA _ HEIGHT WALL AREA
PROPERTY FRONTAGE __ COST _ ZONING DISTRICT ILLUMINATION
MATERIAL COLOR
COPY DRB
EXISTING SIGNS: Freestanding —_ Wall _ Projecting Other
COMMENTS: _
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPART ENT_ become null and void.
Permit Fee _ _
Approved Applicant'ssSig ture
Receipt No. _-- p2Mj,. —
Renewal Date Address Telephone
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