BUP1973-0061 CITY OF TIGARD
12420 S. W. Main street
TIGARD, OREGON 9=1
APPLICATION FOR BUILDING PERMIT
New Construction ❑X Demolish ❑ Addition ❑ Remodel ❑ Move El
ZONING R-7 DATE ISSUED 3-27-73 BUILDING PERMIT
DATE RECEIVED 3-12-73 BUILDING FEE $ �� No. .�
BY FS PLAN CHECK $ .
VALUATION $
OTHER $
TOTAL $ RECEIPT No.
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT # MAP # CENSUS TRACT W-8 JOB #
Architect or Engineer MacKSMTE FoRineerina, Inc.
Address 0324 S.W. Abernethy Phone
Owner James Templeton Grade School
Address 9500 S.W. Murdock , Tigard Phone
Builder same
Address CAMPPhone
BUILDING USE Single . Res . r-1Multi Res. El Comm. xqOIndustrial ❑
Hand Balurt
OCCUPANCY GROUP No. of Stories Total Height Area of Lot
Type of Construction I II III IV V Floor Area B y 1 2.
Set Backs: Front Back L.Side R.Side
Private Sewer Pipe Size Sewer Septic Tank ❑
Water Service Pipe Size Storm Sewer ❑ Ditch ❑ Drywell ❑
Street and Curb Requirements
Driveway Width No.' of Parking Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
BU lWx PSR= FOR HAW BALL COURT ONLX
I
ADDRESS ASSIGNED 9500 S.W. Murdock
FIELD CHECK BY DATE -7�
i f
PERMIT APPROVED BY 1 w l
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j 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. d
ISignature of Applicant