Permit 'In " Tt"r. - T.
R �l
is — CITY TIGARD 79
BUILDING PERMIT APPLICATION OF D ATE 19 224 -2676
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
L /i,' LOT NOJO3 .25! 1 iSD
u.
OWNER ln ti '� n �' e 70B ADDRESS7805 SW huf1LJ,i% HOME ADDRESS
ARCHITECT
ling ADDRESS tIPM r n,tr• 3939 NW Sty Helene Rd ENGINEER
BUILDER DESIGNER
STRUCTURE ❑NEW ❑ REMfDEL ❑ADDITION 0 REPAIR ❑RENEWAL ❑FIRE DAMAGE ['DEMOLITION
❑ RESIDENCE ❑COMM ['EDUCATIONAL ['GOV'T ['RELIGIOUS ❑PATIO ❑CAR PORT ❑GARAGE ❑ STORAGE ❑SLAB OFENCE
DBOND 0 MOVING OCONDITIONAL USE ❑DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS
—2 OCCUPANCY 8 . .LAND USE ZONE BLDG. TYPE b FIRE ZONE_ PLAN CHECK BY E T4 HEAT
r,t rtitication A A. ncludee nom 2 , our at Cal Lint. 7, r -
Concr.
OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES AREA NO. BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit .6000
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 30.00 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
Sub - total 90.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 240 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 492.40
By p1
. 3b , ) APPLICANT OR AGENT
Approved Receipt No. /
' - nnnRFCC PHONE
DATE INSP. TYPE INSPECTION REMA RKS PLUMBING DATE
/ / / / 1 '." V� fY / d / /�� Contractor
11 ` 11 L "4
/, d _ ` Permit No. J
W �� _ Rough -in cp/L / 1 /t 7
p er_ -- Q r{{ Fixture
/4 // 5- ' l Final
�] } n c E { - _ HEATING
f� /v4C "�_ �/ L�+��yJ Contracto
/l S 1142,stz.:14 Oil No. 1 ( X 3 , 5 Ef' /C 7g
r
Ga or
? 1 -,'JV .< / L QiL Gez5L t/ / Rough -in
// Final
e_f_A [ r S EWER
�
r Fi na l 9/2-V Tr �l
DRIVEWAY .
)4 4A-..C9 a �,A;C.0 Final
'9 Le. + ma y �� 4"CS.t .✓? StOMI Drainage
vJ .
,Q • frA. . (Rain Drain) Final
Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY n
CERTIFICATE OCCUPANCY Final
q z e- 77 a
V Landscaping
Zoning Final
- -- 1V 4 9Ko -1 is -Ti. '* r - - - - - -
CITY N0 cras7
BUILDING PERMIT APPLICATION OF TIGARD DATE __ _. _ _ __. 19,7
THE UNDERSIGNED HERESY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEIZI_VO4.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF ZZ3_'
+ �' -dip / �./I Nom, LOT NO __
OWNER L(TILIYy Lux's, C j OORESS , '� 9 3 - �F - ARCHITECT A 0 , 7 i Y.
QR 3 ENGINEER ��
SUI�_DER 1 _ -- -_ - ADDRESS d / ✓� � �! __ _ _ __ L__- _DESIGNER - - --_ ... -_
STRUCTURE DNEW 0REMnDEL -_ ADDITION — DREPAIR DRENEWAL OFIRE DAMAGE ❑DEMOLITID
❑ RESIDENCE COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSLJPATIO DCAR PORT ❑GARAGE ❑ STORAGE C�SLAB ❑FENC
QCCLPANCY L! .- LAND US= Z'" I := -! _ _- _BLDG. TYPE _ /-�C_ ZONE PLAN CHECK BY C . ___ _- - HEA.T __
liVal f • PA., Pe-euve • ..._ ,
?rd eatt_ -ate`
SEWER PERMIT
OCC -LO? D ____ - -_ F4OOR LCoO - L HIEIGHT _ _ - NO STORIES / AREA Ng_ - _ -__ NQ_ BEDROOMS _VALI,11 - ±_
BUIDI G DEFARTMEr,T
L - - BACKS FRONT REAR LEFT SIDE RIGHT SIDE
P __ � � -_
-;IS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, i ONIN
[Plan Check GULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TI-
- - ' - -ORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN. -E V:i i
S::7- total
�
- - - -- ILL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI ,
1ESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 8
State Tax I o ! '.!CENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total O r i 6, , — ` /fl2L4
- - -- - -- - - _
APPLICANT OR AGENT
[ A;AdruvPd +
we
elpt No -
L prynRFSS c.aONE
SDC - $
PDC - $ i '
gPWERLONNECTION $ __
SEWER INSPECTION $ /14
r
SEWER SURCHARGE $
Comments: T€'4 Pam
d `6„, 13' beo Tr4fGeN a t /D
2. Vera tv60- c q 141te d
_____