BUP1978-2017 � �' J � � Zeds
BUILDING PERMIT APPLICATION SOF TIGARD
DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK'HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN.THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHO —
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LOT NO. !O N/� Ig i7
OWNER ;���' JOB ADDRE HOME ADDRESS
fbwk JW fluialkar, ARCHITECT
ENGINEER
BUILD ADDRESS DESIGNER
r .—�
STRUCTURE ❑NEW ❑RE-MODEL [3 ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
C] RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:)CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND [:]MOVING [-]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG. TYPE FIRE ZONE_ PLAN CHECK BV HEAT
tilt up bldg. W/..4,UUU I54. FL- .:oar "-Ito.
_.wca 36,000 max. area by Z hr Walla. All per / plana and apfic. ai..'
arstaff Arch. sheets a Al thru 8 incl. Thke permit is for b1dy. *h®l.
^up:+ncy until tenant modifUntion plana approved. {Fire f,prinkler F y gt(3tn
OCC LOAD FLOOR LOAD 1ncretFHEIGHT 20 NO.STORIES AREAA84 ,nn1�0.BEDROOMS VALUE _
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
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 Tv '
Sub-total �•�� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA;V'
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
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Total
By
APPLICANT OR AGENT
Ann.r.anrl Pa .nt Nn
A
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
(.tJ1 Permit No. W 6
Ps Rough-in
Fixture
Final
HEATING
Contractor q
Permit No. l p 3 3-�1� Y�?—�7/
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
d Final
Storon Drainage
-2- "29 (Rain Drain)Final.
l9 Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TtMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
et-e-11? c 2
/he ha74-e
W
A//yl zzs� �s
0;-HEBUILDING PERMIT APPLICATION COF TIG:!%RD DATE N0-
THE
UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_
I l ''' lf-7 LOT NO
rder A4�
OB ADDRE HOME ADDRESS
ARCHITECT
!ENGINEER
J=R �/ ADDRESS DESIGNER
'1CTURE MEW ❑REMODEL ❑ADDITION [:]REPAIR ❑RENEWAL [:)FIRE DAMAGE []DEMOLITION
F. IDFNCE— LCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSDPATIO ❑CARPORT ❑GARAGE ❑STORAGEEISLAB [:]FENCE
CROND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
'.CUPANCY.- _2--LAND USE ZONE �� BLDG TYPE S FIRE ZONE--!-- PLAN CHECK 13Y HEAT
C lit c%c t.C[ W if o e o -1 .
2120 )0-4
7':C.LOAD FLOOR LOAD SIG T 20 NO.STORIES r AREA Ooo NO.BED ODMS VA EI//I��itIOC�
BUIL ING DEPARTMENT SET BACKS FRONT 1j REAR j LEFT SIDE �g RIGHT SIDE `p(�
Permit ro OT
— — 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
Sub total 2 0C) S'v ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
;tate Tax Q LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total �3
By
_ APPLICANT OR AGENT
Approved Ipt No.
--- ADDRESS PHONE
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