BUP1978-2109 11TH 2109
BUILDING PERMIT APPLICATION 11T TIGARD DATE 522-78 19
OF
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 2137-3494
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO.
OWNER tinnevick Comte JOB ADDRESS $016 BY Muniiker HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER sacs ADDRESS DESIGNER
STRUCTURE [:]NEW ❑RFMnDEL ❑ADDITION C3 REPAIR ❑RENEWAL [—]FIRE DAMAGE [:]DEMOLITION
C1 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE [:1STORAGE❑SLAB [:]FENCE_
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY---2--LAND USE ZONE '^'a BLDG.TYPE_ j: FIRE ZONE_ PLAN CHECK BY tdf.Ll HEAT
censto 2 story arrics aroo inside existing dldj. all per plana as proparsd
,' by S. Go Stonich arch, Fire Sprinkler to be extended to all now area per Pirb
Code requireNnts pm pomits required for Tiro sprinkler and plumbing
OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE _ `]7'
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit dulao
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 40.00 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 120*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 3.20 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 123.20
BY --
APPLICANT OR AGENT
Approved Receipt No. —
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
5. Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storon Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
Adek AM111116 Aw�
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DUILDING PERMIT APPLICATION 11T TIC-ARD DATE ��- �-�-. Ts N0
OF
-,H: UNDE RSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE Ii'
,,,-F, AS SHOVdN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. oVJNERPHONF
` LOT NO.
=R` OB ADDRESS U ^ �"�/ ADDRESS
ARCHITECT
ENGINEER
_
4e ADDRESS DESIGNER
_!-l;-;RE ❑NEW _ EMODEL ❑.ADDITION ❑REPAIR []RENEWAL [:]FIRE DAMAGE ❑DEMOLITION
L�'DENCE (_OhgM ❑EDUCATIONAL ❑GOV_T ❑RELIGIOUS❑PATIO CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
FOND ❑_MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
CUpANCY.9-- AND USE ZONE M_t4 BLDG TYPE FIRE ZONE PLAN CHECK BY HEAT ~�
S � r
1
If
r":
';G .LOAD �..__ FLOORS U HEIGHT _ NO STORIES�I AREA 00I NO.BEDROOMS --VALUE / SCJ
BUILDING DEPARTMENT SET BACKS FRONT 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 WITH
Subtotal LL 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 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
T oral 2a
By -
-.___—. APPLICANT OR AGENT
Approved Receipt No
----'-- ADC)RESS PHONE