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INSPECTION NOTICE
City of Tigard Building Department ✓ `
P O Box 23397
Tigard, Oregon 97223 -
Phone. 639-4175
'Type of Inspection --
DatQ Requested_ d� � — Time x A.M.
Permit � -
Address -
Owner � �f -___�,_ Lot
Builder – -----�—
The following Building Code deficiencies are required to be corrected:
Presented to /{;_ –�— _- - - I � Approved
Inspector [/ i ��--- -- -- u Disapproved
CALL FOR REINSPE C77ON
* ❑ YES ❑ NO
!� +�► «AI► I® Ile Iqp el► !! I�
INSPECTION NOTWE
City of Tigard Building Department
P.O. Box 23397 .`
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
C
Date Requested _ X A.M. �'p,M,
Address �[_ �— _� � � Permit
Owner — _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector
-- Disapproved
Date _ z,�e
CALL FOR REINSPECTION
0 YE8
/ NO
INSPECTION NOTICE
City of Tigard Bui;ding Department
P O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested Time MP.M.
XEL
Address �� [L � Permit
Owner
Lot #_ `
Builder
The following Building Code deficiencies are required to he corrected: `— —
i
i
Presented to Approved
Inspector /f
(_ Disapproved
Date
CALL FOR REINSPECTION
C❑ VES 0 No
W ■ ■ W ■ T■ ff&W i/
INSPECTION NOTICE
City of Tigard Building Department j
P.O. Box 23397
Tigard, Oregon 97223 �J
Phone: 639-4175
A '
Type of Inspection
AA
Cate Requested_, _— Tune �— A.M. P.M.
Address °' -- 1 0 5-S �- ��" Permit
Owner_
Lot #
Builder —
The following Building Code deficiencies are required to be corrected:
r�T t'�zO K"-r --
%��
-- - 45 A EZE-72
Presented to
Inspector Disapproved
CALL FOR REINSPECTION
❑ YES C] NO
1W r
CITY OF TIGA� � BUILDING PERMIT i
, PE 'MIT NO. : PU892529
CITY OF nGAItD
COMMUNITY DEVELOPMENT DEPARTMENT Of °°"
13125 S.W.Hall Blvd.,P.O.Box 23397•Tigard.Oropon 97223,(503)639.4175 T E ISSUED: 11/29/89
S.
QM f-h1fl AqPj r
`►_- ---
SOP ADDRESS: 8325 SW ROSS ST
TAX MAP/LOT SUP: L T: RK:
LAN.) USE:
LOT SIZE: VALUATION: 3.980 SETPOCKS
FRONT REAR:
WORK CLASS: NEW DWFLI_.UNITS: LEFT: RIGHT:
USE TYPE: OTHER NO.BEDROOMS: E.XT.WALL CONST:
CONST.TYPEc VN NO.PATHS: N: S: E: W:
OCCUP.GRP. : M2 PROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA:
NO.STORIES: IST: ROOF' CONST: FIRE RET?
HEIGHT: 8 2NDe AREA SEPAR7 RATED:
BASEMENT? 3RD: OCCUP.SEPAR? RATEDe
MEZZANINE? BASEM'T
FLOOR LOAD: GARAGE: FIPF SPRKLR? ALARM?
FLOW(GPM) DETECT?
r -----
PLAN CHECK. IIY: ih i
REMARKS:
300 lineal feet of 81-0" vedar fence REISSUE OF NO.
LAST REISSUE
o FEES:
N Schmidt Larry PERMIT f38,08
i 8,325 SW Ross St PLAN REVIEW
" Tigard OR 97223 FIRE DEPT
PHONE. (503) 639--2379 STATE TAX $1.99
— - OTHER
C DEVELOPMENT CHARGES:
N SDC(STORM)
R SDC(STREET)
A PDC(M )
C
T PREPAID ( )
O
R
TOTAL : $39.99
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO. /061 3 /
of the TMC, State of Oregon Specialty Codes. zoning regulations ------------•_-------
and all other applicable codes and ordinances, and it is hereby P0UIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and FOOTING
specifications and In compliance with all applicable codes and FRAMING
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontrac!ors shall have current city FINAL
bus+nean tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period o1 180 days any time after work has
commenc d. It shall be the responsibility of the permittee to assure
all requi inspections are requ sted and app o ad
Pen ittee Si wt,
Issued By t—EP-A--R-AT
—._—____ —` E PERMITS REGIUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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CITYOFTIVARD
(Cn,f0FT"VPLAN CHECK APPLICAT?ON
COMMUNITY DEJELOPMENT DEPARTMENT °o` PLAN CHECK Nr�
13125 S.W.HON Blvd.,P.O.Box 23391,Tigank Oregon 977x!.(503)639-41TS PERMIT #
DATE ISSUED _
'JOB ADDRESS: -l _ e �� _ TAX MAP/LOT
SUB: _ LOT: LAND USE:
VALUATION: --J' 2L20, UU _
OWNER � SPECIAL NOTES
NAME: C A J.,I CIX REISSUE OF:
ADDRESS: QLAST REISSUE:
_ FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS R_ EQUIREO
CONTRACTORII () PLANNING:
NAME: �lJ e- �C_O ue. (�o.1Ep ENGINEERING:
ADDRESS: J.'l\t _— FIRE DEPT
OTHER:
PHONE _ _ __ ITEMS REQUIRED
BUILDERS BOARD N: EXP DATE: _ LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME.: TRUSS DETAILS:
ADDRESS: �i OTHER:
PHONE: _ --
COMMENTS:
SUBCONTR•AGTORS: _. PLUMB,_ MECH
PERMIT *''"'wrACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
1.0=432 00 Building Permit Fees �O(,� �, •, 1
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
- a� 10-230 01 State Building Tax (5X)
Building
i n Plumbing _T
Mech
), 10-433 00 Plans Check Fee v
-o"4-iding
Plumbing _
Mech _
30-202. 00 Sewer Connection
_ 30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC)
52--449 00 Parks System Dev Charge (PDC) --
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 06 Fire _
TOTAL 7. 9 �� _ 7c_- YU
RFC N
APPI ICANI GNATURE
Received By: Date Received. <8 �
cn/3587P/18P
APPLICATION STREET IMPROVEMENT/EXCAVATION COPY TO:
ORDINANCE NO. 74-14 (YELLOW)-INSP.
INSTRUCTIONS ON SEPARATE SHEET (PINK) OTHER AGENCV^1n�'
( I (BLUE)-APPLICANT'
� 1
APPROVED APPLICATION NO.: `rl
NOT APPROVED CI I l' O IIGARU, OREGON FEE AMT.: S --
PENDING FEE PMT, CI Y IIALL RECEIPT NO.: L = i'-
PENDING SECURITY PUBl_ICWORKS DEPARrMENT BY _ DATE I
_ _ _ _
PENDING AGENCY ''OK'' \hhlication and Progress R^cord
MAINTENANCE BOND,M _—
PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION ASREQUIRED 4z
ANN U A L. .,.
PENDING "^RIANCE ! EXPIRATION DATE:IL
—
y
PERMIT NO. __ __f_. DATE ISSUED: _—L_-__ I _- -_ BY:
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL ____:_--_'_'_ -�'�_ _______ _" 1I'
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT _.__ c t -�
NAME ADDRESS CI PHONE
CONTRACTOR _ _' '� /�`'1:, I 6Pn /f' -- -- - - - _ �—
A ADDRESS CITY PHONE
PLANS BY_
NAME } -ADDRESS " —� CITY PHONE
r-_STIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ `25 - •
DOLLARS
FOR OFFICE USE C MIN
(2) EXCAVA .ION DATA: 0.04 X
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
SURFACE CUT CUT CUT MATERIAL INSTALLED T--
NAME TYPE LENGTH WIDTH DEPTH ITEM. & QUANTITY ITEM DATE— REMAF:KS/TYPE LY`
— STREET
_ OPENED
INSPEC-
R TION
Q
U -
-- E
ESTIMATED STREET OPENING DATE: -___ •AIWft IIA 4! S
ESTIMATED STREET CLOSING DATE: E
_ D
STREET
( 1) SECURITY NO. __ SECURITY AMT' $ CLOSED
SURETY CO. FINAL
CERTIFIED CHECKCASH cO •oNo INSPEC.
0) PLOT PLAN. INDICATE SITE PERTINENT PHYSICAL - SPECIAL PROVISIONS J CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT,
/f cfj 1 i s 1
rc
I ,
I I 1 r
--
I
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY. GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OI'-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON,
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT I AWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT Of' THE "WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MA7 RESULT FROM APPLICANTS ACTIONS
I
APPLICANTS SIGNgTURE A DATE
!E' i � � � � � I♦
BUILDING PERMIT
CITY OF TI17A RDA�cmP RMIT NO. : BUB92145
COMMUNITN' DEVELOPMENT DEPARTMENT ��
TE ISSUED: 11/27/89
13125 S.W.Hall Blvd.P.0.Box 23397,Tigard,Oregon 97223,(503)839-4175
P ZM.PMT.h10. 892145
JOB ADDRESS: 8325 SW ROSS ST
TAX MAP/LOT SUB: 1.1 : BK:
LAND USE:
LOT SIZE..: VALUATION: $ 910LO SETBACKS
FRONT: REARS
WORK CLASS: NEW DWELL.UNITS: I_.FFT: RIGHT:
USE TYPE: COMMERCIAL NO.BFDROOMSs EXT,WAI_L CONST:
CONST.TYPE: VN N(L BATHS: N: S: E: Ws
OCCUP.GRP. : B2 PROT.OPENINGS:
OCCUP.LOAD 8 N: Ss E: Ws
TOTAL AREA: 2400
NO.STORIES: 1 1ST: 2400 ROOF CONST: A FIRE RET? YES
HEIGHTs 16 2ND: AREA SEPAR7 NO RATED:
BASEMENT? NO 3RD: OCCUP.SEPAR? NO RATED:
MEZZANINE? NO BASEM'T
FLOOR LOAD: 150 GARAGE: FIRE SPRKL.R? NO ALARM`? NO
FLOW(GPM) DETECT? NO
HEAT TYPLL- __—__HDCF,ACCESS? . CORR? NO
PLAN CHECK BYI: ih i
REMARKS:
Pole bldq for Schmidt San. Svc. REISSUE OF NO.
LAST REISSUE
FEES:
W Schmidt John E. PERMIT $74.50
N 8325 SW Ross St PLAN REVIEW $48. 43
H Tigard OR 97223 FIRE DEPT $214•80
PHONE (503) 639-2378 STATE TAX $3.72
OTHER
DEVELOPMENT CHARGESs
o WOODS iOM SDC(STORM)
N ECONO FAB BUILDINGS I SDC(STREET)
R PUBOX6205 PDC(M ) I
C Alohe OR 9700; PREPAID ( $78.23)
T PHUNi (503) 649-5454
R REGISTRATION NO. Econo TOTAL: $78.22
This permit is issued subject to the regulations contained in Title 14 ___________RECEIPT N0.
of the TMC, State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances, and it Is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and SLAB
specifications and In compliance with all applicable codes and FOOTING
ordinances 'Che issuance of this permit does not waive restrictive FRAMING
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and ROOF NATL ING
void if work Is not started within 180 days,or if vvork Is suspended or SHEAR WAI. -
abandoned for a period of 180 days any time after work has FINAL
commenced. It shall be the responsibility of the permittee to assure
all requir inspections are requested and approved.
j1� C 41411 f(
Permittee S/gnature
Issued By fI IPOLE FOR VINSIPFIRT,
SEPARATE PERMITS AEOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
/mw3 9
TUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRIi, DEPARTMENT
4755 S.W. Ciriftith Drive • P.O. Box 4755 • Beavetton, U 2 97076• (503) 526-2469• f AX 526-253r
Noveciber 22, 1989
John E. Schmidt
8325 S.W. Ross Street
Tigard, Oregon 97224
RE: Pole Building
8325 S.W. Ross Street
Dear Mr. . Schmidt:
This is a Fire and Life Safety Plan Review and is based on the 1985 editions
of the Fire and Life Safety Code (UBC), Mechanical Fire and Life Safety Code
(UMC) , Uniform Fire Code (UFC) , and other local ordinances and regulkAions.
Plans are conditionally approved subject to the following items:
1. Firefighting WaterSupply: Fire hydrants shall be placed so that
a fire hydrant is no further than 250 feet from all portions of a
building as measured around the outside of the building and alonE
a fire department access road.
2. Access: Access roadways shall be provided as required by Uniform
Fire Code. Note: For the above two items, please see attached
copies of Uniform Fire Code and Fire District Ordinance relating
to firefighting water supplies and access roadways.
3. Use Of Building: Occupancy is limited to those designated for
Group B Division 2 occupancy housed in Type VN construction as
described by Uniform Building Code,
4. Address Required: The tenant space number must be prominently
displayed on the street front where it is readily visible to
drivers and officers of responding fire apparatus and other
emergency vehicles. UFC Sec. 10.208
5. Fire Extinguisher Requirements: Not less than one (1) approved
fire extinguisher(s) with rating of not less tbmi 2AlOB:C shall be
provided for each 1,500 square feet of floor area or fraction
thereof. The travel distance to an extinguisher from any portion
of the building shall not exceed 75 feet. UFC Standard 10-1
Smoke Detectors Save Lives
1 � 1
John E. Schmidt
November 22, 1989
Page 2
6. Approved ?Tans on Job Site: One set of approved plans bearing the
stamps of the building department issuing the construction permit
and this office must be maintained on the project site throughout
all phases of construction and must be made available to building
and fire inspectors for reference during required construction
inspections. UBC Sec. 303
7. Required Occupancy Certificate: Prior to the use and occupancy of
the project (space , a certificate of occupancy or other written
instrument of approval must be obtained from the building
department issuing the construction permit. UBC Sec, 307
It I can be of any further assistance to you, please feel free to contact me
at 526-2502.
Sincerely,
Gene Birr_hill
Deputy Fire Marshal
GB:kw
cc: Tigard Building Department
Tigard Water District
CITYOF TIVARD
OREGON
November 21, 1989
Tam Woods
Econ-Fab Buildings
P.O. Box 6205
1995 S.W. 192nd Ave.
Aloha, OR 97007
Project: Pole Building, BP 892145
8325 SW Ross St.
Dear Mr. Woods:
The revised plans for this project were reviewed for conformity with
applicable codes, and are conditionally approved. We request that you
provide us with a detail showing the attachment of the trusses to the
posts, and engineering data showing how the attachment is adequate to
resist the shear forces.
we All use the requested details and data to affirm proper connection
dut�.ng our construction inspections. You may obtain the building permit
for the project at your convenience.
If you have questions, or if we may be of assistance, please contact us
at any time.
Sincerely,
1
Jim Jaqua �%
Plans Examiner
FAX (503)684-7297
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)6394171 --
- --- ---�
CITY OF TI1FARD
October 17„ 1989
OREGON /
Tom Woods
Econ-Fab Buildings
P.O. Box 6205
1995 S.W. 192nd Ave.
h1oha, OR 97007
Project: Pole Building, BP 892145
8325 SW Roes St.
Dear Mr. Woods:
The plans for this project were reviewed for conformity with applicable
codes, and are not approved. To complete our plan review the following
items require additional information or engineering data.
1.. Openings shown in the closed end of the building are
not compatible with the bracing shown on the plans.
2. No sizes listed for the roof and wall cross braces.
3. No fastening information shown for crass braces.
4. No list of fastening spacing requirements provided for
roof and wall metal covering.
5. Trues drawings are for roof trusses up to 30-foot span,
not 40--feet as necessary for the submitted plans.
6. No anchorage system listed for the roof trusses.
When you have submitted the required data or engineered drawings, we
will complete our plan review and prepare the buildinq permit for the
building.
If you have questions, or if we may be of assistance, please contact us
at any time.
Sincerely,
' l /
Jim Jaqu
Plans Examiner
FAX (503)684-7297
13125 SW Nall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)6,"Q-4171 -------.----
—
W W .W W M I"FMEOW.,
CITY OF T117A RD oFWaRu Pl.AN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT �� �' PL AN CHECK N _-
131!' S N Hell Blvd. P.O Box 23397,Tigard,Oregon 97223,(503)619.1175 \\\ PERMIT # —_,.--
WTI ISSUED
JOB ADDRESS: 3d� w `�.os — TfX MAP/LOT
SUB: _ _ LOT: Lf ND USC:
VALUAfION —�9D0a� p° .--
SPECIAL NO
OWNFRTEf�
NAM �ak� �� b l^^� OT _ REISSUE OF: _ - —
ADDRESS: '' 4cs LAST REISSUE:
F1 UOD PLAIN/ •-'-
SEVG1i1VE LAND:
APPROVALS REQUIRED
CONI'RACTOR _ PL INNING:
NAME : VV\ L,-)bD (�.S <' ✓�. c �1`r�1in( ENGINEERING:AME ESS: L - _ r IRE DEPT
_— li C OTHER:
PHONE: — ITEMS REQUIRED
BUILDERS BOARD k: - EXP DATE: I_IfT/SUBCONTRACTORS:
BUE TAX: _
ARCH/ENGINEER CALCULAEIONS:
NAME: TRUSS DETAILS:
ADDR'�-SS: OTHER: -- — _
PHONI-
(oMMI:N TS: — --
SUBCONTRACTORS: ` PLUMB: _ _ MECH:
PERMIT M ACCT N DESCRIPTION WOUNT AMOUNT PD. BAL. DUE
10- 4.32 00 Building Permit Fees ,��
_ 10-431 00 Plumbing Permit Fees —
_ 10 431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) '-
Buildinq _
Plumbing _
Mesh
10--433 00 Plans Check Fee
Building _
Plumbing
Mech
_ 30-202 00 Sewer Connection -
30-444 00 Sewer Inspection --
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 06 Fire
TOTAL
1
REC 0
APPLICANT SIGNATI)RE
Receivid By: Date Received:
cn/358,'P/IBP
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BUILDING PERMIT APPLICA FION TIGARD DATE__ f,Um. st 9 _ ,s13 4545
THE UNDERSIGNED HEREBY APPI IFS FOR A PERMIT FOR Tt IE WORK HEREIN INDICATED BUILDER PHONE 644-9039
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PI ANS AND SPECIFICATION;". OWNER PHONE 6394 78—
OWLOTNO.John Schmidt JOBADDRESS 8,325 All Daae _
ARCHITECT
ENGINEER
BUILDER Eelln-O-Fab ADDRESS 1370 SW 122nd Ct. DESIGNER
STRUCTURE EYNEW ❑ REMODEL 17 ADDITION ❑ REPAIR 0 RENEWAL 0 FIRE DAMAGE Cl DEMOLITION
11 RESIDENCE 0 COMM 0 EDUCATIONAL O GOVT 0 RELIGIOUS_0 PATIO D CARPORT Cl GARAGE FTSTORAGE 0 SLAB 17 FENCE
OCCUPANCY...—° LAND USE ZONE }`'"7 BLDG.TYPE —Sr" FIRE ZONE _ PLAN CHECK BY - HEAT— .-._ —
ConAtrUet detat-iter! Stoxaa bteilct n;.
t
SEWER PERMITM
OCC.LOAD FLOOR LOAD !rine. . HEIGHT_ ' NO.STORIES I AREA 100'I NO.BEDROOMS VALUE 1 1 s2
--_BUILDING DEPARTMENT SETBACKS FRONT IWO _ REAR I ) LEFT SIDE' RIGHT SIDE i°
Permit _ 92.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT ;S HEREBY AGREED THAT THE
Plan Check 60. i 3 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 1 HIS PERMIT DOES NOT WAIVE
Subtotal _ 152.63 RESTRICTIVE COVENANTS. CONTRAC'rOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tex 3•lf�
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
_
Total 150,33 SDC
i
_- -- PDC# APPLICANT OR AGENT
By 0! r
— Receipt No.
�
Approved Bf R ADDREBtR LL --- PLIONE
9
i
4
iw www w w w w w w
uif lifr; i 1 f�±f(i i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor - --
(' Permit No.
- - `-� Rough-in
Fixture
Final
-- --- - ----------.__.--- --_--_-- HEATING
------- — ------ ----- ------__.—�----- — Contractor -
---
Permit No.
- — ------------- �
Gas or Oil _
Rough-in
- --- .-�.---------_�.—.—. ------__ Final
SEWER
_-_ _-- —.__-------- ---------_—..-------- Final
DRIVEWAY
Final
_ --._ -_ -..------- .._-.------------
Storm Drainage
(Rain Drain)Final
Sidewalk _ -
Curb&Street Fir.al
Approa�t---- - -
BLDG. DEPT.rINAt_ TEMPORARY CERTIFI'ATE OCCUPANCY Final
CERTIFICATE OCCUPANCY ----- ---
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE
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
LOT NO.
OWNER _ - JOB ADDRESS
ARCHITECT
ENGINEEP
BUILDER _ ADDRESS l�, DESIGNER
STRUCTURE ( NEW ❑ REMODEL ❑ ADDITION [ .REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE 0 STORAGE ❑ SLAB FENCE
OCCUPANCY "� LAND USE ZONE � BLDG.TYPE FIRE ZONE_...,.PLAN CHECK BY -
'_ ,-i .- -}�, _..r�'R. •r��y. �Y _.�:Z..-� '_`. Com' �_
_ p -
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT ' NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT EIDE RIGHT SIDE
I'urmlt S THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZON(NC
!_Z 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 COMPIJANCI
WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT WAIVI
Sub-total RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
} LICENSE SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
(� SOC— �
' Total _
PDCA' APPUCAN OR A
By
Receipt No.
Approved ADDRESS PMONE
SDC
P D C
SEWER CONNECTION, Econ-o-Fab
SEWER INSPECTION $�'� _ BUILDINGS
SEWER SURCHARGE SJ. T. WOODS
_ 870 S. W. 123rd Ct. Phone
Portland, Or. 97225 503.644.9039
t
comments: 5 ------ — -
City of Tigard
NS ► ECTION REQUEST
for
r) ,�
INSPECTION TIME : PERMIT NO.:
DATE: 0—KI "' DATE ISSUED:
OWNERS NAME : --
A D D R E S S : _
CONTRACTOR :
TESTI. Air D , Water Q , Visual , Laboratory
RESULT: AoprovedA Disapproved O Pending p
S K ETCH:
I
INSPECTOR DATE
INOTC Attach supplemental t&et data hereto
City of Tigard
I T10N REOUEST
for
INSPECTION TIME : '_ ? PERMIT NO. : __.—
DATE: '�_/ Z— DATE ISSUED:__Ll--
OWNERS NAME :
ADDRESS :
CONTRACTOR :_-----_ - -�'n==r�---=3.u�`--�.
TEST. Air 0, Water p , Visual O , Laboratory ❑
RESULT: Approved Disapproved ❑ Pending Li
SKETCH. AJ . Y /6 -7fr
1
INSPECTOR ~DATE
007E AtItic h euppiemental left data keret]
CITY OF TIGARD
12420 S. W. Main Srroo
Ti,A. J. OP-iUN 92123
APPLICATION FOR BUILDING PERMIT
New Construction Demolish ❑ Addition ❑ Remodel ❑ Move❑
7,ON I NG DATE IssuED C{" *7 tj BUILDING PERMIT
DATE. RECEIVED HUILDING FEE $ .:fi•C'1) No.
PLAN CHECK $ I 1 �1 C __._l_q.=-Y
14Y r VALUATION
OTHER/��•)'arc $_� .�� A.�,
TOTAL $�- RECEIPT No.99Qt-k---SFA'
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNIsnu WITH APPLICATION
LOT 1 ttL1 ! -_ 11AP 1 CENSUS TRACT JOB
Architect or Engineer____.______._ -
Ad•lreaa ---Phone--
..._
Owne! - '.�.._.r._.....
Address____ � 5"`____ �� a __ __ Phone
��%ZI Lirr.w AL Qat�at'P7/1/
B u i 1 ri a r
BUILDING USE Single Res. ❑ Multi Res. ' Comm. ❑ Industrial�.�
OC(:UPANCY GROUP No. of Stories Total Height-��� �� Area of Lot_y
Type of Construction 1 ti III IV �V Floor Area 810,(ke _ 2�__.____
Set Backs: Front
)),-ick (� L.Side��� R.Sid�s _
_1.1 ._ 1...___ __ _
Private Sewer Pipe- Sewe!_ Sopt�c Tank ❑ f
wnt rt service Pipe size_ Sform Sew �-Ujtch ❑ DryweI ❑
St roet and Curb Cements
Dr v� Width, -� i_ No. of Parking Spaces_
SEPARATE PEPMITS REQUIRED FOR SEWER AND PLU11HING
SPECIAL INFORMATION
ADDRESS ASSIGNED
FIELD CHECK
PERMIT APPROVED
it is understood that all work will conform with applicab a 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 Occupanc has been issued by the City of
Tigard Building Inspector //
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