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8785 SW REILING STREET 5785 SW REILINC STREET E W W H U z H a H W a 3 L'1 OD W W W W W W R ! uswIBlvd. PLNCK RECT # CIrlTY OF TIGARD Pfr)lt,)x 7-1397 - 7igard,Oregon97:.'_3 PERMIT # i3OMMUNI'Tl' 1)I �'F,I,f)PMGNT DI;1'ARTMI?N'1' (503)639-4171 PATE ISSUED ni TAX MAP/LOT --- JOB ADDRESS: SUB LOT: LAND USE: ___7�' - VALUATION: OWNER r SPECIAL IJOTES NAME: l'1 l uISSUE OF: _- -- - ADDRESS: � s_�r�fd� ' mss. --�� LAST REISSUE: __,-.--- -� FLOOD PLAIN/ — - - SENSITIVE LAND: PHONE: CO_NTRAC APPROVALSREQUIRED PLANNING: NAME: ENGINEERING: --_-- ADDRESS: �� .- � FIRE DEPT: _ OTHER: PHONE: - CONTR. 90ARD #: ��a/ EXP DATE: Al2-1' 9`1 LTEMS REQU I RED SUBCONiRACRI S: PLUMB: - � �- �- (-IST/SUBCONTRACTORS: i --- MECH: ( _ BUS TAX: ARUANG-1NEFR CALCULATIQNS:•, NAW: :�/tt r t ( ��/:d� • TRUSS DE ILS: ` lo ^ OTNER'N AnDP.,�:SS: -- q PHONE: _r PROPWED BLDG USE: _ -- -----� -- f' g PLICANT SIGNATURE Date Received: Received By: _ l PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432. 00 Building Permit Fees 1L✓,` _— 1jv ' '� 10-431 00 Plumbing Permit Fees X1.1 — ?� 10-431 01 Mechanical Permit Fees ----- 10-230 01 State Building Tax (5%) Building Plumbing _ h, Mechanical 10-433 00 Plans Check Fee Building -7f, t 3 Plumbing Mechanical 10-230 06 Fire -- 30-202 00 Sewer Connec.i.ion - 30-444 00 Sewer Inspect;on _-- — ------ 25-448-02 Commercial TIF Fees --- 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees _ __- 25-448.01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52.-449 00 Parks System Dev Charge (PUC) - 31-450 09 Sca rm Drainage Syst Dav Chrg (SSDC) _ -- 24-445-01 Water Quality (Fee in lieu of) 24-445 -02 Water Quantity (Fee in lieu of) TOTALl -K2 r.111%3' ,P.WPF -r•"r`�' r � :• fl''j �� v^' �,71i rl� �Yp.� `illy}+�N4p�.•f}}fis�tl�'�i'( �h �� d1a •��'y INit I ", 1�j� �N a� 4� blh �� 1 U ea/ I+,!' ` ,. �'•<. \ `'',yy� ..\ �4• ilUf 41 '!� �N0. ��, ' �y� 'pllfhr �aillm '�fl1=`¢�lfi'�Q� "'�IIM, r au1Nl�'�,� {�`. � � �;�� ,0 ' 9��'�ty O�ilijrti a��' ,.�,�n ,•(�n�1.� N.�a�11/i.: R1r � a= 11I� � ^cM•\--r-^---' .� t IL i,�t lII� rf u% ► �i .. a It f+A! It I r ro G p, too Cd u )Pi i ''• � M o� a `''' oD �. �'� ,� ft►� ,1 tic C4 Q �+y 'TLn ► q +' 'L1 .� I %� ,'�', Y: N 00 f r q r: WIN , vi ono � / 3 Lj Q, y�!{ y,A,,. ( I C tat U 4r ++ •, ;. 9 �� N .>� ��_•�� yq:� 46 �+ �� A �� '� �{ � �' cid O'� �•�`'�, ,��}'y`, ,lye AYE oil��' :. :y ►" 1�h''hll,�trt -•(U}: �!� !?iJit •.(U�.. •-( T•. 1 � •.•�,j� r�Nr� 1 r It y ,� , •., t h`R'C ,' tti�t 4',tY�'�d4+r.: INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested Time A M..._—,P.M. Address Permit Owner Lot # Builder The following Building Code deficiencies are required to be corrected: C– I 4 Presented to Approved Inspevor Disapproved Vatri CALL FOR REINSPECTION 17 YES NO INSPECTION NOTICE � I City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639.4171 I Type of Inspection - I t> j Date Requested—�: 2 Time--.X A.M. P.M. Address _ J� :2 1 kl Permit # Owner, -- __—_— I.ot Builder The following Building Code deficiencies are required to be corrected: Presented to ._ _ _ ❑ Approved Inspector _ �C— _. [ Disapproved Date CALL FO t REINSPECTION { YES F� NO INSPECTION NOTICE City of Tigard Building Department 12420 S.W Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested –' q Time_ A.M. P.M. Address __ cii" 2.S'–S 1 4r t �zd 'i� Permit #_ — Lot # Builder The following Building Code deficiencies are i Squired to be corrected: .._-rF �+9� � __..-moi'.. T �. �. -��/► _ - t i 1 Presented to — -----____-- Approved Inspector _ _ ri67 _ ___��_ [] Disapproved Date CALL FOR REINSPECTION CJ YES CANO Z,9 BUILDING PERMIT APPLICATION TIGARD DATE- 19.---- THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ OR AS SHOWN'AND APPROVED IN THE ACCQMu.1NYING Pi AtjS NDSPE911ICATIONS. OWNER PHO tf 7?.67 (t� LOT NO-; . " L.l.,--_--LL:, OWNER � erg k It++! JOB ADDRESS .�._-.--- -- - ARCHITECT ENGINEER BUILDER 'S"'r _.� ADDRESS jr` Hirai `'t•r'iCdtt4'[ `^ DESIGNER :P,night*9 STRUCTURE_ [7 NEW _ ❑ REMODEL ❑ ADDITION__ ❑ REPAIR _it RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION Cl RESIDENCE CJ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C7 PATIO El CARPORT ❑ GARAGE ❑ SYORAGE ❑ SLAB❑ FENCE OCCUPANCY ._. LAND USE ZONE BLDG.TYPE''� C, ^FIRE ZONE--PLAN CHECK BY--ttvh .HEAT—r ler .— t,r1jr ains�t. b�ilily ,iwelling v/Attacj1P..r'_•,1TF�<`c .- -- �P.,4�tC/Ct"l9 1 �°�f1+3• Mrl ACTA('t,}'. > a91':/ -- '3'at()•O(i � r�7fr8ls',.E! S;?`i :�q . ft . SEWERPERMITM _ -- -- - - -- - -- - -._-- OCC.LOAD FLOOR LCAD +! HEIGHT 1 ' NO.STORIES ' AREA 1" 1 I NO.BEDROOMS VALUE - BUILDING DEPARTMENT SET BACKS FRONT REAR �1► LEFT SIDE ->!lR a� RIGHT SIDE --� — Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGI)LATIONS CONTAINED IN THE BUILDING CUD[, 70NING I -PEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND It IS t EREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSI1ANCZ Of THIS PERMIT DOES NOT WAIVE Sub total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS Te HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND Ht_ATING. State Tax •_ SDC �AUU. I. -- Total --- PDCN It i U ii.CT!!APPLICANTON AGENT—-- --�_ B 1 _ Receipt No. ----- --- - PHONF Approved A D 88 .. DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE ContractoNo. _ Cs .S '/r '` �•2 �� t�,. _— Permit Nu. ,Cej – �z '\y Rough-in 1 - Fixture Final -S2i_ / _ HEATING Contractor Gas or Oil Rough-in Final 5 g W E R Final —T 2 -- – -- – –� DRIVEWAY Final Stuim Drainage (Rein Drain)Final Sidewalk Curb&Street Final Approach DLUG DEPT,FIN AL TFMPORAY CERTIFICATED FCC;UPANCY CI`RTIFICATE OCCUPANr.Y Final Landscaping Zoning Final /Vo 7Z AWil-DING PERMIT APPLIATION TIGARD DAT 19 THE UNDERSIGNED HEREBY APPLIES FOR A FAIT FOR TETE WORK HEREIN DICATED BUILDER PHONE bz8 X33 ORAS SHOWN AND APPROV,f-DIN THE ACCOI ANYING PLANS AND SPEC OWNER P 0 ' GU � LOT NO. �- O`lJNEP. 9*w l ADDRESS • FI�S� • '`�4W DESIGNER F+Ii p TS V1alf. jlf�A1 BUILDER - ---� " v �_ REPAIR ❑ 7EINEWAL ❑ FIRE DAMAGE ❑ DEMOLITION STRUCTURE �Q NEW ❑ REMODEL ❑ ADDIT'IOIJ � � -- ---- RESIDENCE —❑-tCOMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS ❑ PATIO ❑ CARPORT Cl GARAGE G STORAGE ❑ SLAOrl rENCE � PANCY LAND USE ZOP',E _BLDG.TYPE _ FIRE ZONE PIJ1N CHECK BY : SEWER PERMIT M _ � __�.-�_ - -e.► ___-_ ..._ - OCC.LOAD FLOOR LOAD HEIGHT_ _/r3 NO.STORIES�l_ AREA I X 10 NO.BEDROOMS VA.LU= tj 00 BUILDING DEPARTMENT SETBACKS -FRONT 2Z HEAR _*33 LEFT SICE Z RIGHTSIDE _ 7 Permit -pV THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOWNG - w 7 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT TPE `` Plan Check /•! S• GQ WORK WILL BE DONE IN ACCOFlDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE - -- �- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER.1111T DOES NOT WAIVE Subtotal �_-(0 Q RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE_SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING_ Stam Tax 4J SDC- TotalPDCN -APPLICANTOR -- --- - __.._-- ---- BYReceipt '— No. ADDfiESS � �� PHONE Approved SDC — PDC SEWER CONNECTION S el767 �y� �0 SEWER INSIaECTION $ SEWER SURCHARGE - - ---gy l�� 31 - 18-6 x 24 44-4 21- c. xsa 'Ito 17- x 2- 34- 2 3-// ._t2 P+_OR TANT MESIiiA0_1 F0R_ - ,1 I DATE ---TIME .,4 . OF_... -- PHONE_--� — AREA CODE NUMBER EXTENSION TELEPHONED — PLEASE CALL CAME TO SEE YOU - WILL CALL AGAIN $ WANTS TO SEE YOU� RUSH --y RETURNED YgUR CALL -- I RPECIAL ATTENTION-_--_ ..__ MESSAGE L— SIGNED - Lrn�u T'QPS FORM 30OPS 1