11945 SW PACIFIC HIGHWAY STE 119 ADDRESS:
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BUILDING PERMIT APPLICATION TIGARD DATE I4/3 ,9 84 5104
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 472-41-l'o'.-
OR
72-4t1'i_OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER }'rows/F;i[Clesort JOB ADDRESS Tigard Plaza f jig LOT NO.
Mcilinnvi lle Ur ARCHITECT
BUILDER VIS Construction ADDRESS 110 &-,x 333 97223 DESIGNER
STRUCTURE A ❑ NEW _&REMODEL 0 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
L.1 -ESIDENCE ® COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELICIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY u HEAT
interior (t401Ypstructural) remodel of euisting tennat space correct firs~
doors at IJElllway Fire Sprinkler to unzet all requirements
SEWER PERMIT#
OCC.LOAD _ _OOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
_ BUILG NG DEPARTMENT SETBACKS FRONT REAR _LEFT SIDE RIGHT SIDE
Permit 310 u THIS PERMIT IS ISSUED SUE)ECT TO THE REGULATIONS CONTAINED IN THE BUILDING
-- CODE, ZONING
REGULATIONS AIJD ALL APP-ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Flan Check 1 l•Jy WORK WILL BE DONE IN A.',CORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
U WITH ALL APPLICABLE CODES AND ORDINANCES. 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
1 1•GLI RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 1`0 HAVE CURRENT CITY BUSINESS
State Tax
3V LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HE'.TING.total
67.93 _ SDC--
By
PDC# APPLICANT OR AGENT _
Receipt No •__ ' __
Approved lilti ADDRESS PHONE
DATE INM TYPE INSPECTION REMARKS PLUMBING DATE
LAIP riTi 1,Ili
Hjugh-in
Fixture
Final
HEATING
Contrartar
Pqrmlt Nn.
c em or Oil
Final
scwkR
Final
DRIVEWAY
Final
Dralmago
I(Polm nrain)Final
FSidewalk
Curb&Street Fine!
A oprosch
BI.DG. DEPT.FINAL I-EMPORARYC:E
CERTlac IkTr p;Wkc r r- P
(sndscaping
Zoninij Final
BUILDING PERMIT APPLICATION TIGARD DAT /cd 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE '49Z-y117
OR AS SHOWN AND APPROVED IN +'HE ACCOMPANYING PLANS AND SPECIFICANONGS OWNER PHONE
T3Ro\UN �'%'l T-r4-e,5'�.'
LOT NO.
OWNER JGI3ADDRESS I /LLQ
- /1cp of `7.7/ZS ARCHITECT
_ ENGINEER
�� c ADDPESS j �n� -=� - DESIGNER
B ALDER_ ��L_��?IV�t-.? 17� ---
ST RUCTURE C1 NEW -_ a REMODEL -- ❑ ADDITION REPAIR ❑ RENEWAL ❑ FIRE DAMAGE r! UEMOLIT101
RESIDENCE COMM-❑ EDUCATIONAL L7�GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE G STORAGE h) SLAB❑ FENCI
�a -
OCCUPANCY LAND USE ZONE r BLDG.TYPE PLAN CHECK SY ---HEAT------
ai
SEWER PERMIT
OCC.LOAD- :Lt70R LOAD HEIGHT NO.STOHIES AREA NO BEDROOMS r---^ VALU-k OVO
BUILDING DEPARTMENT
SETBACKS FRONT REA. LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REG�S CUyTA1NED IN THE BUILDING CODE,ZON(N
REGULATIONS AND ALL APPLICABLE CODES A^(D ORDINANCE AND IT IS HEREdY AGREED TY,AT TH
Plan Check '�` !' 3 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIAN
��[�`` rr WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI
I St�btbtll) d RESTRICTIVE
SEPARATE PERMITS ONTRACTOR AND SUB CONTRACTORS TO HAVE EOUIRED FOR SEWER,PLUMBING AND HEATING.URFtENT CITY CUSITrE
j Mate Tax j,3 L)
SO(:--
Total v 3
P" APPUCANT OR AGENT
Ry
— Receipt No. --- __-- - ----
Approved ADDRESS PHONE
SSU(; --- $
SDC -
ROC - _..
SEWER CONNECTION $
SEWER INSPECTION S
SEWER SURCHARGE S _,
CITY OF TIFA RD N o. 104,2'
12755 S.W. ASH
P.O.BOX 23397 Date
TIGARD, OR 97223
J1 15A P."I C
rx
Name
_
Address
Lot Block/MI ubdivisionlAddre t{ 1
--- ( I e
Permit Ws Bldg. Plumb Cash Check
5IU` _ —
Sewer Other Other Rec.
Acet. No. _ Description Amount
k
0.432 B_uilding Permit Fees —
0-431 600 Plumbing Permit Fees
10.431.601 Mechanical Permit Fees
10.230.501 State did . Tax r
10.433 Plans Check Fee
10.435 Other Licenses & Permits
30.443 Sewer Connection _
30.444 Sewer Inspection
24.448 Street S st. Dev. charge _
25-449.610 Parks I S st. Dev. Char e
25.449.620 Parks II Syst. Dev. Charge
31.450Storm Drainage Syst. Dev. Charge
10.430 Business Tax
10.434 Alarm Permit
10.227 Bail
10-455 Fines-TrafflclMlsdlParking
10.230- _ CPTA TrafficlMisdlVlc. Asst. A
10.456 Indlgent Defen;e _
30.446.401 Sewer Service/USA
30.446.402 Sewer–11ervlcelCity� _
31.447 Storm toralnage _
40-475 Bancro+.t Prin. Pymt__
40.471 Bancroft liii. Pymt,
10.451 Other Char es for Services _
,O
PEETOTAL
ti-.f DEPT.