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11945 SW PACIFIC HIGHWAY STE 209-1 41 - 1 ' r 2 t , i.; i••L c. : G 12 c ut I ' a A • M L9 to a•. rturr•d D i f(1 n.?I.or:n,qW-0 to tr and f' c in.,octux.,i:.ru.a and conA cacri•tr.i. Qu Leh, � ilt�i fiI�E L'IS.►:1C AN 1"PEMON SWLL 13L 1•IAnr • .� c a 1. - . --�._ w Di r1 t, I t �c�� I ,V Sii;P9 ti`iC3 i. v K l b. L1'iti:r a.:t,r.i is at riu!ler ^ equlpmcrtt is;;;pusc.i. 1984 C. pciur to ihmutua �- occupancy i , J. Other. _ C►STRICT i, ` o r s � ■ AUTOMATIC SPRIN KI.Eft F1 P'ECTCC�i 4000 S.W. HOCKEN AV'F,, BEAVERTON, OREGON 97WS 503-643.8551 VA I_ f I ! L L 1a (YE i!►il.. I. f-41...M TITLE P-�civ v x T 11945 5W pacific Flwy DATE a SCALE SHEET of Suite 209 1 of 2 CONT. �4 ! DRWN. ___ SYSTEM of -?SIP-o93- oia If this notice a13pe:11•s cie:u•ei• than the Jul- n 1998 docum;'ut, the docilmenl is of marginal quality. NUCIZ10 ILMEn II!! llJill illIII I IIIII;IIIIIII I IIIA I�fliti ,III IIIIIIlIIII! I IIIIIlL111 ;I IIIIIII��iIiIII I IIlII►11�I11 II ! IIII��l�I�f 1 iNCM MADQ IN CNINt471 D1 1 -31 24X I mid II!I{ISIS it{{lilfl IIIIIII{f!fillll?fl IIIA'IlI !f11I{I:Iliit{{IIIIIIIIItIIIIiIIIIIIIII!!!� • . L) 5 ` 1 1 r S4 �( \ IZ¢oAQr`CW\H:� 1�YJ�OS�V b Z �1 T• r ' C r :,g r + V �c7 LA. G 'C.Orf L :ar ` ` �• �„ v GWAM 11945 SW Pacific Hwy Suite 209 2 of 2 i It, this notice appears cle;u•er than the 8 1398 docenlenf, the d,►cument is of marginal qu:Ilily. MICROFILMED i�i�ili�l�! i ��}}��}� �}I�19�if-i��i r�r��f��yl!}�i��! �i!}!}!j!}!}! � I�I}1�11!l,�) i iii};;! !��}� t �i��i I�i�i i i�!}!}! � !., � t ! ! i ! !I! ! I I i �I�I�I;�;�;I;I�I�!►l��i��i� Ew. I 1 I I � ► � � II � , � � � , iil III�IiII�lfll�llll�IIII�!!!i!1(IINII!!!IlHjlttl ll!l111I! itIlltlll Iili�ll!( (!!!�!!!II!!I!illl! IIIIliI!lIII!!�!!I! (Ili�llltf!lfi�Nlilll!I�li!11111�t�irla�.tG�! tlteliui�t�i �l!:laililm!I!tic�!,IIi1111 I!I!�I!111;11�f111 !Ill�ltll INI`�f11 !t11�liN N{{�INllilli�!IIIIIl�1►�!III i o h ADDRESS: llq� s all� �6Lrme iAkl,%�A I 'Su'l IL a i^records\rrmicroflm\targets\builc.Iing.doc DU{LDI . PERMIT CITYSF TIGARD fERMIT . . : UP: 9 4 -w 104 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/r-_'0/94 13125 3W Aarl Blvd.T'jard,Oregon 97213.8199 (5M499-¢F17,17 1 PARCEL: 151.35DD-03301 SITE ADDRESS 11945 SW PACIFIC HWY #5. 102 SUBDIVISION. . . . : HOFFARBE=R TRACTS NO. 1 ZONING: C—G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 REISSUE: FLOUR AREAS----------- EXTERIOR WALL CONSTRUCTION— LLASS OF WURK. : REF' FIRST. . . . : sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . 7,f PROTECT OPEN I NGS?--•---------- TYF'E OF CONST. :5N THIRD. . . . : s f N: S: E: W: OCCUPAN�,Y GRP'. :B2 TOTAL------ - : 0 s f ROOF CONST :B FIRE RET? :Y OCCUPANCY LOAD: BASEMENT. : sf AREA SEF'. RATED: STOR. : 1 HT. : 14 ft GARAGE. . . : s f OCCU SEPI. RATED: BSMT? :N MEZZ? :ISI REOD SETBACKS-------- REQUIRED- ------------------- FLOOR LOAD. . . . : ps f LEFT : fit RCiHT: ft FIR SP,KL:N SMOK DET- - :N DWELLIN, UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICF' ACC:Y BEDRMS: BATHS, IMP SURFACE: F'RO C:ORR:N PARI;I NG: VALUE. $ : 42000 Remarks : Re—roof bldg over si_tites 102, 104, 208, 201, and ='10 Cont inr-Cat ion of l ' work star^ted i.tnder- primary permit. Owner: -- ------ -- ----- --- ------ ------------------------ FEES -------------- MILT BROWN type amol.tnt by date reept 115+45 SW PACIFIC HIGHWAY F,RMT f 247. 1Z Z, MAB 04/2'0/94 — vF'CT $ 12-30 MAP 04/20/94 — TICARD OR 97223 Contr-actor: -------------------------------- THOMAS DELANEY u?522 SE DOYLE ROAD ESTACADA OR 9702 ; --- -------------------------------- f-'hone #: 646-1156 t 259. 35 TOTAL Reg #. . : 36881 ------- REGOU I RED I NSF'EC-(I ON S ------- This perm-.t is issued subject to the regulations contained in the Final Inspection 7ioari 'iunicipal Code, State of Ore. Specialty Cedes and all other appli_able laws. All work will be done in acr_ord3nce with approved plans. This perait will expire if work is not started h1hir. 1F� days of issuance, or if work is suspended for more tha. 1P9 days. Feer-mittee Si n t1_tr•e: i s s 1-ted Py: Call for inspection — 639-4175 PERMIT APPLICATION TIGARD OAT��,L� � ty Irl BUILDING PE - 7HEUNDERSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOLI,PANYING PLANS AND SPECIFICATIONS. O VNER HONE ' p �f1,111"Al ti LOT NO. ,C' �. JOB ADORESS 4/i'� .,7.,,• "M� i C+� r .Sly" e - - -- O'//NER�1 C --_- 1- ARCHITECT ENGINEER �� /� ADDRESS / OESiGNER BUILDER STRUCTURE (]/NEW REti OOEL O AOOITION �]_ REPAIR O RENEWAL Cl FIRE DAMAGE i ❑ DEIAOLITIO ❑ RESIDENCECOMA ❑ EDUCATIONAL ClGOV'T ❑ RELIGIOUS ❑ PATIO C] CARPORT ElGARAC _ G STORAGE ❑ SLAB❑ r-ENO (! �— �i FIRE ZGNF "" PL/�N CHECK OY �_HEAT OC CUPANCY �"�LAND USE ZONE SLOG.TYPE ,� —-- 1 ->� _ 4- e 6'i — ----- SEWER P ER P.I I T N OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEOr4OOMS VF_LU% BUILDING DEPARTMENT SET BACKS FRONT �� k'-F—R J+ f_- I-I~ IOE RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO T REGULATIONS CONTAINED IN THE BUILDING CODE,ZOII!•I c �., ; REGULATIONS AND ALL APPLICABLE C DES AND ORDINANCES, AND IT IS HERE21Y.AC' 'EEO TFAT T1. �P1a�Check J.�-' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND 1 COMPU424C WITH ALL APPLICABLE CODES AND OROIHANCES- THE ISSUANCE OF THIS PERMIT DOES NOT WAIV �SuSlolal 7 RESTRICTIVS COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITE BUSINE' ►ICENSF-SEPARATE PERMITS REQUIRED FOR SEVER.PLUTA@ING AND HEATING. Stbu Tax( - Tota) (c-J C� APPt jr-ANT OR AGENT V-- �- `-- LPDCN Receipt No. P.00RESS - PRONE ,1pp�F i SOC - POC - SEWER CONNECTION S SEWER INSPECTION S SEWER SURCHARGE S .m'uln Fabrics 5326'��, BUILDING PERMIT APPLICATION TIGARD DATE Apr6l 22 -& THE UNDERSIGNED HEREBY APPLES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 234-3135 OR AS SHOWN AND APPROVED I,14 THE ACCOMPANYING PLANS AND S"CIFICATIONS. OWNER PHONE_ '. •"1%s2 LOT NO.---- OWNER 0. —_OWNER Fav Z<ittleS011 qtr?A_DDRESS 11945 S11 Ya'_ifiC iiigll"y Shits 209 & 210 ` 1904 c::: I;lliatt. ARCHITECT ENGINEER BUILDER Chuck 13urrough0 ADDRESS Pot tlut.I■ LSH 97214 DESIGNER STRUCTURE ❑ NEW Q REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE {COMM ❑ I.:)i.UCATIONAL ❑ GOV'T_ L PFLIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY {�"z—LAND USE ZONE C_'I' BLDG.TYPE _5 N _FIRE ZONE '""" PLAN CHECK BY N"W HEAT `-- Tennant modification aj 1*r approved plans b curie requirements SEWER PERMIT# 1,oI.Iv -- OCC.LOAD FLOOR LOAD HEIGHT_ NO.STORIES AREA _ NO.BEDROOMS -- VALUE 1U.UUU BUILDING DEPARTMEN T SET BACKS FRONT 6 REAR LEFT SIDE F IJHT SIDE Permit _ y• ' _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN rHE BUILDING CODE, ZONIAG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TAE Plan Check 52.3' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANi,E WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-totalI jl.• a RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPAR`TF^ERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 4 w 3.22 Total 136.05 SDG - PDC# APPLICANT 0.1 AGFNNT By Receipt No, — Approved Msbja ADDRESS PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE / Cor tr r;.tor - Per nril No. Ruiigh•in Fixture .Final —..-- HLATING - �lC•muartnr �Fipn Nns^r oil J- Finnl SEWER DRIVEWAY Final I Storm Drelnage IHnin Drrinl Fln;,l Srdnvwlk Curb&Street Final , Approach _ ElLOG. DEPT. FINAL TE,;i ORARY CEC•r PiCA-rE OrCLIPANCY -;nal CERTIFICAZ:_OCCUPANC`' I , Landscaping ..L.—..-.�._...._. iLlnronp F,nil \. e URK HUI HUME MINN P 0 SOX 127 • TUALATIN, OREGON 97062 • PHONE 682.2601 .r VAL_l1E VILLAGE :i/'tb !1a y 11 , 1984 209 SW Tigard Plata _ g --- Tigard, Oregon 97223 4139- 7 2510--093-012 hear M B Hinds Company, 3) This is a Fire and Life Safety Plan Review for the automatic sp;-inkler protection system installed in basement of Value Village. This plan review is predicated on the 1980 edition of the National Fire Protection Association Standard No 13 56) Call this office for inspection of installed equipment while the installer is stili on the ,lob. Please notify this office twenty-four (24) hours prior to anticipated completion for field verification of romplianr.e of altered equipment. 10) Approva'. of submitted plans is not an approval cf omissions or over!,ights by this office or of non- compliance with any applicijble ,egulations of local government. 218) Normal office hours for Fire District Inspectors are from 8. 00 to 9 00 a. M. and from 4: 30 to 5: 00 p. m. Inspection requests and questions should be made by phone during these hours only. Whenever possible please ask for the inspector you wish to talk to, by liame If you desire a conference regarding this plan review or if you have questions, please contact Gene Qirchill at (503) 682-2601 Si e�� Cc �✓ mac. Birc Fire Prevention Burp,-u CITY OF ' BUILDING PERMIT APPLICATION TIGARD DATE _ N° 0469 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER �''l f� ADDRESS �— BUILDER PHONE .e I I ENGINEER BUILDERr"�r� .f ARCHITECT DESIGNER STRUCTURE KNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE r-]COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE C1 DESIGN REVIEW [:]COUNCIL APPROVED 'L�SIGNS OCCUPANCY---LAND USE ZONE —BLDG.TYPE FIRE ZONE_ PLAN CHECK BY_ HEAT_- . r OCC. LOAD _ FLOOR LOAD HEIGHT___ NO.STORIES _ AREA 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 -qcl REGULATIONS AND ALL APPLIJABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK W%I_L BE DONE IN ACCORDANCE WITH THI?PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording '�^ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE., SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATINr3. Total I By APPLICANT OR AGENT Approved Receipt No. ADDRESS PHONE DATE INSt, TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rou h-in Final -- --------- SEWER _ Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk %rb&Street Final A roach SLOG.DEPT. FINAI TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY _ Landscaping `� �� Zoning Final ti CV all to *�,j ce V) kki tj �.s J it • Z • ? C W � 1- �\ �` '.l x ��` �1 o v'► � o O tL •� � v y�•. o o� 40 ,� J _ - vi 'ili I qt G7 I I I i ' II iA III(IIlie v f'I,'I11111�1�� i { r: 1-41 11 0 kl ,M r I 4tI _ 1 CITY OF BUILDING PERMIT APPLICATION TIGARD DA,E-c =J x. 19 N- 0 0 31 THE UNDERSIGNED HEREBY APPLIES FOR APER"iii t FOR THE WORK HEREIN INDICATEL OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE,—_____ // _ / / UWNLR -i '/y�rr� _ ADDRESS �L c d �� u ?,?�a. BUILDER PHONE ENGINEER / BUILDER _ Ot-n 1.`e ARCHITECT DESIGP ER _ STRUCTURE ❑NEW ❑REMODEL ❑ADDITION _DREPAIR ❑RENEWAL ❑FIRELAMAGE ❑DEMOLITION ❑ RESIDENCE [:)COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE ❑BOND y❑MOV ING ❑�CCIN�DDITIONAL USE CI DESIGN REVIEW ❑COUNCIL APPROVED SIGNS ,gCCUPANCY� �-• LAND USE LONER-BLDG.TYPE-FIRE ZONE-1-7- PLAN CHECK BYHEAT — OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA VALUE r— BUILDING UEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit j 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 Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State �,� LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. J Total By �C _ gee - . .. AP" ' NT OR AGENT Approved Receipt No,/0 " �. �7 J'j ADDP) S5 PHONE '- CITY OF BUILDING PERMIT APPLICATION TIGARD DATE— 8-119 74 N° 0028 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN'. AND SPECIFICATIONS. OWNER PHONE OWNER Wigwam Outdoor_atoreP ADDRESS Ti ai3 _P1a2a BUILDER PHONE ENGINEER BUIII- uminite Sign Co. ARCHITECT DESIGNER STRUCTURE _❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION O RESIDENCE ❑COMM ❑EDOCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE 0wOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW 000UNCIL APPROVED ®SIGNS OCCUPANCY--LAND USE ZONE BLDG TYPE FIRE ZONE_ PLAN CHECK BY HEAT 10.00 for a, ian_permit 2.00 copy charge to change face from Wiewam _meq_ Pleld pan-ry___ 4 OCC, LOAD V FLOOR LOAD HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _ Permit 10.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 2.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1HE WORK WILL !IE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HL.VE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS RE.OUIRED FOR SEWER, PLUMBING AND HEATI G. Total fin Lygl.All1" '. Z Ai co By — APP' 'SANT OR AGENT Approved Receipt No. 10(,O /(p ! . S C �J•iU , T1 ADDRESS PHdNF EDLITLDI"JG PERMIT APPLICATTrN CITY Cr TIGARD da 1;R ' 9 7'1 7h w-dersigned hereby arn.i ic,n, Por a permit ror the work hereinindicated n Z-07OWn. and approl. c.-4 : 'h,? ing plana ard operi fications, lo V .A4&j=KjDqE LNGINEER 91i I L n C() PHONE 63,7 -i�c7l ARCHITECT DESIGNER STRUCTURE IDNEW El REIMODE L 0 A D D 1 TI 0 N OREPAIR CIRENEWAL. OF IRE DAmAGER ODEMOLITION 0P?SIDENCE OCOMM OEDUCATION 0GOVflT CRELIGIOUS 0PATIO QCAR PORT 0GARAGE Q 5 10 R A G E 0 SL A BE C_NC E BOND OMOV dG [J.r4L�Qr,�Q=D DESIGN �L�IEW QCOUNCj.L APPROVE SIGNS N,_,USE OF_Q_ 7 OCCUPANCY LAND USE ZONE BLDG. TYPE EIRE ZONE PLAN CHECK BY HEAT rl 1 G,H 5 1 D E r, T P)�, T pr R 1T 1:3 155"IED SURICCT TO THE P.[-GUL.ATIOfJ5 ImE CODE, ZONING REGULATIONS AND ;I'LL iQF.';,'1ABL(' COOE3 AND ORDINANCES AND IT 15 HERF.9, 'y PCRC. 6 1-.AAT r!- F WORK WILL BE DONE IN ACrORWICC Q'IT14 THE PLANS AND SPCCTFIrATIOPJS AND IN COMP.L. IANLF WITH ALL APPLICABLE CODES AND ORDINANCES, IL' state THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE ImEal COVENANTS. CONTRACTOR AND SUB-CONTRACTORS TO HAVE h� CURRENT EITY BUSINESS LTrENSE . SEPARATE PERMITS np.prowgrj REOUTRED FOR SEWER, PLUMBING, AND HEA IND. FA� Or ag C, 1 - 1 S . t N��t_� r'�-vD ------ - `. r o � b V M i vQF��v` LKS fC r,p1 �jG .T1GQ<<� k ..rva a t T) SHOPPNG P( _5'Ce-,,UA; -F rA6R-( CE xis( [A/IGWAM plut?LE FA(7�� (1% F vv �H6pP�IUG v 41\j -AC8 5t0JS AL(. �lo FEXCFPt I City of Tignrd INSPECTION N REQUEST for SPECTION '`IME: _ . r PERMIT NO. : _ IN: DATE.' .,E Gr�/ %i DATE ISSUED : Z Z /NERS NAME :9c GG, a; OM ADDRESS: 7" :NTRACTOR : _ I CC '.ST : Air ❑, Woter❑ , Visual ❑ , Laboratory ❑ I TE :SULT: Approved ❑ , Disapproved rl , Pending ❑ RE .ETCH: SM I I I ru t . IN PECTOR DATE I B: Attach supplemental test data bereto] I Cpl 1 v� City of Tigard INSPECTION REQUEST for INSPECTION TIME:: J PERMIT NO. :_ DATE: 6 1 ? 7% DATE ISSUED :---L-L-. I OWNERS NAME ADDRESS: � �- ��'� CONTRACTOR : TEST : Air ❑, Water[] , Visual p , Laboratory p RESULT: Approved Cl , Disapprov id 0 Pending p SKETCH: y vPur f` �a 4 �•ayrvu�� paf� 1�... /u�, �l.�J 11 I . ( t SPECTOR DATE EWE: Attach supplemental tett data hereto 1 A II+GCATI:::JOB # LOT v�� i!��!.1,.� _ _ C:•ii�k�ct �� x:J.i.��...�ss.�.,.....�........ PLUMBER � � PERI±IT SEWER F RNIr it DATE BY EXCAVATIOi� 'r " '•r;r _ AIR CO.MI1 0 11'r FOOT INGSt:lIl .- �_ FORMS aPP.I".�'I. R :XP►1 ._.__._._�__.,._ I iiElinxiCZf� STRrL_� y. :SE±I WRS/EXZM STRUCTURAL STFIL _ CAEPV.F' f'! 9, •___...____. _. PI.-IMMID R.I. __ . I'tiff I'Ai?'CI;:y ......_ _ ....... ._.. 5110 CITY OF TIGARD 12420 S. W. Main f —( TIGARD, OREGON 97223 APPLICATION POP UJIT,I)ING PERMIT 11111111 New Construction ❑ Demolish ❑ Addition Remodel Move❑ ZONING DATE, ISSUED /� BUILDING PERMIT DATE RECEIVED BUILDING FEE $ No. BY PLAN CHECK $ '7_JOTHER $ - VALUATION $ TOTAL / • J%,-,$ RECEIPT No./O Q Y ±F41 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNIGIIF.D WITH APPLICATION LOT # MAP # CENSUS TRACT _ JOB # Architect or Engineer Address— Owner—."-lJ ddress_Owner—".aJ I Cr LU 4 M Adr.resslt�.A V. SAND t_ /S'LuQ. .�eVyJ-41;N OG'<`e,,l hone —7 Builder Address ��•�'y�n��_rL�rl�'�e,vPhone BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ® Industrial U OCCUPAN ROUP _ No. of Stories Total Height--- Area of Lot_ T_-_ Typ Co rift, I II I'I IV V Floor Area B j_ 1 j•S/s� 2 Set Ba s: FrontZe�--,e-�ack L.Side` R.Side_ PrivateS ewe a 51ze �j�- Sewer_ L S' Septic Tank ❑ Water Service Pipe Si Storm Sewer ❑ Ditch ❑ Drywell❑ Street and Curb Requirements_ la /7 Driveway Width Jltm'c - z,-X S lege o. of Parking Spaces__________ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION vzz ADDRESS ASSIGNED ;ff--A-___fCLAQ1CQ, FIELD CHECK BY DATE PERI4IT APPROVED BY (1. .ev1 —` It is understood that all work will conform with applicable 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 occupancy has been issued by the City of Tigard Building Inspector. _7 Signure of Applican7P