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13066 SW PACIFIC HIGHWAY •-rwaww+�.�..wwrs,wwµ••.«.... _........._. ....... w..a,«www.++..,�..,.w.�.i.r..,.w.�...»rr..�ww.+r..Mww.r,n.w.ww•Iwrrt,.w,w..w...wrrrw�w 'W:wW1�YG►iM.. i C) C, W wa XVMHDTH OTATOV4 MS 9900 n1%—r CITY OF TIGARD OREGONNovember 21., 1991 \ Anthony M. Capone Capone's Ristorante 13066 SW Pacific Highway Tigard, OR 97223 Project: Building Remcxiel Dear Mr. Capone. The expa,ision of your fe ` lity was such that a building permit to cover the work is required. The outline you submitted, dated October 30, 1991, does not contain sufficient- detail or information on which to base a plans review for a building permit. A preliminary review and on-site inspection indicates that the building occupancy has changed sufficiently to warrant classification of the occupancy as an A-3, Assembly, rather than a B-2, General. Business. The submitted building information gives no indication of which walls and structural units are existing or new, and contain no information on window or door sizes. Also omitted from the submitted documents was information on changes to the plumbing and mechanical systems, for which permits are also required. We need a floor plan of the entire buildinq so we may properly determine exit requirements, exit paths, structural, adequacy and other code required information. we would recommend that you retain an architect or designer to assist with proper preparation of building remodelling plans. If you have questions, or if we may be of assistance, please contact uE;. Sincerely, L .7im iaga Plans Examiner FAX (503)684-72.97 13125 M/Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 gal October 30 , 1091- Mr. 0 , ] 091Mr. Tom Plescher City of Tigard 1.3125 S.W. Hall Blvd. Tigard, Oregon 97223 Dear Mr. . Plescher , As per your reauest listedelow is a list of changes made to Capone' s Piz a Co. (now Capone ' s Ristorante) on'Pacific Hwy. If you have any questions ,Tease call_ me at­ 620-880 . See enclosed diagram for corresponding numbers : 1- gall cut in half to four feet high 2- Wall cut in half to four feet high 3- Ir.staled rortable cooler 4- ')at in bar and installed dishwasher 5- Cut doorway to existing restaurant 6- Doorway-existing 7- Doorway-existing 8- Doorway-existing 9- Doorway-existing 10- Restroom-existing 11- Restroom-existing Thank you for your time and patience in this matter. AnthonyM. Canone Capone' s Ristorante ---'--'—n066 S .W. Pacific Hwy . t Tigard, Oregon 97223 .30 FA d r- rl,r� �t 44 Ilk, t a � I O I - , ARCNuJ P.u.ibx 2-kN7 C 1TY OF' T'IGARD PLUMBING Tid 223 hpplicants hold Oregon Registration to conduct a plumbing PER M IT 639-4175 business or m pro arty owner/operator not hiring o i¢exielp. _ c d ( IJ d PlumbrnµPermit Nn� S Addrou / l (� 1 Do 81 bre OAS 5 Rs 14-21-6to ouAN. PRICE AMT, Job Tax Lot Mep. Address FIXTURES --- lot Block Subdivision SMk - 7_50 --- Nan"M or name ss Lavatory - 7.50 _. IMTub or Tub/Shower Comb - 750 - ar mg Address _Shower Only --- 750-- Watercloset -- - 7.50 - --— Owner mp7.50 Zip �___ __-_ - - •�-DishwasherPhone Garbage Disposal G Washing Machine- 750 N e750 - 750 - , Floor Drain ai rcqVaress f hone Water Healor- -_-__ _�• 50 Laundry Room Tray — 7.50 Occupant /State `l -_`_- 7.50 � Urinal n non,on Other Fhctures(Spedty) - 7.60 11111- 7.60 7.60 Contractor / ate E 1W -1(i °� MtSCEI.L/1NE0US 1 Cky&ro ax No sower t at 100' _ 30.00 - Seww-es.Addit.100 1500 - tide s. awn 1To-- tete m eraTwiTic. o --- 20.00 (Residential) �1 •�v Water Service 1111100 15-00 I `-- that I have reed this- tlur Itq Inlortrutlon Water Servioe as.A7Lii� it.?l�r hereby `i 0e NVOCO ^• 30 00 given is co,:�,quit I am regWmed w'Qr the State Builders Brxrrd,and also Storm 6 Rain Drain00' --I-A"a Sate P'urrit"Noone OW bre numbers given are owrecl,that all 1500 pkxr!;::.y wok•nig tia done in accordance with applicable proOaior's of Ore- Storm 6 Pyn Drain t.100• _ p , Revised Stag ilea Chao"147 and 693 arrr applicable-des and thus Mobile Hone Speoe - - - 2500 - ra Isolp will be erWioyed uniess licensed under MS 693 (If exempt from �adcFlowPrreverNkx� State regiglr~,please give reason below). BackDeviF o Prevention Device 7.50 _. HOMEOWNERS -I hereby cw*thel 18"1014 rsvrrter d the Property de - scribed above,Pt which locatlan 1 propene 10 make a plunbi'V k roullntlon for Any Trap or Waso Not my own use and Oft properly is not b*kV corahucaed for eelsease,lor reM Casneoled los ftlurw - - 7.60 anOft -- Catch Basin 760 _- -- ---- ---- Mwp d Exit.RlumWrq -- 40.00 Per Hr -- ---- -- --- - - wally Requasted lnepw Aons - - - 10.00 Par Hr_ Allier.olof Pk,mbkV wW*l an EAN*V Bldg 1500 min A11T110R E Til p New Bldg or Build_Addltlan — -- -tS.00 min fa11i1 (� itlon reskJontial r sldentlal - E.xWng uve of "' 6tIJb•Tt)TAL ttu W'j Cir property bf ub*q 'or PMPVtY •.Q L?..d i�Ll/ - T°'Ml - `�(� Tlya parrnR Oaoontes lwlt ens rote««ork�7r conelrvolk+n arrn►ortxs4 V not core+ rwergl,Q w1MMn"0 days ar!ol" fir r'dlon or wait le et.lepended or OwvV rvd for a p+" M 160 days sit any few ether W- by BUILDING PERMIT APPLICATION TIGARD DATE--�,,� ___.A0 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TiiEN ORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE '.OT NO. JOB ADDRESS 3 D�/ ���+- ---__—_ ----' -` AR%HITE T ENGINES BUILDERADDRESS �!_ DESIGNER STRUCTURE 0 NEW REMODEL _ ❑ ADDITION _❑_REPAIR Cl RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION - ❑ RESIDENCE XCOMNI ❑ EDUCATIONAL I0GO OV'T ClRELIGIOUS ClPATIO Cl CARPORT C GARAGE (J STORAGE U SLABO FENCE OCCUPANCY ----.- .LAND USE ZONE—^ BLDG.TYPE _____AFIRE ZONE__PLAN CHECK BY'—"'' HEAT SEWER PERMIT k OCC.LOAD FLOOR LOAD ZODHEIGHT _ NO.STORIES AREA NO.BEDROOMS VALUVd.p'2t- BUILDING DEPARTMENT__ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE aG � Parmit �� THIS PERMIT IS ISSI.IFO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING C06E, ZOt.'N,; l REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGPEED TPAT THE Plan Check WORM WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO�dPLI",NCE _ — WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIVE ��utc- tal —. RESTRICTIVE COVENANTS. CONTRACTOR AND SUE CONTRACTORS TO HAVE CURRENT CITr BUSINESS d LICENSE.SEPARATE PER:WlTS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax ----- -- �SDC-- ge Total G ._...—._ '- PDC,Y APPLICAN7OR AGENT-------- By Receipt No. Approved ADDRESS PHONE soc -- Poc SEWER C;7NNECTI0N�S _ SEWER INSP=ECTION 5 _ SEWER SURCHARGE s Ccmments : �� --- BUILDING PERMIT APPLICATION TIGARD DATE is �� 3309 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FON 1 HL WORK HEREIN INDICATED BUILDER PHONE �39�.iQ7rs OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPCCIFICATIONS. OWNER P"ONE LnT NO OWNER Mr "C! JOBADDRESS l., fl'! 3 SW Pacific Highway —~ARCHITECT - ENGINEER BUILDER Nicnli ::onstr. ADDRESS DESIGNEE STHUCTURE _ ❑ NEW 12 REMODEL L ADDITION 1-3 REPAIR ❑ RENEWAL CJ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE UCOMM 11 LDUCATIONAL Gl GOVT ❑ RELIGIOUS ❑ PATIO ❑_CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY _.-LAND USE ZONE BLDG,TYPE _ _.FIRE ZONE--PLAN CHECK RY _ __ HEAT Snstall atomal:hinet.�. itions and rear stairway remad(il. ^� Reinfurce float toren. -- _ — _-- SEWER PERMIT M OCC.LOAD FLOOR LOAD Ea0 HEIGHT NO._STOR_IES _ARE_A _ NO.BEDROOMS VALUr.1. BUILDING DEPARTMENT SETBACKS FRONT i REAR LEFT:TIDE Hict I T SIDE Permit y 1 D•013 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING — REGULATIONS ANFI ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND ;PECIFICATIONS AND IN COMPLIANCE WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSdANCE OF THIS PERMIT DOES NOT WAIVE Sub-0tal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAV, CuRRENT C.T`! BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING State Tax 4< • 40 Total 'l it. 40 SDC -.. pp(; -q APPLICANT OR AGENT By P1 , Na. Approved H P„td __ zE,� ADDRESS PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMOING DATE Contractor -trycL Permit No. 14AA Sough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final iSidevAlk Curb&Street Final Approach BLDG. DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY final CERTIFICATE OCCUPANCY Landscaping Zonlnp Final BUILDING DEPARTMENT, TIGARD N? PL. MING PrEnPAIT holder of a valid plumbing contiactors 1'-;ense is hereby authorized t se plumbing work as rein noted to be irlstallcd in accordance with the plumbing code of i igard. Such installations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are reoriy for inspection. City of Tigard BuSI ess Licepp requi e I for all con rs and subcontractors. o b Dvt,"� u-� rl Owner_6� — Addrr:ss_x� Date � = _•_ ^— 5' TOT NUMBER Op µ TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT Sin a Family-1 bath--each 25.00 duplex_Each 1 bath unit 25.00 Additional bathrooms-esch _ 10.00 _ r Mobile_Home Spoco.-rocF1 _ _. _ __. 15,00 ''•1 D I V I D U A L FIXTURE 8 (.•ll lel rl E FI C A 1 --^ -- _w ,� I to 50 Fixtures • oath in 1 buildin �_�_3.00 _51 to 100 Fixtures in 1 building-each 2.60�__� _. 101 to 200 Fixtures in 1 buildin; each_ — - _ 2.00 201 or niore Fixtures in 1 buildin _each �- 1.50 MISCELLANEOUS ____ a �`___. - • Sewer--each auditional 100 it, _ ________ .~10•ftO T _ _ __.-__ _ — 'Nater Service to nuildi� _ 5A0 Other — PERMO 00 Bing Inspection Phone 639.41:1 I 4�o State Plumbing Contractor By t -TOTAL ��5/ RECEIPT i40. Issued By [)ATE BUILDING PLRMIV AF PLICATION ';-. "JITY THE UNDLI !GNF.D HEREBY APPI.m !, FOR APIERMIT FOR THE WORK HILREIN IND ICATEn OR AS S140','.'N AND APPROVED IN THE ACCOMPANYING PLANS AND SPECII ICA"TIONS r W N E R 1 2 llk'M rRIJCTURE C1 R1 -01)OF L I'T-1O,-N REPAIR N(.F (IV T (.110-1 IG C,I IS P A T I ICq��F�ANq-1 B"7-!.ANQ USF ZONE I�V-3 F IPF 7.nNF PLAN p P IjEWER. IOU --P�RMIT 1.0 AD n r, 1-,Uhr) qLJPJECT TO 17�41i N" "ODES AND 0I1r)INL-4I:It' f 'T": Oe) RF('WLA rj(j-,1j ANO ALL APPLICAHLE P!.n Check I j, tv,)qp, vVII t Fir IN ACCORDANCE vvt rH tME PLANS ONNP*P,CIF I(- I �ub !otal AIA APPL 1( r�Rl F CODES AND ORDINANCES THE IS'WIAN(A (J V L RI SIRICTIvE *-ANIS CONIRACI'CjR AND SUB (:�')'.TP A C, 6 S r 0 P, �4(e To" 7� k;Ct%,,E, SL PARAI f f ;.MI IS REOUIME0 FOR tFWf R 9L w'r b D C Total pr),-# v I APDL rC A N I C,H A G E rq 1 A ppr oved HP(ewl N( SGC PDC SFWLR CONNECTION-15- SEWER B15PELTION SEWER SURCHARGE connerits: g 9 9 Y BUILDING PERMIT APPLICATION TIGARD DATE.__ 34QO THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC!FICATIONS. OWNER PHONE__________ LOT NO. — OVI:iVtR I)rchant JOBADDRESS 130b6 SU Pac. '. is H*Qhuay ARCHITECI ENGINEER BUILDER ADDRESS ��E1, ; �_.. DESIGNER STRUCTU NEW ❑ REIVODEL IN ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE 000MM U EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO El CARPORT ❑ GARAGE_❑_STORAGE ❑ SLAB❑ FENCE OCCUPANCY l j—2 —LAND USE ZONE -L-3 BLDG.TYPE —FIRE ZONE 1—_PLAN CHECK BY E �I i HEAT lumrave acid conriuct UssLament carer to DI.ning Room. Acid axterior peoGagr" -.,", ;0, reni: r.f bldg. , all Per fir.awings and Code requirement i. Mechanical PGkMit lir,guirod. — -- SEWER PERMIT N OCC.LOAD FLOOR LOAD HEIGHT _ _ NO.STORIES _ AREA NO.BEDROOMS_ VALUE — BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit "44.QG THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 1.OQ 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 COMPLIANCE 6b.O� VAIH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub totalRESTRICTIVE COVENANTS. CONTRACTOR AND SU7 CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax l. '1 to bUC -- Total J67. 76 PDCM APPLICANT OR AGENT By Pl. Receipt No. —------ --- —--- Approved ADDRESS PHONE t DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Rojo Contractor �t� Permit No. Itq-�►iz'v -- ,sem_ /1/A/L — Rough-in01. �/� �� �•�' 7''3f>-80o �6'14ax.A A.:a a IL — Fixture Final —J � HEATING -.__= Contactor Aw Permit No. yJ� S=W —_---' GasM�il - — -- — Rough-in --------- — __._— Final ----- — --- SEWER --- — —___.--- Final`- DRIVEWAY Final — _ Storm Drainage — - -_ (Rain Drain)Final Sidewalk Curb R Street Final -----— -- Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY - ��`'(/ Landscaping Zoning Final 1l -,� MIT APPLICATION CI Y TIGARD DATE—��.?-- . ,A. 47� N2 1� y _ JILDING PER l!NCrt u .I�NED HEREBY APPLIES FOR APERMIT FOR THF WORK HEREIN INDICATED VIUILDERPHONE_- OWNER I`rrpNE S SH;1WN AND APPROVED IN THE ACCOMPANYING PLANS ND SPECIFICATIONS. - - LOT NO. --- ES DDRESS 1' � �i - - DRS - -- --- +� pRCH1T CT lh ENGIN R r , ADDRESS _ DESIG ER �,qE [,•.EW_ A_UREMObEL AUDITION ❑REPAIR —_C3 IEWAL ❑fIRE DAMAGE ODEMOLIT'ION NCE i'AnM ❑EDUCATIONAL ❑GOV'T ORELIGIOUSOPATIO ❑_CAR PORT DGA .+GE ❑STORAGE❑SLAB []FENCE ❑DESIGN REVIEW _OCOUNCIL APPROVED ❑SIGNS I-IFOND I JMOVING _ ❑CONDITIONAL USE _-�--_T - FIRE 70NE-- PI-AN CHECK BY HEAL -- :.COFANCY_ _- _LAND USE ZONE_,.---BLDG.;E_YPE._ - C) -PUILOING DEPARTMENT SFT BACKS FRONT —-w- REAR, - LEFT SIDE^--J- RIGHT SIDE C- r -- -----. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLF- 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 ruf�total - ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ia1� Tex O LICENSE SEPARATE PF RMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. 1y T 0181 -- -�_' --- ----------- �_-- RV APPI__IC—AN T-&R- App,ove RApproved Receipt No '1 r 1 BUILDING PERMIT APPLICATION 1o� TIARD DATE 9-�?'77 � THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE -_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NU._ OWNER 121a i lQ Qj I .tl l L JOB ADDRESS 7066 1561 Paci f,idCHL!'VHOME ADDRESS —� ARCHITECT ENGINEER BUILDER L nr) _ _ ADDRESSDESIGNER STRUCT_U_R_E ❑NEW _❑REMODEL ❑ADDITION ❑REPAIR []RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORI ❑GARAGE ❑STORAGE❑SLAB ❑FENCE 090ND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED []SIGNS QCCUPANCY-__LAND USE ZONE BLDG.TYPE FIRE ZONE_ PIAN CHECK BY __ HEAT.. at rail E_ w1cl uL1L11i U(I VLLI., pard) .1Z.� dours per jplans aketCh 811 --- OCC.LOAD FLOOR LOAD HEIGHT AREA—_�1VQ. EQFI00MS VALUE__ BUILDING DEPARTMENT _ SETBACKS FRONT REAR 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 !S HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE 09: T141S PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURP.ENT CITY BUSINESS State Tax LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING, Total IBY APPI ICANI OR AGENT Approved11 C Receipt Na. ADDRESS I i DATE INSP. TYPE INSPECT ION REMARKS PLUMBING DATE Controctor - -- Pei mit No. 01.19h-in Fixture Final - - HEATING Contractor Permit No. Gas or Oil — Rough-in -- Final - -- -- ------------- SEWER ` ~� Final —_.�— — ----- __.. --- — DRIVEWAY Final torn, Drainage �— (Rain [Train) Final Sidewalk Ct rb&Street Final roach B1_DG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCal CERTIFICATE OCCUPANCY ne mg nimc mal \ t? I I - I I I ,.. n L LL uj r w �1 r i 1 II Ij IY I. I' It r r jr Y 4 1 rte .*" L7L , 1; f J ^ I - � ` �,J;;I: .y�fit a ';i � 1�•"`�.�t�.-..1 !'r�L I al i, Y � 1 BUILDING DEPARTMENT, TIGARD PLUMBING PERW holder of a vaiid plumbing contractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Address----------_-- Date--- NUMBER ate__NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT io`fice Use Only) SIAL -,_-.�--- --- - ---- -Single Family-11 bath-each _ _ _25.00 Duplex-Each 1 beth unit 25.00_ Additional bathrooms--each ___ _ Mabile Home Spece-each 15.00 -_-- - INDIVIDUAL FIXTURE FEES 1 to 50 Fixtures in 1 building each 3.00 _ — 51 to 100 Fixtures in 1 ouilding-each_ 2.50 _ 101 to 200 Fixtures in 1 building--each _ 2.00 201 or more Fixtures in 1 building-each _ 1.50 MISCELLANEOUS Building Sewer-1st 50 ft. �_x 10.00 _ Sewer-each additional 100 ft. _ 10.00 Water service to build_ irr_ _ 5.00 Private Water Systems--each 100 ft. 10.00 Other S eclf PERMIT For Plumbing lnspection Phone 639-4,171 3%State Y Plurnbir.q Contractor By �— TOTAL RECEIPT NO. Issued By I i as �a 4-- yc h rV f U 41 0 v O un •n � 0 ro c A ui rri co Ci c4 c5 ci ui o eI L w - - � �, cid d v " vu..�: v ry W CS 4 i- o H O � t tU rn n.— y U 0 fir �+} .; N N ii u a 111CT ch ' 1 f I 61 U, rr LU -4O o A +; c0 t] I r e ce vc 0 t� ,G O v ° Ji A LL �' q O 4ro c ul y J x :x X Ii •� o w •� "� �" Nn. ID Q LL u. it. ca _ Ns u C t m n E 7 c� n o Q � " •" X n - I u ,,� '�- •t7 O � vi o ,. � o o c o u' irwA au.llr,Mi/rA.wuratNr..r�•'�pWii^ uqr�^. CITY GIS 11-10��J N-0 1- ( 0 BUILDING PERMIT APPLICATION TIGARD DATE 19 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED i:S$w�i91 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ MCr �ktibdl&14i�' f '!r+rh JAW• {3�?r.•' OWNER ADDRESS BUILDER PHONE 1.1Jaufii tb ENGINELR &)ILDER _--^ ARCHITECT _J DESIGNER STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑---11REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION Q RESIDENCE ❑COMM ❑EDUCATIONAL- ❑GOV'T ❑RELIGIOUSOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑ISLAB ❑FENCE BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE— _ BLDG.TYPE—FIRE TONE--.- PLAN CHECK BY_--_—� HEATV __ J a c ddll� &Awl chanjita ec ull 6^3'61LA-01�) O'L;A11 OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT SET BACKS rrONT REAR LEFT SIDE RIGHT SIDE Permit w , ? —_ ------ --- _---- -_-- - "-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COLE, ZONING Plan Check REGULATIONS AND ALL APPLIC E CODES AND ORDINANCES, AND IT IS HEREBY AGREED TnAT THE — -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total BY ------ ---- -- —,�. -- APPLICANT OR AGENT — Approved Receipt No —.��---- ADD 45— -- ON - _ .,,,.w.-,�,.,,�wv�n+ *+++ru��n,y��--'u�'�'.�,*,°"fti,�t`�.�.«,sr�. yr+rq:v�:.wwiy�;Ma-yp�sgryosR; tt`' � •n�nm^- we arvi�uwyF's• rvaC�wc ..,� �,,. CITY OF :�unl �•� N H—° 0891 BUILDING PERMIT APPLICATION TIGARD DATE_ ,9 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE S YVNER Mr, Lwon Hsarshill 13066 5m c"acific r :?3r-71C}fy ADDRESS BUILDER PH NE Lc)�ant$ �ruur, Coo ENGINEER BUILDER ARQH TECT DESIGPIER STRIJCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL OFIRE DAMAGE ❑DEMOL.ITION C] RESIDENCE LJCOMM ❑EDUCA i ZONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR POP,' r GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED - ❑SIGNS OCCUFANCY _- LAND USE ZONE -- BLDG.TYPE FIRE ZONE_ PLAN CHECK BY. --- HEAT.-,_._Li fire 0'._ aus to fount � I.. s' treed*.- hcnd rail Sts rW ay 110 StVUA uZfll UKM&l )O — - ----- - -- rojalafco aherst ruck A door* no iplans Q_qC_OAD_ FLOOR LOAD HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE PermitTHIS 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 SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS I%State ,� , L.ICFNSF. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total qi if By --- ---- API -ANT Approved Receipt No. ADDRESS DATE INSP. TYPE INSPECTION REMARKS PLUMBING GATE Contractor Permit No. Pou h in Fixture Final HEATING Contractor Permit Gas or Rou h-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final A roach BLDG.OEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCYFinal CERTIFICATE OCCUPANCY Landscaping Zoning Final PERMIT TO CONNECT ` Tigard Sanitary District PERMIT N? 1409 DATE PERMIT IS GIVEN TO OF r, TO CONNECT A TO THE SYSTEM OF TIGARD SANIT ARY DISTRICTAT 1 THIS PERMIT MUST BE POSTED ON THE DE9CRIBF.D PREMISES UNTIL CON- NEU`1'ION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID ;.... ............................TIGARD SANITARY DISTRICT By CONNECTION INSPECTED AND APPROVED j M Date —-�- __._ __ —_ ---�•-_- Superintendent PERMIT TO CONNECT "Tigard Sanitary District PERMIT N° 1211 DATE PERMIT IN GIVEN TO -- OF TO CONNECT A TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT _I ;+�`t, .:Yi - I I - �, / ._ .i i,. THIN PERMIT MUST BE POSTED ON THE DR9CRIBED PREMISES UNTIL.CON- NECTION IN MADE AND INSPECTION OF CONNECTION HAS BEET, COM• PLETED. PERMIT FEE PAID $......... ............ TIGARD SANITARY DISTRICT /I By -- — CONNECTION INSPECTED AND APPROVED ------------------ Date Superintendent Address /3C' ~ "-c� � c Permit No o_ Permit charge Owners / laz r (1����c4, Connection fee �Jvc`` 01 1 Paid by Type of building gid:/; iAk,,-;O� Date connected `7t,, Service rate Inspection fee --3 Contractor. Paid by ,Date� „__�,, Size of connection_ ��� _ Assessment___ Paid ` V1c_t_ti �_,> � :•,�.cc4..l_l e vi ,.� . ..l-1 - �l�C�-- �-f•�.¢-�i.•'YPiby� F P