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10900 SW 121ST AVENUE-1 10900 SW 121ST AVENUE l c1e w w � ° No `n a no ►' W 0- w� a � � N t j r 7 O W r E, y O r� wwcnr� �nwa � � M 1 TA tra _•i A� 4IGN PE?tMIT PERMIT #: SGN91-0018 DATE ISSUED. . . . : 01/23/91 EXPIRATION DATE: ,p7/4I PARCEL. . . . . . . . . : 1S134BD-07200 ZONE. . . . . . . . . . . . R-4.5 BUS7NESS NAME. . : TRINITY CHRISTIAN PRE—SCHOOL SIGN LOCATION. . : 10900 SW 121ST AV APPLICANT/AGENT: DONNA THOMAS BUSINESS TAX NO: OK S[GN: PERMANENT ( ) FREESTANDING (X) FREEWAY ( ) TEMPO-ARY (X) WALL ( ) ELECTRONIC ( ) OTHER ( j BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . • 4' X 4' TOTAL SIGN AREA. . . . . . . 16 sq.ft. HALL AREA. . . . . . . . . . . . . sq.ft. WALL FACE (DIRECTION) : NA SIGN HEIGHT. . . . . . . . . . : 4 ft. PROJECTION FROM WALL. : in. ILLUMINATION. . . . . . . . . ! NON )ESCRIPTION OF SIGN: TEMPORARY, FREESTANDING, 4' X 4' , 16 SQ FT TOTAL AREA, 4' IN HEIGHT. M. TERIALS. . . . . . . . . . . . s PLYWOOD EXIST7WG SIGNS. . . . . . . s 2 ELECTRICAL PERMIT REQUIRED: NO BUILDING PERMIT RFQUIREI7. . : NO ADMINISTRATIVE EXCEPTIONS. : N/A PERMIT FEE: $ 10.00 APPROVED BY: C G DATE: 01/23/91 r f s1 34191D- 720 Rm i.t No. S'(-' ,4J W1 CITY OF TIGA_ SIGN PERMIT APPI,ICATION The applicant t�iereby applies for : permit for the work indicated or as shown in the accompanying plans and specifications. fi SIGN IIJCATION t D[7RE5S: ,_I(7�1 O C� S J /a. 7�(.iNING: ' r NAME OF BUSINESS: - - - �-+ �� APPLICANT/AGENT: .�nwti CTJMPANY; �r PHONE: � The City of Tigcm.l iriposes an annual FAusiness Tax which must be kept current on all persons doing business in the City. Do you presently have a current business tax? YES ( ) NO ( ) U.L. Label # PROPOSED SIGN: (C2v xa: RS mmuiy as apply) PEEMANEW ( ) FRFESrAND1NG ( vFRMay TEMPORARY ( WAIdj ( ) ELECI'.RONIC ( ) O`rHER ( ) BILLPXIARD ( ) E3F,I1" ( ) ClGN DIMENSIONS: EXPIRATION DATE: `IUM SIGN ARTA (Sq. Ft.) : WALL AREA — WALL F ACE: . - J1EIC[tT (Ft) : PR0.JE=ON ETM WAIS,: ILM4 WION: YES ( ) NO (44--' YPE: COPY: MT1'I'N RIMS; DaSrING SIGNS: AIMTNISIRATIVE E(CE1M0 N: AP 10VIT ( ) HOW MUCH __% AREA, ( ) HEI(VT ( ) CCKSE TS: _ - --- -- --- - -- — PLANNING DEPARIMEW All sign permits mist be acampanied by a scale E mit Fee_ ;k r drawinj and plot plan. If work aurhori.zed under I2ooeiytt No: `- a sign permit has not been ompleted within ninety AVVrwpd days after the issuance of the permit, the permit Date; i- Z 3 SLI sh..11 lexxme null. and void. ELBOMCAL PERMIT I CM, FY 'Ii{AT I AM THE RDCIORDED OW.%R OF 711E REJC nUM: YES ( ) NO (,) pRopERTY OR AN AGWr AUIf iORIZED BY THE OWNER. BUJIDING PE[MT ----_-.--- 10]J XJIRED: YES ( ) NO 4.)' Applicant's signature cp/BKWERff Arrlrn-mas Telephone N:\W3RD\C0MDEV\ 1 s� `.i�.c/ le.�-s--u.-�,C ,.•C',c.,+t:<.� 4� i�-s�,1•c� ,..�2.c.�-,.� •-�.C�4..r n.�.-�` r SIGN PERMIT PERMIT #: SGN90-0011 DATE ISSUED. . . . : 02/27/90 EXPIRATION DATE: 03/.77/?O PARCEL. . . . . . . . . : 1S134BD-07200 ZONE. . . . . . . . . . . . R-4.5 BUSINESS NAME.. . : RINITY CHRISTIAN PRE-SCHOOL SIGN LOCATION. . : 1090U SW 121ST AV APPLI CANT/AGENT: DONNA T`.iUMAS BUSINESS TAX NO: OK --------- ---------------------------- SIGN: PERMANENT ( ) FREESTANDING (X) FREEWAY ( ) TEMPORARY (X) WALL ( ) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 4' X 4' TOTAL SIGN AREA. . . . . . : 16 sq.ft. WALL AREA. . . . . . . . . . . . . Hq.ft. WALL FACE (DIRECTION) : NA SIGN HEIGHT. . . . . . . . . . . 4 ft. PROJECTION FROM WALL. : in. ILLUMINATION. . . . . . . . . : NON CESCRIPTION OF SIGN: TEMPORI\RY, FREESTANDING, 4' X 41 , 16 £Q FT TOTAL AREA, 4' IN HEIGHT. MATERIALS. . . . . . . . . . . . : PLYWOOD EXISTING SIGNs. . . . . . . : 2 ELECTRICAL PERMIT REQUIRED: NO BUILDING PERMIT REQUIRED. . : IJO ADMINISTRATIVE EXCEPTIONS. : N/A COMMENTS: PERMIT FEE: $ 0.00 APPROVED BY:��_'r — DATE: 02/27/90 �1 / a � I� s V 1 IL 1 1 o , J1 I c ' z �I o N I J It t I T ' I HIDA e /1 CCESS Mfk1^16 r- 1 S�) • i ILS fir• 4grd Lor 44 so-III 7�MINI N iVA1veffL rcAj 64age-li ts3 (L ,A �J So.z9 SCJ• I Z I �! /��E. S, rF A,4 s:•��r � ��� l /ZEN ITY I�VANGb�lCA L C�lult>!� 7"1[.AQU, "r(olJ iiir NOON ENROLLIhIp TRINITY CHRISTIAN P-1R E--S"CH00La 3'a 6 3 9 - 1570 620 - 4638 Permit No. � CITY OF TIGARD SIGN PERMIT APPLICATION The applii^ant h.ereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. _ L( SIGN LOCATION ADDRESS: ZONING: r, NAME Gr BUSINESS: .5 COMPANY: S ,' PHONE: APPLICANT/AGENT: �o rt ti — fa _SCA The City of Tigard imposes an annual Business Tax which i hhave t have kept t c rre nessnt n Tal persons dotnR basiness in the II L. Label 41 Do you prase Yea ( ) N� ( qO --- -� -------------- ---�� x-=_.s==-vx-e.e_.e-e-nxxvmm_aaasxax=+seraxx=-a�/��sa===x-=-. PROPOSED SIGN: (Check as many as apply) �� // PERMANENT (Yw) FREESTANDING FREEWAY ( X.) ( ) TEMPORARY (�) WALL ( ) ELECTRONIC ( ) OTHER l ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: ---X/ X '/ 11 EXPIRATION DATE: ____— TOTAL SIGN AREA (Sq. Ftp: /(v Ft.): %f WA+� - SSI 3L( X2 00 HEIGHT (ft): _ PR(i3�E'1"tCflr"i�'R�M-,i1l►I. : J ILLUMINATION: YES ( NO X TYPE: 7L d ' �/lii Li iy fr �c' h� COPY: _jd��.� "rb�l.,,� MATERIALS: EXISTING SIGNS: e1fa.C, nlrrt! �� - ADMINISTRATIVE FXCEPTION:�N/A ) APPROVED [ ) HOW MUCH % AREA [ ) HEIGHT [ ) COMMFNTS: Le , asaxrin,s::mnx --------------------- PLANNING - ------------------PLANNING DEPARTMENT All sign permits must be accompanied by a scale drawing Permit Fee: -7' and plot plan. If work authorized under a sign permit Receipt Fee: has not been completed within ninety days after the Approved BYt i issuance of the permit, the permit shall become null Date: and void. ELECTRICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE PROPERTY REQUIRED: YES ( ) NO (• ) OR AN AGENT AUTHORIZED BY THE OWNER. BUILDING PERMIT REQUIRED: YES ( ) NO (u) Applicant's Sig ture e ep one A rens sb/3722P/0024P ClTv OT!6,'iPr) RE-C-EIFT OF FA,01ENT RET NO: 0fi10 405 CHECK AMOUNT 10.00 NAME: Df)rIPW) RAE THUMA3 GAISH A1,10LINT .00 ADDRESS: 10900 SW 1157H AVE PPYMENr PATF T I GARD. Or' r'.22.' NO!'ADDR: FUFPCIrT OF PAYMENI H00YAl PAID F'I..]FPOqE OF PAYMENT AMOUNT Pill.j SIGN PERMIT FEES SON ?0-0011 rW&W (00 10.00 iw UEN JILM Permit No. SP 89-63 CITY OF TIGARD SIGN PERMIT APPLICATION The applicant hereby applies for a. permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 10900 SW 121st Ave. — ZONING: R-4.5 NAME OF BUSINESS: Trinity Evan elical Church APPLICANT/AGENT: Bruce D. Pearson COMPANY: PHONE: 639-1570 The City of Tigard imposes an annual Business Tax which must be kept current on all persons doing business In the City. Do youppresently h'lve a current Business Tax? Ye�_(--)_--No_(-�),_ U.L j-Lab=1 #- n/a PROPOSED SIGN: (Check as many as apply) PERMANENT (XX) FREESTANDING (XX) FREEWAY ( ) TEMPORARY ( ) WALL ( ) ELECTRONIC. ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS: 3' x 9' EXPIRATION DATE: TOTAL SIGN AREA (Sq. Ft-): 27 sq. ft. WALL AREA (Sq. Ft.): _ n a WALL FACE: n a HEIGHT (ft): _ 5 PROJECTION FROM WALL: n7a- - ILLUMINATION: YES ( ) NO X TYPE* Sunday�h�o-6 23:30 a.m. Worship Service 11:00 a.m. COPY: Trinity Evangelical Church Pastor: John Breitmeier 639-1570 MATERIALS: w — -- EXISTING SIGNS: Existing sign will remain. _ __�_---- ADMINISTRATIVE EXCEPTION: N/A [X] APPROVED [ ] HOW MUCH^ X AREA [ ] HEIGHT [ ] COMMENTS: This permit allows addition to existing sign of verba_ge indicating Swiday School hours time of Worship Service, Pastor's name and phone number. as.-Baa==avaaaaaax-saa=cataaaaa=eaaareaaaaaaasassat araaa=aaa-ea aa:.s PLANNING DEPARTMENT All. sign permits must be accompanied by a scale drawing, Permit Fee: $25.00 and plot plan. If work authorized under a sign permit Receipt No: 1.03711 has not been completed within ninety days after the Approved By: VG issuance of the permit, the permit shall become null Date: 5-5-89 and void. FLF.CTRICAL PERMIT I CERTIFY THAT I 4M THE RECORDED OWNER OF THE PROPERTY REQUIRED: YES ( ) NO (XX) OR AN AGENT AUT ZED BY THE OWNER. BUILDING PERMIT _ CRU C er d. Prot f� REQUIRED: YES ( ) NO (XX) Appllcant'a Signature 09-1-?r A ress a ep :one ah/3777P/nn24P ---- ------- N _ t '71ULPF-C ocv I�c -�u»rlrr y ch�C 9 _fenhce trio — F2LslDr: Tehn $rcrtn� t r T Sip 11! IJ H I I I I Z r-- i I I ZO o I1.S 14.5 —"— I - I y 1 f � i 1 I •,r J 1 3 IFOA 6 /1 cc ESS PA2K/NG APPLICATION - STREET IMPROVEMENT/EXCAVATION COPY TO: ORDINANCE NO, 74 14 CJ (WHITE)-FILE ❑ (VELLOJ:)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) V/A�j (PINK)-OTHER AGENCY (BLUE)•APPLICANT APPROVED APPLICATION NO.: � NOT APPROVED X0 CIIY OF `IIGARD, OREGON �'..::.. FEE AMT.: Z-- PENDING FEE, PMT, El CITY HALL RECEIPT NO.: PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENr by DATE. / / _.NDING AGENCY "OK" ❑ Application and Progress Record y — — — " PENDING INFORMATION O FOR STREET IMPROVEMENT/EXCAVATION MAIN SEEQNIREU at PENDING VARIANCE ❑ ANNUAL p _ EXPIRATION DATE: PERMIT NO : '29 � —�` -- _�_ DATE ISSUED: _� ,/'_ - _ _'_ BY _ (1) APPLICA T ION IS ;;E:REBY MAD TO EXCAVATE FOR AND INSTALL -- - --.- rA DESCRIBED HEREIN, IN FULL ACCORDANCE WITy CITY REQUIREMENTS. APPLICANT W^/`Lflf Cvr Nc-/'`'.� f!/ ( �1 . , , . � �7 . � i -' ,70 CONTRACTOR cIT , PMj ONE �7 NAME DRE /Lv PLANS BY /7.ylr r'7 CIT 46) CONTRACTOR ---NAM6�-ADpRE`S CITY rNDNR- -u ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ _.-- T-1--_ _ - -_ _ _ DOLLARS (2) EXCAVATION DATA: _ s ♦Ola OFFICK/Ufx: MIN. STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUTJW CUT CUT MATERIAL IN3TALLK YPE LENGTIDTH DEPTI-I ITEM !It QUANTITY ITEM DATE REMARKS/-TYPE BY J , � - �r ( STREET OPENED N CINSPEC- _ RE TION ESTIMATED STREET OPENING DATE, / E ESTIMATED STREET CLOSING DATE: — _ /�' �"' E (3) SECURITY NO. ,-,- SECUPITY AMT.: $ STREET �..�_- cLpsEo SURETY CO.: _ _ FINAL CERTIFIED CHECH CASHr SONO FINAC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS j CONDITIONS: FEATURES; E)<CAVAT'ION LOrATION AND EXTENT. _j1 C _.. ) I 1 CURB *441— ,r 1 (S) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS 'O CONDUCT WORK WHERE RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THF. STATE OF OREGON. THE APPLICANT AGREES TO DEPOSITTHE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PER I ENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR MAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. i APPLICANTS SIGNATURE __ DATE � gar s er ar rr � fr FINAL ACTION STAFF ?ZEPORT TIGARD PLANNING DEPARTMENT le` 12420 SW Main C9r[OF HOARD Tigard, Oregon 97223 WASHINGTON COUNTY,OREGON July 13 , 1981 DOCKET: MLP 8-81 Trinity Evangelical Cl-lurch NFO #7 APPLICANT: Trinity Evangelical Church 10900 SW 121st Avenue Tigard, Oregon 97223 APPLICATION DATE: Mal' 25 , 1981 SITE LOCATION: 10900 SW_ 121st Avenue Washington Co. Tax Map IS1 34BD Lot 7200 REQUEST: For a minor 'land partition separating two lots I from Lot 7200 . One lot contains single-family residence (Lot B) , the other lot is vacant. SITE DESIGNATION: R-7 single-family .residential PREVIOUS ACTION: hone I . FINDINGS OF FACT: 1 . Sections 17 .07 .005 through 17 .07 .040 of the Code have been adhered to as appropriate in 1.his case . 2. Public services are available to these lots . 3 . 119th Avenue will be extended North at a later date . Necessary street R.O.W. dedications have been made to the City. A Nonremonstrative Agreement for the future uxtens.irin of il9ta shall be signed. 11 . CONCLUSIONARY FINDINGS: 1. Minor land partitioning has been applied for under the Code . III. STAFF Af'PION• This minorland partition is approved subject ' to the fallowing conditions: 1 1. . A Nonremonstrative Agreement for the future extension of SW 119th Avenue shall be made which includes tax lot 7200 and the two new lots . This shall be alone prior to recording MLP with Washington County. 12420 S W MAIN P.0 BOX 23397 TIGARD, OREGON 97223 PH: 639-4171 -- i i i i i i a FINAL ACTION STAFF REPORT r4LP 8-81, Page Two 2. A sewer installation plan shall be submitted to the Public Works Director which shows how each lot is to be s rvTe d in the future . ; . A condition of any future development on jg lot 7200 f shall be half-street improvements to SW Avenue to standards acceptable to the Public Works Director. 4 . No changes will be made to approves] plans or specifications unless formal application is made to the appropriate City department and changes are approved by that department . Application for changes will be made in writing and shall include applicable drawings . � . In the future for 121st Avenue and 119th Avenue improve- ments grading and construction plans for all work in public rights-of-way and all other public improvements shall be } prepared by a professional engineer in accordance with City standards, and shall be submitted to the Public Works Department for review. public improvements will require a Complian�ce�Rc eement and m e (design) Ipproved by the Publi ofr s Department . and must be e (1) fully and sa ctorily constructed r i o r to the recordior land partition, public nt► i dedication, final. plante of Building Permits; or (2) bonded to t rty .for. 100% o estimated cost thereof prio the recording of any minor. rtition , public cstion, final plat, or issuance of Building —, PS . 6 . All proposed utilities shall be placed underground . Street lighting installations shall be app Y the Works Department. 7 . A mer.es and `)ounds legal. description and map shall accompany a dedication of public rights-of-way, parks, open space or floodplain areas acid shall be preparid by a registered engineer or land surveyor . B . A City of: Tigard approved Nonremonstrance Agreement must be recorded by Washington County and returned to the City of Tigard Planning Department before issuance of Building Permits or change of property ownership. IN 'THP FHn,jek NOIE4 Nair- S�-eEX/ IMP,�rVEMFNr.3 /9,Cf /+t fro 1:�/ ,�• .Fl1) Av 9% Q11 street dna{ harking areas shall be concrete or asphalt, ANP qll sidewalks shall be concrete. FINAL ACTION STAFF REPORT 14LP 8-81, Page Three 10. All structures developed must meet minimum requirE!ments i for Fire and Life Safety, and Structure Safety Code requirements of the City of Tigard . Aldie ng D P eniirector If your minor land partition has been approved and you have signed and returned this Acknowledgement agreeing to satisfy the condi- tion(s) placed upon this action, you should now have your partition recorded by the Washington County Department of Assessment and Taxation. You should take copies of your partition map and this Staff Report to the County to facilitate recording . YOUR M1NOR LAND PARTITION IS NOT OFFICIAL UNTIE, IT IS RECORDED BY WASHINGTON COUNTY DEPARTMENT OF ASSESSMENT AND TAXATION. NOTE: Sign below to acknowledge conditions set: forth for this project and return to the City of Tigard Planning Depart- ment. Failure to acknowledge will result in no further action on this project with regards to issuance of Building Permits or engineering approval . gnatu� Gregory R. Re yvn .or Date -/ '-�--- Trinity Evangelical Church -----PROPERTY R/C Nr OF WAY �< f800 50 F 7- 2a o 0 2aoo 5,Q �i RA V FL. yo_- aoAn •,� �n x h r BFT 8E D I V 1-D 4,c7r r+ 1 1GO ice I N 0 u ICAL VA NI"i t i � r Ir �SUNIMY SCHOOL gs45 MIDWEEK SERVI E — WE0 r •,I.h t c!. i.e L.1,r_Y.c - �- I I ti r I 1 ME -- - m I 6" q E Tr'mbct-,s TY R I n � I I CHURCtl WORSHIP 10 :50 s r1 AY 7.3rl Iy„ I i 1 ,TON 17880 S W Blanton St )b Aloha, Oregon 97005 aRE10� 503/649-8577 DIST. April 1 , 1980 Mr. Curtis B. Moyes, Pastor Trinity Evangelical Church 10900 S. W. 121st Avenue Tigard, Oregon 97223 Dear Pastor Moyes : The purpose of this letter is to confirm, for the record , our discussion following the inspection of this building for the purposes of determining requirements which must be addressed prior to housing a school and kindergarten within the building. In the first instance, the second story, due to :ts physical character- istics and particularly the limited width of the exit corridor, could not qualify without extensive remodeling. Also, fire safety regulations governing schools prohibit housing kindergarten, first or second grade Pupils above the first story. Therefore, we will not contemplate (nor approve) utilizing the second story for the purposes under discussion. The first story may be occupied for kindergarten and day school purposes subject to the following stipulations: 1 . The access doors which open on to the exit corridors must be fitted with self-closing devices sr that they will close automatically and he held in a normally closed position. 2. An approved manually operated electrically supervised fire alarm sysLt,,-, i,iust be provided if more than fifty children occupy the building at any one time. Prior to the installation of the fire alarm system, complete plans, therefore, must be submitted tc and approved by this office. 3. All doorways not now fully completed and finished, and which present an exposure to the path of exit (e.g. the access door to the storage room beneath the front porch) , must be finished off and fitted with frame and casement. I w p1menhun dot's 1101 coat 1t gays Pastor Curtis Moyes April 1 , 1980 Paqe 2 We trust this letter will assist you in arriving at a decisici regarding this subject matter. Please let us know if we can be of service in any other way. Very tr,�ly yours , 1 WASHINGTON NTY F:RE DISTRICT NO 1 Wilburn Dodge + Fire Prevention Bureau jcc cc: V/ d Walden District Inspector i Voli r I q BUILDING DEPARTMENT, TIGAF;D hhTn PLUNl.�,otU PERMIT 1++ • Peninsula.Plwn_bing, Co, _ holder of a valid plumbing contactors license is hereby authorized to cause plurnbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such ir,st2113:ions reyr.Iire inspection by the City Inspector who shall be notified not less than four 1 (4) hours pricr to the time the installations are rr-dy for inspection. City of Tigzrd Business License requirad for all contractors and subcontractors. Ken Story Company OAddress- 1o805-10957 S.W. 121st e 8. �_ Dat.. � — Nuhtar_R OF TOT.A1. PERMIT NO:S I r TYPE OF PERMITITEMS FEE ON EACH AMOUNT (Otficg Ux Only) R_ FS_ro_EN Sim!e ..��_.-300•00 OUalex—Each_1 bath unit _ _-, _ _._ __-- — _25 00_ _ _ t Odd{�(onat 1. rc•rn9• h _—. _ _ �. .—_ __. 10.00 —120600_ INOIVInU.A I IXI (3j: .— I to 50_I-ii ore{ rn-1_.tn1�1� :i'. �''... ..__,.t)Q�-�_.. 51 to 100 F,--wa3 in 1 b:r„-';r , ch 10_1 to ?on F i. u1i in 1 hu i! h _ 2.00 --201 u'_mn r in 1 hu... ,,1 _..�'h _—_^ ---- _ _._1.50. A1ISCTLIAN )rl:; Rain drains _ 10.130 ' sewer by —Water Sirdlfn to '6 ! Private Wat.:r Sv,vt_�„cc L. f: ii,l) —._ _ _ .-_....10.01 � OthNr (S�_.irvl� _........—...._.f_.— __....`..._---_ _....._.__.-.__ _...._..._._._.._.._.._ L W_ ..—_—._____— ---•'---..._w.__. • Pf;iVAIT 420• For l'lrrrr.hing ln,oa'::rorr?,:'r,ne 639.117 "r St:rto 1� Plurvhir,g Cunt atar 6y T'OrAL • RECEIM, Mo. Istuali Ly I I I '14'�'aY'n 1R WVM..:t-r',nisru. w>yv�:. ..vs.rt7� n. -.... .v.� _.`n'�"yi-.a•ai._ .. _./p 1:r:.,f..-..-..1..K• CITY of DATE fay ld 197 W 0833 BUILDING PERMIT APPLICATION TIGARD l 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 ADDRESS Trinity Evangelical Chu �LjquJ :lb! Z;Ci04 BUILDER PHONE _•_ f "t r3tRH ENGINEER BUILDER ARCHITECT DESIGNER SIHUCTURE CINEW_ ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑"IRE DAMAGE ❑DEMOOLITION 013ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLA5 L_1FENCE ❑EIOND�- MOVING OCONDITIONO,L USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS OCCUPANC'Y._--_LAND USE ZONE- BLDG. TYPE FIRE ZONE— PLAN CHECK BY HEAT___.-_r L i I idrel C11.illl :dil.) a. X. J:U:J U ' . .•tlJ i.l(?iT :_l.1 Li: a13Di '.'i.?d . lii :. t. II'_ vang b ca , )nu mr._.&ovary a Irrt r"at.a '15-ulladw, 1CM001 -- t :) Uorsfijp »�;I - b3UU - Ijjf,1-wqwrcal w OG4• LOAD FLOOR LOAD HEIGHT " NO.STORIES AREA VALUE -_---- __ _ 1 BUILDING DEPARTMENT SET BACKS FRONT '" I FEAR LEFT SIDE RIGHT SIDE 7 rum Permit ' THIS PERMIT IS ISSUED SUBJECT 1'0 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 AI-L 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 ANO HEATING. Total _—. APPLICANT On AGENT Approved Receipt No -- AOOR 9 -----�--- —FFii)MF ! I! City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : DATE:/%' /' DATE ISSUED :-- / L OWNERS NAME : ADDRESS: C0NTRACTOR' `���o �x � 'l' 701 TEST : Air p, Water Q , Vlaual [3 , Laboratory p RESULT: Approve , Disapproved O , Pending [] SKETCH: L I NS - TOR DATE COTS: Attach supplarnental tart Juin her . ro .. ++�-- �..... ...... .art:►:. PLUMBING PERMIT APPLICATION Jurisdiction of _ No. Type of Fixture Fee Permit No. Permit fee Water Closets (Toilets) Permit Issue Bath Tubs i Approved by Lavato Wash Basin Building PermiTT--,/ Shower Receipt No. tPl in s Dishwashing Sinks, kitchen iriks, Ordinary Location of Building Sinks, Bar _ ��'9r �Z7'D 5 W ,(',.z� -3. --------_ Y — Sinks, Slo ) Automatic Dishwaslier i s o s a. ---�- aundz�y - Trays —� Name & Address ()f Owner Drains Floor Drains. Area Drain _7e r 7g 7775 r - --_ - ---� ---_ Rain Drains Automatic Washer Name & Address of Plumb �-�•- Fountains r n E n l Fountains, ao a Hot ater Tank . � - Water Service Size Ur finals Building l�r�11��� Al ter, Heves ir or 1 a c - as ins - YardIns a _ wn")Prinkler _ystem- Swimming Pow S r.inkler � stem -� - w •^'� This permit becomes null. and void if work or construction authorized is not commenced within 60 days, or if construction or work is _suspended or abandoned for a period of 120 days at any time after work is c .-mmenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typ of work will be complied with whether specified herein cr not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or Vie performance of construction. -Signature of Applicant + FIRE PRE."97NTION BUREAU A C OFFICE OF FIRE MARSHAL `fi / INSPECTION NOTICE l DATE OWNER 1�L �G/ Oi'v'L> Last -LI OCCUPANT r h I" OCCUPANCY LOCATION �FICIENCIESI YOUR ATTENTION 15 CALLED TO THE FOLLOWING FIRE SAFETY ' / r 144 i-'Y1'lli r l SHOULD FAILURE TO CO'9RECT THE ABOVE CONDITIONS WI HIN DAYS CL MA K Y '� IAPLE TO OROPERT PROSE,C '�ON O19t1 d N90F RESULT FROM 9UCH CONDITIONS YOU MAY BE LIABLE FOR DAMA OP / �E OFl9 479 19D �'� ♦�L/SQ/{ IRE MARSHAL, WASHINGTON COUNTY FIRE DISTRICT 111 14480 S W JENKINS ROAD PRESENTED TOr�` BEAVERTOW OREGON 646--1101 FIRE PREVENTION BUREAU OFFICE OF FIRE MARSHAL INSPECTION NOTICE eIe OWNER.----- - DATE Z-O OCCUPANT,_ OCCUPANCY ---- LOC AT 10 N CCUPANCY __LOCATION —�- YOUR ATTENTION IS CALLED TO THE FOLLOWING FIRE SAFETY DE FIC1ENCIESI __,j'��F i�:i}� 1?���' Lt � �>e� ,L��,c L•rsi51��y0 �!-/d���,�_ 1411 'a Ail A�L^ C{L�LL_Jt �1 r FAILURE TO CORRECT THE ABOVE CONDITION! WITHIN DAV! WILL MAKE IOU LI 1 PFIO2RCU 10'4 ShOULU FIRE Cr)PERtY UNbEN P��OVIlION! OF FAILURE FROM SUCH CUNDI?IONS YOU MAY PE LIABLE FOR DAMAGES t0 Pl R60f�A, - o R a 4 f 9 1%�n 9Y- /��ll!/ .— VVASI11NGTON COUNTY FIRE DISTRICT #i FIR? MARSHAL 14480 S W JENKINS ROAD nRESlNTlO TO BEAVERTON. OREGON 646-1101 FIRE PREVENTION BUREAU OFFICE OF FIRE MARSHAL INSPECTION NOTICE OWNER_--_ — -----DATE OCCUPANT OCCUPANCY__ LOCATION YOUR ATTENTION IS CALLED TO THE FOLLOWING FIRE SAFETY DEFICIENCIES? y r iii i/ G1lu �zCt Fe 0,r WITHIN DAYS WILL MAKE YOU L//I//��..BL 'TO PROF ELUTION. tHOULD FIRE FAILURE TO f. RECT THE ABOVE CONDITIONS RESULT FROM SUCH CONDITIONS YOU MAY BE LIABLE FOR DAMAGES TO PERSONf/Q OI¢ERTV UNDER PROVIfION9 OF ORS 470 100 BY WASHINGTON COUNTY FIRE DISTRICT r,1 FIRE MARSHAL 14480 S W JENK.INS ROAD BE.AVERTON, OREGON 646-1101 PRESENTED TO FIRE PREVENTION BUREAU OFFICE OF FIRE MARSHAL INSPECTION NOTICE Rye DATE .-- OCCUPANT __ _ ___ OCCUPANCY LOCATION TOUR ATTENTION IS CALLED TO THE FOLLOWING FIRE SAFETY DEFICIENCIES v � _ i a1 / ,•,� i,T/! "d / r � IR FAILUi'(t+ O C-) RECT THE A@OVE NDI TIONS WI HIN DAYS WILL MAKE YOU LIABLE TO CtECU710N SHOULD FIR RESULT FROM SUCH CONDITIONS Y U MAY BE LIABLE FOR DAMAGES TO PERSONS OR PF PE UNDER FROVI!IONf O oaf 4 a I " BY WASHINGTON COUNTY FIRE DISTRICT Ni FIRIE MARSHAL 14480 S W JENKINS ROAD i BF_AVERTON, OREGON 646--1101 PmesmTso To II i i a' FIRE PREVENTION BUREAU ' OFFICE. OF FIRE MARSHAL 5.4 INSPECTION NOTICE I OWNER _-- — — ---_---.DATE_ OCCUPANT_ __ OC:.UPANCY__ LOCATION YOUR ATTENTION IS CALLED TO THE FOLLOWING FIRE SAFETY DEFICIENCIES+ f I FAILURE TO CORRCCT THE ABOVE CONDITIONS WITHIN OA`.S WILL MAKE YOU LIAB E TO SECUTION. SHOULD FIRE RESULT FROM SUCH CONDITIONS YOU MAY . LIABLE FOR DAMAGES TO PERSONS OI PR P 11T✓,. UNDER PROVISIONS OF OR,+470 100 BY 'NASrIINGTON COUNTY ', IRE DISTRICT 111 MARSHAL 144610 S IN JENKINS ROAD BEAVERTOW OREGON 546-1101 PRESENTED TO w t 3 � o n � b m � I � � I lti > > lf. ,p J Q G h 1 v W 7 L r '^ L u � U I J Q Q W �- I i Q ,n _U Q w o Z v a La w o W � Z L C I f- w .� t`' << o w jr VYO I d 0- \'C O w U O n J = O > �m of Tigard INSPECTION REQUEST for A INSPECTION TIME . _ .rov PERMIT NC. DATE: 4 ' `73 DATE ISSUED __.._ _— OW N F_FSS NAME : 1 17 7 h N TR A ,- Tl) R : EST ti 4er , '1�. '.ub-►C?`)r, `.J i RESUL.'C * ,p -roved L3 SKETC,H' _ _� .L73 INSPECTOR DATE } i [NOTE : Attocn supp ementoi tast uata ,Pr td als s s s �r, s s City of Tigard INSPECTION REQUEST / for INSPECTION /TIME . __ PERMIT NO. :-- DAT E ' O. :_— DATE: DATE ISSUED : / ! OWNERS NAME ' ADDRESS: Z¢ _- rr CONTRACTO . - ----- _ + EST : Air L, , Water l] , V;sual9, I_aborctory0 RESULT : Ap.�roved )iaapprovad G Pendiog Uj SKETCH.' P-4 24L INSPECTOR DATE NOTE. Attach supplemental test data hereto] City of Tigard INSPECTION REQUEST for IINSPECTION TIME . PERMIT NO. ' — DATE:.f-' L—�— DATE ISSUED'_ LL OWNERS N A M E r ��� �I//i��Gam /(. L C�u�c�' I ADDRESS : I CONTRACTOR :------ TEST ONTRACTOR :_-----TEST .a r J, Water r,] , %listial , La` .rator,j (i RESULT . Approved , Disapproved 1 , PF)nding (❑ SKETCH: I I I I I I / INSPECTOR U T IOTE: Attach supplemental test heret-1 1 CITY OF TIGARD 12420 E. W, Main 84rwf TIGARD, OREGON 97221 j APPLICATION FOR BUILDING PERMIT New Construction Demolish Addition Remodel a Move ZONING g-7 DATE ISSUED 8-13-71 BUILDING PERMIT DATE RECEIVED BUILDING FEE $ 47.00_ BY —� PLAN CHECK $_23.`50 -- OTHER $ <:.�.. •- VALUATION $ 20,000 TOTAL $ RECEIPT No. Qa-i � TWO SETS OF FLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 601 MAP M isi 34B CENSUS TRACT W-19 _ JOB M Architect or Enc$lpeer.­_Brova -- Address _ -- Phone_ Owner TPinityy Cburch o"YAibf. of X--AMeriXA------,.___--� Phone Add res sl0y00 S.W. ].?1�t�ye., Turd — --^_—,__-----___ �. .—..--- Address — Phone--- BUILDING USE Single Res. [K] Multi Res. Comm. ] Industrial C OCCUPANCY GROUP I No. of Stories 2— Total Heiqht 221--.— Area of Lot___ Type of Construction V Floor Area Bi Set Backs: Front_ Back 30 _ L.Side_ 147 R.Side 241 Private Sewer Pipe Size— --- Sewer,- Septic Tank L'_I Water Service Pipe Size_-. 1" _ Storm Sewer ] Ditch E] DryweII ] Street and Curb Requirements __- Driveway Width— 18 _ No. of Parkinq Spaces_______ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED-10900 9.W. 121st (Pereonage) FIELD CHECK BY� JB -------__--_ DATE PERMIT APPROVED BY c It is understood that all work will conform with applicable cod nd ordinanceE of the State of Oregon and the City of Tigard, Oregon, and I:at t building wil not be occupied until a Certificate of Occupancy has been is by the City of Tigard Building Inspector. Sig9fitui—e-67 Applicant 15918 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MCN BY TIMSE PRESENTS, That occupancy of residential structure (s) on the following del;cribed lands prior to the recording of an occupancy permit releasing the restriction in the Deems Records of Washington County, OreEon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: TAX LM 601, kk 'LV.,' 131 .4Ii ADDRESS OF PROPERTY: insnn s_ta• 121A+- TTr.Alt;,� nttw.c,N 2729S CUApnngkifi) NAME OF OWNER: T MIT Y C.11M.1i OF Tilt 1i JANUNLIC AL C h=ji OF' t1. Ar.iGR IC A t 4 SAUS AS ABOVE ADD:trwi5 OF UWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed t:.A s loth day of AUG, 19 E3 OWNER: SAI& AS ABOVE Name APPROVED: By: 1Cm. �[Ld e► T .tle N ldine Official OOGEA T110M96EN,,D�WIT 0 tic,•.,, C ty oS Ti rd Fir .............. ........_..._......... a,,,,� STATE OF OREGON County of Washington ) VIC/ , 19 T3 Personally appeared before me the above named AODGER Be 9PTMNN _ and acknowledged the foregoing instrument to be volun;,ary act and deed. Notary i'u is for Oregon Hy Comm ,,s on Expires: BOOK 841 �reE217 ce G . }\ft) z 5 } \ 7� $ E § . \ 7 \ 7a 4 ^ � � EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MCN BY THESE PRESENTS, That occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing, the restriction in the Dee;. Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: TAX LOT 801• TAX 'V& 181 3U ADDRESS OF PROPERTY: Pell WMS Awlog" M.W. 1016t, Alis) NAME OF OWNER: Tf(;AITY CHURCH OF TU uYAPIUh;LICAL CHURCH OF N. Ai -BMA pDDRF»SS OF OWN1R 3AI& A8 ABOVE IN WITNLSO WHliRE:OF, the undersigned has caused this restriction to be executed thi.. 10th _ day of 41114 191E . OWNER: :JA Ili A: Alii Yr Name APPROVED: By: R'�tle $y: it ing Ufficlal ity of Tigard STATE of OREGON ) ss. County of Wai;hington 19ML• Personally appeared. before me the above ,tamed,M)010 Be 817ARb'N and achnowled.ged the foregoing instrument to be volw,cary act and deed. Notary Public or Oregon Ply Comm.' s Iiion E.ires: '_�T WASHINGTON COUNTY DEPARTMENT OF PUBLIC HEALTH CR r-- Adminiotration Building; —- 150 N. .First Refer Hillsbdro, Oregon 97125 Telephone 648-8688 Subject T- Location�_�Q Health Department Memorandum The subject noted above has been reviewed rind the following decision is recorded: No yes (, ) 611. . . . . .Health Department requirements have been met in full. tic Yes ( ). .. . . .Additional ;requirements as follows must be met before Health Department approval ca-n be given 7/77 WCDPH S-28 I City of Tigard INSPECTION REQUEST for INSPECTION TIME:: PERMIT NO. : DATE: %3 DATE ISSUED : Z OWNERS NAME ADDRESS:CONTRACTOR : .�. _._--.- 'i EST : •, ,_, , Watery , V'sual U , l.aboratory Pj RESULT ' Ap.'roved J :-)i6approvad G , Pending ,, SKETCH: � A S tin PC,-,n-.c INSPECTOR DATE NOTE : Attacn supplemental test data hot€tQI [.'x ��Y�C � �K,C)G�Y�C +C t�. YAC i. Y<ji��Y�-�:(�Y.f }� i. YX• �i .YK�_��><Ji1i >Y l.i`>,� �•',�\ ,� Ib r �r OF �•r OREGON liaga church -mit No. BuildingAddress ••o• )' iY! 1 '. , , + I. (fiethat it complies1 Mi This is a temporurycy permit. the Building: Codt, fol' the City of Tigai r / (., am y " / p " li( (.\ Ti. r v� i�i < ;i�>t t�,�c {�� Y•[ > C]�(1�i�> C ��i�f>�` <+ i'l�, <�- wIT irl[�><��F1/><�,b'Kyyl JT ne 'T, 1)73 Mr. H. S. Swardn Trinity Lvan6alical Church 10900 S.W. l2let Ave. Ti4wrd, Oregon )U�3 Dear Mr. ;;waren: Upon inspection of the Trinity Evangelical Church at the above address on ,dune 5, 1973 the following violations were noted: 1. The deck in front of the church has no handrail. Section 3305 of the Uniform Building Code requires a handrail. 2. Five windows facir.8 the deck are less than eighteen inches from the door. ;.section 5406 of the Uniform Building Code reyuirer, the glass to be protected or have glass that lt; subject do human impact. 3. Window at foot of stairs, lP;,e; t4an ei,;hteea inches from the floor. Section x,406 of Uniform Building Code requires the glass tv be protected or hhave glass that is subject to human impact. t+. Fire stairs on north ride of building has ro inter- mediate rails. Section 3305 (i) and .1714 of the Uniform Building Code states in part that inter- mediate rails to be such that no object nine ineher in diameter cavi pass through. 5. No occupancy permit "9 given for LI» building. 'Action JUb of the Uniform Building Code. At this time I will give you a temporary occupancy permit for the Second floor orily and ask ttint the baeement not be uvea. If you have any quentions please do not henitete to cont,r,ct this office. 31ncerely, Ernest Cam bell Building Official i City of Tigard INSPECTION REQUEST for INSPECTION TIME ' — _ PERMIT NO. : ---- D ATE --73 O.DATE3`DATE ISSUED :_ OWNERS NAME ADDRESS. ---------- - - -- - _ — CON"TRACTOR : -- - --- - - -- -- -- — E ST : 'Neter ❑ , V:Huai !] , l-aboratory (—_] RESULT A -roved C] appro�ad X , i:endinq Ll SKETC, I�° ���� #4c,Q7 /a/L 1r �r s-T���:z E zzkGS. U.)1 0LA-� s Aja c i n)G i r Or _ F s91eS Cb) T-gfn_c,0 C i INSPECTOR DATE NOTE : Attarr, sunc,iemental test dotr. i,•ret� w w w w w w w w w w w City of Tigard INSPECTION REQUEST for INSPECTION TIME' �7`PM . PERMIT NO. : —.-- DATE .-J—' 4/,/ O. : —.-_DATE :J 4/,/ 3 DATE !SSUED '---j.� OWNERS NAME A D U R E S S: __ --�-- - - -- --CONTRACTOR *. ----------- -- -- - -- -- ---- TEST : Air C], Water p , Visual [1 , Laboratory p RESULT : Approved O , Disapproved ! , Pending ❑ SKETCH: Nrlro TR®sr a Ot r 00 r"-p Doo G L.&Kev i o 9a71, o 47czK m R /0✓>' Eat r f A a•lC p4ri o NEtDS h�pti t► �4 1+A##7 1awer T11 ec-ft~ -.w y N•T owVcAA00� T* FCO'O' ar STS' •LF � �T Dom'�t' 7�/�L�u plc pIc ors?i c 'tom. APIOV Parr w�f-Nr� s- of ���o�roti �j IVY 23- w 077* INSPE-GTdR DATE NOTE : Attach supplemental test data herr}] 4 PLUMBING PERMIT APPLICATION Jurisdiction of Tidgm k -_o., Type :,f FixturF Fee Permit No. __jv . r� Permit fee Water Closets Tcilets Permit Issued J 1. 19 Bath Iibs Approved by , Lavat.o Wash Basin Building Pe mit .)- Va_ _ Shower Receipt No, p = in s Dishwachin -.� 7�3 inks itchFr, Sin s. Ordinary .00 Location of Bu.ild:.ng _ 0� Jew, "lot ins ar• Sinks Slc,12 �. ...� AlltOMatiC Dishwa3fier Disposal LaundryTrays Name & Address of Owner ch Drains Floor rains Area Drair.a� e r� Nra or 1i L Rain Drains - Automatic Washer Name � Address of Plumber oun airis r1n in Associated Plumbing & Heating Co.. Inc. Fountains Soda _117x N.W TbnWilsrin RpgCL 1 Hca t a to r an 2.00 �'- — - ---- Water Service Si ze 1 Urinals 2.00 Buildiri LP',j r NN . =77-al-ch-Basins �w Alter Repair ar � , ._�-�Yard �ns��j`- - I,awri C rinklpr spm Swi.mmin oc1 1Nr 5 rin ler S stem - -�- This permit becom!�.; null and void if work or constructi.cri authorized is not ^,ommenced wirh;n fr days, or if construction or work is suspended or abandoned fur a pariod of dE!y:, at any time after work is c,,mmenced. All plumbing firms n: xst be licensed by the City of Tigard and post a $1 ,000 bond. I hereby certify that. I have --ad and examined this application and know the same to be true and correct. All provisions of laws and crdinances governing this typ of work will be complied with whether specified herein cr not, the granting of a permit dues n,:.t presume to give authority to violate or cancel the provisions of any ether state cir local law regulating construction cr the performance of construction. Signature cf Appli ,3nt ji A Mill c.1BUILDER fo 2,�t7 FEE -� ?s DATE /� � �c. . ,; «� VALUE / _ LOCATION /�`9��' �.L � - r OWNER JOB--# - MAP � �7' 7jil �.,G�Uc' TYPE FEE ! SE ER PE?�M:I r�E MFCHA CAL 1,ERMIMT #- =T El BY DATEBy EXCAVATION/FILL — AIR CONDITIONING _ FOOTINGS%FOUNDATIONi;�� VENTILATION _ FORI'•1S ;rH I NK LER SYSTEM ,LABS _ _ MASONRY FLUES REINFORCING STEEL FIRE DOORS/EXITS STRUCTURAL STEEL _GARAGE FLOOR___ PLUMBING N I _._.... DRIVEWAY____ ..._­ � ­.,.._.._. —_ ROOF FLA.;Ii T NSI SEVER. __— �,� FRAME STORM DRAIN LATH/WALL30ARD PARKING _ HEATING. _.._.. _FENCE1 SCREEN WATER HEATER _�. _ FINAL...__._...._ .�,._....�..._...._. . r 9Y, CITY OF TIGARD 11420 L W. Mein Stfo* TIGARD, OR500H 117 ` APPLICATION FOR BUILDING PERMIT i New Construction Demolish ❑ Addition ❑ Remodel ❑ Move❑ ONING R-7 DATE ISSUED 5_16-72 BUILDING PERMIT BUILDING FEE $ 293+50 No. .. `.• t)ATE RECEIVED 5-8-72 -�" `�^ SHY D6PLAN CHECK $ - VALUATION - OTHER S TOTAL $_ _`�- RECEIPT No. 6C7 - -.�—_ TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 600 MAP 8_ 1-al 34B CENSUS TRACT W-19 _ JOB !_� Architect or Engineer Thomas D. Telford (njo D. Brown) —Phone 864-3351 owner_ kMpAelical Qhur�;h - -- — --- -- Address 10900 3,W. 121st R Vy, _ Phone Builder Roger 3waren Address 13620 S.W. Pacific Hwy. - _ _`_Phonel639-1570__ :BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. 1" i Industrial.❑ OCCUPANCY GROUP B No. of Stories` 2 Total Height`_jpl T Area of Lot"r Type of Construction )jUO1rVOOQQ IG<)= V Floor ArQa B --- 1_5451 __ 2__4935 Set Backs: Front 100'_ Back 2W' L.Side 150'— R.Side— c_0'II�� Private Sewer Pipe Size r_ Sewer E999= Septic Tank I�1 water Service Pipe Size_11t Storm Sewer ® Ditch ❑ Drywell ❑ Street and Curb Requirements Iixistin��-`__ Driveway Width, 25 _____No. of Parkinq Spaces 33 SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION _All parking and maneuvering aarsaa to be L-- tri_ped_ All landscaping to be installed prior to occupancy. Engineer plans required for water lines, catch basin & paying. T�_ Occupancy based upon fire marshal requirements & conformance ADDRESS ASSIGNED— 1000 8.W. 121st - FIELD CHECK BY l>Q _ __ --_- -_ ------DATE 5-16 h -- PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordina of the State of Oregon and the City of Tigard, Oregon, and that the building w not be occupied until a Certificatepf ;atu upancy ha been issued by the City of Tigard Building Inspector. e o Applicant f W WIRE e( T..r...wtl .�.a•.YI_.MM..... .«..er......�. .. ....y. .. •_ •... �• ........._.v..,... ...�.....••wrw.•w.n r.r._ r ( j 1 S 1 i ( { i f F c%