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9830 SW MCKENZIE PLACE .rf• .�'S��•y eTti Y" I y,+,a:,�i v�'IFyl1•�`l'" b ,,i�.f ,��' e.,f,�•' e - r ,!.j•1L- ��' - r w Ir `,l yrw r `'j�� �. Lt, ' ti• sem'.-[ I' I �i' ,K 41 J uu uuuiuu nu UU=UUUU I uuul . y.AJ, �. �+I •_ �ry 1i �i�L�•" �, / ��, � ���• "r# � i X � '' S I�r.• �l I • r • , ,a'�.1'•' - �- _ ••,r•.., ... �. .o•�'.*.w�. r ..•+..y!Re•� .... .. ..�,wy.s, ..C. -- _. .. _,. _. L'k.rne� ., �Yte j' ^�•e•�rl w !r. '7 A ,.r a J�• �. y �x r. l L ��,•,� i ) �'T a' �5R j _, ':'n '� '�r.�'• r x,r r rf p t�• ` 1 .... _. j;, _.. 1 �. . .- .. ( .. �.•,�.��. .:',.as as,`r> 3:i...✓. Jkli' ytr 4 srji `' Au P. - I T� 41 „R, gnrJ �. > (.+MI'K' f•'1' � 'Y •_"•c-mow+. .I•nti, ,+spt��_ �,.. .+` "'I 'Pr f •'* :l• .�': n f , N•. L�, �� x•: a �?: Cir;. 1 , .� `f •S '„' �'. fir^ _...� ,�^• r, r.. - 7kR .v. �,'' 'i' AZYF'•T.`i��...t..�.+Me./�1►r..M'�. 1i:1. r i' - . .,. .. ..... la. .../u�:,,:.'", ..;'i��ieM�+k�iiWL�.itt•:�.t:S,1�Y!R1..�5'!i�P %M, .rY.YI` �t:•' �.w 4 � I �� '� Y .Qh. t S �r;5�� i:'f s�ldc�'� v :�2''1r.,.�i,'1..}'+J�t•fit a '?.., � - '11,".'llrt •w � 1y� r ':I. (( I�,y��ww�r" y N ..S'i.:r.S':-;1F".'J :Y, 4,, ��M:�#i�•�`. �" ��'';a:..y�..,.+..i+� 'r" }4 1 '�r a.. :•'11 wrT '1�.... r�'f��u _ I y .. :'t�!'it" +5: ::�• ��tt lu.�,ra:..+{.iM�11M1va.+i6�g1. r� - .. .. ..I� ^ r / ;� lmfA "jw . r INV of Ao too A A J A s Ir< 1 J~ ter► - ...� `......... ..- _- ....err ........�:� / - - ..r�i9k�l V lr_, 7. �r �__.+ ' �l�l�" _�.,.y�.w.-••,.•r.+ /; . .r.. r � I ' U exp w w w w s a 1■r ! IR 9830 SW MCKENZIE S'T'REET 1 U N L N Y U 3 cn O r� a rn 1 1 �r i A, TR i c C c.. AJ L ,o lqo W +qr !ar wr w a� roc is Permit No. Sp 6" P(- _ CZ'I'Y OF TIGARD SIGN PERMIT APPLICATION `Ilie ar4A-ic,3nt hereby applies for a permit for the work indicated or as shown in the -Uxx-xnyirxL plans and specifications. SIGN MCATION ADDRESS: P> ca � ZONING: NAME OF I3USINESSS: ��feQ �P? U 1�1E 1 1��� Ll"i AI'In_,ICAW/AGI"NI': I vVC1oyt h►rtr OCMPANY: _ `.►' ��E PHONE. 11le City of 'Tigard imposes an annual Business Tax which mast he kept current on a1.1 Persons doing business in the City. Do you presently have a �rrent business tax? - YES ( x ) TRS ( ) U.L. l abel. if -Z S..l_ ===T L 11 O PROPOSED SIGN: (Check as many as apply) �J �u5 tJ47iSDSf V'^ 1'PJMNENT ( ) FREEMANDING ( ) FftE%TAY TEMPURARY ( ) WALL (r i ELB IW)NIC ( ) 13TT LDOARD ( 1 BALWON ( ) SIGN DIMNSION": ld �o►+g ��' INt�E __ K"KI'TRATTO�N MIT- TOTAL SIGN ARFA (Sq. Ft.) : +WALL ARFA ARFA (Sq. Ft.) : -- WALL. FACE: -- HELGHT (Ft) : _ - — pR0k7DCI`ION FII WALL- _ ILUMINATION. YES ( ) NO (A TYPE: DOPY: r l ► UV Tt�M _..15e_ r ,,C MNIUUAIS• --- EXISTING SIGNS: AIWNISIMTnT, F.XCMYTION: N/A ( APPRWED ( ) ICJW MUCK % AREA ( ) HEiair ( ) PIAM3IIaG P -- -__ All sign permits must be acxxmpanied by a scale DE Permit Fee: —_ _ drawing and plot plan. If work authorized under Reoe1 t NO. b4 S __ a sign permit has not been croWleted within ninety _ days after the issuance of the permit, the permit i � shall become nu11, and void. ELECTRICAL pERKIT I CFRTM THAT I AM 11iE RECORDED OWNER OF 'INE RDWERM. YES ( ) NO M pROPFffM OR AN AGENT' A(MiORIZED By THE OWNW- BUILDING J+ M IT -- -- RFMtnlFD: YI. ( NO Applicant's Signature c{)/13IQ�I'I]d�iI' Address ------ 'Telephone N:\WORD\CC)K)fZ/\ CITY OF TIGARb APPLICATION FOR SIGN PERMIT J At p r P M TT -7 ADDRESS VALUL op o, e P E RM I T F.1 TEL. NO. -7-3,2 MANUFACTURE ADDRESS --INSPECTTONS REMITREn RR CTOP -<'14 AA ITE --A.DDRr,,Sqpn N f) -----TEL, No. MAKES APPLICATION TO d-Ali�— —.--.---- .qPPC-TAT, IN-F-ORMATTO ATMER BEPAIR MOVE. PT Kl PLOT PLAN 1.-.-PbL--E COMI-AINATTON GROUNDSHOW SIGN LOCATION MAIR UEE' ET,I,,(,rl,gTC WALL ITEMPORARY j jiEIGHT-TQC Tir-IGHT--LIOTTOM L FT -AREA- - SQ- FT- PROJECTION Al 6 Aj C-- FT. I SU PORT --PTRE ZONE -SJ-GJq Tn--aF--F.AqTENEr) AND SECTIRED BY APkRQ-U2 S PPQRTS ANIS-1T-ISN -ED LICATION- IS -ACRE - T H A 9-IE-=SAPP APPROVED THE SIGN W11,L-C-ONEORM IN EVERY DETAIL WITH TEE-RE()lJTREMENX-q--0r,- EDITION AND THE ORDINANCES DE THE CITY ---.-OE, TIGARD- SIGNATURE OF PERMITT11-2 --BY ; APPROVED CHIEF BUILDING OFFICIAL BY Mid CITY or -HGAFtr) RE j OF' PAYMENT kr-C, NOr CIOMS654 CH( 910UNT 00 NAME TICIARD OPTUMCIRIC CLINC CW %IUNT UO ADWSS: DR. HOHNEP ANI; ASSOCIPTES, FAN ' L)PTf.-., . ;4`29-69 F41 VADDRS %"0 5"Al PIC[EWAAE TIGAP.D. OR 97'2k1 f-',.Jf,F:OSE OF PAYMNI AMOU T FAIL) 405E Of- F> MENT AMOUNT PAW ;lf;N F-E-PtITT FFEIS, 10.00 9P--164, TOTAL MOUNT FAtflf - 1f�.iii.� t Permit No. SP C rY OF TIGARD SIGN PERMITA. APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the acccapanying plans and specifications. SIGN lo-'A'1'TON ADURP.-;S: 9830 SW McKenzie 2,ON NG: NAME OF BUSINESS• Tiqard Optometric Clinic APPISCANT/AGERr• Terrance Hohner _ 03'4t?ANY: saw PHONE: E i9-A844 ,nw City of ticgard inposes an annual Business Tax which must be kept current on all persons doing business in the City. Do you presently have a e'_--rent business tax? YES (X ) NO ( ) U.L. Label. ppoposm Sir.N: (Check as many as; apply) PERKRN N r (X ) FRF.E�DU ( ) FRF2MY ( ) TEMPORARY ( ) S4MM ( X) ELWITMIC ( ) CyI1iE�2 ( ) 131111KMM ( ) BAUDON ( ) SIGN DIMENSIONS: 12_ft Long by 10 inchMCMATION DATE: TOTAL SIGN AREA (Sq. Ft.): 10 sq. fL. W1, AREA (Sq- Ft-) : over 500 WALL FACE: North HEI®fl, (Ft) : ___ -_ -- - r PRaMMON FROM WALL: _-- II 1-IMTUITTON: YES ( ) NO ( X ) TYPE: _- (DIN: Tigar_d Optometric Clinic MATTRIA1,S: Wood & StYr_ofoam _ EXLSTI]W SIMS: None _ AI)MIIIISI'W1TIvI.: Ea{CF1'r1oN: N/A (X ) APPRUVFD ( ) HOW MUCH- ARM ( COMMMI5: 2SI 2BD TL 70'J Business Tax PLANNING DEPARTMENr All sign permits must be acaortpanied by a scale Permit Fee.:- $10.00 _ drawing and plot plan. If work authorized under Rede-lit No• i-i066`i4 - a sign permit has not been ompl.eted within nirx�ty Arpmvcd FVJ. Offer days after the issuance of the permit, the permit Date• 121:!769 � sha l l bec ow- nu 11 aryl vo id. Ef L'IRICAI, PF 44rr I CE RrIFY THAT I AM THE RE_ MED OWNER OF THE RWJTR17): YES ( ) Nn (X) IWI'E7M OR AN INF AUIN0R_1tEI BY 'n-EE Tr ' BUILDING PLJM'I' /' RW IRM: YM ( ) No (X) Applicant's Si tune cp/B�II'ERE71' Address Te l.ephom� R R R R as r 1 i i 1� ` �q 40 CLIO& AV C- lb J t iK44.• . i I r r 9 r `, \ (� �1 1ryc cid l � rti���.�'c�� � C -ti\� C`C, .�v e r (e • �d'` \n�u�� � M��t 4v+cvti` �tl'tt.�c C^•fa�.•.Q APPROV120 TIGARD B . y og- Till- 1" •r0 Flu% p __ . ._...__._ ......... ..... AV SfDRy l kVVW-5 /- �- M 9 4k w� C\ e-\ 5( V TV 0' L J-..- Us .s 33q u • TI),f �ill�rc.� eW, �k r rC 1.J)or7, C,ar c.�c` �1, '� ArPRON7t'.�) CITY O 'I'1 t;A P IIJ By Do xjv t 4o FLS Permit No. SP 89-160 CI'T'Y OF TIGARD SIGN PEIxI r APPLICATION ,mv-, applicant hereby appli-c-•s for a permit for the work itxiicated or as shown in the acxxa -3nying plans arrl specifications. _;N ID ATION Af)DF* S: 9830 SW McKenzie -_ -C-G NAME OF. BUSINESS: Tigard Natural Health Center AMAcANT/AGENT• G_5�9 Garcia�ND,__ �'�' _.._____-� I'I{ONE: 624-1321 urrent The City of tigard upoFbe kept c �es an arrn r1al. Business Tax whi clrre�t bt,sinessotax?1 persons doing business in the City. Do n you presently have a YIN (X ) NO ( 1 U.L. IrIbel # N/A PROPOSED SIGN:J (Check as many as app)-y) PF,[*ANFTn' (X ) FREEMMING ( ) F'RF"AY ( ) 'I'PIT01MY ( ) mill, (X ) EIBCI'FMIC ( ) OTHER ( ) BZLTJ3UARD ( ) BAUI)ON ( ) SIGN DIM4SIONS: _ 10, x 10" EXPIRATION DATE: IUM SIGN AREA (Sq. Ft-) : less than 10 sq ft. - WALL AREA (Sq. F't,) : 470 an• ft. (a proxy - WAIL FACE: East HEIGHT (Ft) : _ N/A — PRWEMON FROM WAIS,: less than 2" TuaC NATION: YFS ( ) NO (X ) TYPE: appy. Tigard Natural Health Center pp TMA S. _ Laminated Wood. Foam Letters - EXISrING SIGNS: .N/A _ - - -----�— — 111)MTNTST,MI`lVE EXCEPTION: N/A ( X ) APPROVED ( ) HOW MUCK--% AREA ( ) HEIGHT ( ) ( ou-N1':�: - to -be mounted flush with 2nd story windows see drawing.,& photos. X PLANNING DEPAR114W-r — __` All sign permits mist be ac ompanied by a scale Permit Fee: $10.00 drawing and plot plan. If work authorized under Receipt No• 106474 a. sign permit has not been cmpleted within ninety Apppg ed By. days after the issuance of the permit, the permit Date__ 12/11/89 shall bene null. and void. F.I VIRICAL PERMIT I GIUMFY T1AT I AM THE RDCORDM OWNIT 01' '111E RFJQLTMM: YES ( ) NO (X) PROPERTY OR AN AGENT AUINORIZED BY THE OHMM. BUIMING PERMIfi -'�-� _-- -- Rr711 II Rrn: Yrs ( j NO (X) A*1 t s s f to --y Telephone: cp/FSICM,r-mr Address N:\W0RD\C1DM EV\ Permit No. SP_ 89_160-____ CITY OF' TIGAFD SIGN PERMrr API'I.,ICATION The applicant hereby applies for a permit- for the work indicated or as shown in the accogkanying plana .and specifications. :;IGN INION AI)DI2F,;.S: 9830 SW McKenzie ZONING: C-G NAME OF BUSINESS: "Tigard Natural Health Center APPL.IcAi`fT/AGENT: Grgg Garcia, NU OANY: --_ _ PHONE: 624_1321 The City of tigard imposes an annual Busi.n--,s Tax which must be kept current on all pnx-sons, doing business in the City. Do you presently have a current business tax? YES (X ) NO ( ) U.L. Label # N/A PROPOSED SIGN: (Check as many as apply) PEWANENT (X ) FREM-rANDING ( ) FRUMY ( ) TEMPORARY ( ) WAIL (X ) E 1,W17RONIC ( ) OTHER ( ) BII1DOARD ( ) BA1,1,O NI ( ) SIGN DIMENSIONS: 10, x 10" __ F)WIRATION DNI'F:: TOTAL SIGN AREA (Sq. Ft.) : less than 10 sq ft, -NA --- �- - WALL AREA (Sq. Ft.) : 470 sq. ft. (aprox) _ WALL FACE: East HUGHT (Ft) : N/A _ PRQTEOTION FROM WAIL: less than 2" IIII14INAIUON: YES ( ) NO (X ) TYPE: _ COPY: Tigard Natural Health Center MATERTM- ,. Laminated Wood, Foam Letters EXISTING SIGNS: N/A AI)Ml-NIf,PRATIVE EXCEPTION: N/A (x ) APPRDVFD ( ) HOW MLXH ----% ARFA ( ) HEIGHT ( ) (TIMI IIS: Sign to be mounted flush with 2nd story windows (see drawing & photo). PLANNING DEPARTMENT All sign permits mu_sc. be accompanied by a scale Permit Fee: $10.00 drawing and plot plan. If work authorized under Receipt No: 106474 _ a sign permit has noir been ccWleted within ninety Approved BY: KL _ days after the issuance of the permit, the permit Date: 12/11/89 shall beoc)m- null aryl void. FJ,BC7 RICAL PF 4r]r I CERTIFY THAT I IM THE RDCORDED OWNER OF THE RE1XIRED: YES ( ) NO (X) PROPERTY OR AN AGENT AUIIJORIZED BY 'INE OWNER. BUILDING PERMIT Aly) RFQUIRFD: YF--. ( ) No (X) A t" Si t. . --- cp/BKMPEWr - Address Telephone N:\WORD\CC)F'iDI V\ II + I i CITE OF 'TIGARD RECEIPT OR PAYMENT REC. Nuc iiu1U6a :, CHEtJ AMOUNT i ri.OG 1 NAME,t T I N04b b NAT LIPAL., HEALTH TH CTP CASH AKOUN7 c .00 � ADDSESS: 9870 SW M"k:ENZIE FAY(IF"NT DATE. t '--II4F1' TIG�taRD, OR 5'"I", BL f=lflr'(�IUC''i"i': SIGN PERMIT 89-t60 F`LIi:F'r1`<;F 01' PAYMENT AMOUNT F14D rL)RPC)SF OF PAYMENT AMOUNT PAID APJTi�IJ£F'AF'F'l'.1C:ATIC:►h6,_..____, 1 CM.f1C1 I 6 SIGN F'E:f'NIIT G"T,-160 I I THANk_ YOU TOTAL. AMOUNT F'AIC _ II n a n rvJ• �'' ryt)'r r 4► �tv M � �V►b.•'n'�}'�' ..;iM 'a�� :(�. r llk �> ��� ��t'' aib �� A(p.., .!'�' 'cyti i +�•I.+it � ,rrr � y r. '" .Ki%f4 " vf/. .1 i '�!✓Y."'k: .,, ,.. to }� iinpp �roi'4 h{�►,, "ntA +�!I f, "u. ar r• G`s tx C t1 br Q V O ^C L9. 01 it x F- E � o �' ❑ � _I; }����,, (f) Ln ll7 r tfA rz •I !: r OF \/ a�if lir i�re .� ,• u 4.Ski ��«iA is�t` ."�• elk,l `tiff r a AU.y�y+� S,` .:k; .i .•iiv� �A i .r_ahard�i>r, .A. � w»� a'�''� iy .:�,n AitW �':' q� �i.�y(r a,,n re. IPF',. ,�1t" �� '� 'N^• ���"�`' +� � �' �" ` \f yT ..a{i v i ,�►� +��f'r �,h°�`e�' ' + ` t �y r,.g(� 'r ,ar v � �.+iye` . f POWOP 0 PACIFIC WOOD PRODUCTS COMPANY 22673 SOUTH WILMINGTON AVENUE CARSON, CALIFORNIA 90145 1213) 549.3600 • (213) 775-11.11 • TWX 910345.7492 • CABLE: NORWOOD April 1 , 1980 Mr. Elvin Johnson Deputy Fire Marshall Tualatin Valley Fire District 8405 S. W. Ellingson Road Tualatin, Oregon Dear Mr. Johnson: Our representative, Mr. John McKeough, has advised us that our Olive Maple Executive lauan paneling which was installed in the office of Dr. Charles Samuel was not properly backstamped by our vendor-. Please accept our m,ll certification that all panels of this type meet or exceed the 200 flame spread per ASTM 11184- 68 and structural group C 3.6mrT3 thick per HP-SG-71 . If you require additional information, please contact me directly at 800-421 -2781 . Thank you, Jerry Hood Marketing Direclor Pacific Wcar; Products JH /db cc: Dave Adams Sequoia Surp;y 30160 S.W. Orepac Avenue ' Wilsonville, Oregon 97070 t.N `11•,ti ZUtUA�P��N, 0� AA 0 SIGN PERMIT APPLICATION C.TyI Date 3/13 , 19_i1SL No. The applicant hereby applies for a pc;mit for the work indicated or as shover in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 3830 SW Mc:Konzie St. APPLICANT: Owner tr. Lessee Authorized Representative NAME/COMPANY DR. CHARRLL01 if, 3MUE1. Tel.. 9324894 PROPOSED SIGN: Freestanding xxx Well Projecting Other SIGN DIMENSIONS 5' x4' __ AREA 21) -91 zt• HEIGHT 5' WALL AREA PROPERTY FRONTAGE _ COST $300.00 ZONING DISTRICT _ —ILLUMINATION SEE COt+II 11 MATERIAL w222 COLOR ztOro COLOR sF-r,C;TRUM fi F,,.rrl RS COPY TIGARD QPT0XERTR~i,7 CLINIC DR. CHARLES t3Ar'IUEM DR, JOE B1;ATTIL' DRB EXISTING SIGNS: Freestanding _.— Wall Projecting Other . COMMENTS: F LOODLIGiiT SHINNING ON TIM, SIGN FROM BELOW All sign permits must he accompanied by a scale drawing and plot plan. If wurk authorized under a sign permit has not been completed within ninety days after the issuance of the permit, the permit shall FPL.A�_NG DEPARTMENT become null and void. c.mit Fee _ $.10.00 r�t Approved T _ Applicant's Signature CHARLES !1. SAME Rec_enet N, n` 't£330 .SW McKenzie St. 639-3844 Renewal Date _� _ Address31eepphone W WAINXIMMi r CITY 1 IVARD DATE_ ..r�.�.----• 19 BUILDING PERMIT ERMIT APPLICATION OF - THE UNDLRSiGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNEBU I R PHONE — OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH°NE_"' — LOT NO. r �e'r'ti1CiX �9 HOME ADDRESS -- OW`Nr.e �j i 1I iCLW 101 SiI�,L _ J08 ADDRF59 ARCHITECT �s ��t y ENGINEER BUILDER 8� E+ --11 __ ADDRE ± �0 s �I• L`�1 it t(� DESIGNERr- _ STRUCTURE ONEW r I,.IRt'M(1DEl OADDI_- "eN_—_OREPAIRrr--1� ORENEWAL OFIREDAMAGE ❑DEMOLITION O RESIDENCE ©COMM ❑EDUCATIONAL OGOV'T ORFLIGIOUSOPATICI OCAR PORT []GARAGE n STORAGE IOSLAB OFENCE DBOND OMOVING 000NDITIONAL USE ODESIGN REVIEW 000UNCIL APPROVED ❑SIGNS -- UCCl1PANCYj:—w _LANs USE ZONE._ ' BLDG.TYPE. FIRE ZONE-L PLAN CHECK HEAT. 4 -D Id®t.I 1 L `.�r�Si:f$.—i�'�°4 E''�t*►."a,tr Cl Yf Y ——- ► i_ °Ilei! �L_ 41G1-sr J�1. a lr f Mi6sI a t i i c a _ ea x__ t_ a 1 ra u a<P r1 t - - ------- ----- HEIGHT I REAR LEFT SIDE RIGHT SIDE BUILDING DEPARTIAENT SET BACKS FRO14T_ Permit THIS PERMIT IS 'ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORrANANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE CONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH SUbtotel _- ( �(�� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF PHIS PERMIT DOES NOT WE. AIV RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CnNTAACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4 2,72 L_ICENSF�4 MITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total _104# '12 By pt �-- -- APPLICANT O� AGENT r— Receipt No Approved Ho DATE INSPP, TYPE INSPECTION REMARICS PLUMBING DATE — Contractor Pe,mit No. Rough-in �^w fro - --- Fixture �.�io�t'_! 6M Deo« Ir1�asT Re [ewLc+ ' flit Vt\!Ga Ili' Final -- --- HEATING Contractor � — --- — Permit No. ` � '7/y Gas or Oil -- —� Rough-in Final SEWER ----- Final ^� -- - - DRIVEWAY --` -- -"----� - Final Storvn Drainage (Rain Drain)Final —_ - — Sidewalk Curb&Street Final Approach _ BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCC7NCY Final CERTIFICATE OCCUPANCY as VV Landscaping 7oning Final fi. 1 i i Y 9 30 00 BUILDING PERMIT A►f'�l ICA�I ION �oF TEGARD as TE b-e,, 2e .. �.. ,� ��_ L Qo R/,!J THE UNDERSIGNED HEREG'r APPLILS FOR APERMIT FOH THE WORK HEREIN INDICATED eUIIDERPHC1Nf.>R3f"88`�"� OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. CwNLFt! F'HOlwIf.. ) roT" LOT NO, D gVNER_ ._�.!M'^_S� ��'1,78 ADDRESS___? 3C� - _.�C !l eem rr 1 io_ ARCHITECT _. -- ---��.��_._..__ . ._..... _._-----1•�•-f-�--�`L1_�L ��J-"��_ ENGINEER STRUCTURE _ LJ_ HEW ❑ADO•I-ONw ❑REPAID ❑RENEWAL ❑FIRE DAMAGE ❑ n1 SILiENCC COMM ❑EDUCATIONAL ❑GOV'T 1JRELIGIOUSL.1PA1r(-) [.]CAR PORT ❑GARAGE ❑STORAGE C❑SL4`1 A ` V prf'.L" icy_ •�ANr /+' 2BLDG TYPE. /� FIRE TONT Z' Pt_ANCHEC� BY 067 •`� HEAT F:C�,«w eQaQ Q�t's�• &tile_ -'liv Q �IDAIk-oh..e Est Floor- '0 �) . All fat- qtAsa A-m SEWER .PERMIT__ OCC LOAD L00P I rc;r, -' HEIGHT_ NO STUAIES _ ARf oWde .NO 5E2RCIOMS__• V ' �73`� � - 9U�Li1i'�J DCFAF7(h�i. " I BACKS FRONT NEAR � LEFT SIDE gIGH1 SIDE Per-rmIt Gp +e S PERMIT IS ISSUF.D SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE iONIN (PI>n Chrck 3 �� GULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT TF .,!Rk WILL BE DONE IN ACLORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIt-.NC,B V.I I LL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DC,LS NOf WAI% --• ���• STRICTIVE COVENANTS CONTRACIOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 9U9INL 5;ate Tax ��L ENSE SEPARATE PERMITS REOUIREL' FOR SEWER. PLUMBING AND HEALING DC Total �r' tor'# popCiCANt UQ AGEN? EAru�uv� I e,Ot No S D_C_ - P D C—- ____._ _ — SI WLR ".ONNLCT ION $ _ �_ „ SEWER INSPECTION $ _ SEWER SURCHARG S -_____ Comments: BUILDING PERMIT APPLICATION 11T TIGARD DAIE_'-X1-77 1F)3 OF THF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERPHONE LOT NO. �1 fil Peters '111 ,rl lcy 1 WNF.R ��� JOB ADDRESS �' "� �' _��f�' '�'1'•''`�1�'� HOME ADDRESS —" ARCHITECT ENGINEER HUILDER "icili fate• s ADDRESS DESIGNER i rrtiTRUCTURE ❑NEW ❑REMODEL ,CADOITION [:]REPAIR ❑ ❑ PFNEWr1 � FIRE DAMAGE ❑DEMOLITION t.JPIBSIDENCE ❑COMM. ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE _❑BOND ❑MOVING ❑CONDITIONAL USE —❑DESIGN REVIEW ❑COUNCIL APPROVED [-]SIGNS — OCCUPANCY_. LAND USE ZONE _-..BLDG.TYPE_ FIRE ZONE— PLAN CHECK BV_�__._-- _HEAT —_ --instruct rt to nine wi la._-Rr ut:fi s s].1, ju P ly � QCC L.QA0___ _ . FLQQH LOAD_--- - I-IfjaH.I __- __-JY4_.574FiI ARS__ ___I�SL� I2344M;z--- --YBI, �C1�1• BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit !.i.unTHIS PERMIT IS MSUED SUBJECT TO THF REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND 'T IS HERFBY AGREED THAT THE --� WORK WILL BE OGNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH SIJb total ALL APPLICARLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - RESTRICI'IVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 3USINESS State Tax •20 LICENSE SEPARATE PERMITS REOUIRFD FOR SEWER, PLUMBING; AND HEATING Total . - BY APPY'--./INT OR AGENT Approved .W Rvcripl No ADDRESS -- ....... - - ...�.r,...s»... --- -"��:....in.i...w.•.s.w.y.:.:.:a..�.+hw�i+.h.: wwatwrwri�.......;r1wr-r..aw5r�.a...«.i.....r......W.......,......�.._,... -...«....wr.......t....«:......,..✓.....—,....�., ATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Ad O Contr&::tor Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Final SEWER Final DRIVEWAY Storm Drainage (Rain Drain) Final ISidewalk lki'Curb&Street Final lApproach BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping 0"" L7oning Final 4, zVw = u' n u1 I + O zl dd�� xr34z J LL V O C 3 C� 5 CI wr Qpm -...:J ul ya a z > a m z w OwQ F [ 1 Q J Uw zwU ' M Wy ZI d O ZUpor _o l �� ❑ CI �. > N O .1 ,C w w w> O o Oa z a ¢ w d O Ixj1 ° > �.. W z C) r y m O _ O y w OJ N E W ? F QrpZ C.l , I tv W E p a o m O Cl CW? a > zQu a2 '= O tf M Q m w �, viu UI az w Z Q v I p zwNUc..U - O I 1 p W U+I o , \ U H ¢ Li i � dz7H � N 0 V u u z u'i 2 zNypa `I 0 z U V (R �� a Q0d� IaW w � n W ul C. \� l l Q j z u r n w Q /1. � W I Qyr � Qo It-3 = Z W wx 2 O r z LL r ad Q o N Q F ° � zo � 3 j W c z ¢_ w o °; u � u ° 7 u a _/� T (L rLO O Y d w C L I w LL d p r W I 0 a n o F n uv+ vL 4 n a o O, CI ma OCUy ict Q o v eau Nr 11 } y y 1 , WFr W W h' w ' W J z O Q R �. R I Z Z o 2 n f > Q W U z r a t7 v F W > z fi yaz WH a a w a o Cl W U u " 40 -10 , C� d f a > d 0 i F 7m < wa O z m y p -1 U > w C O 0 O JQ y C )T 7 NngsQaw n J y W \ m >>' h 7 w d I z `) -1 d p LLI µ W0 .J w C1 M Q a w 1 G J LM fta3C ¢ � U o Q i O L �I } 0 u a u' F w c C, c 'A l (� N s ui u� � II ° � LL• of ci y Q U. Z °z. of c(v � � z O Q u11 L a , C.'') ins v a C [ 1I i Z 1 « to r N c¢ u u1 > I Cn TI a7. f� 1 f U G a' tj �!� �cr �� \ I C� E A N c cr a_ y Tax Lot 2 SI 2 BD 1000 23-10 North Tigardville Addn, Assessment 603.90 l Lateral 50.00 653 .96 11-1-61 32 .70 & SA thereafter Address Pt+rmit Name of Occupant_,/.,�LUte. Permit charge . _9—kf 20'00' Connection fee Paid by Date connected - __ _ Type of Building Inspection fee �'��____ Service Rate �- C G _-____ Paid by ._ _ _-Date - Contractor.-1_"�,4,e,t��td,•�l..dti,.ct.-- -- AssE+ssment���� __Paid _. — — - Size of connertion_____ _LAG1_,__ _ _ -- WAWIWX SIGN PERMIT APPLICATION Site plan showing propo�;ed 'sign location Dr. Charles H. Samuel 9830 SW McKenzie St. Tigard, Oregon 97223 - MG�NzrE s`r�FE7- �J SrDr wC-j( "Y p) � v l� w 4 �4row OF C I on! r