11830 SW NORTH DAKOTA STREET 11830 SW NORTH DAKO'T'A STREET
c
a�
U)
c
Ql
fa
O
F-
C:
.-I
r-I
O
U
� 1
ro
0
m
c�
3
Cn
O
M
O
'-i
,. .: ... .... ........,.. _... .- ....,.�.... .. ......,.. «y.... y.,,,,.,�n..,._,...., -..«.,...-...--.,y...,.ayrs,:vY.«w.»w..«..rrrr.,,..,w,,.,zxs.w...Mc..�v,...
CITY Of "larch q 76 N! 0698
BUILDING PERMIT APPLICATION TIGARD DATE - -,to—
THE
,t9THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN ANn APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—
OWNER Colin Mortii'mart ADDRESS _ BUILDER PHONE
jW1L1 ER iJll�' 41E1�1�}1� e{JCling �•i�,EN.RCH ETECT DESIGNER
STRUCTURE ONEW ❑REMODEL ❑AD'1,TION 0REPAIR _❑_RENEWAL ❑FIRE DAMAGE ❑DEMOLIT!ON
❑ RESIDENCE CICOMM ❑EDUCATIONAL OGOV'T ❑RELIC!OUSOPATIO 0CARPORT ❑GARAGE ❑STORAGEQSLAB OFENCE
QBOND ❑MOVING y000NIJITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY _ __.LAND JSE ZONE_ � BLLC- T'iPL FIRE ZONE--- PLAN CHECK BY r fa HcA1
zolx'20' ; iumtoum ..icjxPux *,. at rfda,. ,,I dltelling.Y
Dietrence to dwelling 60611 npproveid by Richard Bolen.
OCC, LOAD LOAD FLOOR LOAD _—` HEIGHT _ NO.STORIES _ AREA VALUE. �—
BU11_r ANG 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 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
_"- WORK WILL BE DONE IN ACCORDANCE VVIT#I THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
RecordinU ALL APPLICABLE CODES AND ORD"JANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
3 --'t'."'—�- RESTRICTIVE COVENANTS. CONTRACTJr AND SUB CONTRACTORS TO HAVE CUHRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
--- ------.-T.r---..--- ---- APPL.ICAN1 OR AGFNT
Approved Receipt No
ADDRESS PeIONF
DATE INSP. TYPE.INSPECTION REMARKS PLUMBING DATE
_ Contractor
4-,e t--r`q-y�-_� —JRough-in
Permit No.
Fixture
Final
– — -- HEATING
_---. _ —_ Contractor —+
Permit No.
-- --— _-- -- ---- --^-- Gas or Oil
-- -- -- ---..—--- ---- Rough-in
-- ----- -- – ----- Final -
- -- - �---------- ------------ ---SEWER -- -- I
Final
DRIVEWAY 1
Final
_-- Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT, FINAL TEMPQRARY — CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final I
r+n+e"►+r«..Wr.-r..,.rcw-•n„y1'X+.rwsr.»��Mw�n+�•,�,g,,,ywgTIRR�.'7�j�'tl�7�rr•;y�l�P.,,.. „ .,. .,.. :,-, .:.......... .
CITY Of a,.,. G oo �
BUILDING PERMIT APPLICATION TIGARD DATE —_—.._—_, 19
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN 1HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Colin Mortensen __ADDRESS 111330 ig�). N. h118RG+3'v4/ BUILDER PHONE .—
aame ENGINEER
BUILDER R HIJ€C _'DESIGNER _
STRUCTURE ❑NEW I1REM' L nAODITION ❑REPA IR ❑ O
RENEWAL FIREDAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM DEDUCATIONAL 0GOV'7 ❑RELIGIOIISOPA710 ❑CAR PORT ❑GARAGE ❑STORAGE SLAB ❑FENCE
BOND ❑MOVING OCONDITIONAL USi ❑DESIGN REVIEW t_JCOUNCIL APPROVED C1,311GNS
CCUPANCY— LAND USE ZONE BLDG.TYPE— ,__FIRE ZONE_ PLAN CHECK BY__ HEAT -�_
Dock Adldition
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 Cher;k 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
Pecording 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 005 LIr;sNSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Totals 05
jBy APPLICANT OR AGEN1
Approved Receipt No.
DATE INSP. TYPE INSPECTICN REMARKS PLUMBING DATE
--------�-
Contractor
Permit No. —�
Rough-in
— Fixture
Final _ —
_� HEAL' VG
Contractor
Permit No.
Gaa or Oil
- _ _ _ Rough-in
- --- _ Final
�.__ ------- SEWER �_-----
Final _
DRIVEWAY —
_ Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Ap roach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
Address 11830 S.W. Dakota Permit No. 4702
Permit charge
Owner Dale Construction Connection fee 425
'6 e4tvs Paid by Dale Construction
Type of building .Re.sirip.I)ne Date connected 8-31-72
Service rate 3.00 der month Inspection fee M 25
Contractor _.._ Dale Construction Paid by _,ame a� Dnte
Size of connection 4" Assessment Fail.
AW
1