11560 SW 90TH AVENUE �! r rvlii
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11560 SW 90TH AVENUE
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BUILDING PERMIT APPLICATION TIGARD DATE _ ll �Fi 19_ '79 3000
TI IE UNDERSIGNED IIEREBY APPLIES FOR A PFEiMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 6i--646A
-�
OR AS SHOWN AND APPROVED IN THE ACCOMI- NYIN(U PLANS AND SPECIFICATIONS. OWNER PHONE' 2-T -594
OWNER ,]• (.:E3�Jc'#C'i _JOBADDRESS 11,A0 SW 90th LOT NO
_ ARCHITECT
ENGINEER
BUILDER Son Juan Pucis ADDRESSP-0- Uax 70,ldilson;ril,lDESIGNER
STRUCTURE_ __ [ANEW ❑ REMODEL CJ ADDITION D REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
❑ RESIDENCE 11COMM IJ EDUCATIONAL F-1GOV'T O RELIGIOUS UWi&[] CARPORT ❑ GARAGE ❑ STORAGE
0 SLAB❑ FENCE
OCCUPANCY � LAND USE ZONE _ BLDG.TYPE FIVEZONE_.' .PLAN CHECK BY FC HEAT__ _
Construct in-ground Dwimmi_rlg puol per plan;
PlumUirig Purmit Q(.qu.i.rud.
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT _ NO.STORIES AREA NO.BEDROOMS VALIJII1IQ w 000. '
BUILDING DEPARTMENT
SETBACKS FRONT _w REAR _ LEFT SIDE _ RIGHT SIDE — ~
Permit b52.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS ANL: ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 26.00 WORK WILL BE DOIJE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IW COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 713.OQ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACIORS TO HAVE CURRENT CITY BUSINESS
State Tax 4; 2.O t( LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
" __
Total 130•Qki SDC --
T PDC# AWLIGANT OR AGENT -
By _p_l_
Receipt No.
Approved Fi G N _-
ADDRESS PHONE
i
I
_DATE II.NSP._TYPE INSPECTIUN REMARKS I PLUMBING DATE
- Contractor —�
Permit No. D
-- S 1 do
>S.t, Rough-in
Fixture
Final
--
` J HEATING
Contractor
Permit No. -
Gas or Oil
Rough-in
Final - - -
SEWER
--- Final � --
DRIVEWAY
Final — —
Storm Drainage -
- (Rain Drain)Final
Sidewalk —_
Curb&Street Final
Approach
BLDG.DEPT.rINAL TEMPORARY W CFR'Y"mCATE OCCUPANCY
CERTIFICATE OCCU"ANC r Final
Landscaping
7_oninll Final
W Wiwi
BUILD N3 PERMIT APPLIC}",TION '"IN; CITY Dr~TE
THE UNDEHSIGNED HEREBY APPLIES FOR APEh,MIT FOR THE WORK HEREIN INDICATED BUILDER Pr-IONuA..��
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. a'•Nt,J'=R PHONE_
LOT'
7rf —
ARCHITECT
ol ENGINEER
�UILaE.R _��AL _a,1 G��C11_� Or►,.5.._AL�DRESS��..�_l�_7 0_._._`YLL�R/�1.Y1�//.,:. DE5IGNER
LTRUCTUuE 2N EA 11 RI \V DFL C�AppIr1ON DREPAIR ORE111NAL CFIRE DA: MC
'A�E OD' 'k ,''( N
C�
.ter_..._ _.__..__ ....
�i:SIi3tNCE C� _iMM C7E rlc0'v'T REUGIOUSCJ�-•••1�PATIp C3CARPUNTC]':ARAGE CJST_ 'aGFC3SLAB 11
QCCuPANCY _. LAwI, •...I - Bl .__ FIRE 20NE __ PLANC-ECK B`r-�— _ _ MEAT„ _
----
- - O�v�i�vGT 0tl/aivIuuA �rtyCYL..
_`,EWER PERMIT '
f C LOAD F:C' ac (',HT N 1
Q S QHI
�5 _ . .. _ AREA - tiQ:.9E.?R:ICiMS 1'A.L.I!
BUILDING C:."AR F-44--a,v:v.:
aCk.S FkQNT EAR ;EFT SIDE - u ,�F17 SI_u.
F
`F'.trmlt .. A Ste. _.. ._
E. PEF;MIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING C'),,E
pl,n Check ULATIONS AND ALL APPLICABLE CODES AND ORDIN' VCES AND IT IS HEREBY AGRE:LG THAI THE
-'K WILL HF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COKAPl1AN::F ►':ITE
aub rota) APPL IL.ABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PrRMIT OAFS NOT WAIVE
iRIC71VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C1, , BUSINES1
SE SEPARATE PERMITS RFOUIRFD FOR SEWER PLUMEINC AND HEATING.
By
APPL iC 4YT E)p A�,pryT
Apo,oved --- Receipt No
PDC -
SEWFR CON CTION
SEW R -i'NSPEC N
S"'WER SURCHARGE
Comments;
JEW A
.y--.._.�...w:.p; ..-;..-..,.�..-..r...,�..........r..7f'e-�arwr...•..�,.....�r►.+vr•.....lrr1M' +v,.^ yw- .. ....
BUILDING PERMFT APPLICATION �,,,y *rIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED RUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE—
LOT NC.—
OWNER 'ohfi t,gpsc1 _ JOB ADDRESS U$60 SL,' 90Lf'! HOME ADDRESS _
ARCHITECT
ENGINEER
BUILDER - ADDRESS _ r-_ DESIGNcrt
STRUCTURE ❑NEW RI MnDEL ❑ADDITION ❑ D
REPAIR RENEW-L ❑FIRE DAMAGE ❑DEMOLITION
QRESIDI:NCE ❑COMM []EDUCATIONAL ❑GOWT ❑RELIGIOUSOPATIG ❑CARPORT ❑GARAGE ❑STORAGECISLAB `JFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DES,„N REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-J."-A-LAND USE TONE fI-' r `GLDC.TYPE ! FIRE ZONE--� PLAN CHECK BV = HEAT
� wr�+ tract �Iasr,�i�i�►n in �4:aqrasie aiwi, all per piers and GodE ---------___-___�.
!) - 1 both and 1 66droom
QCJ.Q9� F_4C1�f�.L�L1� -_ HEIGHT NO STORIES— AREA A Sil NQ.B(�OOM5 VALUE"-t� u� �1
_ BUILDING DEPARTMENT— SET BACKS FRONTS }', REAR LEFT SIDE RIGHT SIDE
Permit , dflj
---- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINKD IN THE BUILDING CODE, ZONING
Plan Check 16,00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, Ar D IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMFL!ANCF WITH
Sub total 4600 ALL APPLICABLF CODES AND ORD NANCES THE ISSUANCE OF THIS PERMIT D'&S NIOI WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SI IS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 1.28 LICENSE. SEPARATE PERMITS r_QUIRED FOR SEWER, PLUMBING AND HEATING
Total $49.2+.1
By pl --
--- --.. —.— APP, IC:ANr OR AGrNt -
Approved i ;td�t�A'�'+ Receipt No. ¢ '
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor I 2 -1,
o7 .eermit No.
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Hough4n
Final
SEWER
Final
DRIVEWAY
Final
Stone Drainage
(Hair Drain)Final
Siaovwlk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTWICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
uuu-u , uuuy
_ N2
BUILDING PEkMIT ARLICATION 0 IT FY T1G ,ARDDATE
HE UNDI RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
V;r\AS SHOW I AN APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON211!_�� .%Q
LOT NO.
4f' JOB A
Yn
L R DORESS HoME ADDRESS
ARCHITECT
ENGINEER
nt!R ADDRESS DESIGNER
j.TURE Q%EW REMODEL OADDITION QFILPAIR [DRENEWAL OFIRF DAMAGE CIDEMOLITIUh,
Y.F.�',)FNCE QCOMM DEDUCATIONAL 0GOV'T DRELIGIOUSOPATIO r—CAR PORT OGARAGE EISTORAGE 0SLAB OFENCE
173PLIND 0 MOVING OCONDITIONAL USE [3DLSiGN REVIEW OCOUNCIL APPROVE ) DSIGNS
V '-IRE ZONE
B PLAN C 4ECK BY-
r). L NO USE ZONE LDG TYPE HEAT j
"Q_LQ 4A______f I H E I G_H_T__noqj__A2ATVffI El- _6a"A 'o 11
BUILDING DEPARTMENT SETBACKS FRONT RJAR IF FT SIDE RIGHT SIDE--.
Felmit
THIS PFRW,:T IS ISSUED SUBJECT TO THE RL-GULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cl-heck REGULATION; AND ALI APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-lotal ALL APPLICABLE COLIES AND ORDINANCES. THE ISSUANCE OF THIZ PERMIT DOES NOT WAIVE
RLSTRirTivF rOVFNt NTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C11 Y BUI;INLC,;S
Siale Ta 1 LICENSE. SEPARATE PFRMITS REOUIRED FOR SuVVER, PLUMBING AND HEATING.
Total I
ej
APPi (CANT OR AGF NT
Approved ✓ 49,rceipi No
_AO E-)R_E$S
,
_
AddressIii
//S�oO SiN � T Permit No.
Name of OQcupant /'/- /"V&
�7'/ � Permit charge
Connection fee
-- - _ - Paid by
-- - - Date connected
Type of BUL13inta -�
-� Inspection fee_
Service Rate- Paid by %' ( _Dat •?// 6
_ �!r'./'� �,�_�: a
Contractor.- Assessment Paid
Size of connecti-)n
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PERMIT TO CONNEI.':;T
Tigard Sanitary District
PERMIT N° �18 DATE
PFt�RiPT IS GIVEN TO
/ "'� fr +p• �{} f
OF
TO CONNECT A 1,
TO THE S
YSTEM OF TIGARD SANITARY DISTRICT
AT 11 ,4
THIS PERMIT 51UST I3E POSTED ON TNR DESCRIBED PREMISES U' TIL CON-
THIS
I9 MADE AND INSPECTION OR
�LETEit, CONNECTION HAS BEEN COM-
PERMIT FEE PAID s.•..... .... ...........TIGARD SANITARY DISTRICT
by
' r
'mow V.A'44"bV 1r�AAIeHr.i
CONNECTION INSPECTED AND APPROVED
Date
Superiin-t-. _.._