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14820 SW 109TH AVENUE-2 7 14820 SW 109TH I+ .14 �i 6 ,6 N i PERMIT NO. 1 ) S 0 PERMIT CHARGE none OWNER v CGriNECTICN FEEPAID By TYPE OF BUILDING DATE CONNECTED SERVICE RATE � -- c� INSPECTJON FEE 35. CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID L r fYtJt,. 1 �© syn^• a � x• BUILDING PERMIT APPLICATION CITY TIGARD �)A,E _ 10/2L,/--, •j '78 THE UNDERSIGNED HEREBY APPLIES FOR AP`E.RMIT FOR THE WORK HEREIN INDICATED 3111L.DERPHONE _ OR AS SHOWN AND APPROVFD IN THE ACCOMPANYING; PLANS AND SPECIFICATiONS OWNER PHONE r--- Tnc. OWNP-Atof fma+ln HOFfmant JOB ADDRUS 14820 SW 109th _HOME ADDRESS ARCHITECT ENGINEER BUILDER aaInQ, ADDRESS JEj6b -%W Meolson Qif1t, DESIGNER _ STRUCTURE ONEW _ ❑REMQDEL ❑ADDITION _❑REPAIR [:]RENEWAL [:]FIRE DAMAGE ❑UEMOLITIO 1.J RESIDENCE []COMM ❑EDUCATION, - ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAG'c ❑ STORAGE❑-1SI.AB []FENCE ❑BOND ❑MOVING IICONDITIONAL USE ❑DESIGN REVIEW ❑COUNCII- APPROVED OSIGNS TW OCCUPANCY—BLAND USE ZONE_Q�2 _BLDG TYPE�P. -_FIRE ZONE— PLAN CKECK BY HEAT.... Cnn�truct una_.}-X21/X-4tOTSifiti�tl�. -I�dt��4.tach�It!_ r�Y��-�1i+j Cy 'Jan auto,• Krvr. �® �, •1Lr: Aichitocte. lb E��dra+5ms � �3�I�:I�ax -.--- __...-- NJp jccl,;,psncy I;PI!til all building and silts CoMP161-39 Sower Permi. -�17x02 - 9.,41635.OU -- 10 QCC-LOAD FLOOR L.4.E.P_ 40 _ I!a�_.—"�—p --L4� �S�Fi .—O4 _-ABI � 1�_N�_�-LQRQ LMS=--YALVt�L*_ BUILDING DEPARTMENTSET BACKS FRONT S Gad PIN(* LEFT ,IDE RIGHT SIDE Pe;m -- '— I T41S PERMIT 15 ISSUFD SUBJECT 7 ) THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check /• L- REGUL/.PIONS AND ALL APPLICAB E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE. --- VMu�'K WILL BE DONE IN ACCORDA" :E WITH THE PLANS ANO SPECIFICATIONS AND IN COMPLIANCE WITH Sub-tOU. 'J'?,75, ALL APPLICABLF CODES AND C ;DINANCES. THE ISSUANCE OF IS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTR CTOR AND SUB CONTPACTORS T LAVE CURRENT CITY BUSINESS State a*'' 170 J4 61�61YSE. S&PARAr 1j2tl.T 6E01 IRED FOR SEWER, PLU'ASING ANL cATINO. Total IIUI ;/' .. 4l1U.99 F3Y Pl APPLIC�INT OH A.....,.,,e,1 1n 1 tioin Mot No I _ !/1.T6 INSP. TYPE_ INSPECTION - — r71=MARI''t - PLUMBING DATE -r- �� Contractor --- — — Permit N /�. Rough•ir Fixture Final HEATING Contractor -- —_—_ Permit No. Gas or Oil _ -- Rough-in -- -------------- Final SEWER Final y� _—_— —_ DRIVEWAY Final Stol'11t Dminage (Rain Dish)Final Sidewal h Curb&Street Final __ ---- -- - - Approach ".DO. DEPT.RINAL TrMPORARY CERTIFICATE OCCUP CY [Final CERTIFICATE OCCUPANCYandscaping oning Final MUM �j Jil-DING PERMIT APPLICA-I ION rc Y � �RD DATE1�—mss'' , ,97f- N2 .z3 F!"'IGNED HEREBY APPLIES FOR APERMiT FLIP THE WORK HEREIN INDICATED BI11LDERPHON.— ^� SHOWN AND APPROVED IN THE ACCQMPANYING MANS AND SPECIFICATIONS. OWNER PHONE /� A LOT NO. �7 D ESS / —HOME ADDRESS &rrf�CJ3 �= ARCHIT CT G, a I ER ._ —_ /I ADDRESS " — URE_ EW _❑REMODEL x ❑ -- ❑REPAIR ^— JRNEWAL _ TIGNh `iO` NCF C]CJ)MM ❑EDUCATIONAL ❑GOV-T — RE11GIOUS❑PArlo ❑CARPOR'r ❑GARAGE ❑STORAGEOSLAS ❑FENCE 11F0ND ❑MOV ING ❑CONDITIONAL USF []DESIGN REVIEW ❑COUNCIL APPROVED ❑SIUNS 77 LAND USE ZONF.��....Bl DG TYPE J 'E!FIRE ZONE PLAN CHECK BY� �• `� HEAT _ 17-4 FL9.QR LOAQ_— _ HEIGHT._ NQ.$TO_F3J _ A3EBD_�+�_NS? E 9LL1�1G—A�� BUILDING DEPANT ET BACKS I PAINT LEFT SIDE RIGHT SIDE � 'rlm�t THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 3 FFGULATIONS 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 INCOMPLIANCE WITH Suh total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVF I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 8 JSINESS I S1a1F Tax�� —_ �� r' LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total �[ _ -4-7-S-OL BY - - - APPS ICAN1 OW AGFNI A;�;nnved li Cpl NO AUL)Hf55 --FhIp�V .-�...--- 47� 11•W I ` �a l(r%/ y ,Z(3 r- ,r_ r i i C{iY • - �'� r Ip '''W.DiNG PERMIT APPLICATIGM of ��=�', .> DATE___ i;•.c,: HEREBY APPLIES FUR APERMIT FOR THF: WORK HEREIN INDICATED BUILDERPHONE.----.—.—. t ; ,:'':.'•, 1�PPROVED IN THE ACCOMPANYING PLANS AND SPFCI► ICAs IONS OWNER PH LO NO �''�- r'���^� J I -'•/� i,�16URF:`.S.-`f����-T-_.''r"— ��_ F AL' P.S fV ARCHITECT ENGINEER ✓� t' :�J✓ _. ADDRESS_...�_�_ �...—'-•----..-.__.-_...._� - .__Di::SIGNER c ❑FIRE DAMAGE ❑DEMOLITION f ��•'cW ❑HEMOD-EL ..____.OnDGI'IC:`!_ CJNE_AIR C�� 'u_1ti_Ai. - .c:; •'-:1•h1 `-,;pUCAT10'�AL CJGOV'T r3RF1 'i,IOUSOPAT10 ❑CARPORT r]GARAGE OSTOpAGEOSLAB ❑FENCE t yrs rspviNG ❑CONDITIONAL l'SE - - ❑DE LGN REVIEW ❑COUNCIL APPROVED ❑SIGNS t.y^Y LAND USL ZONE—_._ _Bll?C TYPE FlRE ZONE __ PLAN CHECK BY HEAT --_==. L 4A LQAD . ....V.._ F.LOD,Ft SAD.. V-_"__H �H ET7•C NOS.��3l $_ .:--AF��P �GC -Q-3-E H1).QnasVA00 BUlll)ING OEPAF1h1ENT~ SET BACKS FFION T— LEFT SIDE ARIGHT SIDE THIS PERMIT IS ISRUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 6UILDING CE'nZ, ZONING RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREEID THAT THE - - - --- - -1 --- WORK WILL BE DONE IN ACCL.ADANCE WITH THE PLANS AND SPECIFICATIONS AND IN COM?LIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE O'• THIS PERMIT DOES NOT WAIVE - -'- RESTRIC'F'IVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO RAVE CURRENT CITY BUSINES. :.'•r't I.'.xt-{ �0��r� LICENE'•E. SEPARATE PERMITS REOUIRED FOR SFW'ER, PLUMBING AND HLATING. 7. AVPs (CANT OW AGF NT Ht-ceipi No. -.r- _ - -•-- ---- ----- --__....__._..�_- —�HON�_ AUUgE55 17S-7 .:2— s .:2-- ors i I "L'�! 7• �"' r '7 O �I� ''l 3