14880 SW 109TH AVENUE-1 W w
14880 SW 109TH AVENUE
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ADDRESS_. PERMIT NO. -
PERM, T CHARGE _ none _
JJ CONNECTION FEE
: PAID BY
� DATE CO�::
BUILDING PERMIT APPLICATION 10 Y TIGARD DATE__
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATFD BUILDER PHONE__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLA14S AND SPECIFICATIONS. OWNER PHONE__ —
LOT NO.--
OWNER
O. _OWNER Ilt _, iOME ADDRESS
ARCHITECT
ENG:NEER
BUILDER ADDRESS
DESIGNER _
STRUCTURE ❑NEW ❑RI MODEL []ADDITION ❑_REPAIR [:]RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑��C••••�OMM r-I`_,EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORI OGARAGE ❑STORAGE❑SLAH ❑FENCE
❑BOND UMOVING ❑CONDI?IONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY I LAND USE ZONE _BLDG. TYP' FIRE ZONE.— PLAN CHECK BY HEA1
15(� �;•1 t j '.i i- "Et I3 vL7 i '1}J 1}! .%�2�JEuT 11Vll'1 units, ald fpEn1' 01f. 14o
for lsoi'_
9-",! OA_l. FLQQR LO�tip HEIGHT NO SIQ)3J�,�-__ - AREA NO BEDROOMS VALUE `� �I��'
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE FLIGHT SIDE
Permitb�.�(2 - --.- _ - ----
THIS ?ERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TILE BUILDING CODE, ZONING
Plan Check �}�[� REGULATIONS AND ALL APPLICABLE COD'S AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANf)IN COMPLIANCE WITH
Sub-total rn� :� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RLSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State TaYr�_ LICENSE. SEPARATE PFRM!TS REQUIRED FOR SEWER PLUMBING AND HEATING.
Total -tL
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Px
API
LICANI OH AGF N T i -
A ppr oyed ..,, ,,.�.. R e c t i I t I No 7 u Z•orr +a.rr c: :,y.s :rwr wr.Yr�r,.erw --A&, A—.
Inffj I- ff w WV!
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE —
____
-- — —
Rough-in - - ---
----�.—�_._—.__---.__. Fixture
-- ---.—..----- --- Final
HEATING
Cor tractor
-- - — -_- -------- - Permit No.
-- Gas or Oil
�—
Rough-in —_— - -
Final
SEWER
Final -- -
DRIVEWAY
Storltt Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG.IiEPT.FINAL TEMPORARY CERTIFICATE OCC
UPAN Final
�r' �—
CERTIF
ICATE OCCUPANCY
Landscaping
Zoning Final
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TJIL.DING PERMIT APPLICATION 1u y 1���--� R D DATE_ _.�.t9 ti°.� 79
--'E HEREBY APPLIES FOR APE RMIT FOR THE WORK. HERE'"I INDICATED BUILDLRPHONE_...___________ _ .
AND PPROVED IN THE A!.COMPANYING PLANS AND SPECIE'ICA1 ICNS. OWNER Pr+,�
` 1 ^ ' LOT N01�
CP_ADDRESS ��0 ,Q -��-�_ "C4•E Ai?ORE55 -_.
�---"�ARCHITECT
ENGINEER
ARES _.__ .. ____ —_.__ _-__.-._�—ry _�PESIGNER ^
FE L,"JE1ti ❑REMCDEI ADLi1TION ❑acP0.:9Y^_tJ�ENE1hryryAl ❑FIREDAMAGE _ ODEMOLITION
fW� NCF ❑:':'MM ❑EDLICA110NAL 013OV'T ❑°'1.IGIGUS❑PATIO ❑CARPORT_ t_I=AP.=aE LJ STORAGE❑SLAB [)FENCE
,50ND ❑MOVING _❑CONDITIONAL USE _ ❑DESIGN_REVIEW ❑C(-IUNCIL APPROVED [:)SIGNS
"tv°aNCrLAND USE ZONE !IRE IONE�PLAN CHECK BY^zl;� HEAT-= -• _
Z�
I'•'C. LQAG �.-.-.f1,A49.J.9AQ___-_- .-•---li•EIGdr. .__ ____..N!�..�I4��_....__-_9p.1rL�___��_N9,�E�R9SLM�_._._`19LSJ�����'
_ BUILDING DEPARTMENT y SET BACKS FRONT REAR --_ LEFT SIDE _ _ RIGHT SIDE
''rrmlt
--- —" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN )HE sumr)ING COw., a'CNING
I Plan Check RFGULATIONS AND ALL APPLICABLE CODE'S AND ORDINANCES, AND IT IS HEREBY AGREED TII.0.T THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIA►,Cl. WITH
Sub natal ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NX. 'NAIVE
-- — — - ----- "- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUMINFSS
Mate Tax �5 U LICENSE.. SEPA'AATE PFRMITS RFOUIRFD FOR SEWER, PLUMBING AND HEATING.
Total
r_ +f 4
By •���-_ _ ___--�_ �. _ ----- _ _ i
APPLICANT O4 AGENT
Appioved " Receipt No
ACORE§5 ------- mOniE._._y_�-..-_�.__�
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wimII I
i1JILDING PERMIT APPLICATION �u Y ��'��•'�>RL� DATE____ _ —_—... ��
'-IF UNDERF,'(•NFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL_DERPHON=—_
41 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND ;SPECIFICATIONS. OWNERPHONF
LOT NO
=R JOE? ADDRESS HOME ADDRESS
_ ARCHITECT
ENGINEER
ADDRESS .�_ _ DESIGNER
URE--- DNEW _ ❑REMODEL O ADCITION_ O REPAIR ORENEWAL �OFIRE DAMAGE ❑DEMOLITION
ISIOENCE ❑COMM OEOLICATIOWAL OGOV'T ORELIGIOUSOPATIO ❑CARPORT OGARAGE OSTORAGEOSLAB ❑FENCE I
�AOND ❑MOV ING— DCONDITIONAI USE ❑OESIGNREVIEW 7COUNCI'.APPROVED COSIGNS
;'�ANCY_—.—._.LAND USE ZONE—.—..-_ -_ —._BLDG. TYPES FIRE 70NE__ PLAN CHECK BY. HEAT__-,
I
f�Grw_�49Q_.�_—FJ.QSLFLLDAQ__------ - ►�F�1S'HL--._______-.►�14�I9.9 _._..___.8E9��_-._-__�0._@El?.L�4�15 VALUE
BUILDING,DEPARTMENT SET BACKS FRONT �— REAR_ LEFT SIDE RIGHT SIDE
'-- — - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THr BUILDING CODE, ZONING
Plan Check RFGVLATIONS AND ALL APPLICAP.LE CODES AWD ORDINANCES, AND IT IS HEREBY AGPE'ED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES ANL) ORDIN,4NCES. THE ISSUANCE OF THIS PERMIT DUES NOT WAIVE
-- — RESTRICTIVE. COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY - ----- __.
APPLICANT OA AGENT
Approved Receipt No
ADUREgS--_--•-- _.._�. _.__ NON —
--
BUILDING PERMIT APPLICATION 10 Y TIGARD DATE
1HE. UN`)ERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILE.CRPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
\\ LOT NO._
OWNEAI4 J{ i nwil Nat C MAJII.JOB ADDRESS L4'",L) J : I. HOME ADDRESS _ w —
ARCHITECT
ENGINEER
BUILDER `nFlliS_ ADDRESS — DESIiNER
T_R
SUCi')RE_ ❑NEW ❑RI MODEL of )DITION ❑REPAIR _ ❑RENEWAL ❑FIFIE DAMAGE ❑DEMOLIT!ON
❑ RESIDENCE []COMM ❑I.DUCATIONAL ❑GOV'T ORELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE.❑SLAB ❑FE.NCE
QBOND OMOVLNG ❑CONDITIONA'_USE QDESIGN REVIEW ❑COUNCIL 4PPROVED_ ❑SIGNS
OCCUPANCY ' "J- LAND USE ZONE_�'-d' BLDG.TYPE__- --_FIRE ZONE-.�I- PLAN CHECK BYy;_.Iii_ HEAT ,.
Construct one: 8 ple) apartment wfatE..:chud gam'"esu 4,&l per plane, u)
Ilan _Lum, KruxborgarIIAr %itects. 16 8adruoma - 6 i'. rAhs.
Poo OCcupar,_gy un-til all buildings acid aa.ta Mork 1CUTPlsted.
i orm.tt 17 ;0'., - $463-.1,00
�1U
4�t.LOAD ..._ _ FLOOfl LOAD. HEIGIIZ 2q_NQ.SIQ31ES�—9138.._
BUILDING DEPARTMENT SETBACKS FRONT,• :Ip plan PEAS LEFT SIDE RIGHT SIDE
Permit ''4 3t3. 'Ai -- ------- -THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10100 REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL. BE VONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SL,b-total 4� , y� ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax �7• � 4 LICENSE. SEPAPATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total ,46t ,
BY - pl APPA wANt UR AGENT
Receipt No el
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
7d 6 ('0ti e ooMS• Rough-in
Fixture
a -- Final . 0
HEATING = /
Contractor
_. ---- —_— Permit No.
Gas or Oil
Rough-in
Final --
- - — SEWER —
..---------- Final
DRIVEWAY
—_ — -- ------------ Final
Stom Drainage
(Ra i Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAI'/ TItMPORARY CERTIFICATE OCCUPANCY — — -- —
1 i CERTIFICATC OCCUPANCY Final
Landscaping
Zoning Final
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