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14900 SW 109TH AVENUE-1 ISO .__ 14900 SW 109TH AVENUE i f i I I Q) 7 C a) Q t C\ O -I 3 Ln O O Cl) i ADDRESS PERr1IT NO 7S S PERMIT t.'-ARGE OUNER cif CONNECTION FEE PAID BY TYPE OF BUILOING � 'Du's) DATE CONNECTED _ SERVICE RAZE 1INSPECTION FEE CONTRACTOR PAID PAID BY DATE SIZE OF CO VECTION ASSESSMENT PAID ATO `578 BUILDING PERMIT APPLICATION �oF TIGARD DATE �.3 .197' THE UNDERSIGNED HEREBY APPL..IES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE — OR AS SHOWN AND AFPROVEC IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE— — 1.01 NO. r+ ..(-A �O HOME ADDRESS HlLIt�TYt1':!(�19 OWNER .I i 1 t C Mt.111 �1e�L 'C.��_JOB ADDRESS i 17 � ARCHITECT ENGINEER BUILDER ADRESS DESIG DN E R = STRUCTURE ❑NEW ❑RFMODEL ❑ADDITION ❑REPAIR _ ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLIT'ION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[:]PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB_❑FENCE ❑BOND ❑P4OVING ❑CONDITIONAL USE C�DESIGN REVIEiy [:]COUNCIL APPROVED []SIGNS CiCCUPANCY— `1-LAND USE ZONE-, f'UU BLDG.TYPE __FIRE ZONE 3 PLAN CHECK HEAT_ _._._ Il loft area to 4 t'�lr,til uf�por livinld unit, ,all POT' P �CC•LQf'�C1.�— —�JaYSL.L..J�IC HLIQ2 .r1�.—.��.1.) BUILDING DEPA,ITMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit _ i6o,(SCI DING CODE, ZONING THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL Plan Check 1 ic.no REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT I5 HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCOODANCE WITH THE PLANS AND SPFCIFICATIONS AND IN COMPLIANCE WITH Sub total 70.,0(j ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING, State Taxi At 1 Total *72 40 BY _ W __IGAN-1— —— — -- L. OR AGENT Aumoved - '... . ►T t�4.� 4. Z. Receip `� �...«..�......._ .......�.. J! _..... .�,._..,. . «.,4... D. TE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Roullh-in Fixture Final HEATING Contractor Permit No. Gas or Oil Hough-in Final scv'ER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL TtMPORARY CERTIFICATE OCCUPA Y Final CERTIFICATE OCCUPANCY Landscaping Zoning Final �I CITY 'i l�' ,'.RD DATE �_�_—, 19� �tl� ^��7 Y _UR.DiNG PEHMIT APPL_IC.ATIGN OF �.� , •�' .Rr" NED HEREBY APPLIES FOR APE~ MIT FOR THE WORK HEREIN fNDI�:ATED BUILDER PHONE a AS S-iwa .11k; ^1D PPROVED IN THE ACCCI`..r,kNYING PLANS AND SPcCIFICA'ICNS owrvE>:ati, r -- . /4GD � ME AD�DEr5 G_ 6 - ARCHITEH—ILOT IN TE-CT 1 s ENGINEEP _--•_—.--, ✓• — —4pDRLSS—..—.-----------—._.---- �I URE _ L_1NtW — QREM_OOEL_ —� JI�AOLITIC `J _N -- ❑REPAIR _— _ '• FNY•o�_ ❑FIRE DAMAGE ❑DEMOLITION ;ICtNCE C�C'.MM ❑_EDUCATIONAL 0Q,,`0V''T DRiLIGIOUSOPATI0 ❑CARPORT- ❑3ARAGE ❑STORAGEOSLAB ❑FENCE 15CIND ❑_MOVING ❑CONDITIONAL USE ❑DESIGN RiiVIEW ❑COUNCIL APPROVED ❑SIGNS _- _ - CVPANCY, I LAND USE ZONE .�]� — �BLDG_TYPE F_IRE ZONE_„Z PLAT•!CHECK Bl' -_y ►+EAT_ QA0 ____ FJ Q9F1LQ4.R.-----liElSr•HC- BE�9QS�A1� __�LAIUE - BUILDING DEPARTh1ENT _ Q EiJtI RIGHT SIDE Sf.T BACKS FRONT PEA R— _ THIS PERNIT IS ISSUED SUBJECT TO THE REGULA710N5 CONTAINED IN THE BUILDING COLA, ZONING - Plan Check _ L RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TWIT TI-11ii•. WORK WILL BE DONE IN ACCONDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH �Lb iCtdl ALL APPLICABI.E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO7 WAIVE -- — RESTRICTIVF COVzNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BLISIN,ESS Stel! T 1C �� LICENSE. SEPARATE PENMITS REOUIRF.D FOR SEWER, PLUFARING AND HEATING. Total By __ _ APPL_ICANT_ OR AGEN1� App,aved Rpce pt No. �^ ;ti•.1 i�,��J L;� . e i �I i - APPLICATION l CITY � .4,RD DATE_.___....__ Is_- — N0 _-i�J LDING PERMITA PLIC A � ION OF --1E UNDERSIGNED HEREBY APPLES FOR APERMIT FOR THE WORK HERE114 INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-- LOT HONE _'"_LOT NO----• R JOd ADDRESS � NOME ADDRLSS CHITET ARC ENGINEER ` ?ER ADDRESS tt—��___-.,_ r3RENEWAL URE�ONEW _0REMODEL -,OADUITION REPAIR IJRENEWAI _D ❑ FIREDAMAGE DEMOLITION �,EIDENCE OCOMM ❑EDUCATIONAL ❑DON'T ORELIGIOUSOPATIO OCARPORT OGARAGF OSTORAGEOSLAB ❑FENCE _ — GOV `- V MvVING -DCONDIT TONAL USE O DESIGN ^F VIEW OCOUNCIL APPROVED OSIGNS I BOND ❑ _ _ _. --------- - -- ---- __:--�~i __,___ M._FIRE 7c NE - 'LAN CHECK BY._ HEAT I• — BUILDING DEPARTMENT __ _ REAR - -r-LEFT SIDE RIGHT SIDE 4Check SET BACKS FRONT�L'ITHIS PERMIT IISUED SUBJECT TO THE REGULAT SNS CONTAINED IN THE BUILDING CODs ZONING PlpREGULATIONS AND ALL APPI-ICABLE 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 SuALL AVPUCABLE CODES ANDORDINANCES. THE ISSUANCE OF THIS PERMIT DOESVOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT BUSI,VESS StatjTaX _ LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. To By APPI (CANT OR AGENT Receipt No ---- i APNONE---- _._ - ..--- _-- ADUpf.55 r i V i f I If BUILDING PERMIT APPLICATION CITY TIC ARD DATE --- 19-- THE UNDFRS'GNE0 HEREBY APPLIES FOR APERMiT FUR THE WORK HEREIN INDICATED 13UILr,EH!IHONF -OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE' - LOT NO.—__---- OWNER r t"IW' JOB ADDRESS'S 4900 SLI 1 G9tl, tI V I'• HOME AD�IRESS - ARCHITECT ENGINEER BUILDER 3MC ADDRESS __ DESIGNED STRUCTURE ❑NEW ❑RFMn_DEL ❑ADDITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEMOLITION f ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T DRELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑_rORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS - OCCUPANCY ' LAND USF ZONE --BLDG.TYPE FIRE ZONE.= PLAN CHEt :BY �_ Oliatruct qne ti pltax 8PA t,111611t, u/atte,;nv.. tjOt_•a�98II, 811 par plalr►CJ UY ara�r� xbCa, y�rr, "rctilt:�ct�u . 6 =ledrocatn — 6 Etrar:ttra_ '-' 9 He—Y&auQ* P*u uccupanr..y until a LL bu.Lidinys wid aitia CLOT LSt, -- • . OC �I,Q_AR. F1.S)QH1�AQ___`If1 HEW111T _A _._NQ.jSIQatE$ Ag Ad 320 NQ.0 90OMSL4 VALUE"IIIr .' BUILDING DEPA'1TMFNT a1N aIfti" - +_ _. SETBACKS FRON'S�� iEAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 1 ;. _I!! REGULATilkN AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL L:' DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH b total ii'1;; ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BV;INESS State Tal{ LICENSE.,SEPARATE PkRMITS RROUIRED FOR SEWER, PLUMBING AND HEATING. Total 1466*04— PDC #2 i 400.00 By y7 J. APPLICANT OR AGENT – -----'- – 10 Appruved _..._.....K..•... Rrceipt No.... . ...........•... .o...�..,...W... ._... „w,... .. ......., ....... _. __—__ __ �_� DATE INSP. TYPE INSPECTION - REMARKS PLUMBING DATE - ----_ ------ ---- --------- Contractor -- /D -- --- -_ Permit No. --- Rough-in Fixture Final -J--/2-2-- HEATING JC ZZ--HEATING — Contractor Permit No. Gas or Oil - ---- --- Rough-in- - -- --•- ---- ---- Final -- — -SEWER ---- Final /_ 3/-2-79 ---------- � -�.- —.- D R I V E W A v -- Final ---- -------�------ Storm Drainage (Rain .roin)Final --- Sidewalk i - Curb&Street Final _.--- _- — Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY ---- - Lrndscaping -— � -- Zoning Final A f''cR ,1f'APP ICA•TIGi`J `uF� i iC., %RD DAT F._ -. T '.'v=;) HEREBY APr LIES F OR APERMil FOR 'THE WARY. HEHr:'1J INDIC-.I D EUILDF4F')"E �b NG PLANS AND SPECII•ICA110t4S orrJE�+� OAF :D PROVED IN 7t�C ACC O r ! LO. —��M_�__ i � r L �' j��'• �y,>.!i. c�lti/a _�`_ �•�� I?u.�+_ A%<'.HITECT s- A./, ENGINEER .._ ORES":%[SEL_�_,.__��DC:I_IC)N_-___•-��^'r__AIR_�__`�-'' N�•=1•,itL'-- DFIREn1VAGEff ❑DEMOLITION ::A= �+ ❑ PC)RT FhARAGE D STORAGE uISLAB DCErwC° - I'tNGE l�._�:•- pLICAYI"NAL- DrJOV_T DREL.':,I�:L7SLJP•_T10_ 1'aDND UlvovING DCONDITIONAI�.ICP -_-�DOElIGN ?E.IEtY- DCQ'JNCIL APPROVED ❑y1GN> ... . . __ - _.__..._ - c. NEAT P+.AN CHECY. By.:' —_-- __ NCY -(' AN?US ZONE-� SLOG TYPE ��"YNFIRE ZON? - --- /V - / — ;; - ✓�•� :yrs''''"y'`/ � . _ /l FLO �IGHT - - (/- NQ�t`TQiiIE.,� r C'4ft Q�l�4.[�_ F� _._. �J EFT SIDE RIGH'(SIDE E+UI�Cir.•,, p:PaMTt"•ENT_�j. SEI BACKS FR;,NT REAF3 -� _-•_.�- ,�,� ----...--` -�" THIS PERMIT IS ISSUED Sl1RJECT TO THE REGULATIONS CONTAINSD IN THc BUILDING CODE, T,.ONIN RGGUL^•PIONS AND ALL APPLICABLE CODES AND OROINANCES, AND IT IS HEREgY AGREED THAT lig • �_��__s_'�w�+ -• �� YJORKW I�l BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND ItJ C^ktP1.I'.;."E WIT + .n Ictal 1 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES tJOT WAIV ------- -- RESTFICTIVE COVSNAN1S. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES t• Ta 11 LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. � c.Y. ._ I ._Iy-=.{a�_ AOP�ICANi bA AGF N1 --___._.._.._ _.� _-_.__---•- - Rf,cf,lpl No _ oc B G •1 j �