14255 SW 114TH AVENUE-1 w w WNW0
14255 SW 114TH AVENUE
I
t
crJ
in
U)
N
.-1
ADDRESS - 5 =� �: W �1 PERMIT NO.
PERMIT CHARGE none
OWNER c2 CONNECTION FEE _ ad) .
PAID BY
TYPE OF BUILDING tJ• DATE CONNECTED
SERVICE RATE _ I of INSPECTION FEE a
CONTRACTOR P+ IO BY DATE .
SIZE OF, CONNECTION ASSESSI'IENT PAID _
m,�
PL%J 1131iVG PERMIT '
f/ hoider of a valid plumbing contractors license is heresy
au►horized to cause plumbing work a herein ne:sd to be ins;a,;ed in accordance with the plumbin, code of
Tigard. Such installations require inspection by tiie City Inspector who shall be notified no, less than four
A4 hours prior to the ti.r-e the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-conuactors.
Gwne'
A+✓dres� � � 1 as;a
NUNT r 0, - TU.h. PERMIT INC.'S
TYPE OF ?Zi'.1iT ITrD5 C' ZACH AMOUNT I (Office Use Oniy)
:;.-•Ip "n-n: —1 both,—each h.�—/�—_---_--.. 25.00 __I �`71�Z� .Ij
i)u�',x—each 1 bath unit _ _I 25,00
r"rd trona, bathrooms—each I�_ w _— 1000 z C CZE
V,b a Homo Space—each 16,00 I
�VDIVlOUAL FIXTURE FEES
_ 1 to 3o Fixture. in 1 building—each 3,00 '
i' to 1CO Fixtures in 1 buildin7—each I I 2.53----
1,11
.50 _____1,11 *o 2u"0 Fixturn in 1 building—each 2.CO _ —
_ 2J1 or more ziR ures in 1 bui'ding ouh i 1 GJ i
t/ iS:EILAPIEOUS — II
_uiiuiug Sower-1st 50 ft, „_�_ , I y-10.G0 -
w h -Adi:ional 103 ft. 10,OJ
lkau'S t'vico to buildin 5'OO
'r v is W:tar SYsto. s—ozch :3G It.
�,_,•. — for Plumbinj Insp7cdon Phono 6394191
_-- Plumb!% Contractor 8y Lt, it
707A`� RZCciP; NO. Issuad By ___.---
i
BUILDING PERMIT APPLICATION COF TIGARD DATE 11/2V ,y
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO. ` `-
OWNER ii 18, I, `} J. ;. JOB ADDRESS1 12 1:7 SW 114th _HOME ADDRESS
ARCHITECT —
ENGINEER
BUILDER ^_ ADDRESS DESIGNER
STRUCTURE [:]NEW _D REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL DGOV'T DRELIGIOUSOPATIO ❑CARPORT ❑GARAGE 0STORAGE DSLAB [:]FENCE
�DBOND ❑MOV ING — ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY "'" _LAND USE ZONE_11—7 BLDG.TYPE a! FIRE ZONE `j PLAN CHECK 8Y � 1 HEAT
sin(J& family duellink4 wf att$chma gatrege - 4 bodraum - ,3 Ji. - --
'rawer Oermit #17556 �_ 1625.00
UCC—LQAU___, -__-- F1.448_I.99P._-.4q _.b€�SaN_I '�L�._�0.STORIES J .' AREA----� NO.BEDROOMS Y9LU!"ul
BUILDING DEPAR I MEN7 SET BACKS FRONT REAR 1 " LEFT SIDE I RIGHT SIDE
Peimit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CODE, ZONING
Plan Check :QJ• REGULATIONS AND ALL APPLICABLE CODES AND JRDINANCES, AND IT IS HEREBY AGREED THAT THE
Subtotal 31u. AWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND St1B CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax u.441 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total ' 324, 94 ijUL til 21U0e 00 f 1
BY
Approved
im ta"!t1 Receipt No. ``1.c tip APPLIC,4N1OpAGENT------ ------ _
I1M� -
rr r� Ise I!Fos NWw w
DATE INSP. TYPE INSPECTION REMARKS PLrIM81NO I DATE
Contractor —
` / J• _ Permit No.
: Fi_— -- Fixture
/ Final
tS l -- ------ ---- HEATINGi
Contractor
22 � p _ /-
-� 79 / i i �/SS/dG1Por/� Permit No.
Gas or Oil
Rough•in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
0LDGI. DEPT.FINAL TCMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final -- --
Landscaping
Zoning Final
i
TY
3! IL DING PERMIT APPLICATION �� F -�,RD DATE _ �� ,t92Z N2
J A C OF
-��F l:%'1E H�;IGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HERt-.IN IN ICAJ-FD BUILDERPHON 7�
R AS SHCVJN AND APPROVED IN THE ACCOMPANYING PI ANS AND SPECIF ICAs IONS, OWNER PHONE:!• /
R 'd LOT NO
��� I I K✓ I–1 _HO_ME ADDRESS
ADDRESS
ARCHITECT
ENGINEER
ADDRESS _ DESIGNER �1
YP7NEW OREMODEL �[3ADUITIO_N�y ❑REPAIR_—LRENEWA_L_ ❑FIRE DAMAGE T ❑DEMOLITION
`. IC!.NCE ❑C13MM ❑EDUCATIONAL OGOV'T ❑RFLIGIOUSCOPATIO ❑CARPORT ❑GARAGE ❑STORAGEDSLAS ❑FENCE
I-Ir^Nn ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
r _
OUSE ZONE Bl DG TYPE._ FIRE ZONEI PIAN CHECK BY H
Ot
Ole-
Z:.-.P3E&11)-3_hW—PE?ROOMTALUE (01,10W _
_ BUILDINGlDEPAHTMENT SET BACKS I RONT V I REAR r, LEFT SIDE 7 / RIGHT SIDE ��^ �+ y,
--- –" –"– THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian Check — Jr RFGULATIONS 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
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONN HACTORS TO HAVE CURRENT CITY BUSINESS
F�1bte Tax LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING,
Total Z
BY
AF+pI ICAN1 Op AGENT —.�..- --�---
Appl Hued Receipt No.
S~?a