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11200 SW 119TH AVENUE-1 f 11200 SW 119TH AVENUE I W D w .r: JJ f�1 r-1 Va p f, N .i H I e ." 1• K 11 ^�1y N f ""'^ w� w-\'.aI'P Y `�•�/�'�/ "',tiv� w­.w r�,�'��,s,�'�£ d'b ,,R: I'� .'�,' Xqt ytd :4�, �"tGy� <�r. .��'� ��'�.v�`; CGU y�'+�'y► .r{'0' � O. t .. •:lid, ' „ '�. •�- 'N Nh- �t ti diH �it4�..�� dla �x �(J ' ,�� a�j �{'I+.w t•ai �b�{• EEL+f��I?ff1`Y y\0'!'b1P�alE;��j'(=tbb i'�lt•"r[5'�\ �t t'�►IPy.4 yf`�,r,fy�'.�'1:.yttt�`4,^,.(gl i_y�'�n/`1 M^It!>�"�tWv•t`.�h.��'r4�tt„ 1! f "<,u_!h". .1� h►l•w,,+g"nr ...... `eq 7k4,. { :I !; / �i�i�S��{` •^ •- .'' ',^'"_:'-""C"et'•aS„'tTe,S ._ rr��, J .,t Ln ol 4j ca tl� Ins t�r , l ^ b V C 4J t;.' `�.� � ��� L� �� as ..� ,� w C' •��.a.. tj tc 3 tl N a u 41 c ^I M th ,r �� � I W u tj L �t .61 ? k'•t• } a♦ 1. %'► Y J �A, + 1 '� � �f° �4A�tt�`�`�t�tr'�� �� 't�t1� +ltl�"�V•r.�@1{,ati'rr. ��i,� tx � .�*>•����k;; 4 �"�'�,tl����of 1.�' \ 4 S.�n���,t„ '1�' ...�►,t"�!•• .��:?sr�.� 4'r,<?.�:.:''p"�' �rM �,'��'tii,�r<t'�:.e�b,rt��;,� tia w",. �', .�' I, ���w r f�j! :;��6+4' ��'�.,�7"'�'�C� �fis^ ! ��1"�.;R !� 4.� 47� ����(l* �y� ha. +C� S" =•� ��.+!r �� �\ W W FIr 1® PLUMBING PERMIT holcler -Df a valid plumbing contractors license is hereby t authorized to cause plumbing work as herein not,d to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall b:: notified not Icss than four (4) hours prier to the 'Ume the installations are ready for inspection. City of Tig<_,rd Business License required for all contractors and sub-contractors, Job _ ,�.` _ Add ,: LLL_' ! Orvne_rS= - r_ ss__L_ � _ < it NUM921R OF TOTAL TYPE OF IIEFI 11T ITEMS FEE ON EACH WOUNT Single Family-1 beth-eac'1 _ __25.00 _- Duplex-Each 1 bath unit _- -_ _ 25.00___ _ K Additional bathrooms-each _-- _ 10.00 _ - _1.lobile Noma Space-each� _ _— INDIVIDUAL FIY,TURESTCOIYME.RCIA 1 ;n 50 Fixtures in 1_build ing-each _ _ 3.00 _51 " 100 Fixtures In I building-each -_-_ _ 2.550_ 101 to 200 Fixtures in 1 buiidinq-each 2.01 -701 or more Fixtures in 1 build_-etch -�`�— htISCELLANEOUSi— — __Sewer-each ad_ditirnai 100 ft. ---� '-~-,0.00 - Water Service to building — -_----y -_-��5.00 - Other(Specify): -- PERMIT �`�_'--- For Pfumbj'ng lnspecdon Pho,re 539 41;1 t 4V.State d I a` Plumbing Contractor By TOl'AL Or <,►Ir�F RECEIPT NO. Issued By i BUILDING PERMIT APPLICATION TIG,ARD DATE---'2'),' ,fig " 1 38( Q7 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE it OR AS SHOWN AND APPnOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON'_�620-( OWNER Tarry Jat*riFr JOBADDRES 17nn 1W 129th AVcmue LOTNO._221'2tI`C1ZfiL�" '� ARCHI TEC r BUILDER John Parker lf0PleS I1 � � ENGINEER i 1KDORESS P.O. 512��pt1DESIGNER STRUCTURE ❑ NEW ❑ REMODEL I:1 ADDITION ❑ REPAIR ❑ RENEWAL_ _ ElFIRE DAMAGE_ ❑ DEMOLITION ® RESIDENCE 11COMM ❑ EDUCATIONAL ❑ GOV'T CI RELIGIOUS ❑ PATIO i] CAR PORT 1:1GARAGE ❑ STORAGE ID SLAB❑ FENCE OCCUPANCY R-3___ LANDUSEZONE �''•� _._BLDG.TYPE �~ _ - _FIRE ZONE- PLAN CHECK BY T HEAT Construct family roar*" bath & iltility, middition to sir, ; , id''l ly dwell i Re• r)del kitchen., SL-1. C'0RRT.'C'rIUt.`_ ATTAC11F.U. SEWER PERMIT M or C.LUAU FLOOR LOAD 4 0 HEIGHT_ 13- N0.STORIES 1 AREA APS NO.BEDROOMS - VALUe 2 2,,C D n BUILDING DEPARTMENT SETBACKS FRONT — REAR A; LEFT SIDE 1� RIGHT SIDE 2 P Permit 1 0 0,•(;I' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS (,ONTAINED IN THE BUILDING CODE, ZONING Plan Check pAI1) REGULATIONS AND ALL APPLICABLE CODES AND ORDINA CLS, AND IT IS HEREBY AGREED THAT THE WORK 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 Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS YO HAVE CURRENT CITY BUSINESS vc LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND Kr.ATING. State Tax @. 4,,- SDC- Total _ _ 11!14•fl f` , T ey PDCM APPLICANT 0 AGEN? `— � j�l Receipt No, Ap proved ADDRESS ONE w fiff DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor 1-7 SAS Permit No. Z-/ Rough-in Fixture 7— Final HEATING Contractor PRrmit No. z Gas or Oil Rough-in-- Final SEWER Final DRIVEWAY Final Storm Drainage Main Main)Final Sidewalk Curb&Street Final Approach BLDG. DEPT. i1NAL TEMPORARY CERTIFICATE OC7ffl final CERTIFICATE OCCUPANCY Lantisming Zoning Final 4 �w �•- ;�� 3sq� BUILDING PERMIT APPLICATION T1GAR:) DATE �t9 TAE UNDERSIGNED HeREBY APPLIES FOR A PER-MIT FOR THE WORK HEREIN INDICATED BUILDER PHONE CR AS SHOWN ANO APPROVED IN THE ACCOM-PANYING PLANS AND SPECIFICATIONS. OWNER PHONE; 0 7 x7l"/ ".VNER ;�.�, �� JOB ADDRESS ', /BTU` LOT NO. %� _ �%' �c.__ r�v ��% � ARCHITECT _� ENGINEER ADDRESS/p- �,y,! �' S/? DESIGNER STRUCTURE ❑ NEW ❑ REMODEL ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DE?AOLI i lON -k00 _ RESIDENCE C CCU-M C EDUCATIgNAL C GOVT C RELIGIOUS G PATIO C CAR?CRT C GARAGE C STORAGE: ❑ SLASC FENCE -CCUPANCY 2'3 LAND USE ZONE -R-7 SLOG.TYPE yY- T FIREZONE_— PLAN CHECK SY � ►qc��� ! yr w EWER PERMIT K ��// ^� CC.LOAD FLOOR LOAD HEIGHT ;3 NO.STORIES / AREA "S'NO.BEDROOMS -"' V4LUE2it'000 BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SICE RIGHT SIDE ^_rmit GO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COD 70u:'4G )HEiPULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREED T'HA.T THE Inn Cheek WILL. SE CONE: IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COfeiPL1ANCE WITH XLL APPLICABLE COOSS AND ORDINANCES. THE ISSUANCE OF THIS PE14MIT DOES NOT WAIV; I'tAta Tax �{•,d ul}tetahRESTRI�IVE COVENANTS. CONTRACTOR AND SUES CONTRACTORS TO HAVE CURRENT CITY B,SINIE55LECENS SEPARATE PERMITS R OUIRED FOR SEWER,PLUMBING AND HEATING. atal y � �D PDCX APPLICANT OR AGENT Y Receipt No. �►OProved ADDRESS PHONE --` In - s Reil * 1 I9 i WER CONNECTION S :WER INSPECTION S _WER SURCHARGE S CITY CF TIGARD—12420 S.W.MAIN—TIGARD,OREGON 97223 ---------Jf -- RECEIPT -- -- ---- — ---�..�_-� DATE. AMOUNT:S I V DOLLARS NAf�IE:� ' -1. =-'C-A '; r CASH: ADDRESS: /--=s_.F""� "r"---- " CHECK,— L N OF FOR: 11 J ACCT. M PERMITS SURCHARGE AMOUNT SEWER BILLINGS 40-364 BUSINESS LICENSE 05-331 PLUMBING PERMIT 05-332 MECHANICAL PERMIT 05-332 !__ BUILDING PERMIT 05-333 U • SEWER CONNECTION 40-363 SEWER INSPECTION 40-365 SYSTEM DEV.CHARGE 25-366 PARK DEV. CHARGE#1 30-367 PARK DEV. CHARGE #2 30-368 ZONING ADJUSTMENTS 05-362 ( � TOTALS 4. _ $ 45 0, cr RECEIVED BY: PERMIT NUMBERS ASSIGNED: — Number Amount Number Amount Number Amount 4' r-F-�w..1-�^-G..�r► '� �y�_/�-1'� S'J(�. � _ _ Ste_ _ ��.n,ro• J�� En. t3�rZ�c.�ri. ��n�-- 'Q �M�.Q. !�'g� 1 l mac) GO l(q t- Av e. o't'"L L - V'a�.►cs cz�-,w.a. AwL, pp, 9104 q kA Z Ss 3 3 , Js? T 22. oo v 0710FTISARD WASHINGTON COUNTY,OREGON BUILDING DEPARTMENT PLAN CHECK APPLICATION Date I.-Ie. This is to certify that the following plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code , 1979 Edition. Owner Pin.V�z A E 4,1x-R_. -t- Job Address 112-00 5W Iig44.4 Lot N o. Owner/Applicant Address (12od SSU (� (� 4e, P h o r I e Description : f-alrit� �C�x. G><d i�� City-► ard, ©Uild.i.ng DF,pt. By : - I --- --- 12420 5 W. MAIN P.O. BOX 233W TIGARD, OREGON 972,3 PFI: 617 4171 ---------- �