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10530 SW 121ST AVENUE w w w � w �► 10530 SW 121ST AVENUE e a, z A? r� CJ in O tr? Ul 1 [��ffqmlufw m I FIRE PREVENTION BUREAU ')F'h'ICE OF FIRE MARSHAL_ 481- 5 r INSPECTION NOTICE OWNER ' DA-rE l OCCUPANT OCCUF'ANCY. r LOCATION YOUR ATTENTION ID CJA,.L/L../0 1 T O THE FOI LOwtpla FIRE SAFETY 9EFICIENCIRS1, artIii, f Ky � r FAILURE TD CORRECT THE ABOVE COND'TIONS WITHIN DAYS WILL MA1M.E YOU LIA"LE TO PRO! c,6TION. SH Q'ULD FIRE R8'.SULT FROM SUCH CONDITIONS YOU MAY BE LIABLE FOR DAMAGES l'O PB'Ok ONA OR OR PERTY/Ac,�I PR /VISIONS OOK$471,100F WASHINGTON COUNTY FIRE DISTRICT N1 E MAAR8 IjjfVC 17880 S. W. BLANTON STREET ALOHA, OREGON 97005 649-8577 PRESENTED TO FORM 000 AO i f± . ?,y '1 ►�.. NG O r' t w n! • Hv'd to I I I \A y p 0) f7 L G r. L y (7� j J c Ln Q 4 c� C it i• �� d VI N cy cc � � C � HQQ cc (7 :ro ' ►. � ,� .. � r� o r.) to c, u; v o �� � t� ? 0 f,4 r4 ri 0 M o c. n) tj ui f-' ij 'tv�i r1 ]Mfg u. O ` 0 0 o Q A. r4 � - Q •n m'� rD ve .rw t� I L, t c 3 'j as r -43 W 7 H 41 A I tt. C . F. a tv q ?? ) 1 1 r' A .D J!tj a IL '° UJ `• c: F I x N N N N II; Lf c :? w x �{ O r .� j�0 cu j �p rn .� x is x .x lu p 1 I lu C4 UNIFIED SIEWERAGEE AGENCY N0. 11046 WASHINGTON COUNTY DATE 1-10-77 CI ("Y OF Tigard APPLICATION FOR SEWER CONNECTION PERMIT OWNER: ._____,. Robert OWNER'S ADDRESS: STREET CITY STATE ZIP BUILDING SITE: LOT BLOCK ADDITION TAX LOT NO. TYPE OF OCCUPANCY . coinmar.cf-Al.-- ADDRES40530 SW 1219t Ave. DWELLING UNITS_- 6 FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE..-345-0.- INSPECTION FEE -35.*-.— TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM ranna Z-roek- The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency, PPPLICANT_ - L-1ti _ .�`-�C SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE S17F .. INSTALLER RECEIVED BY-N- 11 (AGENCY, - - '-i�l It , O 61/ AGENT) COMwr'T-;:- -6140I.–J1238 This Application and permit expires in one hundred and twenty (120) days, The amount paid will be forfeited should expiration occur, MF ff BUILDING PERMIT APPLICATION CITY TIGARD DATE 1--1a-77 1738 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE LOT NO._ UWNEF2; ^Rbdt t ;!V E? HOME ADDRESS ARCHITECT BUILDER ADDRESS ENGINEERDESIGNERF-t STRUCTURE '3NEW 1:1 REMODEL. ❑AUDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCEXENUMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE �❑I- SLA13 ❑FENCE ❑BOND ❑MOV ING ❑CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED l._JSIGNS _ OCCUPANCY LAND USE ZONE �'L) BLDG.TYPE J FIRE ZONE�_ PLAN CHECK BY LTU HEAT +11ec. 'Aug. Co Const, mult4f'amily np t. .j/out Ioip sgv all Vnr plane as prepared by Usle Haller P.E. Shwwts lthry 37 !, units Includes all site Qwawin,yis pelkinyp land- Gcepign. 14 bedruums,, E, oath ^� AO ��4 .� 1142 498914 8911,11320.OCC.LOAD ,FLOOR LOAD. _ HEIGHI AREA IVO.BEDROOMS VALUE 4UILDING DEPARTMENT SET BACKS FRONT REAR _ LF_FT SIDE RIGHT SIDE Permit 267.,Uo _— — - p1epa d THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON-NG Plan Check REGULATIONS AND ALL APPLICABLE COnES AND ORDINANCES, AND IT IS HEREBY AGREED IHAT .HE WORK WILL BE DONE IN ACCORDANCE V:LTH HE PLANS AND SPECIFICATIONS AND IN COMPL.IANCF WITH Subtotal 0,11L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESIRIC71VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax �}�(;1 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total 2 a 0 By -- —•— APPI.I('ANT OR AGENT ----- Approved Receipt No. ADc,aess DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. ita�X t/ J Rou h-in Szz J/7 - — Fixture Y -- CIS- /� e Final — `� HEATING _— Contractor Permit No. Gas or Oil — —_—.- -- --- -- Rough in ---_--_ �_ Final SEWER —_v— Final _ DRIVEWAY - -- - Final Storm Drainage --- _ (Rain Drain) Final Sidewalk —__—. Curb$Street Final Approach BLDG DEPT. FINAL TEMPORARY CERTIFICA.TF OCCUPANCY - CER'rIFICATE OCCUPANCY Final Landscapuig Zoning Final W u� t..tn J Vw = WN 7 U ('w J w v� LL = U O W40I O © N W 0 u J z H 4 11 C9 Q J w u i a N U of V) z 0 2 Qer OM ` rA ui w ~ > U) ~w Z i a gn z ! p ¢ ¢ wwawiz d. m m W p w N O N O N d a z�yw T �� ui 0 tyl m OCI ¢ n�ll 11 W ODu h0 I � V .� t z LL0 2 a 0 Ci ¢ J m w � yW w �t41 f 2Q V u z U, u � I J u w M m O Q L 1- OQ Q [I r LL waz � � � 0a w V 7 w z z Q z 4 7 V 7 h d J O n t U -- LL. w I ¢ 7 ¢ m d N ~ O r IUl ClCL u' IL a LLCL ul \ u � rr o u a ul � cl Yz Cl z Wn � z U. co Q a Q O 2 N 3 z Q FO 'i Cc) V ) a ►= z ul Q ul ul Ei u y: T UI IA 1• J }' Z w d 0 ¢ w OJVtT ` ] n C, CI g C_I N h' a N LU A° wi c E: I$ o Q Z O u Qum d 4 ~ t;/ v ,.., H ul H z w J► C o .' x p 7 W h - CL m 7' x - ¢ Q' ' f � awtOlZw w � p ZQ �) �i� > 2 yzOw> h � I9 — a V d w a F F I� w Q hdoJO ¢ ( J C) ¢ V d 0 I LL Nwmud ^ ^ 1 ,l 0 F... Q Q C I O> 7 &) ! 2 v w a V Wm w f ul 0 p t: Y J^ M Ncr 7 /� `t7 0 4e Q! I� g �. 2 F,w a 7 �� 7 z ° N �aJyw LL1 Y 7. CL o - , Q u w0 _1wv p [l C, O QTi < > uI L I > > ' cn C) 0 F r-, r t, u/ d I u u; O /1 'n o Ll I LL, 7I > 7 o Cl.. z _ " o f a 1 Q -1 u U S I C-9 vt y w f' n p n t U) 3jt N tt u U W I a 7I ° o ' v v � " r O0 J o cl I S Address _j/9.: �, .. i , �4 � � `- Permit No. Permit charge Owner `414, A4La_ Connection fee Paid by Type of building ";; Date connected Service rate Inspection fee js`-r—C� Contractor Paid by Date Size of connection Assessment paid C Ii I t I I { i