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10550 SW 121ST AVENUE 10550 SW 121ST AVENUE t s i a� a K (P (V --1 (n c� (n ut c-a 1 FIRE PREVENTION BUREAU OFFICE OF FIP.E MARSHAL INSPECTION NOTICE OWNERr ' �Jr 1� f.�//� � � DATE-- � OCCUPANT �" ACCUPANCY__i LOCATION l YOUR .. TEWTION IS CALLED TO TIRE FOLL.OW)Mfl FIRE SAFETY DEFICIENCIESt T•,r,,,,� y�)� J"' ...T. r AILURE TO CORRECT THE ABOVE CONDITIONS WITHIN DAYS WljL.L MA"E. vOU LV LE TO.G//%0Sf_CU ION F; FIRL RSON; ESULT FROM SUCH CONDITIONS YOU MAY BE LIABLE FOR OAMAGEOA TO PER `�R �pqP KTV UND ROVI l`NS ql` ORS 479 190 ©Y____..�ay�,i-- WASHINGTON COUNTY FIRE DISTRICT N1 FIRE 4ARSHAL 11880 S. W. BLANTON STREET n ALOHA, OREGON 97,105 649-8577 PLIF4ENTEl) TO lit FARM 900 - 40 � !t I I I Ll c s CL .n N O� 1 .� .r i t • c U 1 I." �? .f�j I' +' tU� [: fp .- v. NI,0 D ro N I; 1� r- � rl � cr. tl IV C U • 4 C3 Q fy C • tU ra P Up 1� c:, 1? a 1, ` In U O a7 U m 14 �. j O ♦j U O (J Iri Iri t� tri 1: ri r ? n In 6 y c. M l.n lil i1 E tt/lj U f] 4 0 0 f0 i •trs it� 'tU� cWa;u ' nLl I O i O 1 C !: FF 12 n I a U I1 43 I r t 113 yu u A d w LL c r, I: all IV v i� ♦o U r, --j 1 ii cc .n .i n ro �j M c c O N C R• 0 in q. I r c N o 'U ,� • L J V O >nr• 'r O °t,'' Il r 0 r. O C' .` �0 Cl In K x III dl 41 �j ?' u n " Q ii ii_ tl 1101 0 -7 0 r� (y V1 � I U 1� .f: Id i I r� ,. • r? t. ' i +� n.4 0 REAM C) UNIFIED SEWERAGE AGENCY NO. ____-- 11048 WASHINGTON COUNTY DATE 1-10-77 - CI TY OF__ T'gard APPLICATION FOR SEWER CONNECTION PERMIT OWNER: ^ober. t Randall Co. OWNER'S ADDRESS: - stF:Ec_' --- CITY STATE ZIP BUILDING SITE: LOT___._______ BLOCK __ ADDITION TAX LOT NO. _______________.__ TYPE OF OCCUPANCY ., cQAIRerc' ADDRESS 10.550-SU.121---Ava. DWELLING UNITS__ -- _ S . __ FIXTURE UNITS , SURCHARGE IF APPLICABLE - PERMIT PPLICABLE -PERMIT FEE 2675' INSPECTION FEE 35. TOTAL DEPOSITED .. 29100 (NEW) (EXISTING) BUILDING SEWER SYSTEM ___ -______-faann__Cr-aak- The /Applicant agrees to comply with all rules arid regulations of the Unifier; Sewerage Agency. APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE .._____.._____ INST AI_l_ER RECEIVED (AGENCY OR ITS NT) 7 COMMENTS: ..._. 81_d9• 41236 1 This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. ) e BUILDING PERMIT APPLICATION CIT TIGARD DATE__ 1-10-77 OF '� f THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORT: HEREIN INDICATED BUILDER PHONE = OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE LOT NO. — - OWNER Robert RianL1FJ11 `'JO�ADDRESS J.05bo Sw 121 eve. HOME ADDRESS ARCHITECT ENGINEER BUILDER ^3 iitil ADDRESS DESIGNER STRUCTURE ��-1L EW ❑_REMODEL_ rr�� ❑ADDITION ❑REPAIR ❑RENEWAL -]FIRE DAMAGE ❑QEMOLITION C3 RESIDENCE "0' COMM DEDUCATIONAL OGOV'T ❑RELIGIOUS[:]PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑SLAP _❑FENCE: ❑BONU ❑MOVING ❑CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:)SIGNS OCCUPANCY H LAND USE ZONE` F '' BLDG.TYPE "-N FIRE ZONE= PLAN CHECK BY LTU _ HEAT L'� I_.':• Ujurj. Ce ConW,t, multitamily apt. LJ/,.jut �Oajgjga all. pur plans as prepared by Uele Haller P.E. 5heeto 1 thru 37 unite Includes all lite l:t&W-n48-,j pavxll; kawdaspain landecapiny. 13 budroome, 5 both 4U 24 1S2 4381 13 739858. OCC.LOAD_-_ FLOOR LOAD HEIGHL � VALUE-- BUILDING BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE BIGHT SIDE — Permit 245.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CODE, 7.0NING Plan Check pr6--p lid REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREFD 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 CONTRACTORS TO HAVE CURRENT CITY BUSINESS State.Tax 7, 3b LICENSE. SEPARATE PERM:T', REQUIRED FOR SEWER. PLUMBING AND HEATING. Total 2:,2 3!� By -_ APPLICANT OR AGENT Approved E,Tu flfvvilit Nf) ADDA T S 5 — - P4 NF --- DATE INSP. TYPE INSPECTION REI ARKS PLUMBING DATE Contractor � Permit No. f�'r y Jv �l / c- L ---- Rough-in Fixture Final— HEATING Contractor -13- l ZI .�!n tzJ' �_— Permit No. -- - --- - ------- Gas or Oil -------- ----- Rough-in — ----- i Final 6 ---i ___ _--- SEWER — �—^ Final _ DRIVEWAY Final Storm Drainaa e — (Rain Drain) Final _.._ -- ----------- ---- -- Sidewalk —� Curb&Street Final _— A roach _ BLDG, DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CFRTIFICATE OCCUPANCY _ --- -- Landvaping Zoning Final CJ � �• WRIWIM ILL O w � H h� I 0 p O m 0 -jz �_ CIUJ r O Q w U� wU OI W CJ Cl > oaz °u+ W z W W F J � — f' � Z JAI z O Q Q �_ O W Z 2 p O O Q W Q W W W 2 G w z O I- Yrz >H C7 w N W ~ NON2 W 3 w U.U. p j O m O E) w dw pOU h0 u Q > "/ a Q O z a 1 O F Z ¢Q u v p zwyLL+ o ? I a Ci 7 LL � q(z w !- O I Q W Oz QNZa I z LL w CI 1 J ern o Z V ` X O a rn 1a- 03Lu W C� a w �- FW N 0 m Ir O7. w ul U 3. 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Cln u a a i i I I r r Sqr, ' �- u13 Address /C STL� .,a /� I'`T �_»� Permit No. •Permit charge 22 C5 r� Owner Connection fee Paid by ?1_ Type of building '.� , Date connected Service rate �f%r� Inspection fee Contractor Paid by Date Size of connection __ Assessment paid