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12415 SW 122ND AVENUE-1 1241`i SW 122ND AVENUE m —i CD C O U E (d I N U ft1 CL v c c N 3 cn LO N I .� OFOC,C - -� ' ClI Y OF r ' ! OREGON !' 0«-ner:..Wm,...Mc,l�onagle.... ............permit No..�!-.J....... �o i).3 Building Address...1.2415 SW .122nd....................................... ...................... ..$. Certificatea is hereby given this .31.. ........day of.. nu.ar.y......... 1y..7 c IC occupied and that said building may be occur 1 that it complies v�'ith all requirements of the Building Code for the City of Tigard, as approved by the Tigarc? City Council. `' +► l C/.......................... �s ,. 1� Z:1 Building Inspector `� F �t ILM M, .&a mjjmwKwwl E ADDRFS5 ?5�� � t �/�-? r PERMIT NO. �'S s PERMIT CHARGE none CONNECTION FEE OWNER G� �f7J rtt�� — PAID BY TYPE OF BUILDINGDATE CONNECTED SERVICE RATE INSPECTION FEE - CONTRACTOR _ — PAID BY DATE SIZE OF CC'JNECTIIJN _ ASSESSMENT PAID wCo 0 SOI C� 0 7 S O LL Ln Ln M CN c": (Ii Lr), N�M C �� "' �► � -- —} -- j tit a LL i- cu l QLLLL2 � o \ v �^ I IzI $ m o V w' c� O C g I T�I I cr C u � E C 'w G 4A U O ° z 1 ° ui°.iii � N EZ m } r_ Q d N maQw »� SOJOicc V N N Q El o I v G a > coo 0 0 o c o c c 'Q v wacoc� o�cc �� Lno cc i s Q ujrivuivvr.� vlvr- o z d n w ( vW LJ = J m ♦- \ El _ _ LL O W L � w ui EI al= z p J cr- d o o m O v o U ~ _J 0 p Z c� i C p F Vf /W� W C O 7 lL ill >I �� N N N U m ./ N ,I I - I . Z" w w .3 x p w I o _.� Y ni e. a al ti n V J a z S O c, y ° �� o n o o w • � ft:� !S7 Q7 C]I co � U Q cr City of Tigard NZOPECT'ION REQ4UEST for 10PECTION TIME: _ PERMIT NU. : DATE: DATE ISSU : D ,...._.1 ! OWNERS NAME ; ADDRESS: CONTRACTOR : _- 'rE ST : Air U, Wote VisuaA , L,0 ` 4ESULT' Approve0t msupprovfid r f, VN6 in (] IC SKETCH. ` ;u �.,,-•v rum.. , �rar�cr�a DATE 1 l 1 i I ......... ..::«w.�.. :..,,.:n-ri�.r,�y.,....* .r.4•w�..�v.Fs�'!R'F'Ywwr.w_,y,—,;rw....,++.y-w+•�r•+n;rrt,.y �.:.•...,rw.r... ...M.,.-..... .. ..... ... ._.;. ...-.. A.._..... ......y,. CITY OF ray 6, 6 BUILDING PERMIT APPLICATION TIGARD DATE— ,19_„- N! 081' THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE`..._. OWNER___-_ ADDRESS BUILDER PHONE ENGINEER Rayloolld Be.. L4 GUILDER — ARCHITECT _DESIGNER STRUCTURE ❑NEW _❑REMODELrr��� ❑ADDITION El REPAIR ❑RENEWAL ❑FIRED,AMAGE ❑DEMOLITION © RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE — ❑BOND OMOVING ❑CONDITIONAL_USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ FLAN CHECK BY ___ HEAT___ Lunstruct 12!11 sq. ft. ; ramu tiwfj1.:.Lm,, Witli L glly tt 1L9iaUF0F0LIiL alit,'— �_ fro" mtsrtdinti garage occarding to approved pans. -- --- — -- nr lb —�. 1 .� QCC, LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LIFT SIDE RIGHT SIDE Permit -:-_— '— I THIS PERMIT IS ISSUED SUBJECT TO YHE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check _ « REGULATIONS AND ALL APPLICABLE COnFS AND ORnINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH -HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANF,ES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State 71 T LICENSE, SEPARATE PERIVITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total ` BY +� -- APPLICANT OR AGENT Approved Receipt No. AC�f�hE55� �� HONf_`- �- DATE: INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor S -xo'I L J C'� _ Permit No. dlx/161-7 Rough-in ---- - - Q �r,,-,�-___p;-� .�..�,.�1--' �9 Fixture — �, Final —_— - 7��/ HEATING - 10 Contractor Permit No. 11-96 _..Q Gas or Oily ok c Rough-in y/,117(11 Final --- � G SEWER 5:ly�ty 'L Final _ DRIVEWAY 4 - Final _ t� Storm Drainage (Rain Drain) Final Sidewalk -t"w_ ,Qp,- t— On ]->)-7(, Curb&Street Final ca, _ a � BLDG.DEPT. NAL TEMPORARY- CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final