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12425 SW 122ND AVENUE-1 -71 CrA �al F - - - -I T DanW Vli*nbn is Damieb Contractors P. O. DIM 95661 - A.1 Tiprdo OMM 97223 Phone 639-6881 ................ NOTE : IF THIS MICROFILMED 3 4 5 6 7 8 9 12 DRAWING IS LESS CLEAR THAN THIS NOTICE "IT IS DUE TO THF QUALITY OF THE ORIGINAL DRAW I NG. .31M A a" E 62 9e 12 9 S? v 2 IF z 22 12 0Z 61 f3 I Li 91 1; 1 b 1 1 21 11 01 6 9 1 9 S t, E 2. IL T T T T& Ir T-Al A L77. I f, r D 'OKI - li `„1....., .. ....., .J........_1 .�►....J.:_..0 .11_,+� .�. � .!, .. ,1�.._._._` ��'- '� �' ': �1��,.,.J' �:+•_.l►. �..�"_,�,.r��-'cam-.� { i (j pY/j�i I 1 j t ' 1)0 7° �1' Lifs p I( ° �')'°' GVmMlsabrO r l I � V4� Z3 IM j ..+rr�....wrwwwlr G •fir_-._-....._--..._.-:-��._.�.�_..... .. . -�r _:: :� ; �. II I II I 1 �I I Daniels, Wiggins & Daniels Contractors �:�}�� :l `,�''��I'�1I:i f���,�1'::::I'�.I�...!�:: � ?223 w:. �_..J� Y l� P O Boz 29551 Tigard, Oregon9 Phone 639.6881 -..._. .. __ - __ .... .,•.N.Msf.•^V, 1' '.{�"��� M!••• Rr ..�� -°""y"^ t�Ft`�ifAYSkfyl+q�tftl....v�. w>as!vrul�. a�� ra., ..,...r,..... .. ��.. ` • _, -���� _. fi •K'� - ` - .. - yr . �. �. ... ..... .�„—..-«.. ... .� _.•----'. �....dl...• ....�...,twn•.:.. ��� w�+ir-�.�•#ww • ...._. .L�.•«..��.i�.�;-�� ..—. ._ �"'�.. �.�CfC� .__—._'_. �_....,_,. .-_.._.._._ .. .yt, .•mpe.-r•,an:.. e,,, ,. _ _ . -- -._-_...... � � �� . � � f1 �� t � l � t �i • r'11 �t1 � tl � �l ► tl.t�-�� tH �'��•1 1 fl ' i'�� t�11�� �t � r t r � llt Ilr� t �iiy� � t � t1t� 111 tlt � r� r t � t � t � i tlt � t � l ill � lit 1 � 1 � 1 � 1 tll � lll 111 ` III �il1l �'II Iltlttl �Ii ` t ►�' lil ' t1 ► ` - � #. rT' I I � � � I � I � � � , I , I I � I l •� 2 3 4 5 6 7 8 9 i10 I I 12 NOTE : IF THIS MICROFILMED -- - -- DRAWING IS LESS CLEAR THAN THIS NOT IC2 • IT I S DUE TO THF QUALITY OF THE ORIGINAL DRAW I NG. r OC 62 8? 17 97 S7 tp t"..7 27 17 07 6t �81 L1 91 S1 VI E4 7i 11 01 6 9 1 9 S b IF f ��ll�litl�ttti�111t�tltl�ttttltitt�tllt{ttlt,(Illl�ifli�lllt,itlt�Itt ilmI++tIItIlli ttllIIIIIIIIII1mil titdllll�))111��11 nlll�ll�1)IIWI� i)�)lu�ll)��1��1111 t t I 12925 SW 122ND AVENGE �. 1 'v c N N 3 V1 In N d N 30 IF City of "7lgGr -" INS16.0RECTION PkEQU* EST f o r 1145PECT:ON TIME . -__ -, PERMIT N,). . DATE: DATE !,SSUED(._.. `5 OWNERS NAME : ADDRESS: CONTRACTOR : _- FEST ' Air Visual 0 , Lu?) i:;' j 14ESULT: Approved Disapproved ing SKETCH. ` � Q��-- 8t-P&y . tr DIR(v f cu)"'Y -m z"lu Ac CL �-Op­ --DA I I City/ of 'Tigard INSPECTION R OUEST E for I IINSPECTION TIME ' PERmi i' DATE Pri 7 DATE I SSUEC f I OWNERS NAME : fADDRESS , CONTRACTOR ' . TEST' Air ❑ , Water G , Viaijul 7 , Laboratory j] RESULT. Approved 0 Disapproved 0 , Pending ilz000l I SF t;, OR DAI E LOTTV Attoch supplemrnful es! +ro hs, -fol G. City of Tigard INSPECTION REQUEST for INSPECTION TAME: PERMIT NO. : I DATE: DATE ISSUED :-- Z OWNERS NAME : '��4, ADDRESS: CONTRACTOR : TEST . Air C , WeterC , Visual ❑ , Loboratory C I RESULT. Approved C , Disaaproved C Pendin; C SKETCH. I I 1 I 1 I I INSPECTOR DATE CbTF: Attach supplemenlni test don I J i I I M wglfur�'yNM+r• ...r.r,�,H•.. �sa,1,...,.......... •+•.ry..�,,.a..p,s«-...r,..... .,.,,._.. .....-..fv T_.. ..� - CITY OF BUILDING PERMIT APPLICATION TIGAf%;) DATE ,9 N° 0 082 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 � li41a a+w+ 12.1nd AV&. 639-5661 ADDRESS -- BUILDER PHONE r, g ENGINEER HU!LDER _ _ ARCHITECT DESIGNER STRUCTURE rob ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE_ ❑DEMOLITION ❑ rR-E�S_IDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGI ❑STORAGE❑SLAB []FENCE�w V OND _ ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY !. —LAN USE ZONE R-7 B'BLDG.TYPE—FIRE FIRE ZONE� PLAN CHECK BY---! 1 HEAT $a• 1036 sacnond floor .1030 ronin floor 968- basement bedroom OCC. LOAD_ FLOOR LOAD HEIGHT NO.STORIES_ AREA VALUE BUILDING DEPARTMENT SETBACKS FRONT { REAR _ Permit 19s*u(j --- _ LEFT SICE RIGHT SIDE �� _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE P'Ult E!!NG CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS I;.REBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording _ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. INESS Total By Approved 2 Fla Receipt No APPLICANT OR AGENT ADDRESS SNI! t, DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE /02-1-7Contractor / 7S Permit No. 0Z3/ vs- 3 f'/S` U - 3 Rough-in Fixture I 1'1/-7h i7 r Final — l HEATING e � �-�' , Contractor r%cr,r-o,..— Permit No. q1jr- _ Gas or Oil f, - ` Rou hin Final--- -- SEWER /C— Final LFinal DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Approach T DLOG DEPT. i l";Al. TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final 1 v I _ ; Landscaping Zoning Final i I i i ADDRESS- /� .7S �ti,/. / 3 3 � _._. PERMIT N0. 4-6..5 0�.��_ PERMIT CHARGE - none GONER CONNECTION FEE 3SZ� Jf PAID BY TYPE OF BUILDING DATE CONNFCTEO _ �� 117J' _ SF.IIUII:E RATE .«. ., INSPECTION FEE - .l7a_ CONTRAC FOR _ W �. PAID BY pip DATE SIZE OF CONNECTION ASSESSMENT PAID Q� 4 i 4- 41 Z 4 c � � ` t , f•� j� r.. rN11r�,� 1'r.� ,{. a:...t:..I a�k.f {' Ei1')...l P. O. Ba 28MI T pid, Or"= 9'f9s8 Phme 699-6881 •;t+.: .:.WW.'.r v— �� �7' .. i .,r :.r. 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