12290 SW 124TH AVENUE 12290 SW 124TH AVENUE
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t10UP�SS_ so) < <� Y _ PERMIT NO. I73 �
PERMIT CHARGE nni�e
OWNER _ � ./ 6 CONNECTION FEE 4-4.
PAID BY
TYPE OF BUILDING ,��c�2 DATE CONNECTED
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SERVICE RATE INSPECTION FEE
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^`1 CONTRACTOR PAID BY DATE
SIZE OF CONNECTION A55ES5igENT PAID _
CI i Ur TIGARi; BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD. OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correctin;j: �
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Date:_1 Z —1--4;7,6pv Permit No.
Inspecto
CALL FOR REINSPECTION
W ! I�
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171 �
CONTRACTOR:
Pursuant to Se tion(s) of the nifoim Building Code, the
following item(s) require correcting:
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or
,¢-_ .► �� � is�a.�-d.� =�L— -
'Date: c:-1 -,-Q '7 Permit No.
Inol—
spector
CALL FOR REINSPECTION
CITY OF TIGARD BLDG,. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR: `e,�d-W
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
')ate: Permit No.
Inspector
CALL. FOR REINISPECTION
10 2P22
BUILDING PERMIT APPLICATION 10 Y TeGARD DACE e/:� t97
ir1O
E LINDERSIGNEn HEREBY APPLIES FOR APERMIT FOR THE WORK HERE114 INDICATED WNERPH
RPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER
LOT N::�.___ --
CIWNEROM Contractor! JOB ADDRESS 12290 Sij 124tik HOME ADDRESS --�> �
ARCHITECT
ENGINEER
BUILDER')ISO Lontractara ADDRESS 8-4-70 SW Ourrtham,Ti -ard DESIGNER
STRUCTURE ®NEW ❑RFMnDEL ❑ADDITION C3 REPAIR ❑RENEWAL_ ❑FIRE DAMAGE
❑DEMOLITION
Q RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE C3 DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY I'`LAND USE ZONEFiMI5 BLDG.TYPE.�_— FIRE ZONE PLAN CHECK BY_jD__ HEAT CAS
I.an> truct dingle family dwelling With attached garage - 4 LiedrQUITIp 3 Fjath
Sewer Pormit + 17377 — $62b.00 Ga aqj 616) Bathrooms (3) ___—
9� .LOAD _FLQ4Fi�AD --_HEIGHT 20 __I Q._SSQRIES_2-__—AREA•. _lJQ 2_",HQ_QMa4 __.YAI. :'C�0 900
BUILDING D PARTMENT SET BACKS FRONT 40 REAR 94 LEFT SIDE 17 NIGHT SIDE
Prrmlt 11 fag„of
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 990:A) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 298. C) ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTOTIS TO HAVE CURRENT CITY BUSINESS
Stets Tax 7.96 _ �yI;ENSE. (rE AfE TE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total $306.40 P 1 J OIJ
By J. Urannen __--- --
_��---_ A LICANT OR AGENT
Annrnuarl Rrrpmt Nn
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lffnili
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Z� Contractor
Permit No. 1&76 �4
Rough-in J--Z-7
/G'/{.r,^ �.�. C �'_ �� ;�` Gti !_-�•y Fixture
Final
HEATING
ContractorAwl,u-- —
�_ Permit No.
Gat or Oil
Roughin
I
Final
SEWER
Final
DRIVEWAY
i Final
StoM Drainage
(Rain Drain)Final
Sidewalk
CiU.43&Street Final
Apprordi
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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