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12465 SW 124TH AVENUE 4 12465 SW 124TH AVENUE 1 41 d N '-1 3 • N Ln V N '-1 NO BUILDING PERM1' APPLICATION 11 Y TIC' ARD DATE.—— �" — to 79 - 74 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR Thi WORK HEREIN INDICATED BUII_DER PHONE_ -- OR AS SHOWN AND APPROVED IN 'THE fCCOMPANYING PLANS AND SPECIFICATIONS. OWNER LOT NO.---- OWNER .�� f I,I�Irdner JOB ADDRESS �.C��LiJ SSI ,124th HOME ADDRESS ARCHITECT ENGINEER BUILDER ADDRESS f7 175._a!Ec11ltdSl rfy• i -. PUf3 Ed DESIGNER STRUCTURE ^ONEW ❑RFMnDEL , MDDITION ❑REPAIR ❑RENEWAL u_ ❑FIRE_DAMAGE � 0DENIOI ITION Q`flESIDENCE []COMM ❑EDUCATIONAL ❑GOV'T ❑RELICIOLIS C.OPATIO [:]CARPORT 06-IRAUE (.,'STORAGt LISLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑_DESIGN REVIEW ❑COUNCIL A?PROVED '._JSIGI IS OCCUPANCY_ _ LAND USE ZONE— BLDG, rYPF _ ___FIRE ZONE— PI AN CHECK BY— HEAT _ + Urj*t[,Uct romid&ntial Jufjj per plans and code, 5W6 Tigan MimiCipal Cadw, Ct-ispt,4r 14-2U« -- ,�ar.hl�r11ca1 rlrNrmit noouirel]• _ __.HELSt}iL042I5?1i1��_ .__�,pEi• N4 .'_RfiQOm$-----YRI.!!•E.. BUILDING DEPARTMENT SET BACKS FRG,+T REAR — LEF 'SIDE RIGHT SIDE __— Permo %fA4«t}Q --- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION. OMTAINEC IN THF I;UILDING rl?UF. ZONING Plan Check 27.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 IS 14P FIr:Rv AGREED THAT THF —' WORK WILI BE DONE IN .ACCORDANCE WITH THE PLANS ANCT:PECIFICATiM AND IN COMPLIANCE WITH Sub total (:6..00 I ALL APPLICABLF CODES AND ORDINANCES, THE ISSUANCE OF T•IIS ' M017 -NOES NOT WAIVE LAn F'c^TRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS Tn H-VE CURRENT CITY BUSINESS ��7t, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING A.'D HEAT1 'G. 67 7t,p' �G+ APPLICANT .�R AGENTRecP t No. / a p w&wXw w IW VAIT' IN-i"P., TYPE INSPECTION REMARKS PLUMBING —DATE Contractor Permit No. Flo-igh-in Fixture Final HEATING Contractor Perr It No. Gas or Oil Rough4n Final ___SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final z Sidevalk Curb&Street Final Approwl'i KJDM DEPT.FINAL TEMPORARY CERTIFICATE OCCUFAWCY- 'Final CERTIFICATE OCCUPANCY Landscaping i Zoning Final I/"i CITY TARD DATE p 1 BUILDING PERMIT APPLICATIDN OF 1 i`.7 — y �9 �� TH?. LINDrRSIGNEO HEREBY APPLIES FJR APERMIf FOR THE WORK HEREIN INDICATED BUILDERPHONE_ ^Q-6t?��,, OR AS SHOWN AND AYL APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVYNEPPHCGNF _ 1 n OWNER Je �1 i 0414*' JOB ADDRESS LOT No.' V K/ I�� n ao� 9,00-Is „ l F nn ARCHITECT LC -� ENGINEER BUILO R �e 9,00-IsADDREE�SS(( ?? (.(/ J CY »dP4P, 1,V.DESIGNER STRUCTURE _❑NEW Q RE'MnOEL NJADOITION CJ REPAIR _❑RENEWAL ❑FIRE DAMAGE CJDEMOLITI'JN RESIDENCE ❑COMM ❑EDUCATIONAL CJGOV•t' ORELIGIOUSCIPATIO DCARPORT ❑GARAGE GSTORAGE SLAB OF R'CE OCCUPAfJCY-- _--LAND USEZUNE�_�``l ,.BLDG. TYPE_.—_--.FIRE ZONEPLAN CHECK BY_�J HEAT-- == Seg T} la _ E`-��- 1�y�Oct S E W 0 P im I T —._ - Qg(;�LDAD_____..FLQ9E1+�Q — Hlr1.SLHT _..�1 ?SSI 1ILU�—. AREA NQ B.QROQNIS VALUE'7'J SUILOING OEPARTMEN r ^� SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Porrmit CPO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COG 46 Plan Check Z REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TH-1 THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH sub-total (sj, d� ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE ---- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Stdte Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING. Total — , ?� SDC PDC# APPLICANT OR AGENT A-PP 10vE-d Receipt No AnnR FtiS �--------------- H�—� SDC – PDC – # SEWER CONNECTION �••'' SEWER INSPECTI P'S” SEWER SURC RGE $ Comments . k� l� 1e{ it3 • ! LL 1N� C I ,�M City of Tigard INSPECTION REQUEST for INSPECTION TIME :' 9( Iv-2/' PERMIT NO. : DATE DATE ISSUED:---L—/— OWNERS SSUED:__L_/OWNERS NAME : ADDRESS : -- G DDRESS : ___—C O N T R A C T O R :- -- ----------- --_______ TEST: Air 0, Water [j visual ❑ , Laboratory ❑ RESULT: ^Approved pp roved ❑ , Pending ❑ SKETCH: V I _ INSPECTOR COTE : Attach supplementoI test data here t] i i I i " 49 ' CITY OF + U--24 N" 0585 BUILDING PERMIT APPLICATION TIGARD DATE 119— THE 19THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE— — OWNER I 11�1CtTl3>r ADDRESS 1246b '.+*H* L�4t11 BUILDER PHONE „.;.,.. ENGINEER Const. BUILDER .___ARQ,t11 T ECT DESIGNER _ STRUCTURE ❑NEW ❑REMODEL _❑ADDIITION ❑REPAIR DRENEWAL ❑FIR--7E DAMAGE ❑DEM�O-tLITION D RESIDENCE EICOMM DEOLICATIONAL 0GOV'T L_J��RELIGIOUSCJPATIO [--]CAR PORT ❑GARAGE D STORAGE C1 SLAB I,FENCE OBOND UMOVING UCONDITIONAL USE DDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY---LAND USE ZONE_ BLDG.TYPE, FIRE ZONE_— PLAN CHECK 9Y_ HEAT—.,. Ocll i ' 4.14- 14,1' J6,18�ZLl.CiyJ a'J. r i"1 raa�i ea L1 i`t OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE 5200 BUILDING DEPARTMENT SET BACKS_FRONT REAR I.EFT SIDE RIGHT SIDE Permit - — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE ^OLDES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE 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 T'O HAVE CURRENT CITY BUSINESS 196 State LICENSE.. SEPARATE PERMITS REOUIRED FOR SEWFP, PLUMBING AND HEATING. Total .16 By APPLICANT OR AGEN1 Approved Receipv No ADDRESS DATE INSP. TYPE INSPECTION REMARKS PLl1MBING DATE Contractor Permit No f-/j Rough-in --_ _ Fixture I Final HEATPNG _ Contractor Permit No. -- _-_ Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage Rain Drain) Final _ Sidewalk Cu•b&S' Final BLr+G.DEPT FINAL. TEMPORARY CERTIFICATE OCCUPANCY Final — CERTIFICATE OCCUPANCY L-andscapind Zoning Final I F Address 12465 S.W. 124th Permit No. 1641 Permit charge. Owner ..,' G-mnection fey 1�_._.... �_..W. ..._� Paid by Typa of building ._ f. �cc �. Date connected Service rate 3.oU_.k�l t ._..._.v_.... tr .�._ Inspection fee Contractor _...�._SPAL.I.ri by Date Size of connection Assessment FPAJ mr Cityd� YIQ�Jf d Mechanical Permit ;;; Perini t S3 24 VF.:e-- ___ New Instal�.tion Replace [J Relocation ❑ Addition ❑ Alteration 4 7. State`_ ___.-___,_ HEATING - TOTAL CONTRACTOR *... OWNER �� _� dor► C�— ADDRmi (cM rJ � I`�1 C� .__'.�-�V�r l �� WORK ADDRESS PHONE_ (1,Zc) Ca c D L4 APPLICANT _ Heat Input Rating (STU Per Hour)_2(:o(1)4 , Vent Sire _ Flue Size-4 FUEL OIL ❑ GAS--CT� ELECT ❑ OTHER---- ITEM THER —_ITEM NO. FEE ITEM NO. FEE For Issuance of Permit _SEE ABOVE _ Air Condition Compressor 15 to 30 HP 10.00 �u to & inc 1.100,000 BT r 4.00 Air Handling 10,000 CFM 3.00 ��4v'+ N"w,- 100,001 BTU's & over 5.00 Air Handlir.;Over 10,000 CFM _ 5.00 Flu.-r Furnace_ _ 4.00 Evaporative Cooler 3.00 Wall •Floor•5L!Spended �r 4.00_ Range Vent ran _ 2.00 Install Vents 011%,, 2.00 Vent System _ 3.00 Repair•Heat&Coo'.ing r 4.00 _ Hood Commercial _ 3.00 Air Condition Compressor Under 3 HP _ 4.00 Commercial Duct System _ 10.00 Air Condition Compressor 3 to 15 HP 7.50 Y iNSPECTCR'S COMMENTS CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY DATE ISSUED BY DATE ilECEiPT NO. ys �Slg :a'ljr? of App!icant 1� L7 U G Z n O F- `SZ � v C � W U Z � Cl o �o �m W c 7 � w m r NvIllUdd' r r __ 1 ld d J Cj t4 ` 7z' i I 71 r` � � f• �. 1 � r i , n v . kN ,!!!t� I'"�,,.,,�..:r HYD ! .. r'y• ,f,�.., .r�^X; �I � LOA•. ...�. �./~... _ DA' (! I i �1Y f � I � BEAIL PIPE 8 TANK QRPORA?ION {�r)wo i 0 Li 14��' cj IW r �J 444 � •'r (1•! Y � N r J C3Zr; Ul q C!? L , 4 V) LJ C J W V7 G� 1• V c7 C3 Lij m • -. r rt .��Gu'. Y,Y 6' a Y� ',:ar #tW `,0•tc'_ yl.tF:A YO I n'4,•'• 1` it �. I rI Vas <'`� F-" yo^ I• //�� " I ! ' ` ! It IX ,7 . Ir I7 ,1i11] a p ( =F� rV � � yrz. �.Ell c -I I tell, Etl ---- -- 4.1 in tj +F oN !. - V�• I�"•� `' n�•�~ __ 2Y Ile, I "L. __.o. d4 4