12705 SW 124TH AVENUE J
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BUILDINIC PERMIT APPL'OATION TIGARD DATE— 4 1X �'�'A19___ �t1r
T,HE UNDERSIGNED HEREBY APP'-IES FOR A PERMIT FGR 1 HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
t a*OT NO.
OWNER Char lep I,lOTaBy JOBADDRESS 12MaiJ 124th
ARCHITECT
ENGINEER
BUILDER SaMe ADDRESS DESIGNER —
STRUCTURE ❑ NEW ❑ REMODEL K) ADDITION U REPAIR ❑ RENEWAL ❑ FIRE DAMAGE O DEMOLITION I
Cl RESIDENCE ❑ COMM ❑ EDUCATIONAL O GOVT 0 RELIGIOUS Ll T)ATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE I
OCCUPANCY ^ "� LAND USE ZONE Rn BLGG.TYPE SN PRE ZONE_ PLAN CHECK BY HEAT
t attached utility shed to_single family duelling.
Si WER PERMIT N
OCC.LOAD _FLOOR LOAD 40 HEIGHT 11 NO.STORIES 1 AREA �b NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT l fl P'AR O+ LEFT SIDE RIGHT SIDE
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
F REGULATIONS AND ALL. APPLICI`^LE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WONK WILL BE DONE IIJ ACCOI NCE WITH THE PLANS AND SPECIFICA7lONS AND IN COMPLIAN-E
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMI r DOES NOT WAIVE
Subtotal 134,01. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
2. 24,�� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWEF:,PLUMBING LND HEATING.
State Tex
_UG. 14
By R 1
SDC—
Total J
—' pDCq APPLICANt OR AGENT
,
Receipt No. `/ 1 — PNONF
rAjppjrovec�_
a MUMN-A
DATE INSR TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
FF�
�_ moi✓ Rough-in
.._ Future ------ ----_-
Final ----J` —
HEATING —
Contractor /
Permit No.
- -- Gas or Oil -`- --�-
Rough-ip -
Final
SEWER
--+ - - Final -
DRIVEWAY
Final
Storm Drainapa
(Rain Drain)Final
Sidewalk
Curb A Street Final
Approach
BLDG. DEPT.PINAL TEMPORARY CERTIFICATE OCCUPANCY
CEFtTIFlCATE OCCUPANCY p Final
Landscaping
Zoi.mg Final-------------
—_
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111ft ..�t .. Sy •'N•.
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UUMMMUM
�_.v._��r r — - _- .._. .- .. _..._• ... • .�-.fin .�.–.. ...._._ .�—. .•-_._..,, • 1-. -.. � .. •• r y• � + •_ -----
BUILDING PERMIT APPLICATION TIGA--:) DATE_ t9 >
THE UNDERSIGNED HEREBY APPLIES FOR A PERNIIT FOR THE WORK H=-REIN I'M DICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P40NE
LOT NO.
JOB ADDRESS 7L:'S -I ,3dc_
ARCHITECT
ENGINEER
IEWER
UILDER <�r�•• ADDRESS DESIGNER
TRUCTURF_ 0 NEW C3REMODEL ADDITION :1REPAIR C1RENEWAL C] FIREDAMAGE C3f►CrdOLIION
"RESIDENCE C COMMr- EDUCATICNAL 1:1GOV'T C RELIGIOUS C PATIO G CARPORT ❑ GARAGE L-1 STORAGE 0 SLA8❑ FENCE
%NCY /- _.LANDUSEZONE 1/� " BLDG.TYPE ^_FIREZONF - PLANCHECK BY" r i' HEATZZ
HERMIT N
CC.LOAC FLOOR LOAD yid HEIGHT // NO.STORIES AREA S y; NO.BEDROOMS VALUE/ O
BUILDING DEPARTMENT SET BACKS FRONT REAR ,2 r� j LEFT BICE RIGHT SIDE
P^mit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 21,11LOI`1G CODE, ZGf::-IG
REGULATIONS ANO ALL APOLICABLE CODE° AND ORCI`ANCES, AND 17 IS HERESY A.G;;EED iHAT THE
Plan Check "' WORK WILL BE DONE IN ACCOP.CANCE w:rH THE PLANS AND SPECIFICATIONS AND 1N CO'IPLIAHC_
WITH ALL APPLICABLE CODES AND ORDI 'ANCES. THE ISSUANCE OF THIS FERIMIT DOES NOT WAIV:
Sub-total RESTRICTIVE COVENAN7S. CONTRACTOR ANO SUS CONTar,CTORS TO HAVE CURtIEN-1 CI f BLSIP;i=SS
LICF..NSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM;3ING AND HEATING.
StAta Tax
--
Total
pQC$ APPLICANT OR AGENT
By
Receipt No.
Approved ADDRESS PHONE
C
WER CONNECTION
=WER INSPECTION
EWER SURCHARGE _S
�,r7ri n f!t!Z Gyp- �: "d�� ��� ✓ l -r♦'--mit - --'�
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BUILDING PERMIT APPLICATION c0F TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BU I LDER PHONL�!!
h �
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONt=
7
LOT NO. --
OWNER �x'. Y''4rly.lEa,rA1., . JOB ADDRESS 12705 SW 124t}! HOME ADORESS
11 ARCHITECT
ENGINEER
BUILDER I ��� (.LAi3 roST- '(ADDRESS DESIGNER _
STRUCTURE ❑LIEW -Cl RFMODFL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT []GARAGE ❑STORAGE 0SLAR ❑FENCF
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY !1"-i LAND USE ZONE —�- BLDG.TYPE r F19E ZONE__ PLAN CHECK BY HEAL
Const. Certabn addition, add to Kiteben area anti convert exihtinr-
garage to livinv area - add one hathroom-
Plumbing and HastinR permits requirod
Q".LOAD __ - _ FLOORSLOAD HEIGHT NO.STQRIES� AREA �_ ELEDj$OOMS _V l...
BUILDING DEPARTMENT
SET BACKS FRONT HEAR LFF-T St DF RIiiHT SIDE ,
Permit 84.00
-- THIS PERMIT IS ISSUED SUBJECT TO THE RFr ,IL ATIONS CONTAI fED IN THE BUILDING CODE, ZONING
Plan Check 42 ou REULILATIONS 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 120.0o 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 3.3C LICENSE. SEPARATE PERMITS RSOUIRED rOR SEWER, PLUMBING AND HEATING.
Total 12fi.3Fi
By
-- -
APPLICANT OR AGENT
Appioved Receipt No
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor r/
aG lt)r S �y 70
ROugh�in
a tX ,i '-a. . Fixture
Final -------- ---
HUATING
Contractor
Permit No.
��— Gan or Oil
— 9ough4n ---
Final
SEWER — -
-- _ Final
-- y — --- — DRIVEWAY
Final
Stom Drainape
(Rain Drain)Final
Sidewalk
Curb b Street Final '
Approach
mim,DF.P*,.rINAL TEMPORARY CERTIMCA':E OCCUPANCY
CERTIFICATE OCCUPANCY Fina:
Landscaping
— — -- _ Zoning -incl
111.'
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U!L DiNG PERMIT APP�ICA TION CIT T 1C, oA RD DATE.-_►__L_ .-, 79 N9
'.,; HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATFD BUILDER PHONE -7-3 :2(OC)
i a5 11i; AIVN AND PPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNER PHONE ---
LOT NO.
�� OB ADDRESS/✓ 7D �-----1-IOME ADDRESS
ARCHITECT
ENGINEER
DESIGNER
't-R[ ❑tiEW _ RFMODEL ❑ADDITION OHEPAIR —l (3RENEWAL ❑Fti�EDAMAGE ❑DEMOLITION
;1r NCF D:-(AMM ❑EDUCATIONALy D_GOV'T_ ORELI(--,IOUSOPATIO OC_AR PORT OGARAGE ❑STORAGE❑SI.AB ❑FENCE
MOVING r CO ITI AL USE `DDLGEVIE ❑C ❑ N
SIN RW OUNCIL APPROVED SIGS
Nb CJ .�JVING ❑GOND ON _ _ _
IF" NCY�' AND USE ZONE._ BLDG.TYPE _.FIRE ZONE PLAN CHECK BY _HEAT-__-___
F 1 CIQB.1.9A1?_ E1 7- -+�- -. .^lSZ ;iIQRIES...�..,�BR.El!_r-�_- NQ-/D.�EID139DMz—�ALV�tt�a0
HO't,DING UEPAHTMENT SET BACKS FRONT /`� n REAR C��� LEFT SIDE :2 O- RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 17 IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub Total _ ad" ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
----- ` �– RESTRICTIVE COVENANTS CON7RACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
',lale Tax-� - - LICENSE SEPARATE PFRMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
APPt ICANi OR AGE N 1
Recelpl No
AgtiNE58 --�
t.6 _
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CITY OF 3uly 22 '16N2 0742
BUILDING PERMIT APPLICATION TIGARD DATE THE UNDERSIGNED UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
OWNER
V.C. k0nnen ADDRESS 1,2 +' b SU 124t:I --
BUILDER PHONE
—
same ENGINEER
BUILDER _ —_ AH HI — DESIGNER
STRUCTURE _❑_NEW_ El REMODEL _ OADDITION i El REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLIrION
❑ RESIDENCE _❑COh1M []EDUCATIONAL ❑GOV'T ORELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE OSTORAGE❑SLA13 ❑PENCE
l �'zOND ❑MOVING ❑CONDII IONAL USE ❑DESIGN REVIEW ❑COUNCIL APPRQVEU ❑SIGNSIlk
_
OCCUPANCY LAND_USE ZONE_ BLDG.TYPE_ FIRE ZONE— PLAN CHECK BY____—__ HEAT_
i..Uflst:ruct: t uG.i.. ALy hluli 1.C1*x U'Xit hi . r, * tli!I, A9 ,.;1 16L ca:v rfdquir,.,,, Uy
City Ro OrdirtanCu for i�-
OCC, LOAD FLOOR LOAD HEIGHT NO.STORIES AREA _ VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE.
Permit
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 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
Recording ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSI''ESS
1%State Mx LICENSE. SEPARATE PEF.MITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total b•15
By .-.._ AP ':ANT OR AGENT
Approved Receipt No.
ADDRESS iv ii rdF
i
DATE INSP. TYPE INSPECTIONNa REMARKS PLUMBING DATE
p '- 7L ,j,-O 4-r .C�f-a Contractor
a � � Permit No. -
- --
RouSh-in_ _.
-� Fixture
Final _
-- _— _ HEATING
Contractor
Permit Ao.
Gas or nil
Rough-in
Final
---SEWER — —
Final
DRIVEWAY
Final
_ Storm Drainage
Y — (Rain Drain) Final
Sidewalk
Curb&Street Final
_ _ _
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -
Landscaping
OLuring Final fo
wL i f 1., M1
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE_—�`__��
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND MOVED IN THEACCOMPANYING PLANS AND SPECIFICATIONS. owNER PHONE
OWNER YCIF, 14 a ADDRESS /�7DJ SL �__�_BUILOER PHONE
ENGINEER
BUILDER _�Z.Q ARCHITECT DESIGNER _
STRUCTURE _❑,JEW n REMODEL ADDITION ❑REPAIR ❑RENEWAL, ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSCIPAT10 [:]CAR PORT ❑GARAGE WSTORAGE[ISLAS []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE L DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—J-._LAND USE ZONE- =�Z.___BLDG.TYPE FIRE ZONE PLAN CHECK BV_ HEAT--'l(,M _
ate
.._
OC ,LOAD FLOQR L0*b- -HEIGHT _ NO.STORIES AREA _ VAIUEV �JC)
BUILDING DEPARTMENT SET BACKS FRONT an LEFT SIDE RIGHT SIDE
Permit I �O -----__---- --=— i_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN T 4E SUILDING CODE, ZONING pian Check e 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
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I (CENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 4 P— "
By -- -
---- - -- APPLICANT OR AUENT
Approved Receipt No.
ADDRESS
�r.w.rT--o-..�...�:N..M.wc:�•wwwiwes:.� qp+Tem.err;n+xs.qwa«r..,•M�,Y..,,q,Wgiwwrv�n.n.y�.ti,;o.-..�waer'wug'r.9n'?R"'""r_...... .:..,...-._.x..-rr..,,...,c.f>-.M' ,""F.yi4ipp,*'p"'s.
CITY OF +y; N2 0285
BUILWNG PERMIT APPLICATION TIGARD DATE --_. 19--
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
OWNER
J .JftlliJl' ADDRESS a i i•` • BUILDER PHONE
----- ------
'1c!111n Trading ENGINEER
DESIGNER
BUILDER ARCHITECT
STRUCTURE ❑NEW ❑ []ADDITION rt []ADDITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE (:]COMM
COMM ❑EDUCATIONAL GOV'T ❑RELIGIOUS OPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVEC [:]SIGNS
OCCUP,.NCY LAND USE ZONE BLDG.TYPE _FIRE ZONE_ PLAN CHECK BY HEAT—__i_
*Late) �U
-x.11 in $Pat.e b6t8een yarn-- ' A dwelling according to
�rau.itlga
OCC, LOAD_ FLOOR LOAD HEIGHT — NO.STORIES AREA _ VALUE
2000
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ---
-� THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING Cr' " ZONING
Plan Check MEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRErI .HAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS ONO SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT 90ES NOT WAIVE
-- -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 24,24
B r
APPLICANT OR AGENT
Approved Rci i-iiv N(
ADDRESS
DATE iNSP. TYPE ii,:..ECTION REMARKS PLUMBING DATE
Contractor
^— Permit No.
_—_ Rough in
Fixture
Final
HEATING
Contractor
--- —.------- -- — -- Permit No.
---- ------. — �.— Gas or Oil
Final
SEW:.R �+
Final
--- DRIVEWAY A
Final
-- ----- Storm Drainage
--�— !_ (Rain Drain) Final
— Sidewalk
Curb&Street Final
_ Approach
BLDG.Dt:PT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Finav
Landscaping
Zomng Final
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PERMIT TO CONNECT
Tigard Sanitary District �-
PERMIT N? 1586 DATE
PERMIT IS GIVEN TO_ r L fir,
I
OF •�v"1%'C• Gam ' �U •"'�_"
s
ILL
f
--
i.
TO CONNECT A ^%
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCHiBED PRRMISES UNTIL CON-
NECTION IS MADE. AND INSPECTION OF CONNECTION HAS BEEN CO1M-
PLETED,
PERMIT FEE PAID ............:.t� .l ...........TIGARD 6,%NITARY DISTRICT
..✓.�Kt� By
r �
CONNECTION INSPECTED AND APPROVED
c t iYs:�l4a14_ fes'.s�
Date l3uperinhndeut
Address 12"'05 S.W. 124th Permit No.
Permit charge
Owner Allan Paterson Connection fee 40o
Paid by Allan i'e_erson
�_._
Type of building RvFsi(ience Date _ohne ted
Service rate _ j.(Y) per month Inspection. fee 2)
Contractor A.var, Paterson Paid by _. 'ne Date
Sire of connection 4" Assessment Patti
�—