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12165 SW 126TH AVENUE-1 I M 47 uj .'r _ 2 d �. PLA \j 5CALE WA4MIW (.47Z-) N IDA L LC ` CC), ` iD I F�, S. S W c>` t.:> . , PoRjLAN ID � C42 C_,cN 1piercy BRIBC11211111 s�� N.E. Nr�a�w�Y E►�i�i�t�' �, O�plj�� a„�r to wun _ .. _._ _ � -`...._. �. -- , y�r.. �w.r vA •. '.. w-.+r .6 _,. �'7C._ �.' _ .._..� .r..w...lT"r:”" .._._+Y�i: ..._ ♦.*w.v-�i� --*' `�t�llrl�llllll�II,II'II'Iltil'I'll''L'It�IIIL..'1i•�IIIII'Ill'1�'.1i_ �IIill'Illll�llfll'IIIIIIII�IIIIIIIIIIIfI��IIIIIIIlII1�1111111IlIl11llll1111t1111�1�111111}lilllrlllllllll�llllllt�lltiflll W)TE: I F THIS MICROFILMED ( 2 3 4 5 '6 7 8 9 10 12 I I uKAWING IS LESS CLEAR THAN THIS NOTICE; IT IS DUE TO THF QUALITY OF THE ORIGINAL DRAWING, OE 62 82 a 92 S2 02 EZ 22 12 02 61 @1 11 91 S I t,1 c 1 21 11 01 6 9 L 9 S b 1 F ��,IuuIIIIIIIIIIIII�ILi�IIIIIIIIIIIIIIIt�1n11111111n111nIlIIIIIIi�Ilii�il��li��IlIII1111u11n11u1111nIIIIn111�1111n111II��I111Un�nuluttlui11111i11u111111111111tiulinllnitlUnittulllnlu{IIII�l�ui111II11u111n111nlilnullul�11111nitluuluu�I�Un111illlulllwlut, - r ,J U 147 3 1992 Li U u u L-1 L-i ,-1 ii 1-1 il _1 _1 a�:scf 12165 SW 126TH AVENUE r I. 1 rrrr rrrr ■ I■' BUILD11`4G PERMIT APPLICATION TIGARD DATE Fet)tntai'r 1. ts4 1 HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR i HEV1'ORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN i HF/ACCOMPANYING PLANS Ah:D SPECIFICATIONS. OWNER PHONE OWNER 26kmwc l OT NO. -- C�nic JOB ADDRESS �� r ;, Z15th 'omlluo 'i T. 311 i ', 2i1-4p, ARCHITECT ENGINEER BUILDER ': : .Lde Remodelor$ ADDRESS 12555 SQ liumnlorcrest 5r.DESIGNER Jeatside STRUCTURE n NEW D REMODEL C$ADDITION O REPAIR ❑ PcNEWAL FIRE DAMAGE ❑ DEMOLITION 0 RESIDENCE , COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO 1-1 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE dv OCCUPANCY LAND USE ZONE �`� BLDG.TYPE —a FIRE ZONE w. PLAN CHECK BY HEAT �lct tw;.w entry hall to gin.;1e E�;:i.�;: aweIIi1w. _ -- Y� r or meelianicial. SEWER PERMIT# :SCC.LOAD FLOOR LOAD 4') HEIGHT 11 NO.STORIES 1 AREA 10', NO.BEDROOMS VALUE C _ BUILDING DEPARTMENT — :SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit V THIS PERMO IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THP PLANS AND SPECIFICATIONS AND IN COMPLiANCE WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HE^.TING. State Tax -�-- Total SDC— _�' PDC# APPi u-:AN c OR AGENT By Receipt No. / ; Approved ASD 10€88 '�u PHONE �� DATE INSP. TYPE INSPECTION REMARKS PLUMBING ( DATE e7 Contractor Permit Nu. -" ✓ Rough-in (, �'J<, -z : — — - --- Fixture — — Final HEATING I)Contractor -- `Permit Nu. -- Ga or Oil - - Rough-in Final -- --- — SEWER -- Final — DRIVEWAY Y Final -- Storm Drainagr (Rain Drain)Final Sidewalk —� Curb&Street Final -- Approach BLDG.DEFT.FIN/t, TEMPORARY CERTIMCATE OCCUPINCY CERTIFICATE OCCUPANCY I Friel i Lrndreaping 'jinino Final i fIHli4IFNntl+ IN 4 14 01111111111441110001yl}au4yq r r BUILDING PERMIT APPLICATION TIGARJ DATE_!�Y•_ « 19 THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE0' r OR AS SHOWN AND APPROVED IN THE ACCON PANYING PLANS AND SPECIFICATIONS. OVJNEP,PHONE O• 0 L _ LOT NO. O:"JPJE'?�(9 O - Cook JOB ADORESS 111CoS SV—RW_ -TSIm A \�' I ARCGINEEnHITECT . Aa �1`• O� `�'1Ls ENSIGNER BUILDER 51 fi ADDRESS �rMk�� STRUCTURE y _ ❑ NEW ❑ REMODEL ADDITIO_N ❑_ REPAIR ❑ RENEWAL C3 FIRE DAMAGE ❑ DEMOLITION ID.RESIDENCE ❑ COMM ❑ EDUCATIONAL L GOVT ❑RELIGIOUS ❑ PATIO 0 CARPORT ❑ GARAGE C'i STORAGE ❑ SLAB❑ FENCE OGGiirANCY _LAND USE ZONE BLDG.TYPE FIRE ZONE `_ PLAN CHECK BY HEAT--- SEWER PERMIT K OCC.LOAD _ FLOC`R LOAD HEIGHTNO.STORIES AREA (Q NO.BEDROOMS VALU �O BUILDING DEPARTMENT SET BACKS FRONT _ REAR '� LEFT SIC_E RIGHT SIDE ttT Permit 4(• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON'NG ? Q� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE Ilan Check 6. '�7 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Su:}tctal — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS n LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC.— Total S- 21 PDCR 4AII-161'OR AGENT By Receipt No. Approved ADDRESS PHONE SDC FDC — S SEWER CONNECTION 5 SEWER INSPECTION_ c SEWER SURCHARGE $ _ [nmmorlta: 2�I1•�� rn•�•S_� --- -- ADDRESS PERMIT N0. - PERMIT CHARGE none _ OWNER C1'i- - - = CONNECTION FEE PAID BY TYPE OF BUILDINGS DATE CONNECTED SERVICE RATE C C - s-<.'(-� INSPECTION FEE �2 Cl CONTRACTOR cx. PAID BYDATE SIZE OF CONNECTION' ASSESSMENT PAID City of Tigard INSPECTION REQUEST, o for s, INSPECTION TIMIt: PERMIT NO. :-�L,'2 '/s` DATE: — DATE ISSUED: OWNERS NAME ; kms— ADDRESS : /21 "' L— i24 {, CONTRACTOR :— TEST' Air 0, Water ❑ , Visual ❑ , laboratory ❑ RESULT: Approved ❑ Disapproved Q , Pending ❑ SKETCH: 1 � IJ INSPECTOR DATE I [NOTE : Affach supplementol feet data hereto] I I City of Tigard INSPECTION REQUEST for y INSPECTION TIME: PERMIT NO. : DATE : X13` DATE ISSUED '. OWNERS NAME — ADDRESS: GS' . �•Z -- _ C 0 N T R A C TOR TEST * Air 0, Water[] , Visual O , Laboratory [ RESULT: Approved 'Q , Disapproved [ Pending (] SKETCH. INSPECTOR DATE FNOTF Attach supplemental tett data hereto] fwfw City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :— DATE: O. :DATE: DATE ISSUED :__1_ Z OWNERS NAME : revs ADDRESS: 4)Liv S "i.jg, CONTRACTOR : -------__-_- TEST : Air ❑, Water Visuo�<, Laboratory p RESULT' Appravad�p , Disc graved 0 Fending p S ETCH: I�r"T .Jeer 0 f'L ►t stip ,.- rte � . a , ` A o. �!"J 1.`�.. DAPE i ,....4.....�,r•�•.l.t•.�,..w.r�- ,..•s.�w.or.+ws•.nw�•.,.,..•. .r,-r., ,*�uar*-c�-i..�.•.;r:nK.xsvi W -..a-..wgHfr:".rs.,:r.. .cleY•tT�rY�s"'A"�'# CITY OF —x 75 N° 0296 BUILDING PERMIT APPLICATION TIGARD GATE 19 THE LINDERSIGNEL: HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER Dale Lon.truction ADDRESS 12165. Ji*u* ��'� i-' _ BUILDER PHONE — ENGINEER owner BUILDER _ _ — ARCHITECT DESIGNER rr-77t� STRUCTURE LJNEW ❑_REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL OF DAMAGE ❑DEMOLIT'ION ❑ FR'SIDENCE. ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY—.LAND USE ZONE— M BLDG.TYPE_ FIRE ZONE— PLAN CHECK BY _ HEAT :artetxuct. 1008 Casa. ft. 111#1 split level frame dwelling with attached garage accordiny to approved plans. -- -- - 2 bBedrooms - -- n -- 40 lb — 1 2456 301,000 OCC.LOAD FLOCR LOAD HEIGHT NO.STORIES __ AREA VALUE" BUILDING DEPARTMENT SET BACKS FRONT lea REAR J:3 LEFT SIDE lr RIGHT SIDE Permit 127.00 —��--- -- — — -- -- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check I.JD 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%State 1,27 LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total L91.77 By r P is - _ _--_ — APPLICANT OR AGE NI Approved TPA Rece pl No ADDRESS W WALMs DATE INSP. TIO TYPE INSPECTION REMARKS PLUMBING /t'/3 DArJ _ _ _ 1 e- 15- Contractor sContractor C. -1 —._�- ✓ Permit No. /S_�_ 3� �� Roughen Fixture Final • c i! .r r r, _^��I -- — HEATING 11 7/ i :� .��77 �d✓�)L I _ C',I Contracto,41 g� i,11 4-"C /A� �NE'—i�:J✓� .UJ C� r �1.� Permit Nn. } a�.� r`G/r�•�. Zan, PLe �: `;r rl< Gas of Oil — Rough in I/b 3/' _�C s Final --------- ----- SEWER / a Final DRIVEWAY' I• �" ` 1 _ _ tFn — Drainage Drain) Final –— --- alk &Street Final _ oach ��''BLDG DEPT. FINAL_ TEMPORARY CERTIFICATE OCCUPANCYCERTIFICATE OCCUPANCYcaping g Final