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12200 SW 127TH AVENUE-1 U U Li-IBJ'. ��LI U 1220C SW 127TH AVEWE u i S ' T A eI 411qf/ 5, tss�Zl •Yry� ',�, J�4��v �� �� ?� J T T 1• ��aa J�.°. ��I �. :. Ilµ ��S` � n:. SII�'I �,'' -'w" r•tee ''- 4 ,1.... 1.` �Alfq�' �It� NlAh. A11M' ����,• �AIIP �(q j�r'Nqa�''� ''� s, 't� ;:� ' ��,�."rte �;(n�►�:.� !.�(n�.����,.�' ��' �;�(n��." .��n� �� , ��.�,}��: fq jk LK w' 4 '0I0 , I of Cl IL fEj 'ail �,n,�'?CR% � [� •� ,.,� 4r � �, y, if q '. ,}• � � ,»�� � 0� CJ �4 W F 4c,NI 1 114 tj tit tj FEIt��► l;l It ►�it" �4•,'s■�, W:11KSYylL1l'CGII�L'iN117GY'iStn'.tiiliid�NlNf1v�1:'L1G7�'tr"���_yy"'�'�. •�^•y�.• -. ___ _ """'''f" - --' s- ',�+t ��1 M. � 1 INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oreoon 97223 Phone: 639.4171, / Tape of Inspection Date Requested! Time A.M/2,—*-14.M. Address Permit #����%' Owner._ �A—(b �y� Lot # Builder _ The following Building Code deficiencies are required to be corrected: a�Ccs -- — -- -- - -- Presented to I� Approved -- --'_---- - -- Inspector -L— ❑ Dimpproved Date CALL FOR REINSPECTION YE8 ❑ NO BUILDING PERMIT APPLICATION TIGARD DATE :,dy 14 - ,�4 _ 4840 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. 95 OWNER Jolvi iir-Adior(. JOBAD )Q E_SS _12200 SW 127th--'-- -_ ____ _____ ftb1wC'od Ll ARCHITECT ENGINEER 5t11e BUILDER ADDRESS DESIGNER STRUCTURE ❑ NEW ❑ REMODEL Ek ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE :1 DEMOLITION SCI•RESIDENCE O COMM FJ EDUCATIONAL ❑ GOV'T ❑ RELIG1066 ❑ PATIO ❑ CAR PORT ❑ GARAGE STORAGE ❑ SLABO FENCE OCCUPANCY _� 3 LANDUSEZONE i{-7 BLDG.TYPE _ 5tr FIRE ZONE. PLANCHECKBY kt1+ HEAT_ Construct audition to existiu_c, single to-dly dwellir,y all yer dr irk_ _ Co it• Ke uirer;ernts. 14 X_ `.1 Lower 11our - Upk r fbuuur 2c, SEWERPERMITN ',vr« ;o rlu!�Uiw. OCC.LOAD FLOOR LOAD HEIGHT Zll+- NO.STORIES 2 AREA 530 NO,BEDROOMS VALUy S� BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE H1 SIDE Permit " iU.ju THIS PERMIT 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_ 1 I .t;3 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 Subtotal �':�•33 _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEALING. State Tax SDC- v�j r Total 186.;5 � y �.-,-��_ � - PDCq A�P ./ ANT OR A(ENT' By Cil d Receipt No. -KO-DRESS - —��0NE ApproveN'T4,i - DATE INSP. TYPE INSPECTION REMARKSi PLUMBING DATE — — — - r ICont-actor h 7 Permit No. OD'7`�ryr Vli Rough-fn - - Fixture. Final HEATING ® .71 — Contractor — Permit No. fins or OII _.-- -- -- -- - Final —�+ - -.__ SEWER -- Final DRIVEWAY -- —----- Final - I V_ Storm Drainage (Rain Drain)Final - _-- -- Sidewalk Curb&Street Final Approach ALDO.DEPT.FINALTEMPORA14Y� CERTIF'ICATF. OCCUPANCY l Final �j6)�CRTIr7r:ATEOC�UIPAN('Y /2' , . tdsa/piny Final • � r, In.+f rl r. 't '.,.. �- �..—� �_— .-..-...-..�,_.,., _�_-- 11 l .:�� f �.�t S. � ;45 5 `r; , .�k:<jl�tlu... •tM1NH . y i � .. .41�• k4z ell 4 7 j " SPECT I 1/IN PE ES T� - % for DATE: ..&. 17--r OA7Z 133,1 ' CWVEf S YA'IdE : / V/d lll-,� a�'CRESS: /��e�o s'-l✓, /8 7 CONTRACTOR : TEST : 41- Li RESULT: 3;ZzTCN: 1 1 I' SPECTOR DATE �N�tB: 1•tss• t:�o!��entnl tett data :,nre, ln� City of Tigard INSPECTION RE® UEST for INSPECTION TIME : PERMIT NO. : DATE: 1 /i0,17 �� DATE ISSUED:__ OWNERS NAME . /2z z - i ADDRESS : .- A soepew CONTRACTOR :_- - --- TEST'. __TEST. Air ❑ , Water p , Visual 0 , Laborator,: RESULT. Approve , Disapproved ❑ , Pending I`-, SKETCH: I I e� ' r IN PECTOR DATE INOTE . Attach eupplementuter! data heret:01 WwWwr W CITY OF 9 BUILDING PERMIT APPLICATION TIGARD DATE_ _._, N-u i120 �) THE UNDERSIGNED HE REB'Y APPLIES FOR A PERM!"i" FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_---- OWNER Srbii)�'L. ADDRESS aur ,�VLl,• BUILDER PHONE sar"s as above, ENGINEER $uil.QFR ARCHITECT DESIGNER _ STRUCTURE IJNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION LIRESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL_APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE BLDG. TYPE--2—FIRE ZONE—I PLAN CHECK BYHEAT nsw single family residence to be constructed acc Qrding to plans submitted, attached garage - no basement - wood frame -- b bedroom _ OCC. LOAD FLOOR LOAD 40 lb HEIGHT NO.STORIES l AREA VALUE 9UILDING DEPARTMENT SET BACKS FRONT REAR 2 1 LEFT SIDE 13 RIGHT SIDE t' Permit 1 i 7.OQ — �� Q� THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plen 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 CODEI; AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 196 State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 136,27 By APPLICANT OR AGENT Approved It rfe Receipt No. ADDRESS PHO DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE I J" -1y ,�� >t� �� ^�� ,�G �lr.,-y C 1l ps'-&I-,. . Contract or�.r��t� Permit No. r'i 7� .�- ✓ Rouqh in -- — � Fix'�ire Final ----- HEATING ContractouA � . I Permit No. /oOs i /�4� Q•t� _ Gas or 0,1 i �,�OZ.,e wA,,' �!!psy'L-.. Rou h_in- -- - __ - -� Final - SEWER(a 10 7S D+t _ Final DRIVEWAY Final Storm Drainage _ --- _��- -'� -- (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final It;f4, ,tu[ il i4+ f1 I UNIFIED SEWERAGE AGENCY NO. 5059 WASHINGTON COUNTY DATE_ CITY O F___-- Tigard -- - _ - --_-- -- -- APPLICATION FOR SEWER CONNECTION PERMIT OWNER: __ __. Herb_ert__E_, rissette OWNER'S ADDRESS: _ 8905 S.W. Dolph STREET Portland _ Oregon -___.._-- CITY --- STATE ZIP BUILDING SITE: LOT-95 — BLOCK __- ADDITION .Bellwood II TAX LOT NO. --._ TYPE OF OCCUPANCY _--___ ____ residence ADDRESS –_– 12200_.S.W. 1.27th Ave. - - -_-_ DWELLING UNITS----- FIXTURE UNITS SURCHARGE IF APPLICABLE _ PERMIT FEE -- 525-____ INSPECTION FEE 25_— TOTAL DEPOSITED 550 (NEW) (EXISTING) BUILDING SEWER SYSTEM ___...Fenno Creek The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT__✓ ` _ _1 SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE _- 411 - _____ INSTALLER -- RECEIVED IAGENCY OR ITS AGENT) 1 COMMENTS: $1.50 to Leron Heights - building permitO209 ` This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. TNJ_ UNDERSIGNED HOR ERE©Y AP;'LIES FPERNIIT FOR ]HE WORK FIL.'*IN INDICA1Lu c+ulLUEr?t�rorl SF �- y�/li l OR AS SHOWN AND APPROVED IN THE ACC000PANYING PLANS AND SPECIFICATIONS. OVINER:'rll)rl1 ^� (\� ^��. LOT NO J014 ADORES Z 2v�`_.��� I / ARCHITECT ENGINEER A009ESS _ DESIGNER $TRLIC TUR° QNEW ❑REkin 0El ApOIf10N ❑RcP;IR r�'1 L1Rc-NE-.IAL ❑FIRE DAMAGE RESIDE"ICE UCOr1.A1 ❑EOUCA7+ONAL ❑C;OV'T ❑REI.IGIQUS C��AT10 ❑CAR PORT ❑GARAGE ❑STORAGE DSLAB ❑FEt, LCL ?-1r;:Y—tLANO USE ZONE �' ,-0L0G.TYPE _Y_ FIRE ONE_ PLAr�CHECK 8Y_ � HEAT- .aEUER PERMIT ,',l FLOOR t-04D__ F� H7 -2c�-r No SrnH; til VA,,IF 3+11 LCIING pEPAR fM(NTSET BACKS FRONT t k I Sr'REAR cn - LEFT SIDE A I(� Xt — RIGHT SIpE THIS PERMIT IS ISSUED SU3JECT TO THE REGULATIONS CONTAINED IN THE BUI'_DFNG CODE. ZON check REGULATIONS AND ALL APPLICAP_LE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1 r—� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A. jo IN COMPLIANCE V: 'J:1ti•iatdl + �_3 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA IRESTRICTIVE COVENANTS. CONTRACTOR AND SUB COEmtjITRACTORS TO HAVE CURRENT CITY B(`_ete Tax L LICENSE. SEPARATE PERMITS REQUIRED FCR SEWER. PLUMBING AND HEATING. Total I SDC – r PDc 1 a•� I , —'--' APPLICANT OR AGFNf— -- ----' Appr 1 Receipt Nu. SDC - oll PDC SEWER CONNECTION $ SEWER INSPECTION $ SEWER SURCHARGE $ Comments : I i i i I WWI�rf t ADDRESS „J�?.� c o .Q-c<� / PERMIT NO. C PERMIT CHARGE none OWNER CONNECTION FEE PAID BY TYPE OF BUILDING ��yi�.lp,a c <. DATE CONNECTED _ SFRVICE RATE `7 Cel _ INSPECTION FEE CONTRACTORZ � � PAID BY .`-'� < DATE SI7_E OF CONNECTION ASSESSMENT r PAID i I I i I 'h al I i �l 1 f 1 (J J e� d 1 t 1 Km iii I 7V r IAJ I WOM h a q) i