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12450-12452 SW 127TH AVENUE 12450-52 SW 127TH AJENUE r� ILI � E A k f cn z Cr. , -lit NN r EA � 0 H �.+ ct V) R. I 141j, oil I 14 .90 1rjk , ® af� ` ti Il, N .n O i Il 4 i '•A►9A +ur^ei►a..ms.z.�w..c-F,a mon�w..r.,,«v+we.n—,..Rs nrawn*..+..-�,I.,�.,,�...y,�n��yr. .....,....,, r..,....,, CITY OF � y4 N2 0022 BUILDING PERMiT APPLICATION TIC ARD DATE _ THE UNDERSIGNED HEREBY APPLIES FON APERMIT FOR THE VIoRK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNERPHONE __ '-awli. -wi ic..,�,Lk5Ler 1.24;32 SgW* 127th OWNER ADDRESS BUILDER PRUNE ENGINEER BUILDER (LuI"Or —- _ - ARCHITECT DESIGNER STRUCTURE ❑NEW 1:1 REMODEL ❑ADDITION C3 REPAIR ❑RENEWAL _ [:]FIRE DAMAGE ❑OFMOLITIUN ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT E'iARAGE ❑STORAGE O-3L.AB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED CISIGNS OCCUPANCY---LAND USE ZONE BLDG.TYPE_ FIRE ZQNE__ PLAN CHECK BY_----__.- HEAT— t001 Olied TRIC 13 A OUPLICATF FOR IJUR RECUREYt — -- -LOAD FLOOR LOAD — HEIGHT NO.STORIES AREA VALUE _ BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit �•t�0 �— -- � � - —-- ----- --- 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 AGt.EED THAT THE —" WORK WILL BE DONE IN ACCORDANCE WITH TFIE 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 1%State •05 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 3.05 By — APPLIC.ANIOR AGENT Approved I Receipt No. ADDri[SS i DATE INSP. TYPE INSPECTION REMARKS "LUMBING DATE A�l /, — Contractor Permit No. Rough-in Fixture Final HEATING — _—_`--. Contractor Permit No. Gas or Oil Rough-in Final SEWER Final — DRIVEWAY Final Storm Drains e (Rain Drain) Final S idewalk Street Final SLOG.CEi'T.FINAL TEMPURARv CERTIFICATE OCCUPANCCc-RTIFICATE OCCUPANCYping inal Jt,s C h S T CITY OF TIGARD 12420 S. W. Main Street TIGARD, OREGON 97223 APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move❑ ZONING DATE ISSUEDw = BUILDING PERMIT DATE RECEIVED BUILDING FEE No. / PLAN CHECK $ ----7 Y BY VALUATION $ OTHER $ S ti �t•.�.�Itti-«),c TOTAL $ 5:p5 RECEIPT No. r 7 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # MAP # CENSUS TRACT _ JOB # Arcbitect or Engineer Address ——Phone---- — Owner Add�ess� _1 5.-)-_ �_t��� , 7u r_>�-� Phone___ Builder Address Phone—.— BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Yndustrial❑ OCCUPANCY GROUP ---No. of Stories- % Total Height___-- Area of Lot Type of Construction I II III IV V Floor Area B Set Backs: Front_' Back--'5 L.Side`-____-_ R.Side "� Private Sewer Pipe Size Sewer_ Septic 'Tank ❑ 11 Water Service Pipe Size Storm Sewdr ❑ Ditch ❑ Drywell E Street and Curb Requirements 'Driveway width_ _ __ ^_ No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR S13WER AND PLUMBING SPECIAL INFORMATION _J� ADDRESS ASSIGNED -_- FIELD CHECK BY - ------------ ---- -- - _DATE` PERMIT APPROVED BY,�it is understood that all work will conform with applicablecodesand ordinances of the state of Oregon and the City of Tigard, Oregon, and that the i)uilding will not be occupied until a Certificate of Occupanc^ has been issued by the City of Tillard Building Inspector. <� 5natur412�ni App icant t ® wl► F I City of Tigard INSPECTION REOUEST I for INSPECTION TIME : M'Oo PERMIT NO. . . I I DATE : 5 //y/ZJ_ DATE ISSUED'—L, I OWNERS NAME : _ ( ADDRESS : I CONTRACTOR -- f 1"EST r D, Water �] , Visiu{ u , La ratcirr r.1 RESULT: Approved C7 Disopprove�, F'hnd�ng 3 I SKETCH: I I INSPECTOR DATE COTE' Attach supplemental test ,jufa hent] I I ' City of Tigard INSPECTION REC+ UEST I for X,`f 4 t e Y &,a. � IINSPECTION TIME ' �r" �' PERMIT DATE. J-// /71 'SATE ISSUED--/ 1— OWNERS NAME ADDRESS . f2;17251 51" I C0N1RACT0R 1 ES l 1j , water ,� , vias ;; La', .reforl r.1 RESULT" Appro�ed , Disapprover+ _l-- P ,nding J I SKETCH: I I I i INSPECTOR DATE [OTE : Attach supplemental test iota hereto City of Tigard INSPECTION REOUEST for INSPECTION TIME : PERMIT NO. : --`/ DATE : .k 1,1W13 DATE ISSUED:-._8dZ3 OWNERS NAME I ADDRESS : I CONTRACTOR : TEST. Air 0, Water [] , Visual a;--Cabaratory ❑ RESULT. Approved ff , Disapproved L1 , vending ❑ SKETCH: I I I I INSPECTOR DATE I [N11rF Attach supplementnl tett data he►et] 1 ti I v � City of Tigard INSPECTION REQUEST for 1 __ 1 •�. L 1E�L�0.1u�.�. `• _ IINSPECTION TIME : J tztu3 PERMIT NO.: DATE: // 7-3 DATE I SSUED:�LLZ3 OWNERS NAME : --- X�`,Lw -- 1 ADDRESS : . I CONTRACTOR :— - ---- - ---- TEST . t, r D, Water O , Visual f3; l_aborotory Disapproved Ll Pending RESUL�i. Approved PP 9 U I SKETV�N: I I Z--� 7 INSPECTOR DATE [NO TE Attach supplemental feet data heratal 1 IN City of Tigcrd INSPECTION REQUEST for INSPECTION TIME : y �y9 PERMIT NO. :�73rL_ DATE : ��1./ _.._3 DATE ISSUED :ail OWNERS NAME . -- ADDRESS: . I Z4SQ. CONTRACTOR .' A4.-.:p TEST : Air E , Woterp , Visual.,/, Laboratoryp RESULT : ApprovedDisapproved C] Pending L] SKETCH: � e e? b INSPECTOR DATE [NOTE . Attach supplemental test data bereta� � � � � tts liar tear I I • City of Tigard INSPECTION REQUEST for I INSPECTION TIME : ► ',C PERMIT NO.: 71-a9 DATE: I ISI73 DATE ISSUED: I OWNERS NAME : - IADDRESS : 134Sr .s �L a.744- I CONTRACTOR ITEST:Air p, Water [] , Visual ©-,Laboratory p RESULT: i Approved sapproved p , Pendln 9 O 1 I SKETCH: I I I I INSPECTOR DATE INOTE: Attach supplemental test data hast] 1 i Xff Adaress l S 5 :;_ SL✓ �a7�' Permit No. Permit charge Owner J L L,.Aa- ;Z= r Connection fee I ;�. !Z 7"_c)- S —L) Imo,�s Paid by -- Type of building ! 1 -� _ Date connected Service rata _ (M 4V,Cj Inspection fee I ) Contractor z z—, . a Paid by date Size of connection [L �� Assessment paid oL OG REIM ! I !t I City of Tigard INSPECTION REQUEST for IINSPECTION TIME : PERMIT NO.: 23--L + DATE: _'E1 0 73 DATE ISSUED: I OWNERS NAME - ADDRESS : AME _ADDRESS : ; D - I CONTRACTOR : - TEST . ONTRACTOR : _TEST. Air ❑, Water [3 , Visual 0-, Laboratory ❑ RESULT. Approved , Disapproved ❑ Pending ❑ I I SKETCH: I I I I INSPECTOR DATE C:N TE Attach supplemental test data hereto 1 1 City of Tigard i INSPECTION REQUEST f for INSPECTION TIME : -� PERMIT NO. : i DATE : 'V/ L LL DATE ISSUED: 3 OWNERS NAME : e ms ' IADDRESS : . -, -2 12'leL, y — - - I CONTRACTOR �/ -- -- TEST. Air I-] , Water , Vi . sual � ,- Laboratory ❑ RESULT: Approved D--,--Disapproved ❑ Pending ❑ I I SKETCH: I I I I I INSPECTOR DATE ILNOTE : Attach supplemental tae► dato hof et_ 1 w.{��yy fA^!+Re9f►',. •w r�.nw17: J'��P.rw11. i PLUMBING PERMIT PLICATION Jurisdiction of No. Type of Fixture Fee Permit No. 73- -P Permit fee = - Water Closets (Toilets �'-c'L� Permit Issued 73 Bah Tubs Approved by `-c, LavatoryWas Basin Building Permi� � Shower Receipt No. 7Z_t L- _ s Dishwashing inks ,itcn , O in sOrdinary-- Location of Building Sinks,, Bar Sinks, Slc Automatic �iU' shwasher _ -.-- Di s osa _ vw LaundryTra ss ame & Address f 0wri Drains Floor �-OE/c �- )rains, Area r S L----�' — _ rains e ziQera or `7-;Z:7 Rj_n Drains Automatic Washer Name & Address of Plum)er - oun ainsDrinking i'' — el At' _ Fountains, oda "A—_ 'f %1_O z _ Hct Water Tank _ _ Water Service Size .O U;. i.nalsw B _Old cy New Ai ter, Rei 3i.i or a n n-•3a s in s awr. S rinkler Vis'u% -- S ,rinK eY r System� :this permit becomes Pull and vQ-Ld if work or construction au.t . 17ed i.s n t. commenced within 60 day.:,, or if construction or work is su6pendpd :r abandoned for a period of 120 d:+y at any time after work is c.-,mmenc,c . All plumbing firms must be licensed by the City of Tigard and post a x1 ,000 bond. 1: hereby certify that 1 nave read and examined this application and knew the same to be true and corrN(.t. Al provisions of laws and -rdirnances governing this type of work will. be complied with whether specified herein cr not, the granting of a permit does not presume to give authority ca violate , r can^el thc, pr-,vi_sions of any other state or local law regulatinjr construc t,i c n r the performance of construction. ZZ Signature�c f q'I .ar; I City of Tigard INSPECTION REQUEST for INSPECTION TIME'. PERMIT N0. :23--z} DATE: -2 AILZ DATE I SSUEC OWNERS NAME : �'� �z _• � _ ADDRESS: _ C 0 N T R A C TOR �017J C„ TEST : Air [I, Water[I Visual 131 Laboratory RESULT: Approved a-, Disapproved O Pending p SKETCH. INSPECTOR DATE LNOTF Attach supplemental test data beret fl I Cit; of Tigard INSPECTION REQUEST for I INSPECTION TIME: PERMIT NO. : 73': 9 DATE: DATE ISSUED : ,;' /-7// / I OWNERS NAME : n. ADDRESS: I CONTRACTOR : - TEST : ONTRACTOR : _TEST : Air ❑, Water[] , Visual �;"'Laboratory ❑ RESULT: Approved L3'; Disapproved 0 Penaling ❑ I SKETCH: ! I i I I t i w I I ,! I 4 I ` . I ! INSPECTOR DATE 4 I[OTE: Attach supplemental test data hereta] ) t UNIFIED SEWERAGE AGENCY NO 4799 _ WASHINGTON COUNTY DATE 2-21-73 — CITY OF Tio%rd APPLICATION FOR SEWER CONNECTION PERMIT OWNER:._._-__ J. W. Brayeon, Builder, Inc. OWNER'S ADDRESS:_-7603 8•a• Povell Blvd.. - - STREET -- - -- Portland Oregon 97206 CITY _ STATEN BUILDING SITE: LOT- W) BLOCK ADDITION l3nllt+oas'. I TAX LUT NO. _____._-_ . _ TYPE OF OCCUPANCY Duplex ADDRESS —.a4`0-5 -a-V---127th Aver DWELLING UNITS -- FIXTURE FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEEINSPECTION FEE -35 TOTAL DEPOSITED _ i _NE (EXISTING) BUILDING SEWER SYSTEM Tiprd._- The Applicant agrees to comply with all rules and re tion; ,f ttie._11pi1 d/^Sewerage Agency. APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. ° ST LINE SIlt _._._..4_-. IN. 4LLER J. W. brayeon RECEIVED BY_ IA NCV OR ITS AOENTI COMMENTS: —;rv'v ?f yam[ Vflej Y14f4-e This Application .rid permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. 1� CITY OF TIGARD 12420 L W. Mein 0 oW TIGARD, OREGON W= APPLICATION FOR BUILDING PERMIT New Construction ® Demolish Addition Remodel move El ZONING R-7 DATE ISSUED-2-21-73 BUILDING PERMIT DATE RECEIVED 2-15-73 BUILDING FEE5O — No' i J BY i ULANRCHECK $ �•73 VALUATION $ 27,677.(D TOTAL $ 15y.a�_ RECEIPT No. �__, TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 20 _ MAP 1 dill 4AAt CENSUS TRACT _ W-19 _ JOB 1 Architect or Engineer- Cloyd Desiyn Address_-__-knPenn __--___ _Phone 666-6571 Owner Bryson Builders Address 7603 S.E. Powell Blvd., Portland _ '-- �— P� Phone M-3956 Builder same j Address_ same j BUILDING USE Single Res. Multi Res. ®duplex Comm. Industrial C OCCUPANCY GROUP I No. of Stories I— Total Height__ 15' - Area of Lot 8000 Type of Construction V Floor Area BVD_ 1-1Ei70 2 -- et Backs: Front 25 Back 25 _ L.Side 18 R.Side_ _ Private Sewer Pipe Size 4" SeweiligLrd, U-S-A Septic Tank u Water Service Pipe Size 3/4" Storm Sewer n Ditch ❑ Drywe1IF] Street and Curb Requirements weting_-- —_ Driveway Width 15' _J No. of Parking Spacen_A 2` SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED ` 12450-52 8•W• 127th Ave. FIELD CHECK BY _ -- EC _---DATE 2-21-73 PERMIT APPROVED BY(� It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tiqa , Oregon, and tlat the building wil not be occupied until a Certificate of Occ ancy 11 ued by the City of Tigard Building Inspector. 4._ " Signature of Applicant