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12600 SW 128TH AVENUE-1 12600 SW ].28`H AVr�NUE 0 E-F �UbH F n � y y w r � � p Tj coq >� eJ a 0 t If 1J1 I rq � ww � c� rnwoc �, Q � ` �� •� r� H T-� ' V • ih H CITY OF b!IILOING PERMIT APPLICATION TIGARD DATE ` ` � � "I_ . 19 N° 0154 THE UVDERSIGNED HEREBY AF,'LIES FOR APERMIT FOR THE WORK HEREIN INDICATED J�•- /,y1,L 0:i AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIrICATIONS, OWNER PHONE___ OWNER C. �'r L /`T!I L J ADDRESS _ ' _ BUILDER PHONE /�) ENGINEI i AFk�HITE:T DESIGNER —_-_ STRUCTURE r-❑NEW REMODEL 0ADL..'JN ❑REPAIR ORFI,',:WAL ❑FIRE DAMAGE ODEMOLITION O RESIDENCE OCOMM ❑EDUCATIONAL OGOV'T C. -IELIGIOIJSOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE DSLAB OFENCE OBOND OMOVING GCONDITICINAL USE ODESIGN REVIEW OCOUNCIL APP_;iOV_ED OSIGNS OCCUPANCY LAND USE ZONE' J�BLDG.TYPE 1 —t IRE ZONE— PLAN CHECK BY"__—_ — HEAT T-) G f �j <<. r d , fir: �,f 1 /t, �I't.. ••. r/ •,, . x OCC.LOAD FLOOR LOAD HEIGHT ,NO.STORIES AREA VALUE ,7 � BUILDINk,jo�EPARTMENT SET TACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit T'IIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED I I THE BUILDING CODE, ZONING Plan Check PEGULATIONS 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 LOMPLIA;gCE WITH Recording r... ALL APPLICABLE CODES AND OF, !NANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State ' I.WrNSE. SEPARATE PERM!1S REOUIRED FOR SEWER, PLUMBING AND HEATING. Total ----- — — APPLICANT OR AGEN1 Approved Rri-:rnht No AonR ssr-�G"+oN€-- I DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor__ Permit No. Rough-in Fixture _ Final HEATING Contractor Permit No. Cas or Oil Rough•in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG.DEPT, FINAL TEMPO"ARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping I Zoning Final i fI I w w w 11 w w CITY of N2 0133 BUILDING PERMIT APPLICATION TIC ARD DATE_— 19 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE- QWNER r0rl Hul ADDRESS BUILDER PHONE - - -- --- -- 'arren drawn mssanCy ENGINEER gLLI.l. H ARCHITECT DESIGNER STRUCTURE ❑NEW ❑REMODEL ❑ADDITION C1"EPAIR ❑RENEWAL [:]FIRE DAMAGErr []DEMOLITION❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RFLIGIOUS❑PATIO [:]CARPORT ❑GARAGE [:]STORAGE LJSLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY-----LAND USE ZONE—_- BLDG.TYPE FIRE ZONI PLAN CHECK BY_ HE Al Fire p! OCC, LOAD FLOOR LOAD HEIGHT N0,STORIES AREA VALUE 9UILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit _ THOS 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 SPFCIFICATIONS 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 RLISINESS 11%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total — 194i6I 1t By ----- --- -- APPI (CANT OR AGENT APf wed Receipt No --- ---- ---- ADDRESS I I I I t DATE IABP. TYPE INSPECTION REMARKS PLUMBING DATE op--Dc?_ /-t "rco _ Contractor Permit No. //o rr ,O'd �k'c*' L�ycc %l, �e'a ,loLu]tst, Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rou h-in _ Final SEWER _ Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb fa Strcet Final A roach _ BLDG.DEPT. FINAL TEMPORARY T CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY — Landscaping toning Final CITY OF Ns ' 0091 BUILDING PERMIT APPLICATION TIGARD DATE_ — 19 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE j l.iail ti�:J.: lil�llli a•i�+• :.dIS�.C� OWNER ADDRESS BUILDER PHONE ENGINEER BUILDER _ _ ARCHITECT_ DESIGNER _ STRUCTURE [:]NEW ❑REMODEL._ ❑PODITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION RESIDENCE ❑COMM LIEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE ❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY._`_LAND USE ZONE BLDG.TYPE__—..--FIRE ZONE PLAN CHECK BY_- HEAT 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, TONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 IS HEREBY AGREED THAT 1HT. WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AIJD SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTHACTORS TO HAVE CURRf NT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS NEGUIRED FOR SEWER, PLUMBING AND HEATING. Tutal BY — – ------- -------- APPLICANT OR AGENT �- - -- - Approved Receipt No. 7C6011iLs'_ --6Ho -- DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE �y aec -546/1 C, ,..-, JLe7-e0 Contractor 14000 4Drz',w- ( ►l ar_ �C K-, --C.l rko Permit No. ----- -- KJJ� L Rough-in .r 00 r� 2 i 1 . _ Fixture _ Final _ HEAFING Contractor Permit No. Gas or Oil Rough-in Final SEWER 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 Address /fir.�D Formit No& Permit charge z) Omer Connection fee _— Paid by _AL &x6q,Le�4�-- Type of building Vjj Dote connected V� service rate � Inspection fee S Contractor ( ��tar �� Paid by ,ajln�---_ Date � Assessment Paid Size of connection _ \- Ity of T Igay'd INSPECTION REE'UEST for INSPECTION TIME : %3o PERMIT NC. DATE DATE I SSUED OWNERS NAME : ADDRESS : C()N T R A C T 0 R TEST .4 r 3 . Nater -i5vppro-4er, RE�;JLT. SKETCH: INSPE�;TOR DATE [NOTE : Attach 3,pplamental test - ol, netet'll City of Tigard INSPECTION REQUEST I for I INSPECTION TIME : J ,L PERMIT NO. : . I DATE: 5 /J3/ 7-3 DATE ISSUED- OWNERS NAME : - ADDRESS : AME : _ADDRESS : IC0N7RACT0R :—____ ....__ TEST � , 'Nater �i;� �l u , La rctorl !P RESUI..T Hppro�ed Di,c-pproveli 1 :rdng `J I SKETCH' I I i INSPECTOR DATE INOTE . Attach suppiemental test r.erot] 1 I City of Tigard INSPECTION REQUEST I for IINSPECTION TIME : PERMIT NO. : . DATE: f /8/7-7 DATE ISSUED"__1_L I OWNERS NAME . I ADDRESS : IC O N TR A C T 0 R : �---_--_—_—_-- ITEST waterXj , eX , La rctor� ;"'t RESULT. Approved , DiscpproveH 1 , r ,nd�ng J I SKETCH: I f I I INSPECTOR DATE ICN07E Attach supplemental a9 aatc heret] 1 I I i City of Tigard I NSPE 7I ON REQUEST for INSPECTION TIME: PERMIT NO. : DATE : _,f L- /� DATE ISSUED :--L-,/ ` OWNERS NAME : .,_ %--kVlF C_ c►, >i_ ADDRESS: _--Z--, ._ , CONTRACTOR TEST : AIr ❑, Watery , Visual 0 , Laboratory [] RESULT: Approved 0 , Disapproved Pending SKETCH: JA-44-C, � lVECTOR DATE [NOTE : Attach supplemental test data beret] i i S E' F �5 City of Tigard INSPECTION REQUEST for INSPECTION TIME* PERMIT NO. : DATE : _4 14-'17% DATE I S S U E D OWNERS NAME ' ADDRESS: CONTRACTOR : --l-KI!f4 TEST : Air ❑, Woterp , Visual Eq-, Laboratory p RESULT: Approved [3''; Disapproved O , Pending SKETCH, i i I I IN PEC , DATE LNOTE Attach suppiemental test data bereto] Permit Issued 444 7 _ C'tTY OP TiGmD, okulm Permit No..14- P crq Ndl Application Approved Building Departnmt Coat of InataLatllaan�—s.L.i. �3_�� ��p(_� aQifo�leaa rK aaAol� iplMAla 9AO1lOw Fee for PermitL-�'�_ 1` Applicant shall fill in cost of installation only, above this, double line. Street Sewer Permit—_._.. .__ r repair Plumbing Pipes or Fixtures according to plans and specifications and Application is hereby made la! n IL�escription as given below: BLY Lovation of building--Number and Lot Black_—, _ Addition. —,/----- Name and Address of Name and Addrr=s of Plumber �/a1 sc' 1a•�— G j 13uildinl (Old or New). ;n Ld Height in Stories Occupied SCHEDULE OF WORK NUMBn NUM8ICR _ rmTURU New I Move I wp1'ce FurrUREB New move B' 'ea Water Clowta___ .. .—�-_ Fountains, Drinking___._ I Bath Shower_. ___._ I I _ Fountains,Ynrd_.—__I_�,_, Bath Tub_..__. Fountains,Sods___ Basins __-- .--- �- I' __j `Y .. ,Hol Water Tank._ �.I___.._.� RECEi dED Sinl.s, Ordinary. / � _ Sinks, Bar _ APR 1 .Iq� Sinks,Dishwashing . ___ _ Sinks, Slop Automatic Dishwasher Drums, NefHgcrelor __..i ..._.....'- CITY OF j{(;}1{i L) IrttndryTrays_.__.. _. _ Drains, Ice Ilos _ I ' Drains.Floor- Ilrinals Drains, Area. I roach-Basins. Pard Ilsln Drains �r�r'- _ t'idrh•Basins, Gnrage Automatic Woshrr �� ,hv Vnlrh-Boslns, Sub Soil _. N•idrr Permlt No._._ _ fildg. Permit Na. - ItFMAktW: .ill. • IMPORTANTI.—Plumbingshall net be Installed in any building, (either now, altered,or repaired), aaeopt as shown or designated on the correspondin0y building plans so filed with, or required by, the Building Department In accordance with the provisions of the Sullding Code and Ordinance 67.19 of the City of Tigard. rruI the pluuUnu4 s.,stem according iu thiii description, phms and specituotions and the Plumbing Code of iliv I nCrrr In t 11 0l 7 mor 1 �inalali b ' 1'Illlubina Flrm - •jyy re �1�....�ll.r r e' 4,1�j1 !_._1:.,, - 7 �/� Supervl� LAW. City of Tigard INSPECTION REQUEST or JINSPECTION TIME 02' _ PE=RMIT NO. : DATE : __f—//0— DATE ISSUED OWNERS NAME ' J�)OIL E:_ L ADDRESS.- CONTRACTOR DDRESS:CONTRACTOR TEST ' Air 0, WaterL`�j , Visual , Laboratory ❑ RESULT' Approved rJ Disapproved ❑ Pending ❑ f SKETCH: C . i INSPECTOR DATE LOTE : Attach supplementol fest data hereto air nr �rIF W �a► w City of Tigard INSPECTION REQUEST for t IINSPECTION TIME :_,I��yy PERMIT NO. : 73"y I DATE: 3 DATE ISSUED: I OWNERS NAME ' ADDRESS I;Z00 CONTRACTOR : 1, ITEST: Air ❑ , Water [j , Visual{}-;"Laboratory IRESULT: Approved -0--, Disapproved ❑ Pending [] I SKETCH: I I I I I I INSPECTOR DATE ICNOTE : Attach supplemental test data heret] ®r City of Tigard INSPECTION REOUEST for INSPECTION TIME : PERMIT NO.: �� s► DATE: ` / // 72. DATE ISSUED: 'PJL' OWNERS NAME : ADDRESS : - CONTRACTOR :— DDRESS : _CONTRACTOR :— i.)PIC, TEST: Air Cl, Water Ei , Visual Er'-,--Lo boratory (] RESULT . Approved 11 Disapproved ❑ Pending ❑ SKETCH: INSPECTOR DATE CNOTE : Attach supplemental test doto herst-10 .. . . ...... 1 I FIE I City of Tigard INSPECTION REQUEST I for IINSPECTION TIME ' 1_ %ate PERMIT NO.: DATE: 3 1,211 ,73 DATE ISSUED: Z OWNERS NAME : L21AZ G — I ADDRESS : dn7- 14 Z- CONTRACTOR : O c.c: Gc'n�ST TEST: Air O, Water p , Visual ET'- Laboratory p RESULT. Approved 0' , Disapproved I] , Pending I SKETCH. I I I I I � I l INSPECTOR DATE I [CITEAttach supplemental test data htreto : I � « 7& S UNIFIED SEWERAGE AGENCY NO. _ 4814 WASHINGTON COUNTY DATE 3_-19-73 CITY OF------ APPLICATION F -------APPLICATION FOR SEWER CONNECTION PERMIT OWN E R: OWNER'S ADDRESS:- 415- ------- STREET t portyJA oreva 97223 _ _.. ----- ------- -._ _._-_-- CITU STATE ZIP i _......__-- BUILDING SITE: LOT.14 BLOCK - - -- ADDITION BLIvood-.- --- TAX LOT NO -- ---- -- TYPE OF OCCUPANCY Aesidnaae - ---- ADDRESS -1!3600-S.w. 12BLh Ate. - --- DWELLING UNITS - 1-- -- FIXTURE UNITS _-----_-�_._- _-- SURCHARGE IF APPLICABLE ----.. -- --- - --- PERMIT FEE 425 - - INSPECTION FEE 15_._ TOTAL DEPOSITEDTird (04141— (EXISTING) BUILDING SEWER SYSTEM __ __ gk -- — 1 The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT_�?�-��'�'-.-/ ��" — — SEWER PERMIT THIS PERMIT AUTHORIZES CONNFCTION TO THE SEWER SYSTEM (.INE SIZE 4" _INSTALLER __...8 i R Coustsuotion RECEIVED BY —__— � IAQANCV OR ITS AGENT) � l.r✓✓✓!r r 'A 1tI111P COMMENTS - This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. CITY OF TIGARD 13410 L W. Main N sol TIGARD, OR111OON !Illi APPLICATION FOR BUILDING .`ERMIT New Construction © Demolish ❑ Addition ❑ Remodel ❑ Move El 1 ZONING R•7 DATE ISSUEDDUILDING PERMIT DATE RECEIVEb 3.2.73 BUILDING FEE $ No• T+ BY PLAN CHECK $— S.TS - RS OTHER $ VALUATION $ 25,575 TOTAL $ 137.25 RECEIPT No. 7(p5-} TWO SETS OF PLANS AND PLOT PLANS MUST DE FURNISHED WITH APPLICATION LOT N 14 MAP A 291 3BB CENSUS TRACT' -Irato - _ JOB M Architect or Engineer Knight & Piercy Address 2735 N.E. Broadway, Portland Phone 281-0087 Owner Dale Construction Co. - Address 9185 9.W. Oleson Rd., Portland _ _v_�Phone 620-.2234 Builder sa°Ie ---- --- -- - - -- Address Game -Phone BUILDING USE Single Res. Q - Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP-1 No. of Stories 2 Total Height_ 17 Area of Lot — Type of Construction V Floor Area B _ 1 864 2 864 Set Backs: Front 15 _ Back 48 L.Side` 7 R.Side_Ia—❑ Private Sewer Pipe Size 4" Sewer u8a T1 rd Septic Tank Water Service Pipe Size_ 3/4" Storm Sewer T Ditch ❑ Drywell❑ Street and Curb Requirements Existing Driveway Width 17' i_-- No. of Parking Spaces a SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMHING SPECIAL INFORMATION ADDRESS ASSIGNED 12600 B.W. FIELD CHECK( BY_ ----Rr—-- --- -- —- -—_-_ -DATE , 15.73 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 Tigard, Oregon, and Lhat the building will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspec:ar. // , Suture of Ap ip cant PEP?`.lIT TO CONNECT a Tigard Sanitary District PERMIT N° 1289 DATE; �t'–`L� PERMIT IS GIVEN TO OF TO CONNECT A �r TO THE SYSTEM OF TIIG/ARD SANITARY DISTRICT ATV/2 (. ------ THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECTION IS MADE. AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID ;.-+G..�.�:.............TIGARD SANITARY DISTRICT By CONNECTION INSPECTED AND APPROVED Date -- --- Superintendent__..__-_-- —. _