12130 SW SCHOLLS FERRY ROAD 12130 SW SCHOLLS FERRY ROAD
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BUILDING PERMIT APPLICATION TIGARD DATE _ "� ' '' ,19 4076
-rHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACI�;OMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
LOT NO. L' I 1': 134
OWNER koL^mat: C'(irp JOBA-IDRESS 12130 S:i SCho11r ",Arry h'.r►a !
ARCHITECT —
ENGINEER
BUILDER G ADDRESS t 04 t') 'later AV r . P L 1 + DESIGNER "o t h'a a t
STRUCTURE EJ NEW 11 REMODEL ❑ ADDITION ❑ REPAIR Ll RENEWAL !-1 FIRE I"AMAGE L7 DEMOLITION
[I RESIDENCE ❑.COMM n EDUCATIONAL ❑ GOV'T . RELIGIOUS ❑ PATIO ❑ CARPORT ❑ ",ARAUE J STORAGE_❑_SLAB❑ FENCE
OCCUPANCY _LAND'JSE ZONE ._ 4 BLDG.TYPE — ' FIRE ZONE_PLAN CHECK BY I "'h HEAT
?E?1Ucatc? within `Iropnb7av ,�n-p- I'p-rater .
,111 Iyer plans An;l 1`o iC • `•'rl. "' lnnI 'mil '. 1.fj"' tir .er Vyrtni.t: "9024
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT 1 ' NO.STORIES I AREA NO.BEDROOMS -- VALUE ',l
BUILDING DEPARTMENT SET BACKS FRONT ALAR LEFT SIDE RIGHT SIDE
Permit � J THIS PERP41T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 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
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEAL ING.
.'tate Tax i
SDC—
Totel 1 tie L r
By — I 1 PDC# APPLICANT OR AGENT
Receipt No.
Approved � ---- _ ADDRESS � ' ,t. PHONE
w w I R
Y
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING OATS
Contractor - -
�� —='—�- - - -- --- Permit No.
Hough-in
— Fixture
Final
_.�—___._ --------- - HEATING
Cortrector
- -_-- ---_---- Permit No. —-
Gas or Oil
Rough-in
Final
SEWER
-------- --------_ _
DRIVEWAY
------- ---- Final
Storm Drainage
(Rein Drain)Final
Sidewalk.
Curb&Street Final
iApprnach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY __-
Landscaping
T_aoing Final
40176
BUILDING PERM ITAPPLICATION TIGArRJ DATE -1 2 19-6,4-7HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HcREIN UICAT t3111LD"cR PHONE
OR AS SHOWN,'ND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEP PHONE
Q �(' LOTNO. �j
O'J'JNER (►� l✓ JOB ADDRESS_ �/
I3O J ) SJOYA i -AIOCHITt60
ENGINEER
BUILDER ADDRESSr' Dya &A::$�_.P�A DESIGNER No
STRUCTURE 0 NEW _❑ REMODEL _ 0_ADD_IT_IO_N ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
C] RESIDENCE C COMM EDUCATIONAL 10GOV'T ❑ RELIGIOUS ClP^.T 10 ClCARPORT ❑ GARAGE ❑ STO A E ❑ SLAB❑ FENCE
()cGiiPANCY ��.LAND USE ZONE C-"- .D- BLDG.TYPE -",-.-FIRE ZONF PLAN CHECK BY _ HEAT-jt►
AR
SEWER PERMIT If
OCC.LOAD r _-.00R LOAD HEIGHT - NO.STORIES_ J AREA �NO.BEDROOMS VAL.UE3jb0
BUILDING DFP-A-R"`'MENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
P�rmIt r y5'0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILD'NG CODE, 70WNG
ei REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE( TF',n t;:r
Plan Check 2 A 17 WORK WILL BF. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND iN CAQIAPLIANC%
WITH ALL APPLICA9LE CODES AND ORDINANCES. THE IS"UANCE OF THIS PERMIT DOFS NOT 'NAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOaS TO HAVE CURRENT (.;T' 13llaINLSa
L.ICEF',SE.SEPARATE PERMITS REOUIRED FOR SEWER,DLUMBING AND HEATING.
1 State Tax
SDC- ,lA GG
Total _ b �!— +
POCjJ APPLICANT GR AGENT
By
Approved Receipt mo. ADDRESS , PMONE
SDC
PDC - $ 7 /
SEWER C O N N E C T I O N $
SEWER INSPECTION
SEWER SURCHARGE
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BUILDING PERMIT APPLICATION TIGARD DATE -- 19- 3024
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 14
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE__
OWNER -rsi. 0TNO.___1501 I 7 '�lill —
JOB ADDRESS l.li_.;; Sie1 _ eFi�lta Ferryl_�_ _---- __--
ARCHITECT
ENGINEER
BUILDER ADDRESS 3040 ,V rfatar Ave. PortIMOIGNER
STRUCTURE ClcMEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE U,-,COMM ❑ EDUCATIONAL. ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT C] GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY .,=;,'_—LAND USE ZONE C/4- I'D BLDG.TYPE jii_—FIRE ZONE—,�_PLAN CHECK BY HEAT_!,—_
_ ., truet phato kiomi.. A11 p a 6 cold. -- --- - -
SEWER PERMIT#
OCC.LOAD 1 FLOOR LOAD -- HEIGHT 1 .I NO.STORIES 1 AREA 108 NO.BEDROOMS VALUE
__ BUILDING DEPARTMENT SET BACKS FRONT — REAR LEFT SIDE RIGHT SIDE
Permit S10.Ut1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORUINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE !N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal loluu RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 0
SDC—
Total
--^ PDC# A—PPPPLICANT OR AGENT
By /
Receipt Nc. r ��
Approved ' " ADDRESS PHONF
DATE IN«P. TYPE INSPECTION REMARKS PLUMBING DATE
SQqJ4-- P d Contractor
Permit No.
Rough-in
Fixture
-tFinal
HEATING
Contractor
Permit No.
Gas or Oil
Rough4n
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rolm Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
C) Landscaping
Zoning Final
BUILDING PERMIT �\E .
ATION CIT TIGA RD DATE _ , /e IQ
THE UNDERSIGNED NEF?EEFOR APERMIf FOR TILE WJRK HEREIN INUICA!'K, F4oNt
OR AS SHOWN AND APPHp S , • '.LFT�r OtvE___.-
M HE ACCOMPANYING PLANS AND �I f Cif ICL+1 IONS
OWNED- -Fv AA �+OR '- / TaY LOT NO
—�_._� ADDRESS IKrI3U ✓ � la����/�Y�/ � IARGHITECT.
g ili_nCR yw� ,,AA / QLD i ENGINEER
!^ ` k � DESKiNEitStRUCTURe _ EW OFlFLJADDITION ❑REPAIR ❑RENEWAL ❑FIRE OAMAGEr]GO ntSIhENCE COMM ❑EDUCA ]GOvt I �RELIGIOUS��Pai10 ❑CAFIPURT ❑GARAGE ❑STORAGEC)SLAB
— -
��+'�rA'•c IJ�Z LAND USF 701, PD... LL FIRE ZONF PLANCHECK BI
All- a&--q._I4
,SEWER -PERMIT .#__.�. .
OCC !nap I FLOOR Lr4p "` FIEic,k NO STORIES /
ARFA �0NQ B�,pP,IpMS , r.--VAi i)r
lii Cct ,RT1.+Erd; I ; BACKS LEF1SIpE $I. _
permit
= y�
PNt HIS PERMIT I SSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COCF
plan Crick — I rULATIONS
_ O ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEaEBV 4GREE0 1,,% '
",CI'RK WI'-L BE NE IN ACLOAUANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGN:PL'
( ..-� toIa 'h r" ALL I+PPLICABU CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DCaS NOT '.
i 1_ _ _ • FTrSTRICTIVE COIIENANTS CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT l..l'Y BI
Std'P Tax 40 LICENSE SEPARAt PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total -
- l0• - PDC#
fie+ i
APDL i('ANI OP AGENT
q.jripF St r•+C1N� ..
SDC -
PDC - $
(A R `O N N( L T I O V$t5fWER I%SPECTIO
Sr WER SURCHARGE
n n �
Comments; Rol:.Q, t/
7 f) -
(0,% pOWAY iv ruN G�F�•rA2 -
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BUILDING PF h* III ! ICA PON "'y TI CARD DATEOF
. __ _ ._.., 19 __ 1 •
THE UNUERSKi i D Ht F ( 5 FUR APFRMIT FOR THE 1vURK HI.REIN INDICATED BUILDLRP4014F—
OR AS SHOWN AND U IN THE ACCOMPANYING PI ANS AND SPECIFICATIONS. C''•'NEF'PHONIE—_
.� LOT NO...___�__....
OWNER L rl X��r Jr,R aODRESS_
ARCHITECT
v / i (} ENGINEEFt-
pu1�_t�1 i.�S�.Lk_t5�.��3� ���__ .. . �./1 ... AC)DHt.S5f /� L}n
STRUCTURE I_.INEW _ LaFlf 4+r ;;FL AUDIT,( [7R PAIR ❑RENEWAL C_•1FIRE DA•.`lAGE 001 ` 01-111.)
r_.. rr-- - ----- _
Q RESIDENCE COMM ❑EDV:A-Q1--L ❑GOv'T OREL1G10USLIPATio Llc.AR PORT ❑GARAGE ❑ST0PAGEQSL,,6 ❑i LN--
0(','�rardCV LAND t 4 at OG TYPE FIRE TONF _.. PLAN CHECK St HEA
SEWEF PERK T
QCC !r %D "EIGHT_ . ... . Nrl STOR:FS AREA N0
BACKS tiRQNT FIE AR I EF T SIDE' FIICra 1 SIDE
I x
[PC;ml
S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUIIDIN['
Plan C`-Ck CUl-ATIOK'S AND ALL APPOCARLE COOFS AND ORDINANCES, AND IT IS HEOEBV AGFi:- t
j� RK WILL BE DONE IN ACLURUANCE WITH THE PLANS AND SPECIFICATIONS AND IN CCtvF Llr NCE
APPLICABLE CODES AND OHOINANCES. THE ISSUANCE OF THIS Pc.RM1T DIES NOT 'AA.
- IRICTIVF COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY R r
Tax i NSE SEPARATE PERMITS REQUIRED FUR SEWER. PLUMBING AND HEATING
Total � C —
A• Nu NN
160C,C pT '0W AC.E T
4'� ..Fd I 1:1
SDC -
Poc
10 N
SEWER INSPECTION S
SFWfR SURCHARGE -,S--
Comments :CommE!nts : —3 '�C��i_ I S��� Iii °1__� e; �•/�'-1 , �./p,71