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12250 SW SUMMER STREET ■ Li J 12.250 SW SUMMER STREET H w W rh cr. W E E N 3 Lb c-: `J i ,.*� i _ - ��'� �' '" 'si°°• 't'`°" -..cT ��..-'P� 7 -w-' '10uQ' �, "�T_ �y. �7� '� :, + y'���'kC a� +��� '►4� ,'. .. '� "„p�. .ham"- •.-?z ""Gael ,Ox "'Y ,� ' a _� v _ � "'7 aC.. _� rr- -'� '�^.. .►°cos\, �' �*.�.g�e�>.�vrs r.'+ .... �i -'� �". �. �. � �'' .,,�.� > vs -9�: .rte - OF ,� C�� I A1�Cy _ CITE' 0, F TIGARD ORE GOA+ � $_r Owner: Gt-nrvP Machan Pernllt No. 7 �_ f _ Address: 1291M sw siimmPr St_ Building Address: 1 2 9 Sn sw sump r St . - : Occupancy: x 'I Land Use Zone: R-7 Bldg. T}-pe � ,.i Comments: i - •k.3, g day of February , 19 R4 3�•j Certificate is hereby given this i s t Q that said building may be occupied ani that it complies with allc requirements of the Building Code for the City of Tigard, as approved . , by the Tigard City Council. Fire Dept. Bu ding Inspector Building Official Ar :0_ Poet Certificate in Conspicuous Place (( Ift � � �x��. `••'�� �. ': �?` � '.y �;��,�`�1+�.�ate.�ff� s+�c���a.;.,-rye '�,3P' ..-v r BVI-DING PERMIT APPLICATION TIGARD DATE '� 4108 THE UNDEHSIGNED 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 63 5-4 A 19_ LOT NO._1 ,I S L.L. MC IL OWNER ar a uci ua JOBADDRESS i"��li ; . - i:j-LL v1 Park ARCHITECT t ,� ENGINEER BUILDER ADDRESS DESIGNER Uwns r STRUCTURE ❑ NEW ❑ REMODEL 11 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL Cl GOVT ❑ RELIGIOUS ❑ PATIO U CARPORT ❑ GAPAGE ❑ STORAGE Q SLAB❑ FENCE OCCUPANCY _LAND USE ZONE _ 'r_ BLDG.TYPE `� FIRE ZONE---PLAN CHECK BY — HEAT ! W __�...�,��....__t-.....�_ L.,:—ZL't,i.:�_A_f n c•_...r. _ 1..�f i –.�—�-iidL-L I,1-- --- SEWER PERMIT# OCC.LOAD FLOOR LOAD HEIGHT ''` NO.STORIES � AREA NO.BEDROOMS VALUE BUILDING DEPARTMENTSET BACK Permit S FRONT REAR LEFT SIDE RIGHT SIDE PeTHIS PERMIT IS ISSUED SUBJECT TO THE PeGULAiIONS CONTAINED IN THE BUILDING CODE, ZONING _ REGULATIONS AND ALL APPLICABLE CGDicS PND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check I "I ' 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 ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State 1'ax - SDC— Total —� PDC N APPLICANT bil AGENT By _ Receipt No. - - ---- ------ ------ '— PH— Approved ADDRESS ONE DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE Contractor Permit No. 23-tib _V$/Z i1.�! �n `�L ©��• Rough-in Fixture — /-,fir-(?,? z / Final "I(? !fes 't � r�C: - "i•.•��r�� HEATING Contracto 8 �s JJj, @ � ,p I Permit No. --- aa � Gee or Olf g, Rou h rn -,� -- -- Final r SEWER --- _ �— Final 1� DRIVEWAY ..._ Final _—� Storm Drainage (Plain Drain)Final Sirlaw-rk (urb&Straet Final _ Approach BLD^.. DEPT.FINAL TEMPORARY Cr!mriCATE OCCUPANCY CERTIFICATE OCCUPANCY u Landscaping Zoning Final f BUILDING PERMIT APPLICATION TIGARD DATE_ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TI iE WORK HEREIN INDICATED BUILDER PHONE�_►•��'�� OR AS SHOWN;.ND APPROVED IN THE ACCOMPANYING PLANS AIJD S'ECIF-ICA'TIONS.0f. OWNER PHONE OWN EF e,0 h �JOB ADDRESS GL2 'o e LOT NO. ARCHITECT ENGINEER BUILDER (,tJy�� ADDRESS DESIGNER - STRUCTURE ❑ NEW ❑ REMODEL ADDITION ❑ REPAIR C1 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE_❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY LAND USE ZONE ��BLDG.TYPE �.� -__.FIRE ZONE—=PLAN CHECK BY ------HF-AT—,— V"4~.0+- ob 1'++5 >- _ _�e,P�c � Cx SEWER PERMIT M OCC.LOAD FLOOR LOAD O HEIGHT Z44• NO.STORIFS AREA — NO.HEDROOMS VP.LUi*_' BUILDING DEPARTMENT SETBACKS FRONT 24> REAR G LEFT SIDE — RIGHT SIOE/6,?j_ Permit ��" THIS PERMIT IS ISSUED SUBJECT TOTHE REGULATION'd CONTAINED IN THE BUILDING CODE,ZOWNG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED IP,AT THE Plan Check - WORK WILL BE ^ONF IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE �qu WITH ALL APPLICABLE CODES AND ORDINANCES. THE. ISSUANCE OF THIS PERMIT DOES I40T WAIVS trtetal � ,y' / � RESTRICTIVE COVENANTS. CONTRACTOR AND SUBCONTRACTORS TO HAVE CURRF_N', CIT1' BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FCR SEWER,PLUMBING ANU HEATING. State Tax", SDC— Total per►j r AP CANT UR AGENT By Approved _ 4eceipt No. ADDRESS i -� PHONE _ ,�- r• PDC — S '— SEWER CONNECTION_ $ - SEWER INSPECTION $ SEWER SURCHARGE S Sn �.�,..�.:.� <,Wim. 73 Unified Sewerage Agency of Washington County CITY 1- ° DATE I¢-Apc-)�_ OWNER �7f' //lA-Ct Nl ` PHONE : ?v' �� OWNER 'S ADDRESS s ✓�.ZJ� - , �! !HQ' _ _ — TYPE OF INSTALLATION: BUILDING SEWER ❑ Bi;lLDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: i [] NEW 0 SINGLE FAMILY ❑ C"MMERCIAL tfEXIST. (PRIOR TO 7- 1-70 ) [] MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS — DWELLING UNITS ADDRESS OF STRUCTURES &&,Q _ PERMIT CONDITIONSt THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE— HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: ' PERMIT FEE a CONNECTION CHARGE ZS SIDE SEWER INSTALLATION _ OTHER XAAWOO� 3&0 ISSUED BY TOTAL APPLICANT DATE ✓� ERMADtil- _ P PERM- ADDRESS DRESS OF STRUCTURE -A" N? TAX MAP _SSI S TAX LOT SYS ____�� BLOCK OF es_ PA APPR ED 8Y DA-1E_ ISSUED BY / -- --- DATE --------- D. U . 'S _. REMARKS FU