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11379 SW LAKEWOOD COURT 11379 SW LAKEWOOD COURT 1 0 0 3 m N v, rn N M air �Ils R BUILDING PERMIT APPLICATION 1OF 1T TIG ARD DATE THE UNDERSIGNED HFREBY APPLIES FOR APF RMIT FOR THI WORK HEREIN INDICATED BUILDERPHUNEq_fj0.5t ' OR AS SHOWN AND I,PPROVED IN THE ACCOMPANYING ^L IS AND SPECIFICATIONS. OWNEHPHONE_,. (-5vit4._ LOT NO. Ken ►Iardiiii k 11379 Lskfjc 'aacts:< LT. Owl!-0:13JOB AD'JRESS HOME-ADDRESS �' - ARCHITECT ENGINEER BUILDER ',;Rn .lU".:r i AtJt'R�.rill_ADDR17% !Lesiu T Forins _DE:SIGNER�_, STRUCTURE LJNEW U RE`A_ODEL _ ADDITION _ �❑REPAIR ❑RENitWAL ❑FIRRE OAMAGE� ❑DE.MOLITION L t1ESIL NCF ❑COMM -]EDUCATIONAL ❑GOV'T ❑RELIGIOUS QPATIO ❑CAR PORT_OGARAGE ❑STORAGE USLAB ❑FENCE 0BO'JD GtAOVING ❑CONDITIONAL USE ❑DESIGN REVIEW LIC("JKCIL APPROVED _OSIGNS Tl OCCUPANCY I -LAND USE ZONE 'R -7 BLDG.TYPE _ .—FIRE ZONE-- PL/,N CHEEK.BY __ -_- HEAT-- 16x34 EAT _16x34 5.A0 juar, csuimmi.nr; pool one pieco fibsrl�l �1►1�e Priur 1.s�_ + � i�►at�ection �� �9t car to filling, pool a t„ no 4' high guard be placed as req_yir.er2 by City_OrdiLance_ 60800. 4Cr c3�_—_ FLOOR LOgo--- - - GH NQ��LQH1E�..�.�8�8 --.119Jj-QMH - YJLSJE- BUILDING DEPARTMENTLr" _ —_ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 40,0[t --------- _= --- _- ---- -— -- ___--- -THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BU;LDING CODE, ZONING Plai.Check 201100 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- WORK WILL BE DONE 1t' ACCORDANCE WIT'i THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE NITH Sub-tol Il ALL APPLICABLE CODES AND ORDINANCES. ii�•E ISSUANCE OF THIS PERMIT DCEQ NOT W%IVF. -•-- - RESTRICTIVE COVFNAN'rS. CONTRACTOR AND SUB CONT9ACTORS TO HAVE CURRENT CITY BUS. ESS SI'pte1 Ix .fig LICENSE SFPkRATE PERMITS REQUIRED FOR SEWER. PLIJN;RING AND HEATING. Total GL1130 . Fty APPI "'ANT OR ADEN T — Approved ETU Receipt No. ADDRESS F— 'fTnNf ���..'... ...._......,,il.,...r,.n.Mil...W..��«.-.Y.....Gy.,......�,,A.r.....,:�. .... ._.......__........... .. ...... _ .. _ �!1 I � raj i Zw U 2 Z h > W G zl Z~ 3az p E w t f J p� h w;r O LL � NrZhm \�I w Z F ui O w J Q d UWZ' WU 4 r ElN N i d o z0 Z o ❑ �� W U w u r � , ?h ¢ �w -U), \c� �I Oz a Q O ¢ wwQWw? 1 rn z a Ow El �`V V �� Oy = w CE > '' a ? ps U , m D n QO rev � /� W p U LL z L 1 LLJ a y J t�� 4 (� 2Q � G ¢ Q �-T Q LLJN fD `'� W �Q,. N W W Z v r Z d tr u o ZW, .LZUro 1 d C (D 2 w '^ OZ. OQQ � V U d ❑ JeJ.. U. QZOhO w U Z `l Z Q a� c 7 w n uj a ❑ n �` w occ OQwmu w Z s W a 0 a F F UJ cr a ❑ a Q 7 2 w N t I :LLI . O t7 4 3, vi LZ : \' 0 D v U u w Q N dW= UQC' r Q `✓ ¢ Y Q `J a O w O G ~ WOr4 ¢ O O t7 v� �, 4 O ¢ N ¢ ~ U � ~ w awO ¢ ? Z /� w G w pwiU ¢ Q Q `JN 0 W J O p.. N LL ,\ !I HQQpFn 1 w O� ? a ❑ w \j I uU � gza a O F- ir Z I O_ ❑ + I ma OUQU � Q Q Il } �n 'L LI h r� U) l.l � f"• Q W � FU z w I W J2 � Qnw h �I- O Q w d a a I W U a. II � I- w LLI El uj a O� 4 Wla O F O QO JO `t \ Q Uyh r 4 > Q p ` t11 2 LL y Zmmwa Q O ku , O V \ v V QOJ6 F n Z' _ ❑ ~ Q a -� � 4 ¢ O N C.7 v1 I O IL Z L J z l m N a h W J J J U) U ( I vwi� hSSQRJ S. O ❑ \ O Q y > 2 w1i ul cc C w CL Q El w0 ,NL q Z 7 ❑ z N ! - w f Z Q ` 3 r. Z w I J Q r� \ 4 oa 2p cr v� O © u El W 1 o J 7 Q Q u W O p ' u Im t ro W 7;_ U p 2 \� I Q m L ' m 1* O 61 U w m � I.O O E c o t� m p h ¢ Clll o I�► o m a cr a' h~° m' -ni ADDRESS 1/ 3' o o�`c-��- t��c C�. PERMIT NO. X 6 S9 PERMIT CHARGE n^ne OWNER CONNECTION FEE PAID 8Y �e z4—.,,z4 TYPE OF BUILDING `7�L- ��•, �� DATE CONNECTED SE RU 7,CE RATEc _ INSPECTION FEE S CONTE ACTOR PAID BY DATE SIZE V CONNECTION ASSESSMENT PAID City of Tigard INSPECTION REQUEST for INSPECTION TIME: 2-�'_ PERMIT NO. : DATE: .,_1 ! 12-4 DATE 13SUED :_ OWNERS NAME : --- _2 rV- ADDRESS: 7 L�.t', ..... .� CONTRACTuK ' TEST : Air E] , 'Weter,�'`!6' , Visuol e, Loboratory RESULT: Approved S"', Disapproved 3 PQndin j r SKETCH. i INSPECTOR DATE 5OTF : A!tach surplomen toI t90 data he. + l J r - I City of Tigard INSPECTIONREQUEST for 1148pECTION TIME: „��� PERMIT NO. : DATE: . ' ' DATE ISSUED : L_L_ I OWNERS NAME : &ZL44 CONTRACTOR : TEST : Air p , WoterC3 4ieval*, Laboratory ❑ RESULT : Approved ❑ Disapproved Per,dirtq p SKETCH.' ando i I INSPECTOR DATE COTE: Attach fupli-mental telt dale 1) ir, ,� nes o wr ■� : ww .� as ,•aMM1�X+`MR'7MM��'.i�.�':IW;�7"��.,��e+w....,,�"k„y,.�,y..K.s,-trr..�"1vwr�.�"�h. CITY 01' BUILDING PERMIT APPLICATION TIGARD DATE 2-16 __.. N° 0612 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HE 4EIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYINC PLANS AND SPECIFICATW§ :'rNER PHONE OWNER WL; ".:^mitt. ------- ADDRESS i ) �.U, Lake WdOd' � t+�_WIL ER PHONE E14GINEER BUILD R UI�flIiK; AH I �,T_—�— —_ DESIGNER STRUCTURE ❑NEW 0REMODEL ❑ADDITION ❑REPAIF' LIPENEWAL _ ❑FIRE DAMAGE ❑DEMOLI'TION ❑ RESIDENCE ❑COMM ❑EDUJATIO--NAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE DBOND ❑MOVING - 1._1CONDITIONAL USE — [-DESIGN RFV EW _ ❑COUNCIL APPPOVED _ ❑SIGNS-- .—._— �� — r OCCUPANCY---LAND USE ZONE__ BLDG.TYPE FIRE ZO VE.—. PLAN CHECK BY z t a HEAT cunstruct 14b5 sq. Pts fraena dwellinU With attached 98r090 _--- no basement reissue lot 9 16 29 and 70 -- - ---- -- _-- — ---- - -- UOU OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES l AREA �J VALUE y 4tl lb BUILDING DEPARI MFNT SETBACKS_ FRONT _ _ - -__ REAR LEFT SIDE RIGHT SIDE Permit • - -- —�------- THIS PERMIT IS ISSUED SUBJEC:I 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 70NE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THIS ISSUANCE OF THIS PERMIT DOES NOT WAIVE -'- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON i m-: TOr -O HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING A,oD HEATING. Total-_-- -.TT- By .— APPI ICF.NI OR AGEN1 Approved Receipt No ADDRF5'—._� M40NE_ --- -- WJLe , DATL INSP. TYPE INSrFiCTION REMARKS PLUMBING �- ATE Contract o ee d Permit No. 76__ IJ,��K�,c.n- � Rough-in 7G G �S (�-a�• - ��L,,c.',d �1 Fixture .1L11G. Final ��,..J�, HEATING Contwtor(.[i"4i Permit No. 3S-/ Gas or Oil ,wL GfJJdi lfor� J Rough-in —^ Final — `_-- SEWER�zb Final DRIVEWAY Final Storm Drainage _. (Rain Drain) Final Sidewalk ,L 3 1/ 7�, Curb&Street Final - _-- —__------ -- - Approach - J L 3 BLDG,DEPT.FINAL T(zMf;CGnARY CERTIFICATF:OCCUPANCY CERTIFICATE OCCUPANCY Final — Landscaping q- Zoning Final E i r 30 � a .r I 110i.ah " i LIsS. c' �7