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11470 SW LOMITA AVENUE yes s w< � ww w st w► 11470 5W LOMITA AVENUE I I W z Li CZF- H O J 3 cn O N •-I I I 1 p -•qR'�r--•s�r'ft�aS)'1WC1i5r'/M'P rr. ,per". �+'�4C"►wR�+F"►.._.,.�.�._. _ .�w.�,. .neviw,y<,.....11"s"r,'0„�""�'"+:ANI�'MC"►F"�'reA �1^at9�w�"j 11T BUILDING PERMIT APPLIUATION Y TIG4AR© DATE._.__ 19 79 . THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_ LOT NO. OWNER John SOU411 JOB ACrDRESS + �'ra'��' &iI� L1JtYi trill e)rUE� HOME ADDRESS _ '— ARCHITECT ENGINEER i9?11T1 ADDRESS (9riTi1N RESIGNER BUILDER _ -- 51RIJCTURE [3NEW _❑RIM(1DEL_ ❑ADDITION _❑REPAIR ❑RENFWAL�— ❑FIRE DAMAGE ❑DEMOLITION C3 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUSL._IPPTIO ❑CARPORT ❑GARAGE ❑STORAGE SLAB ❑FENCE iDBONO OMOVING OCONOITIONAL.USE ❑DESIGIV R zVIEW ❑COUNCIL APPROVED ❑SIGNS i,.. —_ OCZUr_ANCY _ LAND USE ZONE_ Ire i __BLDG.TYPE---- '—_F RE ZONE, PLAN CHECK BY------.__ HEAT--.---: _ 08t IULt. �iw mminli pool paja by �mtji.nlsii trlx+.rUL11 t• Lu, --- _�`_ irl l�•,...1�rc f,�:c�1 P�;>�t,>�LR �t 4qu S r l�". - .�� Q_CG LOA �[LQ0B DAQ .,hLo,8EDR0 0 M�_ YAL41 BUILDING DEPARTMENT SET " \CKS FRONT REAR _ LEFT SIDE RIGHT SIDE Permit Olt'• THIS PERMIT IS ISSUED SUBJFCT 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 Wil.L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE.WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CVNTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State TAX • � LICENSE. SEPARATE PERMITS REQUIRED FOR SEWFq, PLUMBING AND HEATING. Total l�lsLl BY --+� fit APPI ICANI OR AGENT Approved I Receipt No. " ---'jrpW WW40rwaw-.d� v 17R"'�gwRlp Y "l; ')° •^'"'Ol BUILDING PERIMIT APPLICATION cOF TIGARD DATE _ __-__ 7�', 19 79_ THE UNDERS.GNED 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 -- LOT NO. OWNER )7h11 �lL31JAs JOB ADDRESS` '! /(` i'11 L(! HOMF-ADORESS ARCHITECT ' "y -irr ��r;>cnum „624:) SU if }.; ENGINEER BUILDER _ ADDRESS DESIGNER �ry-T STRUCTURE ❑ LJ _ NEW ❑RLMn[)EL _ ACDITi0A ❑REPAIR (]RENEWAL [IF `` FIRE DAMAGE -1 DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T DRELIGIOUSOPATIO ❑CAR PORT ❑GARAGE El ❑ STORAGE SLAB CIFENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS OCCUPANCY LAND USE ZONE _.BLDG.TYPE _FIRE ZONE PLAN CHECK BY HEAT (instruct family .room and bnth ad(A ion to dwellinyI, all por piarlts and L1,11.0. -- FirE (: RRELT1ON HECT f4TTACHf:L• -� 40 lu 1 Q�G.I,QAR_______..__ FL4.4ftS.4AR_.-__ __�i€1C�►L--�_ NO,STORILI _�P€P---NQ .44M_SYA_LA, -- BUILDING DEPARTMENT SET BACKS FRONT `4� REAR .SfJ LEFT SIDE U RIGHT SIDE Permit 102•00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONIhr3 Plan Check 36,00 REGULATIONS AND ALL APPLICABLE CODES AND 080NANCE.S, AND IT IS HEREBY AGREED THAT THE 1�� (��) -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal AI.L APPLICABLE CODES AND OROINANCES, THE ICSUANCE OF THIS PERMIT DOES NOT NAIVE. w . I RF'STRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS State Tax LICE';SF. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HFATING. Total `'10.00 By _—�pi -_-- -- $91x9 APPLICANT OR AGENI Approved Receipt No. L OEM DATE INSP TYPE INSPECTION REMARKS PLUMBING DATE 7 Contractor Permit No. %� dt-O �?—71 �'�^ .9.v✓f��P.�,� T��4< y.rlil Rough-in V r-_ _ _-- Fixture Final HEATING — — ---- Contractor N -- — — --- M— Permit No. -- - _ --------- ----- Gas or Oil _— Rough-in — — T -- -- -- -- v Final e — — -- _-- SEWER -- -�— - ------ Final DRIVEWAY ___—_ —_------- — Final Storm Drainage —� (Rain Drain)Final. — Sidewalk ^— — Curb&Street Final Approach BLDG. DEPT.FINAL TtMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPAUCY �_— Landscaping Zoning Finsl I. s k it'.utS:i. wr a w w w nw w w RIS�G PERMIT APPLICATION cOFv TIG AD 0.1TE d� 19 A'9223s— OLD THE 6%[)E.gSIGNE0 HEREBY APPLIES FOR APER,%IIT FOta rHE 'NORrC HERE INDICATED t3UlL0ERPHGfgF OR AS SHOV.'N AND APPROVEO IN THE .ACCONTANYING PLANS ANO SPECIFICATIONS. Ovirl_aPH3rj LOT NO O�VYER�6NU � JOS ADDFIES; I CJ • AF'CMITECr' �Cl Y �� AOORESa ��tYl1�CZ ENGINEER rrb�iI DESIGNER STRUCTU?E lel",E'+v ❑RE•YnOEL n 4 -�] OOIr10N ❑RcPAIR ❑RE`lEVYa []FIRE OarAaCL 10EtitOLIrt-JN XjeSIOENCE 000W-1 ❑EOUCATIONAL [fir OWT, f 1 r-t F��� � � _ LJRQLIcluus L,lParlp L1Caa PORT C]cARAcE �SrgRAGG -_.._...._. _ _❑zLAa []FENCE CrCUPAf.I._y �� ZON' -BLOC, rY�� ../Sl- _ FIH—� p _ E ZU PLAN CHECK 8Y• HEAT If E W E R P QR M I T h1I�Fl"r Nr� lORil 5 ARE4 NO Qa0_Nt `yALUi; 9UIL0IN'0EPARr,61ENT SFrB�CKS FRONT _ REAR LEF'SIDE BIGHT SIDE V� THIS PERMIT IS ISSUFO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILOING CODE, ZONING PI in Che"., FIFOULATION;, ANO AIA. APPLIC AGI-E COOFS AND ORDINANCES, AND IT IS HEP.lcgr AGREED THAT THE 1•Jl;ln WILL BE DONE IN ACCORDANCE VilTH THE PLAN3 A.N0 SPECIFICArIONS ANG IN COMPLIANCE WITH SC7•tJCdl ALL APPLICABLE CODES ANO ORDINANCES rH'a ISSUANCE OF THIS PERMIT WAIVE >`— _ voEs NOT IES —7, RESTRICTIVE CUVF.N1r1r;, Cr+I7RACTOR ArJO SU3 CONTRACTORS TO HAVE CURRENT CITY 6USINESS I ' ]t2 Tax II /�h LICEN;E• SEPARATE PERMIT; R;-GLJIJED FOR SE';rcrl, PLUMBING AND HEATING. 1 Tura! —�� SDC r-------- ' _ PDC# `Apprured I Fiecelpt No APPuCANr oR AGEN r AringFii ME POC — } SEINER CONNECTION SEWER INSPEC rN $ SEWER SURCHARGE Cornu=nt:>> . .: �� j•, .�; - _ter ,•[�J�tiyw k �� l BUILDING PERMIT APPLICATION SOF TIG��!� oaTE -��----- t91�-- 7� �7 o THE GNDERSIGNED HEREBY APPLIES FOR APERh11T FOH rHE WORK KREIN INDICATED 6UILD`,RP:.irt OR AS SHOV.N AND APPROVED IN THE ACCOMPA,"IYING PLANS AND SPEC(FICATIONS, 0vfNEPP40tjE�— � LOT rlo-- OWNSZdi 4. O/ j4L' JOS A00REss /i�/ 7o S44-44d)'f" ARCHITEcr [NGtrtEER 8U11_OE4 e+ ADORESa / ,, �IA.��/Z DESIGNER r'� _ STRUCTUR= NE'N ❑FIE mnOEL n00'TION ORVAIA OREENEVlAL OFIREOA'AAGi DEMOLITION [ARE'SIOErtCE ❑COMM OffOUCATIONAL CJGOV'i' ORELIGIOUSLJPArto OCAaPORr 0GAR4GE OSTORAGEOSLA8 ❑FENCE Crt:UPAN,:Y-q___._.LANO USE ZQt1= - ` BLOG. PYPE r� FIRE ZONE PLAN CHECK BY y HEAT_ .SEWER PFRINIT # r-LOOg LOAD _ FI 1�FI1'_r �Lvp_�S RIES /__--ARFA O NO_ r? �S�A. Iir 000 9UILOIr:, pEPdRTbtENT SETBACKS FRONT HEARLEF. SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZGNING 'Ian Check �� REGULATIONI AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE 4`OA!(WILL EE GONE IN ACCOROANCE WITH THE PLANS AND SPECIFICATIONS:,ND IN COMPLIANCE WIT H Suh•t01d1 D ALL APPLICABLE CODES AND ORDINANCES TH=_ ISSUANCE OF THIS PERMIT DOES NOT 'NAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURREt4T CITY BUSINESS I `we Tax ,8 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Tata! ,� SDC - -- -�' PDC- `'• ----- APPLICANT OP AGENr 4ppruvec; Rece pt No .�!1nPFi5 HON SDC - pDC - SEWER COPINECTION S SEWER INSIDECT 5 SEWER S _HARCE Comments : 4 �r ■er w w ■W vlw PERMIT TO CONNECT Tigard Sanitary District PERMIT M 736 DATE PER311T IS GIVEN TO r' OF TO CONNECT A TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT 1 11,E f) 3,��.J _Q xr-r .� '► --- -- THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECT:ON IS MADE. AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAIli $_ ...................TIGARD °SANITARY DISTRICT y ---- ---- - - --- - - - - - - - CONNECTION INSPECTED AND APPROVED Date '~ Y_.�_Superintendent -.---- Address.- 1170 Permit No. Name of Occupant f cc07n_ Permit charge r Connection fee ' Paid by__ /c L e c lif ti ! I Date connected Cd ' E Type of Building 5I DE tLl Inspection fee �C�— Service Rate ",,2 0 Paid by __ Date Contractor ! A110 c K pp J _-- Assessment------ ----Paid Size of connection