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12640 SW KAREN STREET 12640 SW KAREN STREET c. I � s � BUILDING PERMIT APPLICA i SON' Coy TIGARD DATE _ y � '�.__, i9__.._ 777-4665 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT GOR THE WORK HEREIN INDICATED 13UILDERPHONr q. f1L(;iA. OR AS SHOWN AND APPROVED IN i;!F ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE LOT NCI. _ iharun Geluan I.-( O Sid KorF �. r.„ OWNER .108 ADDRESS HOME ADDRESS AR, °4ITECT .liiG�i IUtrlr18 CL1gfJt♦ EN,-i NEER BUILDER ADDRESS tIGNESSTTRUCTURE_ _ ❑Nf•W I(REMODEL. ❑HDDITIO_N ❑REF,J,. ❑RENEWALAFIRE DAMAGE ❑DF_MOI_ITION LJ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV_T ❑RELIGIOUS❑PATIO DICAR PORT ❑GARAGE ❑STORAGE GSLAB ❑FENCE ❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN VEV1EW ❑COUNCIL APPROVED ❑SIGNS _ OCCUPANCY LAND USE ZONE— BLDG.TYPE__ —FIRE ZONt.__ PLAN CHECK BY_ rI,im.jliel. axistinc, (jerayd area into .liv.imj quarter® and t.isth (•0011) -- p ulbiin I a -- U5�_1OA�?_ F144P_.1:QA_D _ HE1G1L _1YQ�TQ�.ES _- - ---ARES---- NO $EDR99.M� �!ALUE BUILJING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Perr;! —'-- 3b till i 00 TH'S PERMIT IS ISSUED SUBJECT TO 'tHE REGULATIONS CONTAINED IN THE BUILDING LODE. ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE;, AND 11 IS HEREBY AGREED THAT THE WORK WILL 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. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINEW4 State Tax .44 LICENSE. SEPARATE PERMITS REOUIRED FOR SFWFR, PLUMBING AND HEATING. Total `y— )—.44^ By ----- q' 'CANT OR AGENT Approaed Receipt No. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE 7-3 Contrctor 7,Z tiW PermNo - Lo ooh in Fixture Final HFATiNG Contractor Permit No. Gas or Oil Final SEWE9 Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final A roach BLDG DEPT.FINAL TEM—P()—RARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning F trial ITy BUILDING PLRMIT APPLICATION CSF TIG,A Ra OATE � __., 197 NO s "6 ,r ;!�F UNDE R51C,NEb HEREBY APPLIES FUR APERMIT FpR THE WURK HEREIN INDICATED BUILDERF�H0NF =..r_ -- UR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON G ._�9G' LOT NO 1W� j_ ��1�-VA I✓JOB ADDRESS / 2 CIO S(/j (ulrtOME ADDRLSS_ ARCHITECT ,�� �� ENGINEER 1 1 DREt DESIGNER ^� !'I URE Q%EW READDITION 0REPAIR [3FIF.NEWAL —. MODEL —. _— — ❑FIRE DAMAGE ❑pEMOL1T!ON X\ PINCE ❑COMM ❑EDUCATIONA, 13GOV'T 0RELIGIOUSL,UPAT10 ❑CAIIPORT ❑GARAGE ❑STORAGE[]SLAB ❑FENCE 1 ND _LO MOVING ❑CONDITIONAL USE EIpES!GNFIE VIEW OCOUNCILAPPROVEDr ❑SIGNS lrP:�N;Y t4ND USE ZONE,Y1 .�BLOG.TYPE _ 7L_._FIRE ZONE Pt AN CHECK BY HEAT_ G- r�•I �ese���'� r AD ---_F.LQ?QE-W.AD YBll1E BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE REOULATIONS CONTAINED IN THE BUILDING CO'E, ZnNiNG Plan Check .-jI REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HEREBY AGREED THAT THE WORK WIL L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN rOMPLIANCE WITH Subtotal 610 ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS "^ HAVE CURRENT CITY BUSINESS 'Aate Tex u LICENSE SEPARATE PF RMITS REOUI RFD FOR SEWER, PLUMBING AND HEATING. — f]3y APPIICANI Op A4EN1 Approved _Bpce!pi No P* .,....-._..__.-_..._._._._._--......,...,,......_..._..........._ ..._....._„.......�,..,....--.,,..,..-.raw.,.,..,_._,�......,.,�..........�n�....,..�.,,...ww......R---..f.�.....,p, BUILDING PERMIT APPLICATION COF TIGARD GATE- �'"'`7� , ts 639-rA57 34 THE UNDERSIGNED 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 Sharun Galviin JOB ADDRESS 'L'.”? ''t 5IJ h zmof d HOME ADDRESS ARCHITECT BUILDERI? t3�411CIGfaT ENGINEER DES STRUCTURE 0 EW ❑REMODEL ADDR ADDITION _❑RFPAIR �FJRENEWALIGNE ❑FIRE DAMAGE ❑DEMOLITION URESIDENCE ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑RELI(;IOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF. ❑BUND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW GCOUNCIL APPROVED EIS IGNIS OCCUPANCY _LANG SE ZONE— BLDG.TYPE FIRE ZONEPLAN CHECK BY —. _ HEAT —In i pre-ran peT.15 Cavor sae m g. By s r a A.LumInum Awrilng .6, _QQ,_C..�AR._.-.__._ F1,00,1112AO __HEIQHT_ AREA __N_Q_bE_QBQ..QM�___YALQF _._-_—.-- BUIL.OING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit -'— THIS PERMIT 19 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 WItA BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN-COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — 1 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING rTotal � r 1r �y --- -- A _)ANt OR AGENT Approved Receipt No. .....,_....., ...........,d,...r .........w.....: _.. .....u... .rr:..n..,rwe r... 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O yaoo "iod a F O W x N m j C-) Q V Q > Q n 2 LL z CM LLI 0. t f U r n W O O CI YI 70 1' by C to C I a .7 ' �' m a JIL Ya � � o _ I 1 J z F NC7a _Iyw -j t Q O w u,OJW _ L1 C u 2 V v M- cr Q a J CC C1 Q u C. 1( _ > Cl Q F �(1 C u U U.1 3 � ._ a a a o N M r w d CI o u 0 1 0 'a 111 u z o� o o L)- Z Q Gj Z d20 a C-') UI " C-') z 1 , cl III y , o� a u w 7 n I O ,A u v LL W L C d ¢ d v �` a = n OI 4 O L b 4 l 1 F U a w O4I aI ` \I E c uu cn .� e I �1� CII o�� `I o PERMIT TO CONNECT Tigard Sanitary District a � PERMIT N? 1581 DATE PERMIT IS GIVEN TO TO CONNECT A �, TO THE SYSTEM OF TIGARD SANITART DISTRICT AT J THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISFS UNTIL CON- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. ' PERMIT FEE PAID $ .. . TIGARD ISANITART DISTRICT f+r By j CONNECTION INSPECTED AND APMO'VW Date Superintendent 1264o s.w. Karen 1581 Address Permit Na.�_�,�_ _ -- y�99 Permit charge­ Connection Owner . w yjstr, , .'+ tI 4L." ��a ' " t-w— Connection feel 400 r Paid by Role Type of building Residence _ Date connectedM_______ Service rate 3.00 P®r m9ah Inspection fee_ 25.00 Contractor alle Constru�xQn -M Paid by_Dale Const_ Date— Size of connection 4" Assessment Paid / 575-yb • oma,, I CITY �'* ... DATE.- LEG'( ATE _- _......._.... .....`....._...-..-.,..moi-+` C •3 �' ,� i/JA iV` ` Lq9 bolt MOW eofr lfiacno �rJkv�'o�J/MI//IJIOIOXC/M�I✓' no¢'.J✓a� _ ___OO — _—-- -.� _ wit�oivf sar��ov/rrriowot�aay►t. �_, fQb/!-Jllr*Air far tSSrf�r� � Conntr Iron ti Ii / spN P°rf SeeTaL� f/0 s��S� a °✓r�h� rd b pT t,J9���rb �b(5ge/J° ��u pxcrnl 1° °dab/r � ,Y,,/ per rpau 19 r���ECTiy left 0 ao�STyU��� F t ace ,. 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