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11475 SW 91ST AVENUE ! ! !! ! !WW ! !! 11475 sw 91ST AVENUE - rn 3 cn Ln r d .-1 1• t � 1• � � 1 S! MING DERPRTMENT, TIGAr NO �y PLUMBING PERMIT CAN!► ��� __�e!' . holder of a valid plumbing contractors license is hereby authori27d to cause pl� work as herein noted to be installed in acrordarlce with the plumbing code of Tigard. Such inEtallations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of T Igaro Business License required for all contractors and sub-contractors. fob ST � _�, Addresi._11.�7 �1� 4� –_ Date 9� .3•Sr'/ Owner 't NU7TE61 OF TtTAL IOUN ;i TYPE QF PEpti111' ITEMS FL-F. 0�! eA(:FI A?,10UPlT fSmala :amliv-1 bath-each _ ,�_ - 25,00 �_Du-gl'tx=P�ch 1 h±th unit _�__r• _--25.01) Additimal bathrooms-each -_— ,_ 10.00 _- I MobOe Hume Space-Rech _ 15,00 1 INOIVIOUAL FIXTURESCOMMERCIAL 50 Fixtures in 1 building-oath __ 3.00 --. !_S1 to IOU Fixtures in 1 building-each 2.50 _-- 101 to '400 Fixtures in 1 building-each - 2.00 701 or more Fixtures in 1 building.-tach- _ M_ 1.50 1MISCELLANE0US � _ -------- Sewer-each additional 100 ft. W-.��-•_ _-10.00 Water Service to building _-_.• 5,00 (PERMIT For Plumbing Inspection Plrone 639.4171 1 49;State _A"V Plumbing Contractor By �Zt'x1R2.� 1 TOTAL — RECEIPT NO. ht--d By _-- _ w NEWS BUILDING PERMIT APPi.ICA-KION TIGARD DATE—__—.". 'rHE UNDERSIGNED HEREBY APPLIES FOR A PERMH I-OR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. of, OWNER PHONE OW JER J09ADDRESB, 11475 C?,; S1 LOT NO. -------- --- -- --- ARCHITECT ENGINEER BVILDEFh AIaye Constr. ADDRESS 12. f,D DESIGNER STRUCTURE ❑ NEW ❑ REMODEL L$ADDITION ❑ REPAIN ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS O PA fl0 n CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE_ OCCUPANCY _-i_-:-, LAND USEZONE _12-7--7 BLDG.TYPE =IRE ZGNE PLAN CHECK E17'tIr HEAT W .?^tacwt ac'dikion to single falril.y norvj 2m.] floor. SEWERPERMITN OCC.LC, D FLOOR LOAD HEIGHT Nn.STC aIES AREA NO.BEDROOMS ? VALUE _BUING DEPARTMENT SCT BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit (H] THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CL MING -� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED ... F THE Plan Check T:, WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA11ONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State lax 3.S4 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. SDC-- Total - --- PDCM APPLICANT OR AGENT - By _ f k?C,1" Receipt No. Approved �� _____� ADDRESS PHONE DATE :MSP. TYPE INSPECTION ��� RLMARK8 PL.0gIMCs ! DATE Contractor / 0'r _ PPrn+'t No, r p `�D_(�(r y�,� d►. c��'1�.t� � Rough-in f d �CJ>•l( t�t� Fina: 1_ �++ HEATING 3-31-� 71 g(`, 04 jgj$K 1 i CQ�L i Contractor 64 41 t` 13140p, ?gmiAA! ,4n L V77n aIIl 5Z4d i Pe .it No. t t �AAtI , t tTN� Yl iltc h10 i lltJ I�( C4��• Gat or Oil _- - Rough-in Final .� SEWER ------�. Final DRIVEWAY Final Storm C ainage (Rain Drain)Final ` Sidewalk Curb&Street Floal Approach BLDri.DEPT.FINAL, t TEMPORARY CERTIFICATE OCCUPANCY l _— CERTIFICATE OCCUPANCY I t-mai ` - Landscaping � Zoning Final BUILDING PERMIT APPLICATION TIGAii:) DATE_�'.'���1`�' .19 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILCG%"NONE OR AS SHOW,!hNO APPROVED IN THE ACCGNIPANYING PLANS AND SPECIFICATIONS. 0YJNER PHO,,mw/�4Y6 ��S _'••:r:-Rzx,108 ADDRESS ARCHITECT ENGINEER SUILCER ADDRESS1,�.�7[7 r DESIGNER �,r"1:_ �rrcr--u'�,..L.L.2 47 STRUCTURE C NBV Cl REMODEL AOOIT:ON ❑ REPAIR (] RENEWAL ❑ FiRE DAMAGE ❑ DEMIOLI?ION _.. ''�ESIDENCZ C CCM!N C EDUCATIONAL ❑ GOV'T Cl RELIGIOUS G PATIO C CARPORT 0 GARAGE C STORAGE ❑ SLABC FENCE :u.iir•ANCY Z_:_5 _,LAND USEZONE Y % BLDG.TYPE �a _1�FIRE ZONE----�PLAN CHECK BY AD_HEAT / 00 r �`•-s_••�"�ific•-Z7 _ -.. _. :sem.j"moi. �. .,-1_t Q_-...-[ �Y.i�..i .11 FL `.EWER PERMIT K CC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA- �Y "NO.BEDROOMS ,� V4.LUE�� t^ c -- f2 BUILDING DEPARTMENT SETBACKS FRONT REAR I.EFTSICE RIGHT SIDra � �'^mit HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDIN CODE,ZOWNG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, A�JO IT t5 HERc?Y AGREE) TY,Ai TY,E 'Ian Check ~�i WORK 'WILL BE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO'i:PUANCE I WITH ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE GF THIS PSRMIT DOES NOT WAIVE Subtotal ESTRICTIVE COVE` A,*4 rs. CO`!i SAC T OR AND SUS CONTRACTORS TO HAVE CURRENT CITY fiu,SIhtSS I L .FNSE.SEPARATE PER7,11TS REQUIRED FOR SEEWER,PLUMBING AND HEATING. / � stits Tax 'a lural _ POCS APPUCANT OR AGENT BY Receipt No. Approved 1 ADDRESS /"ONE CC • EWER NNECTI F WER INS P TION 9 ���� . EWER S hCHARG.. S nmmoOfc • ' /l �� � � �_ ! ! ! ! ! ! ! ! I CITY OF TIGARD—12420 S.W.MAIN—TIGARD,OREGON 97223 RECEIPT DATE: ��a� " �' AMOUNT: $_=L� 6 I c'"i. !. ,� ��1�1 ` _�---1 �r—D6LLARS NAME; CASH: ADDRESS:_ i 7��� ,y:t �K-P 12 ,i`- 1 9' CHECK- _ M.O. ! OF FOR: ACCT_! PERMITS _SURCHARGE AMOUNT ` SEWER BILLINGS 40-364 _T $ BUSINESS LICENSE 05-331 _ — -- PLUMBING PERMIT 05-332 MECHANICAL PERMIT 05-332 -- ABUILDING PERMIT 05-333 SEWER CONNECTION 40-363 _ ------ SEWER INSPECTION 40-365 SYSTEM DEV.CHARGE 25-366 PARK DEV.CHARGE #1 30-367 _ PARK DEV.CHARGE #2 30-368 -- ZONING ADJUSTMENTS 05.362 r� TOTALS $ ' RECEIVED BY PtRMIT NUMBERS A#IONlD: Numbrr Amount Number Amount _Number Amount s ,W _ _ S - $ RECEIPT # �.�.......ryl..».tr.wwh�r_...._...+Y._ ._.-......-._.�.-�.w•,.W'.•wv..-.�.»r..,.:..i. .�..-.e._._._....._.�,...A.w.�.�.��.,a�_..rvw..+•.wv^Rr^�.._....__......._.-....._.....� NO 27107 I BUILDING PERMIT APPLICATION) 11TY TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BIJILDERPHONE� _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_.— LOT NO. - __.-- OWNER ;uhn 5andbo JOB ADDRESS 1��7"'1 ''fv �'I'St- HOME ADDRESS -- _ -- ARCHITECT ENGINEER BUILDER ADDRESS0 S ^^ DESIGNF9 STRUCTURE _❑NEW ❑Ri-mnDEL _ nADDITION REPAIR _09ENEWAL []FIRE DAMAGE ❑DEMOI_IT_ON ❑ RESIDENCE ❑COMM ❑ DUCATIONAL -❑GOV'T ❑RELIGIOUS❑PA- u:AR PORT ❑GARAGE [:]STORAGE❑SLAP [:]FENCE ❑BOND IJMOVING ❑CONDIT+ONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCU'ANCY- LAND USE ZONE _7 -BLDG,TYPE----- --FIRE ZONE j PLAN CHECK BY_._F '-•' HEAT_-._ 9,lalad Strdvq (Pro-fab - -----— Irletallati,Jn Q-C,LQAQ „__FLQOR LOAD_ _-.- AREA BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT S.')E RIGHT SIDE Permit THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Pla ,Check REGULATIONS AND ALL APPLWABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE - -- _ WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPL ICAHL.E CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State TA LICENSE, SEPARATE PERMITS REQUIRED FOR SEW'R PLUMBING AND ::EATING. Total •2f) By P AOPLICANT DR AC3ENt Approved f.•i.!Ei t'1en Receipt No DATE INSP. TYPE INSPECTION - u REMARKS PLUMBING DATE Contractor iax.�.• ----- - Permit No. -^ - — Rough-ir. Fixture Final HEATING Contractor Permit No. Gas or Oil -- -- - ---- Rough-in -- -� •— ---- --- -- - Final - - - ----- ------ _.�—_ - SEWER ------ --__ _----------- -- final -- -- ^-- DRIVEWAY ----- ---.-- --------------- Final — _ _------- Storm Drainage �- --- _--- �---—` (Rain Drain)Final - -� -.-^ -�- Sidewalk Curb&Strew Final - --- - _.- -- Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY - Landscaping Zoning Final Wt ■'► City of 1 igord INSPECTION R&EQUE Sr for INSPECTION T'ME: �7 PERMIT NO. :.� DAT E: -_D AT E ;S S u E D : OWNER'S NAME : ADDRESS.* F/ !/ CONTRACTOR : TEST : Ai- L , 'Acte- " Viauo: � , �.�Lo-afo�v C RESULT: AparcVG DiaaPp,oved Pendin7 S KETCH: i I I ECTOR DATE L NOTE : A•to,�lr �u�^;omental t 1 rJnta I l i I l rM+r-rr.�:Ku,.t.,wars.,Wlwgt}'yps.�e.., .. ...-... .. ...,�u�aw�•..wur.,. .r CITY OF BUILDING PERMIT APPLICATION IG,ARD DATE_ ���$ ,9 N` �� THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPE,pCIFICATIONS. OWNER PHONE—_.--, OWNER ADDRESS JI.1Q?5 SoUl• / BUILDER PHONE ENGINEER Fil!1LiLEH__ ARCHITECT _ DESIGNER STRUCTURE (:]NEW ❑REMODEL _ ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION El RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PONT ❑GARAGE [3 51-ORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING -]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPP.G IED ❑SIGNS 6C. OCCUPANCY_ LAND USE ZONE.— BLDG.TYPE ._._FIRE ZONE._ PLAN CHECK BY._—_ HEAT... c;oT1atrul;t ;:U A 23 addit wn in reaa., dwel tir►g with Usi th acroruing to approved plants anchor baits E' u.c. — tempered Blasts in sliding door H-14 insulation in KAX coiling r-LL in walla R-5 in foundation OCC. LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR L EFT SIDE Y RIGHT SIDE Permit _— — -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS .'ONTAINED IN THE BUILDING CODE, ZONING Plan Chet k REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THI, --� WORK WILL RE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WI i H Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT ';VAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 196 State 32 LICENSE.. SEPARATE PERMITS REQUIRED FOR SEWER, Pt UMBING AND HEATING. Tot II 32*3 . By -- - APP.-ICANf OR AGENT - - Approved Receipt No. AODRES5 rliiini( ---- DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor _l,"_�rd'�- :��r c' - lOr9iZ iii/Fin/t 0.0 _ Permit Noir 1J.-J�- L_' V—�L(cQs��'�i - , /, 1 b 6 l•/4•�5• Rough in _ Fixture Final— — ---- HEATING Contractor _ Permit No. - _- -- J Gas or Oil Rough-in Final — SEWER ---—— -- — DRIVEWAY Final — — — Storm Drainage (Rain Drain) Final _ Sidewalk Curb&Street Final BLDG DEPT. FINAL _ TEMPORARY CERTIFICATE OCCUPANCY I"final CERTIFICATE OCCUPANCY -- Landscaping Zoning Final i!t ! w I!► City of Tigard INSPECTION REQUEST for :NSPECTION TIME : /'m , PERMIT NO. : —.- DATE: O. :DATE: Z>AdJ6 DATE ISSUED:_.,_. L OWNERS NAME : ADDRESS : CONTRACTOR '- TEST'. ONTRACTOR :-TEST' Air El, Water p , Visual G , Laboratory p RESULT: Approved , Disapproved r_ Peadinq p SKETCH: UH.-Ot�'k'i ��cvN Cy /5 Fi �Ix�r'1 Lj v a � ew, �:;pS INSPECTOR DATE NNOTA Attach supplementol test data hetet] �1. Andressf�-/ �J �� Qir� Permit No. Name of Occupant__ Permit charge _ cWb� lf ------ ---- Paid by Date connected T 7pe of Building �� �y!?n ,/ Inspe0ion fee, ;t J Service Rate_ ..._,'- ' y —�--- Paid by _- _ ..__..__Date Contractor. __ Assessment -Paid Size of connection _ __.. �,Liul,t 1ti^.A✓ d �4,