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11630 SW 98TH AVENUE 11630 SW 98TH AVENUE ,x y 1 I 41 as rn tr 0 rl ko � BI:ILDING PERMIT APPLICATION TIGARD DATE Sept. 13 _,19.85_ 5589 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE `246-6562 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE__622=5514 LOT NO.____�1 zon ----- OWNER A14N JORDMI JOB ADDRESS 1165U Std " 1� _ Is 3sel) _ SUFS 7 S!r Evelyn ARCHITECT �' ENGINEER BUILDER Suety Rooliaz ADDRESS PC�rtlandl OK _91219 DESIGNER `— STRUCTURE_ 0 NEW ❑ REMODEL _ ❑ ADDITION UX REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION [19 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T LI RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE C] SLAB El FENCE 0 CC UPANCY -__LAND USE ZONE _. •5 BLDG.TYpI: 5N FIREZONE_ —.._PLAN CHECK BY hCtZ HEAT_ R*pair roof structure per &p :i:. ad pleas -- -SEWER PERMIT PERMIT OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES I AREA 9" NO.BEDROOMS VALUE 16W _ BUILDING DEPARTMENT _ SET BACKS FRONT REAF LEFT SIDE RIGHT SIDE Permit 26.50 THIS PERMIT IS ISSUED SUBJECT TO TH : REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING REGULATIONS AND ALA. APPLICABLE CC-DES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check i •z I WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 43 13 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N01 WAIVE Sub • Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 81.13INESS I.U6 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax ___ 44 r SDC .19 Total —- -.- _____ - PDCM APPLICAN��OR AGENT By _ _ Approved BCIR ReCelpt No. ADDRESS PHONE r riff ■ DATE I INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor 4W7 Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in rull SEWER Final DRIVEWAY Final Storm Drelna�r (Rain Drain)Final Sidewalk Curb&Street Final Cy Approach ii DEPT.IrIfli.1— TEMPORARY CERTiPICATE CERTIFICATE OCCUPANCY Final Landscaping Zoning Final [WIN BUILDING PERMIT APIDLICATION TIGARD THE UNDERSIGNED HEREBY APPLIES FOR A PERP/iT FOR THE WORK HEF.EIN INDICATED BUILDER PHGNE-� S_6 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE d',3 r'/ L:)TNO. /200 -- OWNER ��( l } f 1LL JOB AUD7ESS ,e/�3 � s`.- y _ ;•:i/- s �, d g Su- –r�✓�. ARCHITECT _ ENGINEER BUILDER ADDRESS �'T=�J ` �` % 5' DESIGNER STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION --a•REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DE►AOLITION aTIESIOENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G Si,41AGE ❑ SLAB❑ FENCE OCCUPANCY �' .,LAND USE ZONE ffy.5 BLDG.TYPE S��� PLAN CHECK BY HEAT __ SEWER PERIAIT M _ _OCC.LOAD FLOOR LOAD-- --+FN6H7 NO.STORIES I/ AREA NO.BEDROOMS -- VA.LUt BUILUING DEPARTMENT SET BACKS FROM—— T Q E Permit �� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG 2 REGULATION!;AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE ,PIanCheck `3 WORK WILL EiE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUAI,ICE OF THIS PERMIT DOES NOT WAIVE 5u�felal moi' RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS . LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. ;Stale Tax -. SOC Total POCr APPIJCANT OR AGENT By —�_--- �• Receipt No. — ---- Approved AOORESS PHONE SSUC --- $ > S0C POC SEWER CONNECTIPTI / S 5EWER INSEE-MON S SEWER RCHARGE S SO UuiIdiny !'omit No Location Date Certification of Registration With the Builders Board ' � r doing business as (dba) , am registered under the prov is ions of ORS ChapterO1 Orego- Homebuilders law) . fly Builders Board Registration Number is 31 118.7 _ _ fly registration is in full force and effect and expires on ►� 23���— 7 Signature PLUMBING PERMIT T a,1) holder of a v;,lid plumbing contractors lir nse is hereby Guth ' ed to cause plun-kbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector I,vho shall be notified not less than four (4) hours prior to the time the installations are read); for inspection. City ofard Business License required for all contractors and sub-con tractors. 0.vnPr— "� _ _ :'� ,_ _ Address=� ��"" �'aate_ NUMBER OF Tt1TAL PEFh AIT NO.'S TYPE Oi: PERMIT ITEMS FEE ON EACH — AMOUNT IOft 'a U,e Only) S ale Fa-Tilly-1 bash–each / — 25.00 C7u 14x–Each 1 bath unit _ _ 25.00 Additional bathrooms–each 10.00 _ Mabile Hume Spar, –each _ 15.00 INDIVIDUAL_FIXTURE FEES – _1 to 50 Fixtures in 1 building–each y 9.00 51 to 100 Fixtures in I buildin –each 2.50 101 to 200 Fixtures in 1 buildin – ach 2.00 201 or mar! Fixtures in 1 building–eech 1.50 _ — MISCELL k N E 0 U S building Sower-1st 50 ft. 10.00 Sewer–each additional 100 ft. — 10.00 Water Service to building -- -- 5.00 _private Water systems–each 100 ft. _ 1000 _ I_–Other ($ ncif 1 �i PERMIT u, c'v for Plumbing Inspection Phone 539.4 17 1 State �'Ql Piumbim actor By OTAL p RECEIPT NO. Issued �raU f v+�pIy�ip fi!Sff Gt►F tW °°T � All3SEM �Lwd♦R 7RM*R'y��.yp"�"" i BUILDING PERMIT APPLICATION 10 Y TIC/ARD DATE 9 __.__. ® �.— THE UNDERSIGNED HEREBY APP" IES FOR APERMIT FOR THE WORK. HFREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED -HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE —� LOT NO. OWIJER y_ JOB ADDRESSj 1 . ter I�9L{:tl I IOMME ADDRESS ARCHITECT ",` ENGINEER BUILDER _ ^ ADDRErS�S _➢ '7f' �i,t iTE+l}Q�jit _ �CIESIGNFR STRUCTURE r❑NEW G Rf MODEL 0ADDITION REPAIR RENEWCI--A��L OFIRE DAMAGE ❑DEMOLITION El RESIDENCE UCOMM ❑EDUCATIONAL ❑GOV'T ORELIGIOUSCIPAT10 ❑CARPORT DGARAGE ❑STOHy',GECISLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN RE 'ICW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY—"---.i-LAND USE ZONE_.__'" 1 BLDG.TYPE �i _ FIRE ZONE . PLAN CHECK BY j t ' HEAT__-_ -----+«�?`!� 4�#1-:W rT f3L1C1::�YrGjrtir� nr4r Jnr_�xlwtitlt ..i'1i11JdIL ©t &, 2i1VB9 81JdrI,: — T,;.I n-� LiA. t f1B,J f d "Il de r Qr 0 t i t )y r r, u t --- 4 a Aia 4.441 t rtW ishaid d 11" SULL FI aY1y1 in fJ411S t 1.+ ►i Y t►: 9-99;,149LL__. E1.94.H LOAD _.�_ HI�.LG1iL._ ..__-_____..N�►�L�fl��$__—...3FiE9�_ NQ Q�f2HS?41i1 ___.Y8L4� 'C'rl'" BUILDING DEPARTMENT SET BACKS FRONT REAR I_EF 'SIDE RIGHT SIDE Permit ,� � -- ' `'�— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS VONTAINED IN THE BUILDING CODE. ZONING Plan Check REGULATIONS AND ALL APPLICABLE _'ODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE L WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total (10 ALL APPLICABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 1,44 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total . a.44 By APPLICANT UH AC:EN1__..� Approved i. • u;8jt08r1,_ Ft��Ir��Ilt Ni) e DATI, IINSP. TYPE INSPECTION REMARKS ( PLUMBING I DATE Contractor 0 ^---__—�--/! _ ,� -- 13 71 Zkr 1 ti +�i�`�-- w, Permit No. i F� 3r�+� �_7 79 Rough-in — Fixture Final l^ HEATING Contractor l Permit No. dil Gas or Oil — Rough-in -- — __—Y — Final — —--- � SEWER Final , DRIVEWAY Flnel ------ Storttm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY ------ Landscaping --� Zoning Final Aim UR-DING PERMIT APPLICATION �UF 1�=.'•QD DATE. /401;�TFD __ ,9 �o`4 �'""^' 1.0, %FD HEREBY APPLIES FOR APERMIT FOR THEWORK HERFIN BUIL.DFRI 4Cr.1 -,R .AS SHC�:N AND APPROVED IN THE ACCON",PANYING FLANS AND SPE IF ICA]IC)NS. OWNER F.-IONE Cis /p T P/�� LUT V' _ -F JGHADnRE55 II�pJ "�/" 'ge n, c D - _ r.µ��A_ 4E55 ARCHITECT (�� iR1� ENGINEER T ER- ADDRESS __ _ DESIGNER _ URE _ C,Iv_W - tJREMf� DEL —0ADUITION - REPAIR C]�F":�WAL ❑FIRE DAMAGE L�DEMOLITION JC '_ENCF C] _M ` M ❑EULICAl10NAL ❑GRI OV'T OP" ❑CAPORT- ❑GE GST' ARAC _)9AOE0SLAB ❑FENCE \ J-OND — DMOVING ❑CCINDITIONAL USE ❑DESIGN REVIEW_ ❑COUNCIL APPROVED ❑SIGNS NCY LAND USE ZONE, `w.-/- -•^ _ � �Y- - _ — — .— __..BLDG TYPES'V-FIRE ZONE-3 PLAN CHECK 9Y— HEAT_�"� Ao A91"8_ 91JIlOING OEF`AkTMENT -_ SET BACKS FRONT REAR ------ FFT SIDE —RIGHT SIDE 'rI mit 00 TH15 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check /� u�/ qt G1JLATIONS AND At L APPLICABLE CODES AND ORUINANCES, AND IT IS HEREBY AGREED THAT THE -F WORK WILL BE DONE IN ACCORDANCE WITH T HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total - ALL APPLiCASLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERN11T DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SLIB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Siete Tax Q tj LICENSE. SEPARATE PtPMITS i,Ef)UIRED FOR tit-N'ER PLUMB NG AND HEATING. -- APPLICANT OR AGENT 4 Approved elpt No. ADDRESS Tngn 9 i i _��JILDIhG PERMIT APPL,CATION �U Y � �,,RD DATF. _�_______..__�_. 19---- 1e° "HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE �R AS SHCON AND APPRCVED IN THE ACCOMPANYING PLANS AND SPE CIFICATIdNS, OwNERPNONF LOT NO. JOB ADDRESS HOME ADDRESS _ — :.R �— ARCHITECT �— --`— ENGINEER .'ER _ _ ^_�_. ADDRESS �. _ _____-- _ DESIGNER____ ESIGNER __ -"URE DNEW _ _O REMODEL OADJITION _ ❑REPAIR_— DRENEWAL CIF IRE DAMAGE _ ODEMOL.ITION rF_IDL_NCE ❑COMM OEL,UCATIONALO — ❑GOV'T DRFLIVIOUS °ATIO [:)CARPORT OGARAGE OSTORAGE LISLAB []FENCE FIRG_ND DMOVING ❑CONDITIONAL USE r 0DESIGN REVIEW []COUNCIL APPROVEDL:SIGNS w w y f E.,_ PIAN CHECK BY_ HEATi__.� _ IRE ZON - SS]9MS UILDING DEPAF TMEN ' SET BACKS FRONT _ REAR _ ;.EFT SIDE _ RIGHT SIDE PermitTHIS PERMIT r,',SI.IED SUBJECT TO THE R[GULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND Al L APPLICABLE CODES A%ID ORDINANCES. AND IT IS HEREBY AGREED THAT THE WORK WILL OF [DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANv;E WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTiVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUR,4F.NT CITY aUSINESS State Tax LICENSE. SEPARATE PERMITS REOUIRED FOI+ SEWER. PLUMBING AND HEATING. Total BY APPI ICANT OR AGENT '— APPluved Receipt No A D U R95 li R t ® AF 1S i Tei. S 2 ADDRESS— ��� �' ��0�����. __—._____ PERMIT N 0. _.._....�._ PERMIT CHARGE none OWNER CONNECTION FEEPAID BY -41 w� � TYPE OF BUILDING DATE CONN TE0 �S SERVICE RATE INSPECTION FEE CONTRACTOR _ _ PAID BY DATE SIZE OF CONNECTION _ __ ___ ASSESSMENT _ PAID I City ty 9 of Tigard a rd INSPECTION REQUEST for INSPECTION TIME :_L_ PERMIT NO. : — ! DATE: ZG?L3LL.2,/,--DATE ISSUED:._,...LJ. I OWNERS NAME . --- I ADDRESS – - --- —� ' r _ CONTPACTO R : i . � ITEST . air ❑, Water ❑ , Laboratory O RESULT. Appro�,ed f7 , Disapproved ❑ , Pending t j I SKETCH: I I I I I -- I INSPECTOR DATE COTE Attach supplemental toot data herel!] I li I � UNl ►_. 11WD SEWERAGI. AGENCY NO. ._ 10652 - - W/``'-311 I NGTON COIF Vf_Y DATE CITY OF__-- Tirard _ I APPLICATION FOR SEWER CONNECTION PERMIT t OWNER: OWNER'S ADDRESS: __- _ _____ - _._.-__— STREET --- � -- I:ITV ':tATE 21P BUILDING SITE: LOT_____ __..______ BLOCK — ____ _ ADDITION TAX LOT NO. .__________,_. ___ _ TYPE OF OCCUPANCY ADDRESS — DWELLING DDRESS ._DWELLING UNITS__ __._-_._._ ...____-.LFIXTURE UN17S -____ SURCHARGE IF APPLICABLE __------�_.___ ---__-_--_----__--__— -- _-- PERMIT FEE . 53 ,.QQ._—_ INSPECTION FEE ..2.S.-Da TOTAL DEPOSITED .. 600. 00 (NEW) (EXISTING BUILDING SEWER SYSTEM XFanno Cresk .______ The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE RECEIVED BY____ IAGENCV OR 11S AGENT) COMMENTS: This Applicatiur. and permit expires in one hundred and twenty (170) days. The amount paid will be forfeited should expiration occur.