11095 SW 106TH AVENUE Li Li Li W Loi ILJW Li Li Li -i Li
11095 SW lObTH
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ADDRESS G .J�- �GIJi /d6irk PERMIT N0. ,7"�o�i?
PERiMI T CHARGE none
OWNER CO`INECTIOri FEE
PAID B Y
TYPE OF BUILDING � ,iJ, ) _ DATE CONNECTED
SERVICE RATE INSPECTION FEE S
�2
PAID BY DATE
CONTRACTOR —
SIZE OF CO'J'dECTION ASSESSMENT PAID
i
1 tSU11_UINU UtI Ah 10111--`111, 1 1h1-1hU ��o
I r le+r InIG �(PLN&BING PERMIT
MARTIN T. M� Lh.I�J I'1.1...13r11
28A.1109 , ho'der of a valid plucnbing contractors license is hereby
authorized to CiausG plumbing work as herein noted to be instilled in accordance with the plumbing code of
Tigard, Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the tirna the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
,r / U }
Owrer ��A �{c Ysc't'�'' AddreS. /DG �- Dato_/%/f'o/7� i
NUfdjr.R OF TOTAL PERh11T NO.'S
TYPE OF PERMIT ITEMS rE"e ON EACH Afviouwr (Offica Use Only)
-0-E S10 LNTL,;L -
5inatrl Family-1 bash-aach _ �_ 25.0(1
' r ter-Earh 1 ba;1 unit _ 25.00 -
Addicihnnt �)_1:hruvm1-43ch _— _ 10.00
blobileeHHome Se_:a_each 15.00
t
-1 N 0T I OU AT FIXTURE FEES_
1 to 50 Fixtw-ti in 1 building-each
51 to 100 F ix:ujei in 1 buil'.-each 250
101 t?200 FitturN; in 1 builjin2.00
201 or mora Fix._,e:_in 1 yuitrling.e
,r115CELLAV90U5 _
b'Weir; ager -la 50 ft. 10.00_
Srrww-eich ed,acional 100 ft. 10.00_
_W,1rer SarvirM to brr'idln 5.00
Private Vynrr 5�i,arr,_eirh IN It. F __--� 10.00
OThnr (Soyc:f )
PFn�.117 � For?lur»tlin�irr,,r:.�;-rr. ?;rrty 639.4171 �y�
�b Srye _/,�/0 Plumbing Con:rar 1 ,IC �L
_
TAI_ RECEIP r NO. Is.rid By
CITY
BUILDING PERMIT APPLICATION JOF TIGARD DATE1 19I0
THE UNDERSIGNED HEREBY APPLIES FOR APERI.11T FOR THE WORK HEREIN NDICATED BUILDER PHONIL
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
LnT NO. _
OWNER 'juglas (vraili:: JOB ADDRES4.10'.- ,w 106th IU91HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER NQcthland H ml .. ADDRESSL0211 $U barbur ;;:102 DESIGNER 3.10111JI ltuaiu
STRUCTURE ®NEW ❑R 'MnDEL ❑ADDITION ❑REPAIR ❑RENEWAL OF IRE DAMAGE []DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIVIIAL ❑GOV'T CJRELIGIOUS❑PATIO (ICAR PONT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑N.JVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY ?—A-LAND USE ZONE. I`-7 BLDG.TYPE. 'N FIRE ZONE 7J PLAN CHECK BY_ s r HEAT_
Construct aingl rsaiiy dwelldng u ettw-Algid y4ruW6 ^- 3 E-,00routu - ! beth6,.
!3ower Permit : 17 ,2 - ;G :.X10 - Sii
—- &V s m o- 464 f-l.17
S&,_ - --�y,-'.
Q. LQ U_____ELQQjj LOAD - d0 IIElQHT l3 N0.STORIES I _RHEA 2AQ,.�EORO.QMS YALU
BUILDING DEPARTMENT SETBACKS FRONT J REAR 71) I Ft T SIhE ► RIGHTSIDE 14
Permit 2"00
-----. ------------ -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check 71,DIG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, %ND IT IS HI:REBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIr ICATIONS AND IN COMPLIANCE WITH
Subtotal , 1 •l1( ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANU OF THIS PERMIT DOES NOT WAIVE
— -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY ROSINESS
State Tax!; LICENSE. SEPARA�Tj.RE ITS REOUInLU FOR SEWER, PLUMBING AND HEATING.
Total 1ou,:00
By APC ANT OR AGENT
Approved 4 1 ^l ' f Ii rrilii No ; `�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
�� % Permit No.
Q _ Rnugn�i
1-2
it
—'
i _ Fixture
Final -_
HEATING
E_S,3 v Contractor
Permit No -
Gas or Oil f,A!
Rough-in
Final --
SEWER
- Final
- - — — --- DRIVEWAY
-- _ - ---- Final
-- - --A ---
Storm Drainage
--- - — -- _ (Rain Drain)Final.
---�-- - - �-- Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL J TEMPORARY CERT'FICATE OCCUPA Y
CERTIFICATE OCCUPANCY - Final
l Landscaping
Zoning Final
� � t
I
_�'JILDING PERMIT APPLICATION 1a Y ��G�",RD DATES ' 2_7 .1979 N20
IF i!":.)F.HFIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON�`�—$__330G
R ^S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-
LOT
LOT NO... �..
Douglas Graham JOP ADDRESS J S W. 106th AyeHONi= ADDRESS _
— - ARCHITECT
ENGINEER
t r R NOrt lar,E�. � ADDRE55 _] 02 j ",.__,$arbor 42 OZW DESIGNER
S tj[j
URF iNLIN 0REMODEL r—t 0ADUITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
X NCF I1CC,MM ❑EDUCATIONAL ❑GOV'T ❑RELtG10USOPATIO ❑CARPORT ❑GARAGE ❑STORAGEDSLAB rjFENCE
=.'ND 11 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCI.APPROVED ❑SIGNS
NC,0 LAND USE ZONE—_ BL OG 1 ,i'FFIRE ZONE_ PLAN CHECK BY___ ,.-- HEAT--Elec
t
To construct � _attach
� gaxa4s
Three (3) bedroom, two (2 ') bath
dr
F L OOR t oAD 40 1b s lalr, (] 13 ' No�B11-a 1 _.-._ARE x1162 tvDJJE99DQW 3-.
La
HU l DING DEPANIMENT SET BACKS 20 REAR _^?()- -- LEFT SIDE iz
— RIGHT SIDE
THIS PERMIT IS ISSLIED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONING
Plan Check RFGULATIONb AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPILCIFICATIONS AND IN COMPLIANCE WITH
cuh total ALL APPLICABLE CODF5 AND ORDINANCES, TME ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOP AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta4: LICENSE. SEPARATE PERMITS REOUIRE0 FOR SL-WER, PLUMBING AND HEATING.
Total_...._..
.81
---- ---- Appy i AN1 OR AGE tAt
Ar.; „t•d Receipt No e W� .
pUUWF 5SRd
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