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12720 SW 111TH DRIVE A w v w 12720 1W 111TH DRIVE m in a. t cn 0 N N N •-1 BUILDING PERMIT APPLICATION TIGARD DATE _ 7/6/_,19-01 3803 THF UNDERSIGNED HEREBY APPLILS FOR A PERMIT FOR i HE WORK HEREIN INDICATED BUILDER PHONE 771-06137 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE__ __— OWNER Bruno Gallian0 JOBADDRESS 12720 SW 111th Avenue LOTNO. 3-Uildernee-p— Portland ARCHITECT ENGINEER - —�— BUILDER Delmer Mahler ADDRESS d6i5 SE 1-1019ate Blvd. DESIGNER D. Nehler STRUCTURE ❑ NEW 1 REMODEL ❑ "ADDITION ❑ REPAIR L_'j RENEWAL F] FIRE DAMAGE I:I DEMOLITION OVESIDENCE ❑ COMM ❑ EDUCATIONAL 11GOV'T 11RELIGIOUS ❑ PATIO C] CARPORT ❑ GARAGE USTORAGE SLAB' FENCE OCCUPANCY �"l _LAND USEZONE —-171-BLDG.TYPE! 5N�.FIRE ZONE_--PLAN CHECK BY dWh` HEAT yam Construct storage accessary building per plans and code. SEWER PERMIT M OCC.LOAD FLOOR LOAD Slab HEIGHT 9 NO.STORIES 1 ARFA 2Fi tl NO,BEDROONIS VALUd 4,000- BUILDING ,000.BUILDING DEPARTMENT SET BACKS FRONT 3 REAR LEFT SIDE In RIGHT SIDE Permit SP 8.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 1!t REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND i IS HEREBY AGREED THAT THE Plan Check 00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 42•nO RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. state Tax 1.1 SDC-- Total $43,1 _ -- PDCtt AFwi-iCnrvi OR n(,t Nr By P1 --- Receipt Nn Approved duh ADDRESS ---- --- -- PHONE k r y DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. f, Rough-in Fixture Final HEATING ��— Contractor Permit No. Gas or Oil - .------- Rough-in Final SEWER DRIVEWAY Final Storm Drainage (Rain Drain)Final `— Sidewalk Curb&Street Final Approach BLDM DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIMCATE OCCUPANCY Landscaping Zoning Final r 4 o: Y A p � '0 BU!LD1NG PERMIT APPLICATION �0FY TIGAID DATE _Y. Is �' • THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDIC D BUILDER P;HOfJnl 0 0 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANAND SPECIFICA IONS OvnvEPP .0 /� `,gyp► LOT NO 74VfJEP_ �'/AN(/ JOB ADDRESS � (�1� y /o U1 ARCHITECT U140 9c - C I F ENGINEER r !U1�_O.'2 ' AODRESS V �J D/.J^�'- r DESIGNL-R �N STRUCTURE _ NEw ❑RI MnOEL ❑ADDITION _ ❑RcPAIFI ❑RENE1NAL ❑FIRE OArAAGE �f �-f _ rr--tt _ rr--tt __r�--fI ❑D_v10 L I T I J U nESIDENCE CJCOMM ❑EO.CATIONAL DGOV'T URELIGIpU5 LJPATIU LJCaR PORT ❑GARAGE STORAGE❑SLAB ❑FENC ll,,--II 0r1,UPANCY.Q—..LAND USE 7.ONE �L_____OLOG. TYPE�_FIRE ZONE---- - PLAN CHECK BY'- HEAT SEWER PERMIT 9-C,; _ -LOAp FLOO�l�O . AO �`� HEIGHT `N0.ST RIE _J AR E_aNQ�E�R00M5 _� �j,VALUE ?DOD BUIL^IN G DEPARTMENT SETBACKS FRONTREAR 3 LEF"T SIDE Q RIGHT SIDE P'l m I t - —- - -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, tONIN I I':an Check /�J V v REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TH WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CONIPLIANCE WIT ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES `,:a[? Tax �, �Z LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING, Total _ SDC - - PDC#By I o APPLICANr OR :IGF rir Approved Receipt No AnnRFti4 _ -T - PHONE SDC - PDC - SEWER CONNECTION SEWER INSPECTION SEWER SURCHARGE Comments : ADDRESS I�%' "! '�� '[) L � .�_ PERMIT NO. PERMIT CHARGE pane OWNER CONNECTION FEE God, PAID BY TYPE OF BUILOING Ag-J DATE CON;":ECTEO SERVICE RATE / o{L INSPECTION FEE _ CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSML-NT PAID �► �r ® WIs PLOmBING PERMIT _ C 6 hoider of a valid plumbing contractors license is hereoy ajthorized to ce.'Ise plurrlbin,, Ark as herein noted to be insta..ed in accordance with the plumbing coda Of. Tigard. Such installations require inspection by the City Inspector who sha;l be notified not less than fou.- ,W) ou.;4i hours prior to the time the installations are ready for inspection. City of Tigard Business License requ;red for ail contractors and sub-contractors. Vv:rC y NU:t',r':r OF TO"A� I PERMIT NWG Typ E OF PZAMIT I ITP1.5 Fac 0`' cAtaA tiT I (011fice Use :.n_/)- _1LF I 52500 - _5 -nln =nr ii�1 ba'ti-each Oup'nx-Earp 1-bath-unit - 25.00 t Acd;,:on) hathrooms-each _._.._._._.._! 1000 f U o _.. f Vr:bi;e Homo Soece-each I 15.00 � L ',NOIVICUAL F_IXTURE FEES 1 to 30 Fixturat in 1 building-eechI-- 51 to 'moo Fixtures in 1 building-enrh I 7•50 �-- -- 101 to 200 Fixtures in 1 building-ac 2.n0 L _ 2.11 or more Fixtures in 1 huildi=each I 1.50 M ;3CELLANE0US -- 3w'ld°„q Sewar-1st 50 ft- _,_ 10.00 L Snwnr-each mH1001,31 100 ft, 10,00 ,_— Wa;ar Service to building - _.. -. �� 5.00 1 -j °riv(te Water Systems-eech 100 ft. __—_,, ," 10.00 I Q•trr ;sprCjy): — For Plumbin1 it;::pjc:iort Phone 633.4131 1 PlumbinZ Contractor ay RZCEiPi' NO. Issued 3y �_� G y of I l��f Cl r1.1tCIt MCL7! rtr;n)r Yr::nrt ssuu _._. Ere---- _ �,�•; Ir,S;;lialion '� Re,dace ❑ Relocation ED ,,,Idi:ion Alteration !: 4;6 Stale .'57- TOTAL t-ut��tA-f-9.—_ - OWN cR2�Gntay_ IVORY, ADDRESS 111-n �.L►_), Illi AD7R`-ES_ APPLICANT �.._ PHONE — --— Heat Input Rating (BTU Per Hour) Vent Size _srFlue rza FUEL OIL ❑ GAS 0ELECT ❑ OTHER �.:-. ITEM NO. FEE ITEM NO. FE For Issuance of ?ermit � 3.l)0- Air Condition Compressor 15 to 30 HP 10.[ ' 5.00 New• Under 100,000 BTU Air Handling 10,000 CFM 3.( New• 100,000 BTU & over 5.00 '•Air Handling Over 10,000 CFM 5.( Floor Furnace --4.0-0 Evaporative Cooler 3.( _ _ rs 4_00 7.(• 14'.11 • Floor •Suspended Range Vent Fan _ __- - -- ----- 2.00 Vent System 3•t ?'. Install Ven!%Only _ Repair.• Heat & Cooling 4.00 Hood Commercial —_ 3.( .j.�• -- �._�_ - Air Condition Compresso! r Ude► 3 HP 4.00 Conimerrial !)ut:,wSystein -;ressor 3 to 15 HP -+� - 7.50 _ .` air Condition Comp INSPECTOR'S COMXENTS ._�_ _ _� _._... �V CITY BUSINESS LICENSE REOUIRED FOR ALL B CONTRACTORS OR SUBCONTRACTORS u4. APPROVED BY DATE ISSUED BY DATE _ RECEIPT NO. rr, »a Signature of A41i ?l I4XIIw�,_ 3 "� ,• ' BUILDING PERMIT APPLICATION 11T TIGARD DATEOF ___ THE UNDERSIGNED HEREBY APPLIES FOR APERMIT cOR TFT- WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL , IS AND SPECIFICATIONS OWNER PHONE LOT NO. — OWN ,$111 IaQtty.' J013 ADDRESS 1.2720 SW 111th P!IN(.( HOME ADDRESS ARCHITECT A ENGINEER BUILDER } f'r ADDRESS ►L W J :? L1e8r «�ll,,.!_ DESIGNER y ---- � _-- STRUCTURE ❑NEW G H' M_nDEI_ ❑_ADDITION ❑REPAIR [:]RENEWAL ❑FIRE DAMAGE UDEMOLITION ® F,ESIDFNCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS UPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE _❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COL'NCII.APPROVED [:]SIGNS OCCUPANCYC7-3 LAND USE ZONE R-7 _._BLDG,TYPE. 5N _FIRE ZONE PLAN CHECK BY E'TiJ HEAT__ .Iwrla�tcLSI t ai .+I le feMily dwelling w etterheo ger,agw. 1.3;adrraur;► j Sewoz Permit 662540 LOAD FLo g LOAD 40 HEIGHT 16 STORIES_1 ._AF L> _4t�' NO BEDRQQ�IN�u VALUE _ BUILDING DEPARTMENT SET BACKS FRONT 63 REAR LEFT SIDE G RIGHT SIDE Permit �19g.(�(� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 20NING Plan Check 99*50 REGUI ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT ;S HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal �� Q ALL APPLICARLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 171�,U LIgEISE. SI.EPARATE ff',F TS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 2.:504.46 PDL 1 — 11101.0(1 Bv P1—1_ APPLICANT OR AGENT Approved r . +I,%i clop► Receipt No DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE ....f_, Contractor �iC 7_ OS✓ J ..��+:.` _ ---- Permit No. Rough-in J �l�y �• _ Fixture /_ U Final HEATING Contractor ,. Permit No. /3 _! c� — P3Y a Gas or Oil Rough-in /O Final — p(- SEWEP ---- --- cpeFinal -- /y� DRIVEWAY Final 00 Storm Drainage — --- (Rain Drain)Final. Sidewalk Curb&Street Final Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final I i I . , n PLWAIT PLf ATIGN ��TY Tf�,`.RD DATE � ' [.__.�, le2$_ �a "Zy4 v, 3 JIL DI JG PE AIT AP C OF Hc,I(,NED NEK HEBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNLR PHONE y�i!_ SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOTN 'HaNF LOT NO Fd-5 R , ` }'I C, _ JGI1 ADDRESS j 2_2jC �.I)" • HOME ADDRESS ARCHITECT IS S LJLrL�7^L ..-._ DESIGNER - ��--II NEW (3REMODELD _ _UAUIIIION O -_— REPAIR IJRENEWAAL_ ❑FIRE DAMAGE [:]DEMOLITION IDF.NCF LJCOMM ❑EDUCATIONAL ❑GOV'T OREI -GIOUSOPATIO ❑GAR PORT IJGARAGE ❑STORAGE OSLAB []FENCE I'BOND MOVING [3CONDITIONAL USE _❑DESIGN REVIEW []COUNCIL APPROVED _❑SIGNS uF LNCv — -ND USE ZONE It`� _Bl DG TYPE �✓^f IRF ZONE PLAN� CHECK BY_ HEAT i�. l � ,liVLt c1�:G LQAF' _ F 4Q.QR LQ.AQ_ -�!E!�H �� --- NO.HI9A!F� �- A8€� '_► _9EpROOMS�{ _�(g �n d. El 1111 PING DEPAHT6IENT— SL BACKS I RONT �� _ REAR- �_;� -� LEFT SIDE �,— RIGHT 51DE /D THIS PERM11 IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Cheek - / C S� RFGULAT100`,b AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE J�— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ,,Ie Tax L/ '7/i LICENSE. SEPARATE PERMITS REOUIREO FOR SEWER, PLUMBING AND HEATING. --�-�- BY A-1 APPi ICAN1 OR AUENT i AClri ov,.d J Receipl No r /' / 6 y- 6 C' AUURES6 H - 1 ¢ l t