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13575 SW 115TH AVENUE-1 V � 13575 SlN ].1'?TH AVENUE � + 1 Ll IM G U) F. Ey �� ;.. <,; �� to �''�, � i.`��u��' w �; ►-i rA 7 A y t!a H s iq li .c. •«.. ] � Fri C, rQ -I r-1 t r) N t.f trl .-1 M i BUILDING PERMIT APPLICATION TIGARD DATE _ 1t]r1 151__�� 3428 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE5_0".b , OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P S E�,.��b�__ _ �.c►, LOT NO. •UUUL OWNER druce W. Llark JOBADDRESS 13':-j7: 51, 115th Avenur ARCHITECT ENGINEER BUILDER Idestaide 0emodelers ADDRESS 12:x55 SW Summarcrest DESIGNER Westaide STRUCTURE ❑ NEW ❑ REMODEL IN ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION a RESIDENCE ❑ COMM Ej EDUCATIONAL ❑ GOV1 ❑ PELIGIOUS ❑ PATIO ❑ CARPORT ❑ GA. 1GE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY F"' LAND USE ZONE p-10 BLDG.TYPE =�t� -FIRE ZONE_PLAN CHECK BY HEAT_.__ r� Construct 4' bedroom addition to existinrLsinyla family d�!elliny.. �r,!a Machanical or Plumbing. SEWER PERMIT# _ OCC.LOAD FLOOR LOAD 40 HEIGHT-`_ 11 NO_STORIES 1 AREA 100 NO.BEOROOMS - VALuA 4,00 L!. BUILDING DEPARTMENT _ SET BACKS FRONT 3n REAR -- LEFT SIDE 4 RI",HT MICE -- Permit U'i10 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINS) IN THE BUILDING CODE, ZONING 1« On REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. ANN) IT IS HEREBY AGREED THAT THE Plan Check • _ _ WORK WILT BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL I PPLICABLE CODES AND ORDINANCES. THE ISSUAN(;E OF THIS PERMIT DOFS NOT WAIVE: Subtotal 42, 00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTCI'IS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING r'ND HEATING. State Ta#% 1.1•'• - Total U43.12 SDC 13Y P POC# APPLICANT OR AGENT 1 Approved dWh Receipt No. ADDRESS `DATE INS TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. hough-in Fixture Final HEATING rI Contractor Permit No. f Gas or Oil Rough-in Final SEWER Final DRIVEWAY Final Stern Drainage :main Dialn)Final Sidew3lk Curb&Street Final Approach 13LD(-Z DEPT. FINAL TEMPORARY CERTIFICATE OCCUPAr-CV CERTIFICATE OCCUPANCY Final Landscriping Zoning Final --- ----_--— --- - .—.. - - _ a --.19 BUILDING PERMIT APPLICATION ION TIGARD DAT J "?"A2 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWORK HEREIN INDICATED BUILDER PHONE621D.S`1 OR AS SHOWN AND APPROVED IN THE',CCONIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE w . _ 7a19 LOTNO., 2451- 0 � O.°.r:ER 0 ruse,CA 0"-tt. JOB ADDRESS I',T_5W (IS �e ARCHITECT �/�� Q.-� L ENGINEER .1 _,�11 8UILoEF! afS �e�0&J�• ADDRESS 1 ,SJr4 &1 +�h4��,_DESIGNED �- Ipl9j�S1//t�Q• STRUCTURE ❑ NEW O REMODEL XADOIT!ON — -1 REPAIR C3 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLMON RESIDENCE C COMM (] EDUCATIONAL � GOV'T Cl RELIGIOUS ❑ PATIO Cl CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAd❑ FENCE OCCUPANCY - LAND USE ZONE "10-SLOG.TYPE S�.�E ZONE— PLAN CHECK BY --HEAT 0Iw - 01 40 e 1s r SEWER PERMIT It OCC.LOAD FLOOR LOAD s/j_V HEIGHT II _NO.STORIES_ AREA NO.BEDROOMS VALUE4600 BUILDING DEPARTN'ENT SET BACKS FRONT 30 REAR LEFT SI CE RIGHT SIDE !" P�rml� t '�p THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,T_ON:A REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TH Plan Check WORK WILL BE DONE IN ACCOPCA`ICE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN — WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVc !FSuI}tetal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SUSIN ZS' I LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Stau3 Tax SOC— Total_ 00 3. 161 pDAPPUCANT OR AGENT By �""-- Receipt No. ADDRESS PMONE Approved SDC � PDC — s '"EWER CONNECTION S SEWER INSPECTION S SEWER SURCHARGE S t�0 mm e rt'f 5: R P+'�i_µ:..-I -.1-�a `^.-n. 10- Z - `�e,,� ��-�-�- a-Ido-,r./(�• -- - CITY OF TiGAM WASHINGTCN COUNTY,OREGON July 16, 1980 Mr.. Bruce W. Clark 13575 SW 11-9th Tigard, Oregon 97223 REFERENCP : VARIANCE, V 7-80 (Bruce Clark) Located 13575 SW 115th (Wash. Co. Tax Map 2S1 3CD, Tax Lot 300) Dear Six: Please be advised that the Tigard Planning Commission at their regular mee::ing of July 8, 1980, approved your request for a side yard setback variance to allcq remodeling of existing home. There art, no conditions subject to this approval. If, at the expiration of one year from the date of approval of the Variance, construction of the structure of initiation of the use giving rise to the need for the Variance has not begun, the rights given by the Variance approval shall terminate without further action by the City, the Planning Commission, or the City Council. If we can be of any further assistance, please do not hesitate to contact. this office at 639-4171. Sincerely, AeH P1_a ig Director NOPE: This acknowledgement must be signed and returned to the City of Tigard Planning Departmnt. Sicnat-..re Date -` A1vmc ` --- 12420 S.W. MAIN RO BOX 23397 TIGARD, OREGON 97223 PH: 639-4171 City of Tigard INSPECTION REQUEST for INSPECTION TIME : 7>0 _ PERMIT NO. : __.._.._. DATE : DATE ISSUED. OWNERS N.'.ME : ADDRESS '. /,35= CONTRACTOR : TEST. Air ❑, Water ;] , Visual j�, L.aborator, ❑ RESULT: Approved Disapproved ❑ , Pendinq 4� SKETCH' INSPECTOR DA'rE NOTE' Afteeh fupplemeroul test du4a horst] CI-ry OF TIGARD 12420 S. W Main Streat TIGARD, OREGON 97213 APPLICATION FOR BUILDING PERMIT New Construction Demolish ❑ Addition � Remodel ❑ Move El ZONING DATE ISSUED __ BUILDING PERMIT BUILDING FEE $�yNo. DATE RECEIVED J/7�_ _ PLAN CHECK $ VALUATION $ BYOTHEr. Scc4 t�iu -- — TOTAL $ �.OsECEIPT No.10 Tho SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # MAP #� CENSUS TRACT _ — JOB # Architect or Engineer_ Address 1�53._ Phone3 !'. Owner- Address—� lS !—�.�C_ .._ i — -- _P'ione - -O7_rrr Builder Si9.rt --- -- -- .------- _______._-.-- --- -- - Address`�fJ.rt G A— ---Phone---- BUILDING USE Single Rea. Multi Res. Comm. ❑ Induatrial�_� OCCUPANCY GROUP t-4 _ No. of Stories—— _ Total Height_ Area of Lot_ Type of Construction I II III IV V Floor Area B /OX Z01 _ 2 �_ Set Backs: Front---- Back _ I—Side R.Side` Private Sewer Pipe Size ,v,¢ Sewer`_ Septic Tank ❑ Water Service Pipe Size_,( Storm Sewer 0 Ditch ❑ Drywell❑ Street and Curb Requirements V/! Driveway Width_ A'tj _ _—_,No, of Parkins- Spaces_ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFOORMATION/�� ADDRESS ASSIGNED_JJ57 FIELD CHECK BY-..___- — -- --..--- ------ DATE_ ' 7S� PERMIT APPROVED BY//, �`it is is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a certificate of 4ature has been issued�bythe�Cty of Ti.gard 7uildtng Inspector. Applicant —�