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11305 SW 121ST AVENUE I D A V&A, 1:lrecordslmlcro f lm\targetslbullding.doc .CITY OFTIGrAIts ® �. COMMUNrry DEVELOPMENT DEPARTMENT BUILDING PER111 I' 13126 SW HWI BW. P.O.Sm 23397,To-od,Ompgon 97223(603)M 4175 PERMIT It. . . . . . . .. ;W1 jf-,q -41 UHIL, ISSUED4 06 31*1 E. ADDkES'-L t J. W15 SV) I I ST AVF r IS134CF. 12 bUBDIVISION. 01JL-L(, IUW ZONING: R-4. 5 1-0 1 . . . . . . . . . . R EISSUE:: PLOOR EXTERIOR W.")Ll. G61!ti 1 RUf] f M1\1 CLASS OF WORE. :ADJO FIRST. . N g 5: E i W l'YPE OF USE. . . ",U-01\11). �f PRO-TECT OPENINGS'? M-,E 01'. GUNS-r. -5N TP:KD. .67 6 Sf N St E: W. (YMUPAN[:Y GPP_ :R3 676 s f ROOF CONST: FTRE REl' ? - OCCUPANCY L-OAD.- BOSEMENT. 5 f AREA SEP. RATED: A' `.)1'::7R. : HT. ft GnRAUE. . . ; f Iff- AJ 9& RI-)T'ID: S 1.3 Ivi T Z.Z RFQD REQU I RED !!--LOOR LOAD. . . . ps f L-FFT:5 RGHT -.'-5 Ft F'I R P-PKl- SHOK 1:!'-T'. . i'V DWELLING iiNITS)t F R i\i,r s ft REAR: 15 ft VIR AL.RM: HNDICP ACC: DEDRMS PATH S imp, suw*A(.,,E: - PRQ CORR. PARK I N C, VA'.UE. a 3380 Remarks : acicilt- ion of 676 sea fl: rJec-k Uwner— --—————————---——— JOHN v-J1 I L-1-I AMS type a 010'.In t tjy dal;,i I,P(-Pt '11303 SW 1215I AVE PRMT 46 , 30 JLH 07/23/9i' EE9819 1='1. CX -t 3. 33 JL1,1 07/,:3/9,:-, i22")A 19 r I G n R D 0R 972,=:;s 5 P C( 1 $ 2. 2:35 JLIA 0 /92 Pi- A P) 50.3-620-3419 OWNER Phone #: t. 15. 6 6 1 OTAL. 00000 fflis permit is issued subject to the regulations contained in the Footlfal-tn(j Insri Tigarl Municipal Code, State ` Ore. Specialty Codes and all other F-raminq lnsp applicable laws. All hnrk will to done in accordance with Final Inspection apor,ived plans. This permit will emaire if work is not started within 10. days of iisjavce, or if nark is suspended for more than 181 dais. 'Pv q1i U ale sitF3., ('.Al I fot, int;pevt ion 6,39-41.75 1 LJ -J 0141 `1 13125 SW Hall Bwd. PLNCK/RECT # _,z CITY of TIGARD [\)Box23397 COMMUNITY DF-VELOPMENT DEPARTMENT Tiigard,Oregon 97223 PERMIT # _ Wxp�2 -y?_. 3U (503)63"171 DATE ISSUED JOB ADURESS: _ il30S S W. 12-1 ,' AVE ard UR` )2?TAX MAP/LOT !S / 3gCD -ZA �u SUB: LOT: _ LAND USE: _ VALUATION: 3 OWNER _ SPECIAL NOTES NAME: �A) W. ��;Ar"5 REISSUE OF: ADDRESS: i ;U S W I%l "'T U LAST REISSUE: T � q,r4 Ul? �722' _ FLOOD PLAIN/ PHONE: SU3^� 620HIS SENSITIVr LANG: CONTRACTOR APPROVALS REQUIRED NAME: U W PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE.: OTHER: CONTR. BOARD #: EXP DATE. ITEMS REQUIREQ SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: _ TRUSS DETAILS: ADDRESS: OTHER: P110P!r PROPOSED BLDG. USE: COMMENTS: AP ICANT SIGNATURE Received By: _��. _ Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. B/1L. DUE Ruf'y2"01.3C' IJ-432 UO Building Permit Fees 10-431 00 Plumbing Permit Bees 1.0-431 01 Mechanical Permit Fees 10-230 OI State Building Tax (5%) Z —_ — 3 Building 2.2 _� Plumbing Mechanical 1 10-433 00 Plans Check ..F''e61 tt,, 3 Buildinq X0,13 PI umbirig _ Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial IIF Fees 25--448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448--05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrq (SSDC) 24-445-01 Water Quality (Fee in lieu of) CC 24-445-02 Water Quantity (Fee in lieu of) J TOTAL- — w J nri/3587P.W1'f _INSPECTION NOTICE City of Tigard Building Department 1312.5 SW Hall Blvd. Tigard, Oregon 97223 Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections i Plbg. Underelab Mech. Rough-in Appr/Sdwlk ot:nd`� Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Fr.amin -Bldg. _. Post/Beam Hoch. Rain Drain Ineulati-n -Plumb. Plbg. Underfloor Water Line (� Gyp. Bd. -Hach. Date Requested:_ �� I 1 �� _Time: AN _PM J i Address: J'� ` ( A --- Permit Builder: THE FOILOWINQ OORRECfIONS ARE REQUIRED: -4 Le �..Q E'. l,�S__ ��4 ._ Ce V) J w.r CO w J Inepwtort /f (MI.— &- APPROM DISAPPROVED APPROVRD SURJRCP TO ANM call For Reiner. CT'fY OF TIBARD -- Rr--"('EIPT OF P0**f'MENI RECEIPT NO. t 9r_'--229819 CIAErK AMOUNT 7`x. 66 NOME t WILLIAMS, JOHN CASH AMOUNT t 0. 00 PLWRE�.Icoi p 11305 SW 121ST FIVE PAYMFNT DATE a 07/23/92 SUBDIVISION TIGARD, OR 97223-- VURPOE-3E CIF PnYMENT AMOUNT PA I D PURPOSE OF PAYMENT AMOUNT PA I D -L-D-1 ND F 44. 50 PLAN CHECK FE 28. 91% 0- 3T. SMIA PER F-1. 23 V) ui TOTAL AMOUNT PAID 75. 66 Permit No: 1 Address: o Issued by: ___ Date: —___..FOR OFFiCE USE ONLY— STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, OR, 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This stats merit is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this staternent. This statement will be filed with the permit. Fill 0 the applicable blanks, and initial boxes 1 and 2, and either box 3A or 313: 1 . [ -,A--- I own, reside in, or will reside in the completed structure. 2. ;_ i unaerstand that I must register as a ccnstruction contractor if the structure is sold or offered for sale before or upon completion. 3. A.1 _-J My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who wor:c on thr, struc- ture must be egistered with the Construction Contractors Board. OR 3. B. I will be my own general contractor. If I hire subcontractors. I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. �t I hereby certify that the above information is correct and that I have read and understand the information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Siature of Permit Applicant D e CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT s i I I �, i . Y J 0 - i h 11 \ � ut .tet C cu ►.. v 4., A Lm cu i CL �. k J cx M Lr VI V CD LIJ ., 121r � J , .lohN W. W, 11►G��,� � "t or, 21" Ii3o5 sw. 12�'�[JVC T;90,4 OR 57ZZ1 OecK �ulY 2�19� I 67- 49 — i i - 1 J it O iST v I IJ -c I a 1 i H n y,, Frog .-� CD *rcL W � J I 67. yl • to -T T--.f I I T7 T— .a I SvwleT STYLE 0 - G 194 © I o (r _ 0 2x12 I ¢ Z 1aCxS r E o , z n G g, s, B• 8, $, 8' 8r g 6, 6 ; r . 6' LLI z ? .ice. _ ti aLn o- _"' � r6_ C; ko to 1A N G G] s q.' g• 6' ra w n, Jr-f— lQCUT Rp- U- ticSinAbv� f i-E %A _ .a - 7 'I j I Svn'!rT STYLE 't O , cl o I Z a) I c Z 4- V V p V 'V W M Ty N Zw � a w o M O Ln N �re w N J Y V c]G �' OIV a I t r- g .Q 1 J_ 3 _ I SvprfeT STYLE , k� rt _L z I I c I E o z a I � I 2X/2 12rf�ii�� / T Net hated Qu;l ►Ce,86-1-\ orifi Sti irW, CA PC M STvIQjL Itt2 i.— 2x�2x Ig ' rte- Fol — s c '2)K as / I 4j CeAr hX 12� Crdecr I 2x6r� ' PTFP- L w J _J Y'r . 5TA I R Aol-rl-i a t-S I r � S e .a N I p�VN1C I !j ytE -- i�•F[�IIJN� E o `� m t Iz CL Ito - - - - -. _ _ - - - 1 I 1(4 � I / q 10120 Ld 03 N — T ? q M UJ O O W O M 'a' b tn N 4 7C Nd vJ V x V_ aV A Q r C 4 Svr✓!e r STyLE 4 -t - a ly -� 'f r r4 Z )aC rS r r m ¢ 6 c z a �" �' 8r 8" 13" Z .... I G• 8" S, g. W � d � V - 16 r , UJ 6r A cJr J op y 2x)a y b I � 1 i o s Z ✓ If d E c m r Z i li i 5 _ 00. -v Z v ] d n V uj 0 O ,n J r J A 6 J Wtov v a t3 v `L LL. �. ,n .+ _ �- ►- '� r a v v `i' Er X M M a t� a• r " x J yin s x in �-- s x � M a V 6 RS �n LO to O U-7 ' W � DC Of An . I J r � O CD EE s ,tl s S � G ti.l �p s � � a V Q M T N I rl a Zj SA - --- — -- - o ai o WC; `D r � T CIS cr) t-- to el cJ d c� Y i.n JW M47 �,g :T 60 oyP , a T' AR PLAN CHECK APPLICATION CITYOF C1TYOF TWARD COMMUNITY DEVELOPMENT DEPARTMENT 0910001 PLAN CHECK / 13125 SW HdMA po.Bag 2rw.Tbm4Orsom W M)430-4176 PERMIT �- 0.230 DATE ISSUED J08 ADraFSS:_f j c .5. S to TAX MAP/LUT /�S/;3�c .?/ SUB:_ LOT:_ LAND USE: :r'►i.IIATION: _"_'� . -�' 71— SETBACKS: FRONT EARN LEFT: S' RIGHT:��S WORK CLASS: J d• HEIGHT: � TOTAL AREA: USE TYPE: s F FLOOR LOAD: 1ST: CONSTR TYPE: NUT TYPE: 2ND: OCCUP GROUP: i . Z DWELL/UNITS: 3RD: _ OCCUP LOAD: NO BEDROOMS: �: —f,2-e _ NO STORIES: NO BATHS: GARAGE: IMP SURFACP: - APPROVALS RF.Q'D SPECIAL NOTES ITEMS REQUIRED PLANNING: REISSUE OF: LIST SUBCONTRACTORS: ENGINEERING: LAST-REISSUE: BUS TAX% FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: — OTHER: SEN LND.: TRUSS DETAILS: PARKING PLAN: LANDSCAPE PLAN: PLAN CHECK BY: OTMW.* COM KENTS:`J _ PERMIT N r1t1CT N DESCRIPTIONAFIi:vi+f P."OUNT PD. BAL. DUE 6 10-432 00 Ouilding Permit Fees qLv _ 10-431 00 Plumbi-, Permit Fees _ 10-431 0) Mechar ical f"'.Mit Fees - 10-230 01 State .qui ld ing Tax (5%) Building Plumbing Mech 10-433 00 Plans Check Feeq3- 0 u i l d i ng Plumbing Mech _ 30-207 00 Sewer Connection — — n P� 30-444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) �- 52--449 00 Parks System Dev Charge (PDC) V - Y 31-450 00 Storm Drainage Syst Dev Chrg �- 10-2.30 09 TRFO - -� 10-230 06 Washington County fire N1 (91,X) L 10-220 00 Amart/Wodgewoud -- 101M REC N APPLICANT SIGNATURE Received ny: - - --_------�__- � Date Received: cn/358/13/18P - _- r