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12470 SW 128TH AVENUE 0 r� . w M• v ?•. �r .wyw ��., '^w.`� 7 i l:�t�`y�"'Q�"` ,5r� '�•"wa`•x•4+�.'•" ,�o!�J^/�L"'�.�.`+♦` :�v'rt RA,�ur°t�.{,�tda.•, ,�y��. •a"f. .�'+" �� ,� dp, ��'� . •� ���6ry _I� � 4 .�A"� t �.'-.e�•'��... t T � .bp"-"q�; ,,ylr , ,qI �...+� xy�l .'Y�"�� yyry J..g+q�..,,,y, . "ori t` y{fl: -�.�"`.'ky J}'¢ �'y'i�+. M{ s-).s JI.� 1�'N ��{'. ,:fir'..'r+.- :"""Y' C1a� 1.7"!". _ Yil1,�' ,5r" • r"y1.,y Y y': t\ !P^'ri� n d� .y S P .y..` •tc�a , w'� t i e, '�..l 4 P .i•w. .�.•� .+. J 1 ft ���,\ AAP.;�'�t+i)itW,.aIAM �':AIgR,�y!{�tit� .Wln�(i *AIfM"or'�it�G��[j��li��+(a{�'�6•Ilh��1nAl{M „�t4ta�' 'IIIIMI���iM'`�v}yg '� �NIIrti1lw`�r A4�f t I .4 ` GY'.•,•�� '�1!(,�4�'�5+�� 4 /�+ , '��1�`;•,�\1'tt,' / `"� .'��rtt�G!isAt`t`h�Qfr�'•�`t L t /,:,"��'f���r.l�/,i,/�`MIf64"' li{>. .. (4: � 1 fR�i S.'L�i. 0 dr•A� �fa 111 _rf• ♦ 4• � ���7� � :. �n:r ��t�"'.��yr1♦ a y _ •. �'�k �i5 z { y�{,� I I •1_�,f_te�y�t�y • b�� CAL, t 'j[ Q bo CIO h, © ,, '��� :i � GSW i � aU � .� I• :Apt.-. ,tr•� �ir� � � CIL CIOEll , y ll . ul CIO u Oil O ' ! Y t -41 �4 ",V^ �•if 1 ,� ,� fW� � b Va 7v o y •f�ti�h• '! -- • �' r A i�,.�3 •Ls S'F 1+�T2.i 2•a:FE:ee 3•x:t:: `E 4f�`.�`,, ��,�tttt,,,\"�U���i•'�1;`'`�I!�pVl�"Y�{ ���f�y`��N�,R�:�'��pa`5���p� WrIC = rM�� gat .F i55 y_�",�,, �yt'I .aA�'- � .'•��„.r{� "i• �•.+�7 �, ,y�{Ir»" �P ' .q���,�. 1� �h�,.�'•4�y��.�"'I� r � �- .�tr y .�u•, M�. tw.�r p<�Ilr'?I}- •'' k r«.• y�-y,,-,gyp,�. a, �J "RQ'r'�rh•!� .{I �Y�; "••2.% :�A..• ty� " '3) '� .M' 11.�iy'' 4'd'��j�.••� .I„I �;1�y q� �•',�c ..• /�\ .N i _ice, ••''••rj'ti..v-.\ r��./�: ""w.^j-\.r'� . • \.ice i BUILDING DEPARTMENT, TIGARD �T MARTIN I. IVi�ii,i_ '(I jn�PLUMBING PERMIT M holder of a valid plumbing contractors license is herebti authorize-I to cause plumbing work as herein rioted to be installed 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 time the installations ale ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Owner- f� ��/� �s�._ Address!�r?''r',�i� NUMAER OF TOTAL PERMIT NO.'S I TYPE OF PERMIT ITEMS FEE ON EACHAMOUNT IOlfice Use Onlyi R ESTt]E;N_LlAL — _Sinr la Family hath each -�--T — �?9.00 --__ Ou�lex-caci I bath unit — �_ 25.00 Additions! bathrooms—oath 10.00 �— Mohile Homo S eco-•each _ 1500 INDIVIDUAL FIXTURE FEES `1 to 50 Fixtues in 1 buildin —each _3.00 fit to 100 Fix turas in 1 buildin —each — ! 2.50 L101 to 200 Fixr,,;es in t buildingear.h�— 2 nn 201 or more Fixtures in 1 building ear.h ._.—_ 1.50 �...__.. MISCELLANEOUS Building Sawer—lit 50 ft. 10.00 — Sewer—nach additional 100 R. --r�—� - - 10.00 Water 5ervrca to buildin 5.00 Pllvata Wate-r Systems—each 100 It. 10.00 1 --_---_ - _. -- �Othrr ISyecify!: PERMI" — for Plumbing Inspection Phone 639.4171 ^ TOS1TP.L ata Plumbing Contractor By 4&�Z - TO -_ RECEIPT NO. Issued By c Mechanical Perm City of Tig ard NU. ?j New Installation �-f Reptace E] Relocation F] Addition [] Alteration 0 DATE. HEATING CONTRACTOR OWNER _ ��'CJ� 6,�. L_�.�__... .- ADDRESSJOB ADDRESSs PHONE - 2,2 ' _ APPLICANT_ --- ' Hutt Input Rating(BTU per Hour) �� ���� _ Vent Sizes j� Flue Size_-4�__._ FUEL OIL[J GAS ELECT C] OTHER _ ITEM NO�FEE Y _ ITEM_ _ NO. FEE _ hr Issuance of Permit — SEE BELOW EaOi A%- Handling unit or DuL.L System �7,60 N4w•up to&ind. 100,000 BTU _ 8.00 Commercia; Kood System _ F 7.50 New 1000,000 BUT's ✓4 over 7.50 Other Equi men! Each Woodiwrning Stove 4.50 1 trip inspection _ — 4.50 VW-Floor- _. 8.00 Air Cnnditlnn Compressor • un to At incl 3 H.P.�g Ort _ Wnt$Vst m vs/Fan _ 4,50 Air Condition i,om ressor-31 to 15.H.P. incl. i�I 1.c . f air-Heat Cooling 8.00 I ,i CITY BUSINESS LICENSE REQUIRED BY 'IL.L CONTRACTORS OR SUB-CONTRACTORS ! ' PERMIT ISSUANCE 10.20 Comments: FEES .00 SVO-TOTAL _ 0 - STATE _ Issued By 251J P4AN CHECK _ I ,�gtAL ^� REC. * �( � IanahuP A Ot]licant " i i I l c t i BUILDING PERMIT APPLICATION TIGARD DATE 19 3756 _ 3755 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE !:a3=118:1 OR AS SHOWN AND AP?ROVED IN THE ACCOMPANYING PLAIDS AND SPECIFICATIONS. OWNER PHONE.— LOTNO.151—=i�olJ_lsyQA 3 OWNER J.W.Bra yEontb.Ldr.JOBADDRESS 12470 SIJ 12uth Avenue - -------- — — ARCHITECT — ENGiNEER BUILDER �;3ma: _ ADDRESS 11.059 SE Division DESIGNER M*L.Urayson STRUCTURE V NEW ❑ REMODEL ❑ ADDITION C REPAIR E-] RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION URESIDENCE ❑ COMM EJ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY F�"3LAND USE:ZONE -fl-71—BLDG.TYPE __5_ FIRE ZONE ""PLAN CHECK BY t1Wh HEAT.____S�a g— Gunsltruct single family dwelling w attachad garages 3 Bedzooms 2 Upths. SEE CORRECTION SHEET ATTPCKI). SEWERPERMiTM 233511 — V30.00 _—_—` -- -- — cldracia 548 su, ft. _ OCC.LOAD FLOOR LOAD 40 _ HEIGHT 12 NO.STORIES 1 AREA 1 041 NO.BEDROOMS 3 VALUIJ 46 01.00• BUILDING DEPARTMENT — --•- —�. SET BACKS FRONT 20 REAR 1 LEFT SIDE 9.43 RIGHT SIDE _10 Permit _ $1 7C THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 13UILDING CODE, ZONING 091 01 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Ian Check PALI) WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND UPOINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total �17t3•'1U RESTRICTIVE COVENANTS. CONTRACTOR .ND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Slate Tax 4,%,l LICENSE.SEPARATE PERMITS AEOUIRED FOIi SEWER,PLUMBING AND HEATING. '�•12 Total 1►� :.i SDC— $400.00 -- PDCH I 61OU.00 APPLICANt ORAGENT By � p r -- Rerelpt No. 867 Appr—o-veed� du ADOpI?8s PHONE DATE INSP.) TYPE INSPECTION REMARKS PLUMBING DATE _S- T — _- -_ a �_ Contracto + o Permit No. v �D• �f ,r Rough-in 6-� 7 ---- --- Fixture ��" / --- --- Final BEATING Contracto!��' �•�:,.��.�,�`�:,.. __ Permit No oX ��- /�� Gas or Oil Rough-in �- --------- Final SEWER - -- — Final DRIVEWAY -- -------- Final Storm Drainagr (Rain Drain)Final Sidewalk Curb&Street Final ---�—--- - Approach BLDG. DEPT.FINAL TEMPORARY � CEkTSP�CniE OCCUPANCY Final CERTII'ICATE OCCUPANCY I Q /� Landscaping /� / Zoning Final ,- BUILDING PERMI'TAPKICA110N TIGARD LAT 2�i 19 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILD-R PH--r4& OR AS SHOWN AND APPROVED IN THE ACCON PANYING PLANS AND SPECIFICATIONS. OWNER PHONE dD ER J`Y >3,na ysbh� �d� LI ESS 12.4,70 S to 12f3 e LST rIG.I�L ,108 AD H J • -1� �� -- ARCHITECT !?UIL_^.Er� ` �+ C p p tl ENGINEER �G>wf. ADDRESS I lly 7 L IV I S Ih r. — DESIGNER- 1/1( STRUCTURE_ NEW 0 HE MODEL ri-_ADDI_TION Irl HEEPAIH ❑ RENEWAL_O FIRE DAMAGE_ Cl DEIAOLI i 10 RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ NATIO ❑ CARPORT C GARAGE C STORAGE ❑ SLAS❑ FENC `t=_i�rANCY .LAND USE ZONE AZT3LOG.TYPC ff-_N FigrZ.jNE_._=PLAN CHECK GY HEAT .Sr.'JER PErRMIT.Y OCC.LOAD FLOOR LOAD HEIGF T It NO.ST-,,'RIES I AnE"e I 0 41NO.BEDROOMS __.. BUILDING DrPA_saTMENT SETBACKS FRONT 20REAR �/ LEFTSIDE 9.#3 RIGHTSIDE /D Cl- it / Oct - - _ THIS PERMIT IS ISSUEn SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,701,;;!1 t7U EGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERcSY AGREE)THAT I?Ian Check W'DTK WILL BE DONE IN AC�C)HC ANCE WITH THE PLANS AND SPECIFICATIONS AND R! CON�IPL: WITH AtL APPLICABLE COC ES AND ORDINANCES. THE ISSUANCE OF THIS PERP.IIT DOES NOT Sub•t*tal _ �7 00._ RESTRICTI �L0VTEtllANTS.C1i^ITRACTOR AND SUS CONTRACTORS TO HAVE CURRFNT CIT C SUSI`Z_— �� /� LICENSE.SEP F""ITS REQUIHED FOR SEWLR,PLUMBING AND HEATING. fatO TA7t • Total (Ay f,[)(;k APPLICANR AGENT - --- - Approval - - - Recpipl Nn _ �8 PHONE oc s .�0._.._ Q VA e)tA : Uki-rk�/��� AeZ]). ` ePQ SOM tic - EWER CONNECTION $ cWER INSPECTION S �S ICIER SURCHARGE ---�.......,...� CITY OF TIG:RD—12420 S.W.MAIN—TIGARD,OREGON 97223 RECEIPT AMOUNT: $1Z 2--- "(,-n ;"(,-n -'DOLLARS NAME_. ---` (.C�. .�_� _ CASH: ADDRESS: _� �� ,��iu L- --• �7 G f� _ M.O.: — — r OF FOR: ACCT. ♦ PERMITS SURCHARGE AMOUNT SEWER BILLINGS 40-364 $ BUSINESS LICENSE 05-331 PLUMBING PERMIT 05-332 MECHANICAL PERMIT 05-332 BUILDING PERMIT 05-333 SEWER CONNECTION 40-363 SEWER INSPECTION 40-365 SYSTEM DEV CHARGE 25-366 PARK DEV, CHARGE 01 30-367 PARK DEV CHARGE #2 30-368 ZONING ADJUSTMENTS 05 362 TOTALS S $ /'70 S a RECEIVED BY: PERMIT NUMSE*�ASS O ENI 0: Num AmeuM Number Ameunt Number _Amount s RECEIPT ,,,� `V_� Y sr'�'�u u��v ova_..��,c• 24 �a H. I`t"d I 1-(Odot' 1 ICVA 1020 ( � 22x 791 ZZ-(PK '?b s-190 12_ yrs, x'98 J-62 1 Y C17YOF TlIFARLQ WASHINGTON COUNTY,ORFGUN BUILDING DEPARI'VENT PLAN CHECK APPLTCHEION Date This is to certify that the following plans have been Submitted for plan check pursuant to the Oregun Structural Code and fire & Life Safety Code, 1979 Edition. Owner' �-� � L1L -+a c.J.,.6iso h Job Address IZ1120 Q4) 14f5 - Lot No. Owner/Applicant Address TpOv� Phone No. Description: L Ci.tCj" of ~TigtrT,d, Building D pt. ByC I LJM - ---- 12420 S.W. MAIN P.O. BOX 23397 TIGARD, OREGON 97223 PH: 639-4171