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12605 SW 128TH AVENUE-1 %.ff 4 Ipp %No '�.p %W.• F4.j iiia' W. ``+ 12605 SW 1 '-'STH AVENUE i`- vi �1 ,C 1` r! k CITY OF TIGARD BLDG. DEPT. 12410 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR Pursuant to Section(s) of the Unit-)rm Building Code, thc following item(s) require correctir n: CIO Lw Iff :AFr FLE c. Fort A.X-S i�---- NKED-0—CM13 ^19 VLWA!r t o Ar rel two Fn X < '�� Date: /�'` �l" �` Permit No. ��,� Inspectof CALL FOR REINSPECTION 4 2 '115 w BUILDING PERMIT APPLICATION cOF TICIARD DATE______ 19 _ T14L UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE Up CA'1 1 1 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF LOT NO. qWu A R I L ,�,�,� JOB ADDRESS 12 705 - t HOME ADDRESS _ — ARCHITECT y ENGINEER BUILDER _ ADDRESS "1 Q11 I DESIGNER _ STRUCTURE ❑NEW_ ❑REMODEL ©ADDITION L]REPAIR_ ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM `]EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGF. ❑STORAGE[:]SLAB ❑FEN-E ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL AP-ROVED ❑SIGNS OCCUPANCY_—.^BLAND USE ZONE ` —__BLDG.TYPE_ FIRE ZONE— PLAN CHECK 13Y--.-_– HEAT __ �cta�t:fecr `a1Lai7y t'csana 1 dlitil-n r t9''"9 to _*Xiskin" gi.tlA2 f(L- ly -- —. im All Imr plans CQ-ujjQAI2FLOOR LOAD 4U HEIGHT Ll" _qO.STORIES.7–__ AREA ' '4 _NO.BDRooms �' VALl1E t BUILDING DEPARTMENTSET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGIJLATIONS CONTAINED IN THE 13UILCIING CODE, ZONING Plan Check 36.00 REGULATIONS AND ALL APPLICABLE CODES 4ND ORDINANCES, AND IT IS HEREB'r AGREED THAT THE --- WrRK WILI BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal �Cli �; ALL APPLICABLE CODES AND ORDINANCES, 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --- RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURIENT CITY BIJSINF.SS State Tax LICENSE. SEPARATE PERMITS REOUIRED FOR Sr-WER, PL UMBING AND HEATING. TotalBv APr'LICANA OR AGENT Approved Receipt No s: 1 DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor ti V Permit No. Rough-in I !�_)f f,r -�n.c ,vl rL _.—' S _ _) Fixture S ��T Final 79 D Q 1 HEATING Contractor Permit No. Gia or Oil Rough-in — -- — Final :WER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewal k Curb&Street Final Apprna . BLDG.DEPT. FINAL TltMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final ( BUILDING PERMIT APPLICATION OF THE TIC ARD DATE.- .,n. 34k,_ t9� �"'7° THE UNDERSiUNE0 HERESY :XPLIES .'OR APERMIT FOR fNE WORK HEREIN INDICATED BUILDEPP1fONP2yG 'Q�" OR AS SHOWN AND AcPHOVED IN THE ACCOMPANYING P;.ANS AND SPECIFICATIONS c nI Z23-7/� f I ` �j� II''��rr`0 LOT n'; -97 y_Rs�►iVMQr. 9WNER_J".Gj& /1� J179AODRE_iS .�a Z_�4? L!�{�- -----------..___-. - ARCHITECT! ENGINEER PVir r"LR� 6� Aid-elf- ....—ADDRESS I • D 'ltr,NER SIRUCTURE— KNEW UFI morE1 jgADPITION CIREPAIR ❑RENEWAL ❑EIRE 7ab"ACE (_3c ."-L!:' f4fSIDENCE t_1COMM ❑EDUCATIONAL 0GOV'T ORELIGrOUSLIPATIO LJCAR PORT ❑GARAGE ❑ST: 1 SCE Ll` aF Q-3 R-7 thDG TYPE V ^' EIRE . _ ? CHECK BN HEA C� -- C.iO+.. �rt,•.e Raw�olx CCN_ �`�+��. (i$ �e 2 ) '6 -Mi — - - ---- -- S'`�le �►•...°fix �«�e,l�:,�. ��11 pa,' ��o..,a a ��� . aEWEF _PERf1IT 0 Q LOAD c'1;::r . _ _ 40 fIGIGHT_ �„' NO STUR;ES qa1. 4405E ya�J4S_ '� Zf, 000 fL - BUIL ^,ti; i-cc 9ALKS =RONT REAR a . LET ; ',•DE 2.00 f / S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILDIN. I P-1 4m, C�'tcok dV iUi.4T10ti5 AND ALL APPLICARLE COOFS AND ORDINANCES AND IT IS HEPEBY A - ' - - „mssL— 7ok AILL FE DONE IN ACIUROGN('E WITH THE PLANS ANDSPECIF,CATiCIN AND IN C 5_- tota I /U� (j v I. APPLIr'%BLE CODES AND CRDINANCES THE ISSUANCE OF THIS PERMIT D(-L5 — — 0 ` STRICTIVE COVENANTS CONrPACTOR AND SUR CONTRACTORS 10 HAVE CU%RENT i S:otP Tax 2 ,pj� (CENSE SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HE GTING Tnt31 .. I //Q DC - ,.)N "GENT-77 .. 77 v Tit I�1U soc - x 1 '"ER 7%N. I T10. SFWER INSPECT ION I SFWER SURCHARGE f Fumments : I ..,.:;:'.'�..+.vy%"W'�,'�R]G'�'?��•,_W71':..�.:'�1"{., ciyT,il/ygf M•clt-:,1I..am".ry�MPo�M...� .., ..4..»vn. :..qrNRw�.rq..,tA/�,...�:.�t-,ps�.i�lah.,y...�n.,..:..r.r:K ,Mr,*R..h'wn`:.� •n,..,,n+.r.r.,r,._......-,., 4 ' CITY OF BUILDING PEWIT APPLICATION TIC ARD DATE--Lt�N � 19 '' N20917. THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN 114DICATED o39-6256 OR AS SHOW14 AND APPROVED IN TAE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE OWNER o'""" ADDRESS – BUILDER PHONE .- ----- - '.aapeY' ENGINEER DESIGNER BUI DEB _ ARCHITECT .__. STRUCTURE ❑NEW_ ❑REMODEL ❑ADDITION ❑AEPAIH ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE. []COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑GARAGE _ [:]STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS OCCUPANCY LAND USE ZONE---- -BLDG.TYPE— FIRE ZONE— PLAN CHECK BY_-- HEAT.__-_._ Rap § atage Dire rwipeliY' rm�'A$?r tmillfi jr new shout, ruck Ogg.LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR l I r I :,Ifi! RIGHT SIDE Permit ----------__--- ----- -- THIS PERMIT IS ISSUED SUBJECT TO lrlE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPL.ICAE1.i CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS I%State LICENSE. SEPAR4TE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By _ AP -:ANT OR AGENT Approved Receipt No. FFIUNf IiI DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE C� zs Contractor Permit N,;. Rough-n Fixture Final HEATING Contractor Permit No. Gas or Oil _Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage_ (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final CITY OF e BUILDING PERMIT APPLICATION TIGARD DATE -�3 t926 W THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE 3 2S OR AS SHPRO ,1t�i TH ACCOMPANYING PLANS AND SPECIFICATIONS. _ OWNER ( OSI�/ BUILDER PHONE'ENGINEER$1J1LDk�2e AR HITECT DESIGNER STRUCTURE _.L NNEW -_ ❑REMODEL ❑ADDITION EPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION +.� PFSIDENCE ❑COMM []EDUCATIONAL ❑GOV'T []RELIGIOUS[]PATIO []CAR PORT ❑GARAGE C]STORAGE[]SLAB []FENCE �013OND ❑MOVING ❑CONDITIONALUSE ❑DESIGN REVIEW �OCOUNCILAPPROVED []SIGNS CO CIJPAN ,_LAND USE ZONE BLDG.TYPE _ _FIRE ZONE! PLAN CHECK BY_______ HEAT ------- _ OCC. LOAD FLOOR LOAD __. ,—_ HEIGHT _ NO.STORIES AREA VALUE OO�— BUILDING DEPARTMENT SET BACKS_FRONT REAR_ tErT SIDE RIGHT SIDE_ Permit /_ Iv THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANa AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1 State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By APPLICANT OR AGENT _ Approved Receipt No. ADDRESS _,.-- HON i I 1 I I I Address /•�Co1L�S�cJ � �c.K Permit Permit charge ` Owner_ -,dso LA,j _ Connection fee Paid by Type of buildi.ng r?:, Date connected- FA/ Service rate Inspection fee Contractor raid by Date 'Size of connection cl, Assessment Paid `4 cwe U IIAIIIIIII FERMI TO CONNECT Tigard Sanitary District PERMIT N? 1265 DATE __ IIER311T 1S GIVEN TO OF TO CONNECT A =� TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT / —,-, 6, (_I A - �� / �_,i- -_4 THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNT1I,CON- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PT ETED. PERMIT FEE PAID 11 ."2,. ,...,,,,,,..TIGARD SANITARY DISTRICT �r dao o By ---------- CONNECTION INSPECTED) AND APPROVED -------Date — -- Superintendent---