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12475 SW 129TH AVENUE-1 A 4. , 1. 475 SW 129TH AVEFEU of c N Ln .1 I w vi +- �`;::..,ty�`_ 1 �r r a��., i RPi J,�.� r'� ~^ �Ct+l, Sfi;' liar j� ���My ++hi i�ttt, � �i ~ �"�hlu,��. 1<!'�!' 'y•t't (� n,Vyl �°`�/la,., 4 �ti \� s�." �.sl 1 � •'��+��,�! y A.t �,�� s�i' !f l��t �N ' SIG .. . d,4�ti ,N •�„" ,I� h•rt :1111 M.. ,,,, ,i1 .t��C Au ,n, ,� ` :,al�ti .!�'hJt�� SIU ;fin iNd .��t a ON t,+i NU. u .� �+� ,'.+ t,AtlMl",, i/`'": ,'•„"gip r' '•AIIM �{/:, 1 "llll' S.,AIIM'�. �/''"WV`f''` rl� :ylll �'"+,IIIIM' f!_''!`1i+ 911fh'r.. ,n : t "�5�, llnll t �' � /1{111 `� A y//1111,�$lf/�,.1`\, � n JJ y�/Il/r.+ �\ 1 � JJ' yt/!ti ••, �,��14� �: I � s;��f�, /r�,1�A4A''��i���^ n�!1/h'!'`.�u���d 11q 1-1�1�Ih�!,`t���Yhy r�`�� 1'' rf'j %ti".+.+�1� ��Iq �Iff t/.a\11�,}�( y;}+�,err• C r� i 7 „ ..".'^t'elIF.PFF*Z!.C^...�•.C_ ...._.,_ ..'^C.71"'T� _ - - � 1 , 10 it �y G 1Sex,;Illl;IVlr � 113 O. ON ` 'O ` h t r, �t 00 a {h'It'h,i�ltcii�. bo r , Ln to C34to .d d 'O �► E. �, 41 ��PP,� ` ►FQ,11 'T7,Q' � e h !p� 31,J . lI1V ,�, .� 1'Y�S1�.,5f�tyCt�'E�G�.'f•: • 170®r i.,34511 k in 74 . vy4 n tt{'/� 411 A Wa �I ,R�u %A'' '1•rok. ,. .�t�,l+ `�,PI!t,ti, +'-o+,.�• °4 �� � wn�'•. .r.�""J"' ',P �':��•..y��"91q:^ �"��'�,,i, l i INSPECTION NOTICE ` City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 T!pa of Inspection ---- 7 Date Requested _-�'�-- TimeY,Z A.".__ P.M. Permit #^ i Address j Owner—� —__-- _ Lot # Builder The following Building Coda defi::ienci^s are required to be corr:::ted: 01 I ` Presented to -- —�^ L i Apprnved Inspector Disanproved Date _LJ? — CALL FOR REINSPECTION E j YES V NO I I i I i r- �1 uuw jw i Ch Y Of TIGARD—12420 S.W.MAIN—TIGARD,OREGON 97222 RECEIPT DATE: - /j" AMOUNT: $ uJp zfi�-2,'LZl-'411�d 1122 2"L"- -?-� l�zi COLLARS J NAME; r%lU. .i.cr r. t:1��� d�Y ,, arc. CASH: ADDRESS: — �' M.O.' POP: ACC1 PERMITS SURCHARGE AMOUNT SEWER Bll i_INGS 40-364 BUSINESS LICENSE 05-331 PLUMBING PERMIT 05-332 MECHANICAL. PLRMIT 05-332 BUILDING PERMIT 05-333 SEWER CONNECTION 40-363 SEWER INSPECTION 40-365 SYSTEM DEV CHARGE ^_5.366 PARK DEV.CHARGE 01 30-367 PARK DEV.CHARGE u'2 30-368 ZONING ADJUSTMENTS 05-362 TOTALS ..—_5�,,-00 RECEIVED BY: — PERMIT NUMBERS A81I9NED! — Number Amount Number Amount Number Amount 1 '7 ' C: � 7E� mmigaff1 l w . WILDING PEWIT.APPLICATION TIGARD )ATE_ . iy-_-_ 4314.9 THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FCR I HL WORK HEREIN INDICATED BUILDER PHONE — OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA(IONS. OWNER PHONE LOT NO. !TJ 3ell,,4;uc)'l OWNERvjjt ilw',�LI. „It,•iUJ?,^, JOB ADDRESS _ 124 75 x.41. 1.29th 600 i.':. Alderhil l 1.001 AR141TECT Fa'.tShec Coast ENUINEER BUILDER ' ADDRESS �i1W�1�1�'� �� �Jr�' 4"222 DESIGNER STRUCTURE I NEW ❑ REMODEL L_j ADDITION L7 REPAIR ❑ RENEWAL El FIRE DAMAGE ❑ DEMOLITION F RESIDENCE N COMM ED EDUCATIONAL ❑ G6y'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY _t'!� LIND USEZONE BLDG.TYPE 5 FIRE ZONE--:_PLAN CHECK BY 1 _HEA? elect e:onsatruct Sint-le Iraryily 1"lling with attached ;tara::*i �- See correction skeet :attached. 3 'ledroums 2 Saths SEWER PERMIT M 25448 _ UCC.LOAD FLOOR LOAD 4+ 1 HEIGHT 13 NO.STORIES I AREAM� C"N0.BEDROOMS VALUE 58•(100 BUILDING DEP.4RTMEN-T—� SET_BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS 153UED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIN- CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check _ '''j'��' WORK WILL RE 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 Sub-tot RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUFr1EN7 CITY BUSINESS 12.44 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. Stat:Tax IiSDC— Total 573.90 PDG# 1 100.011 APPLICANT OR AGENT By Receipt No, -- Approved 'I'LA7 ADDRESS PHONE DATE INSP. 'rYPE INSPECTI I REMARKS PLUMBING DATE I- to Contractor 44- Permit No. ,4nAs Rough-in 7-- -�-�- - 7-7 Fixture Findl HEATING C.ntractnr Permit No. Gas or Oil Hough-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb I Street Final Anproach 6j.:P FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTiricATE OCCUPANCY Final Landscaping Zoning Fitial �qr +ice i1F 4 ! A--Lamm BUILDING PERMITAPPLICATION TIr^•a:) 0,C TE THE UNDERSIGNED HEREBY APPLIES FOR A ^EgPAt T FOR THE WORK HE.,REIN INDICATED BUILDER PHONE';'g?-9?4/ OR AS SHOWN AND APPROVED IN THE ACCOM.PANYIN` PLANS AND S('ECtIFICATIONS. OWNER PHONE _ r� r� y°rn�r7 LOT NO. +v� .)VJr�ERf?C4Sy �� 1��'►'rt JOB ADDRESS /,2� /3�_?w /� ":�- r ARCHITECT EN BUILDERF&CA 5 ICte C&Xd- ADDRESS�� /JIKY'f'�'tI / 1INEtR DESIGNER STRUCTURE 39 NEW __ 0 REMODEL ❑ AOOITION D REPAIR L7 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION RESIDENCE ❑ COMA ❑ EDUCATIONAL CJ GOVT ❑ rREL',CIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE_❑ STORAGE ❑ S_LAB❑ FENCE 0. i iiP-ANC LF NSD USE ZONE �.BLDG.T.PE � _FIRE ZOVE_ PIAN CHE(.iC 8Y HEAT 7 WSW- .,.+;,-A..•� SEINER PERMI i 0-M4e.. OCC.LOAD __FLOOR LOAD O HEIGHT /3 NO.STORIES AREA NO.BEDROOM VALU�dO BUILDING DEPARTMENT SET BASKS FRONT 20 RE;R j.Z LEFT SIDE f. ZS- RIGHT SIDE d.Z:-r Partnit o 0 TI IS PERMIT IS ISSUED SUBJECT TO THP. REGULATIONS CONTAINED IN 111E BUILDING, CODE. ZON'Nu --}}. ,� ,, , ` R GULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 'i HAT THE P(anCheck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CUIdPLIANCE -' WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total 3ry �-�" RESTRiCTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS � y� LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax , nn / - Total SDC- ©� 1C05e.K �-�iFa44'�Wit �___-----__-- PDCA APPLICANT OR AGENT By 7D4 Receipt No. — -- Approved ADDRESSPHONE SCIC - 0/ 0 PUC - S Jt ! • / O o c SEWER CONNECTION 5EWER INSPECTION $ S SEWER_ SURCHARGE $ 360 � ( PI" to," 44-, Comments: 1/d w w w . I 1 A o u a N i t;., — l? 1?93 l3- x 34- 45-3 115-4 -to x 14-9 _ "sOjp 8 &C.) i I