12710 SW 68TH AVENUE II
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�. - 12710 SW 68th Ave
MEMDRANDUM
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TU: Di;ir►e Jelderks, Planning Division _x For your Info tion
NM xy White, Building Division
Phyllis Harris, Finance/Accounting Division
FROM: Iaura FreemAn, Engineering Technician
DATE: January 10, 1.989
SUWEr-V: Address Confirmation - WCIM 2S1 ]AD, TI, 1400
The following of change of address I,aas approved by the Engineering Division on
April. 22, 1987, Y)lerse make the rer-yeiisary record corrections. This is the
address posted on t`:a site.
CLJTU:M ADDRF.aS PREVIOUS ADDRE S
Oregon Ki Society
12700 SW 68th Ave. 12710 SW 68th Are.
Tigard, OR 972?3 Tigard, OR 97223
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BUILDING PERMIT APPLICATION
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THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN !NDICATED BUILDER PHONE ____ 91
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER t:'LY: 312 4�l �'r�:f~.;.�.'Y:�' JOB ADDRESS 12700 � 8th I�Vm—
—
ARCHITECT
P.O. nm U2025, F )Aj"x; ENGINEER
BUILDER S`• ADDRESS _ _ � DESIGNER
Lit) tfr,s't
STRUCTURE UNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE Fj COMM ❑ADUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
m------ ---_r _�
OCCUPANCY A3_LAND USE ZONE _� —BLDG.TYPE `'' FIRE ZONE._—PLAN CHECK BY ��HEAT__--y
t'nriatttu t t at a lYr,�' ir_tl�� )ini.sxt bullrbou, X71.1 . rgr 'lE?Proye] [T2EU't9 and ado .Cnl'riaiXt='rrwzt'
',kita;jec't to fi.xr ckl_-st:. � rrr�,f;tLs. --
�'"' ,'�1L�. � �rle�lt. Lx�.�nm�.t;� z�lC�lil'*"..i.
bEWEH PERMIT M _'''414 ( )
OCC.LOAD FLOOR LOAD HEIGHT _ .�D NO.STORIES 1 AREA N0.BEDROOIy1S — VALUE —_
_ BUIL_DING DEPARTMENT SETBACKS FRONT '1 REAR_ �• LEFT SIDE RIGHT SIDE
Permit ' _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
,127.08 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
J 1.9 '� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS FERMIT DOES NOT WAIVE
Sub•totof ` . RESTRICTIVE COVENANTS. CONTE 1CTOR AND SUB CONTRACTOnS TO HAVE CURRENT CITY BU_,INESS
_ fin' s LICENSE.SEPARATE PERMITS RE001RED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total 1 C� ''.f.+? SDS �. !-.'.v ves)
--
pDG# APPLICANT OR AGENT
— Receipt No. ADDRESS -� ~� fiONE
Appraw�l_ __ "j.�..r "2 _.
DATE INSP. TYPE INSi-ECTION REMARKS PLUMBING DATE
— Contractor z) 21_
Permit No.
Rc•gh-in —
Fixture —
�— Finel �.
qq ('13 ZZ2
1'2k-' HEATING GOY`
��2 C U I AVAM�— u,tractor,� � 7ho/,p 7
sfFlO/ ' Cr,4% ShPE ` do�'SQ �/��'�" Permit No.
Gas orOil
elo"e-11 Op if
:7.
�d (lough-in
Final
SEWER
1 � Final --`
_7 �� — ---- ----- DRIVEWAY
Final
Storm Drainage
_ (Rain Drain)Final
Sidewalk - -— — L /D
Curb&Street Final Q�
Approach
M.
DEPT.rINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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3
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6699
CITY OF TIGARD 639.4171 DATE 19 rYi
BUILDING PERMITtH�ia
TAX MAP 2S.1- 1AD LOT N0. 14t3U_-__ SUBnIVISION
OWNER "re;'on :i Society -�`�------ JOB ADDRESS 1171L
BUILDER :?am,, Y•(,i. 1102 92925, i'ortland Ur 91202 _ STATE REG.NO. EXP DATE
BUILDER'S PHONE Zx}-9124 _ - --- --
ARCHITECT PHONE —OTHER
STRUCTURE ❑ NEW (__I REMODEI. I ADDITION ri REPAIR_ ❑ MOVE L OTHER —�r- DEMOLITION
comm Fl EDUCATION IND RELIGIOUS ri ACCI-SSORY F' GARAGE OTHER FENCE
RESIDENCE C -- ----
OCCUPANCY _LAND USE ZONE --BLDG TYPE FIRE ZONE PLAN CHECK BY HEAL
!!Vatulis"A existi.131'.ce.yi„t'1WC,, calauin_ gewer ljt)C ;►nIl ClCaslit% lot. Gity to i►1mct sever line
cap ween completed, stre*eta to be leapt free of Iwai, dehris, etc. Sil•c to IJe cleaned and
iil vectek;.
SEWER PERMIT# --- -
OCC LOAD FLOOR LOAD HEIGHT NO,STORIES AREA NO.BEDROOMS VALUE
I —i BUILDING DEPAR'T'MENT SETBACKS FRONT REAR LEFT SIDE _ FIGHT;,IDE
Permit 15•Li THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
kEGULATIONS AND ALL APPLICABLC CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PlanCheck • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. 114E ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVE"ANTS. CONTRACTOR AND SUB CONTRACTURE TO HAVE CURRENT CITY BUSINESS
—'— -- -- TAX PERMITS.SEPA TATE PERMITS REQUIRED FOR SEWER,PLUMBINCI AND HEATING.
Stale Tax 'b fiDC_
A�
Total 15.60
LICANTORAGENT
-- PDC#
Prepd! - _ v-----
Receipt No. f � �i 1�DN-E�—�� �MONE
Hel,Dun � _ ml L..__ y ttCtt
Issued By (10_ _—._._A Y--------
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DATE INSP. TYPE INSPECTION
REMARKS PLUMBING DATE
_ Contractor
LT- Ca
pe,mit No.
Rough in -
Fixture
c.
Final _
-- - HEATING
Contractor
— _- ------- - - — — Permit No
y - Ga:or Ul
--- Rough-in _
Fin31 __-
-_ SEWER
- Final
- - DRIVEWAY
-- --—__- - — �'-- --- - Final �-
- --------'--- __._---- ,-- blo-mDrainage
'm——- (Rain Drain)Final _
--------- --- - -- -- - Sidewalk
-- - ^----- --^-- curb d Streel Final
-- - - Approach
-' BLDG.DEPT.FINAL TEMPORARY— CERTIFICATE O'CUPANCY Final
CERTFICATE OCCUPANCY I.andecaping
Zoning Final
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