12135 SW MERESTONE COURT 12135 SW MERESIUNE; COURT
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`,. o a p'i.irbin; contractors licens•3 is hereby
�.1 p r.`' .1 1r .x.in nohcl •a!i. ,; .1� plumbing _o_re
) a.a.�leri.._:I to cau'� •3 .. to i; irh, _ in ac::or., .rs: e/itit the p � • ' or #
Tigard, St;ch inpa:!Ci11)n by the Cit,,- lmp; !c;or %,: %) _:1si!�be natifie not 1�S:i then faur
1 �-40 r the tlr.l� t:!o i75t'!(3'ior, zr: rt-d-' tGr Irirpezzion. City Q. T!g':1:d BUsin�ss F. mrlsu' requirZul
J hours p�for to � � � r
for all contr2:tor; and st.C1 ,:OritrGtor;.
1 O'nlr�r_ �.` L W E t' — — - A.C�-?����-� �S_5•W. ��.fil'S�o`t.t2 p�t's�:��..., ''
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11i I .S 3.:rR rA P rIMIT NO.S� i
I TYar OF PEA.AIT ITE!':I ( FEE Cry EACH I A..Q1.PIT (Office U:+r only)
F.1-111v-I y.r h e,,:f, Z' 25.0n
i t b, 11 ern:; r 29.00
10 OU—�——
fNDIVIDU At_ FIY, TUP^.5 FEES`
1 to S0 .;ntr.r.gr in 1 hj;1,1_,-+:Ch 3.013
51 tO 1013 riA••J-9i is t bUrlj; 31C:1 2.50 v
101 in t a_'`?��''-s,__. 2.00
101 cr r.ortFra__r3i;h 1 yvi�1_n� •�!rh_..._ 1.50
Sew,.r-ltch er., iOna 'GO !t. I 10.00
PlIV9t3�'::�»�r..-ICitl• -!1�_!1 IIi.F1 �t..�.._..�._.�_-- -- I �_ 10 n0 ..�_ �� � .
i �' For?ru^r'u»y i,r;;;..'tr... ?.'rjr.?63.4171
Plumairi Contr B!
I Ci"�,!�
�JLWVA-M,11
ACORSS 01, PE Rr"I 11 NO. 7 o
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PER[IlT CHARGE none
—-----------
OU N--R
copiNECTION FEE 61,
PAIO BY
TYPE OF BUILDING DAiE CONNECTED
T
INSPECTION FEE
SERVICE RATE -27
CONTRA,CTOR PAID By DATE
PAID
SUE OF c07jNEcrI1N ASSEsSMENT
0
1/29/79
Extension of 120 additional days
granted t7 John Loewer, Permit #17402
by Ed Walden before sower usage
billing begins.
A/C f-2525--058
12135 SW Merestone Court
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BUILDING PERMIT APPLICATION rOF �'��ARD DATE
cn� __��� � �
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED dIJ1LDERPHONSda2 `' /!y L_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
LOT NO—
OWNER9:.tw 4: JOB ADDRESS I'' ty l I Eska F�OME ADDRESS _
- ter- "' yA:t ..:1 u _.._.
ARCHITECT
ENGINEER
BUILDER ADDRELF-5, — DESIGNER —
STRUCI UHE ONEW O RLMODEL OADDITION (:1 REPAIR ❑RENEWAL OF IRE DAMAGE ❑DEMOLITION
❑ REF'IL)_NC _OCC-MM COEDUCATIONAL 000WT OREL1'.,IOUS OPATIO E1CAR PORT ❑GARAGE _U STORAGF❑.,I AB ENCE {
— ❑BOiNll_` ❑MOVING-- OCONOITIONAI_USE ❑DESIGN REVIEW '^❑COUNCIL APPROVED []SIGNS
OCr LIPANc'Y_ LAND USE ZONE:=± --HLOG.TYPE_-"1 FIRE ZONE: PLAN PLAN CHECK BY__'_i,— HEAT_ _
't-IstrutJ I duplex 1.0/attN011WO wara,,u ►. - r: LIx Jur",S JLIICl?,JIT'
Sewer Pormit0i -17402 — $123b.00
an�'ric�ei sq. rt
�BUILDiNG DEPARTMENT _—� SET BACKS FRONT Z REARS{ LEFT SIDE RIGHT SIDE :,:
Permit
--" THIS PERMIT IS ISSOFD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check Sj�3•JCJ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ` 11 ?Ll ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Sia P TA P.A4c LICENSE. SEPARATE PERMITS RFGUIRED FOR SEWER, PLUMBING ANO HEATING.
Total ;� rr.
/ y I }v-- - 1�1 APPI it ANI (1P AGF!J
F j A ,proved F.UllIden Receipt No
II
P
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE —
9- 1-_ C Contractor
Permit No.
rL '� --- Rough-in
r7-. n� o IC Fixture
Final
-, u^v•, i t `- HEATING
Contracto, o
-�� • PL nit No. —
Gas or Oil
Rough-in
--- — — — — - ,--— Final — -
SEWER
Final
DRIVEWAY
Final y �4
StorNi Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
__ Approach
BLDG. DEPT.. tNw. --TEMFORARY CER TIFIC - 17- 7
TE OCCUPANCY Final
CERTIFICATE OCCUPANCY
qp� Lendscapfng
+ �' 7 / Zoning Final
i
BUILDING PERMIT APPLICATION C�Y TiC�'�RD DATE_ �_J , tf Nd +
',HF LINDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF
S SHOWN NO APPROVED IN THE ACCOMPANYING PLANS AND SP( CIF ICAT IONS. OWNER PHONE
1 LOT Nb ._
R JOP ADDRESS �!" ""� HOM1)E ADDRESS
ARCHITECT
ENGINEER
ADDRESS DESIGNER
JCTURE QNEW �QREMODEL_ CJADDITION QREPAIR QRENEWAL AFIRE DAMAGE QDEMOLITION
F�!OFNCE QCCOMM QEDLICATIONAL QGOV'T QRELIGIOLISL. PAT10 QCARPORT QGARAGE QSTORAGEQSLAB QFE'NCE
]POND _—_ 0MOVING _QCONDITIONAL USE —QDESIGN REVIEW �L_JCOUNCIL APPROVED ❑SIGNS
CUFANCY LAND USE ZONE -BLDG, TYP�N _FIRE 20NE. -Pl AN CHECK BY-----� +�= HEAT _
yeL �. 3 a COO
BUILDING DEPARTMENT FET BACKS FRONT «y i REAR LEFT SIDE l
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check R,GULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 17 IS HEREBY AGREED THAT THE
`) WORK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subto181 �gA) �Gl ALL APPLICABLE CODES AND ORDICANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax i (� (( LICENSE SEir►RATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HCNTING.
701al _-��-�—�-=-
By
APPLICANT Oil AGENT ,
Apprnved Receipt No.
A0GRF.55
1- 4
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