12115 SW LINCOLN AVENUE 12115 SW LINCOLN AVENUE
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE �N° 0662
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE W(-RK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC:IFICATIONS. OWNERPHONE —
OWNER .'im Brien ____ __ADDRESS 12115 So W• Linr-rZn )t• BUILDER PHONE
ENGINEErt
IWILDER _ A��C�RITE:T _— DESIGNER
STRUCTURE ❑NEW ❑REMODEL OADDITION DREPAIR ❑RENEWAL OFIRE DAMAGE.. ❑DEMOLITION
OTIEESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSDPATIO EICARPORT ❑GARAGE ❑STORAGE DSLAB [--]PENCE
IwOND ❑MOVING ❑CONGITIONAL UGE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
UCCUPANCY=_—LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY _HEA)--__
-.wo stos.ry addition on '[set side .0 i.uuse wive tiew proch and
taFtlkwmy with a~rt,mpy, to remide hou** with alumimm siding and to construct
a 19 X20 carport
OCC•LOAD FLOOR LOAD �JA HEIGHT _ NO.STORIES 2 AREA baQ VALUE ey ioo
BUILDING DEPARTMENT SET BACKS FRONT over aQ REAR 16 LEFT SIDE 75 RIG'4T SIDE'' ppoax 417"
Permit SA8«00 — - - --
THIS PE9MIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 1HE BUILDING CODE, ZONING
Plan Check 24•00 REGULATIONS AND ALL APPLICABLE CODES AND OAOINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WIT!
Rec'xding ALL APPLICABLE CODES AND O4DINANCLS. THE ISSUANCE OF THIS PERMIT DOGS NOT WAIVE
RESTRICTIVE COVENANTS. CONTHr-'.JOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIKFI'ri
X196 State ur•16 LICENSE. SEPARATE PERMITS REOUiRED FOR SEWER, PLUMBING AND HFATING.
Total 04,16
By
AP 'AN7 Oli AGENT
4
Approved Receipt Nu
DATE INSP, TYPE INSPECTION REMARKS PLUMBING GATE
74.'L Contractor _
•� (�,,,. — Permit No.
�y� t 11#g Rough-in
Fixture
Finri
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
---- SEWER
_ Final
DRIVEWAY
Final
_ Storm Drainage
(Rain Drain) Final
Sidewalk
Curie &Street Final
_
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final r
F mff
v,v.w►�M�Vti'I....z. - • Al.M'. •mi.wy�yiry-siw w+q lw- �'�;!'�
CITY UP 12020-74 N2 U 151
BUILDING PERMIT APPLICATION TIGARD DATE , 19--•—
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE ---•
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
LM
OWNERADDRESS BUILDER PHONE
ENGINEER
BUILDER n Masonry ARCHITECT DESIGNEH
OREPA_IRr1 ORENEWAL FIRE DAMAGE ODEMOLITION
STRUCTURE ❑NEW ❑REMODEL 1DITION
0RESIDENCE ❑COMM CEDUCATIONAL OGC� , 0RELIGIOUS OPATIO OCARPORT DGARAGE ❑STORAGECSLAB OFENCE
OBOND — OMOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZOWE
BLDG.TYPE FIRE ZONE— PLAN CHECK BY NEAT_
OCC, LOAD FLOOR LOAD
HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit :Lt ).00
THIS PERMIT IS ISSUED SUBJECT TO THF- 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 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 _ •10 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total Q.1 n `---��;, , �yj+,•. +�✓�l•M '�—
BY APPLICANT ORJAGF•NT
Receipt No. :��:-.;,
Approved -- DONE
ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
7 _ t4& ,? " �� _ Contractor
21 1 i i Permit No. _
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 8,.Street Final
Approach
SLOG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
'71TY OF TIGARD
11400 6W M.,A .M�O
T0.
.we0010006 VFW
APPLICATION FOR BUILDING PERMIT
New Construction n*mi ish Addition ❑ Remodel u Move
#` # ZONING A-7 _ DATA: ISSUED 2-UU'73 BUILDING PGRMIT
r DATE RECEIVED_240-7,3 BUILDING PER 8 5.00 No. .7a�• tib
BY_rRCPLAN CHECK S 2•50
OTHER $ 50500-WVALUATION $ 5 •
TOTAL $ 7.50 RECEIPT No.
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT I_kwrLion o!_�Oo MAP 1 iW1 itB CENSUS TRA.', — M-q JOB 1
Architect or Engineer
r AddressPhone
Own^r Jwws Brien
Address 121.15 B.N. Unooln, Turd, Oregon Phone
Builder sass► __—_ ��._._�__.—._ _�
Address____ saw Phone
BUILDING USE Single Res. Ex]smoulti Res. Comm. Industrial
OCCUPANCY GROUP No. of Stories Total ilei ht Are of Lot
TyIw. of Construction IXMLMMXXM V Floor Area B 1 2
SetBac: Front _ kac:k m L.Si
r _
Private Se Pipe Size Sewer Septic Tank
Mater Servicea sizetorm Sewer itch L.J Dryw 1 U
Street and Curb a rements ,_
Driveway Width No. of Parkin Spaces-
-SEPARATE PERMITS 'REQUIRED FOP SEWER AND PLUMBING
SPECIAL INFORMATION
De+lolisb �tys
ADDRESS ASSIGNED__"5
FIELD CHECK BY DATE �J
PERMIT APPROVED BY v L1'L
It is understood that All work will conform with applicable codes and ordinances
of the State of clregon and the City of Tiqard, Oregon, and that the building will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tiqard Buildinq Insper_tor.
q a ure of -Applicant
CITY OF TIGARD
ism s. w, mown show
"Gatto. 04660M +rasa
APPLICATION M)R BUILDING+ PERMIT
New Construction Demolish ❑ Addition ❑ Remodel ❑ Mow❑
ZONING R-7ry DATE ISSUED 2-20-:- BUILDING PERMIT
BUILDING PEE S T �•W_ _ No. 13- 207
DATE RECEIVED 2-ZO-73
BY u PLAN CHECK VALUATION
OTHER $
TOTAL $ 7•SD RECEIPT No.
TW) SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
L1.)T /purtlon of 8 500 MAP / 2B1 AS CENSUS TRACT M_l ---
Architect or EngInee r_ ----•-----
Address-- ------Phone
owner Jaws Dries
Add-essIdl.15 S.W. Lincoln Phone
Bu i.lderAddress ---.,---Phone
" _ ______— .•__Phone
BUILDING USE Single`Res. �'owulal bvi Res. ❑ Comm. ❑ Industcial�
OCCUPANCY GW)UP - No. of Stories_ �\Total Heightr, I`A�'ea of Lot _
Type oKConstruction I II III IV V Floc Area
Set Backs; Front J Ba. _, L.Slde �_�� R.5idey_
Private Sewer Ape Site Sewer 5eic Tank ❑
Kater Service Pi Size_ ___, toren Sewet ❑ Ditch Drywall.❑
Street and Curb Req irements_____ _-
Driveway Width_____ �a___� _---- \\No. of Parlor,; 9p><ces--
SEPARAT PERMITS REQUIRED FORSC:LftkR AND PLUMBING
SPECIAL INF')RMA�nN
--- roundati �exuit.ooI ._____ ---
ADDRESS ASSIGNED 1211 8,N•_�t�q�n �srtlt�-___��_ —_.,__,
FIELD CHECK BT`____ ._.._,�_
hERNi'r APPROVED fly z
It is understood that all work will conform with applicable codes and ordinam:
of the State of Oregon and the City of Tigard, Oregon, an(l tl)at the building w
not be occupied until a Certificate of Occupancy hag been issued by the City a
Tigard Building Inspector.
gnatur'e o App lcent
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Addressl_—�L�11J4— Permit No.
Name of Occupant Permit charge
i
01
Paid by.-- -
--- ------ —— Date connected-- 91-
Type
=1 J
Type of Building ___. Inspection fee___
Service Rate —_ Paid by _Date _
Contractor __—_.. Assessment_o�d g g�_Paid-----
Size of connection.-_q_l,—L--Pl.-.______.___.
Columbia Cu.-tom - 72-250
13375 S.W. 114th Ave.
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