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A MEC'FIANICAL PERMT T
(C PEPM.'['T' NO. : ME*3BJ.8:I.A'l
��� OF T167A RD ITkL
COMMUNITY DEVELOPMENT DEPARTMENT DAIS ISSUED: 9/1.9/00
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 PA1M . PMr.NO. 881.83.4
JOEI A- DOPE.SS : 11,31410 SW ASH AVE*.
'YAX MAP/11-01' ")IJIE' 113K .
L.ANU USE'. :
I 0I SIZE :
I*T'EM: NO: NO:
W01.41( (X.ASS : Al I'FRAIJON FIJANACE: (J.00K 1. AYA HANULP <10
USE' 'IYPF-.: SINGLE FAMIl Y F'URNA(.E 1.00K+ AIA HANDI-1-4 10K
UONSI' . I YPE : FLOOP F�UANACX EVAP.
ocit"Up.GOPP I-iE-::A'T'I:-:'P VEN'T' FAN
VE:N'1 :11. VEFNI' . tiYS*T'E:M
OLP/(;OMP (31-1113 H(JOU
t4c). si'topsiz:s : 3-1151-41P INCSINIERA'TUA(DOM
DWILL..UNI'I'S : EiLA/COMP 1-15-30HP INCINFRA'T'OP(COM
FULL 'T'YPk.-. r:ll-p/(;Omvl '1501-30HP PE.PAIR LJNI'Y*5
MAX . INPITr ElLp/cOMP 30+1-IP 0 THE:P
F T*RE: UMPPS? GAS PIPING C)(.)*Y*LEI !3
H 14H.SS'?
PEMAW'b
o
RYE C;L.INI'ON PE.11-11,1117, $1.0 . 00
W 1.31.410 SW ASI.1 AVE. PL.0"',' AEV1E:W 415 . 2.5
N
E 'T1GAPI) OP 9 IP23 FIX'TURES 41 1 1 00
PHONE: (503) 639-73P-f STATE:
J*AY
UTI-IF114
C A E4 HE.Al'ING
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R T .1 /1915SW 1�7,'.ND
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T 14-10NIn. (503) 684-335t)
0 1.S'rr4A*t ION NO . 31339 I'OTAI 111111al .30
R
PE-CEIP'T NO.
This permit is issued subject to the regulations contained in Title 14 ------
of the I MC. State of Oregon Specialty Codes.zoning regulations
and all other 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 all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work is nut started within 180 days,or if work is suspended or
abandoned for a poring of 180 days any time after work tier
commencer. It shOl be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature
Issued By E-11"I I(IN 639 Al 1.25
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phr ne: 639-4175
Type of le,spection
Date Requested_ ! r _ Time A.M. P.M.
Address 131'7 lep � - p �J
� – Permit
Owner_ ( Lot #_
Builder ' ' " Ct LVY I�
The following Building Code deficiencies are required to be corrected:
Presented to
F] Approved
Inspector �' ��.._� — Disapproved
Data
CALL FOR REINSPECTION
YES 0 NO
r ,
City of Tigard
INSPECTION REQUEST
far
INSPECTION TIME: S ___ PERMIT NO. :.:2�_ 7j 7
DATE : DATE ISSUED : /Z /9/72-
OWNERS
q 7ZOWNERS NAME :
ADDRESS -. S(_" /`vt, vc
CONTRACTOR
TEST : Air U, Water❑ ,, Visual laboratory Ej
RESULT: Approved ('J , Disapproved C) , Pending []
SKETCH:
INSPECTOR DATE
LNOTE: Attach supplemen,al test data beret]
i
I
Cit of i
City Tigard
INSPECTION REQUEST
for
INSPECTION TIME: `'•� PERMIT NO. : 1
DATE: - DATE ISSUED : i `
OWNERS NAi.!E :
ADDRESS ' _ I
CONTRACTOR :
TEST : Air p, Waterp Visual 9-,--Laboratory
. ,,- tory p I
RESULT: Approved p Disapproved p Pending p
SKETCH,'
I
I
I
I
INSPECTOR DATE I
COTE: Attach supplemental test data beret] I
l
Address _ i3140y.W. Ash Ct. :Permit No. a 1+(""'
;Permit charge
Owner .� Connection fee 42y
Paid by K Waltco Constm ctinn
Type of building Residence Date connected
Service rate 5.00 ver mgnth Inspection fee 25
Contractor WAS .._a C'annt. Paid by Sam Date
Size of connection �V Assessment Paid
S7b%.t 444W-cc.. r, ,,y a
City of I igaera
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :_•'��-y
DATE: 1DATE ISSUED LIZ T {
OWNERS NAME : AdL&Q
ADDRESS: 1 1 4 C .5. 4 t) A 614
CONTRACTOR : S , G L k=1.4_ 15- - -
TEST : q;. Cl, WaterQ , Visual aboratory ❑
RESULT: Approved ff"', Disapproved O , Fending []
SKETCH.
INSPECTOR DATE
Or , : Attach supplemRntat test data beret]
i
Ai t
PLUMBING PERMIT APPLICATION
Jurisdiction of
No. Type Qf Fixture Fee Permit No. �
Permit fee _�°s._ J
Water Closets (Toilets) oc Permit Issue3 �a
Beth 'Pubs Approved by
_.t--Lavatory Wash Building Perm
Shower Receipt No.
Sin ;, Dishwas .121
Sinksitcher) %e
Sinks, Or__._rd nary — Location of Building
Sink.:;,-Tar
Sinks S10 --
,.
A11+-Matic is .was er -
L undr Trays Name & Ad rens �f Ownpl,
Drain; Floor
Drainer e�r.i�rator
Rain Drains
Automatic Wasber Name s Address of Plumber
oun -a ns rin ci.ng—
Fountains :oda
Ho t water Tar , no
Water
Urinals i BuildingOld or ,dew)- Alter. Repair. or
..a assns- Yard Tns�a� � "'"
awn Sprinkler System —' 122-��c • y" "� """"'
'Dwimma.ng Pooler a
-- -- *� I
Sp r i n. i e r��e m _�
4
This permit, becomes null and void if wcrk or constrU:tion :authorized is not
commenced within 60 days, or, if construction or work is suspended or abandoned
for a period of 120 days at any time after work is commenced. i
All plumbing firms must be licensed by the City of Tigard and post a $1,000 both.
I hereby certify that I have road and examined thi.,, application and know the 8eaft
to be true and correct. All provisions of laws and ordinances governing this
of work will be complied with whether specified herein c:,r not, the granting of #A
permit does not presume to give authority to violate or cancel the provisions
of any other State or local law regulating construction or the performance of
r construction.
d.
Signature of Applicant
pI l-_ .
i
roll
4 .
UNIFIED SEWERAGE AGENCY NO. _____-._4766
WASH I NC*TON COUNTY DATE 11-9-42.�
CITY
Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER. ____Waltco construction
OWNER'S ADDRESS: __ . 6600 _q.W� 4riffin Dr_.__
STREET
Yortle.nd oreson 9723
CITU STATE ZIP
BUILDING SITE: BLOC
ADDITION __Burnbstro Park
LOT-.-_.__-2�__. K; _.___.
TAX LOT NO. _________—_____ TYPE OF OCCUPANCY _.,-Res idenoe
ADDRESS 13140 S.W. Ash
DWELLING UNITS --------- ----1---.---- -- FIXTURE UNITS
SURCHARGE IF APPLICABI-E --.____.---
PERMIT FEE __ 425 INSPECTION FEE -_25 -__ TOTAL DEPOSITED 450
.(NEV111 (EXISTING) BUILDING SEWER SYSTEM __ .__. Tigard
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
b'.
APPLICANT!!` -6,a
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
)_INE SIZE INSTALLER J. B. Lewis
RECEIVED BY
IAOEN.Y OR IT5 AGENT) s?
COMMENTS:
n, This Application and permit expires in ninety (90) days. The amount paid will be forfeiter'
should expiration occur.
U
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# _% (1 BUILDER �'� ,s C_,�h lr VALUE FEE /G/ DATE
LOCATION / i OWNER
0!3MAP # J', 1 _ TYPE _
PLUMBER - PF
SEWER PERMIT y��c, • . �E :ECHA d I C L P
DATE BY DATE � HY...
EXCAVATION FILL AIR CONDITIONING
r FOOTINGS FOUNDATION VENTILATION
FORMS � SPRINKLER SYSTEM
SLABS MASONRY FLUES
REINFORCING STEEL FIRE DOORS 'EXITS
STRUCTURAL STEEL GARAGE FLOOR
/cel � PLUPF-ING R. I . ' r DRIVEWAY
ROOF FLASHING �A-ySEWER
FRAME STORM DRAIN _
LATH/WALLBOARD _ PARKING ---
HEATING _._ FENUE SCREEN
WATER HEATER _ _ FINAL
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CITY OF T'IGARD
11120 t. W. Malin Streat
T16ARD, 0R1110ON MM p;
APPLIC".TION FOR BUILDING PERMIT
maw Construction ❑X Demolish El Addition ❑ Remodel 1:1 now,
ZONING R-7 DATE ISSUED 11-912 BUILDING PERMIT
DATE RECEIVED 11-2-72 BUILDING FEE No.72-217
AH PLAN CHECK $_ 37.00
BY �— — OTHER $ VALUATION $ 19,4
TOTAL $ 101.00 RECEIPT Ne.—fig►
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT M 2 MAP f 291 2QL CENSUS TRACT W-8 JOB A i
Architect or Engineer Knight & FLergy _--_
Address2735 N.E. Broadway— _ Phone 281-007
Owner Walton %onntruction
Address 6600 S.W_Griffin Dr. iV Phone 4__—_i
sui l.der same —_ _ --"mow
Address Sam _ Phone
BUILDING USE Single Ree. �j Multi Res. ❑ Comm. C� —Industrials
OCCUPANCY GROUP I No. of Stories 1 _ Total Height lb Area of Lot""...
Type of Construction F 411MAMOAXEM V Floor Area e�_! 1 1264 _ 2 --
Set Backs: Front- 20' — Back 15' , L.Side 5' R.Side` 16-6
Private Sewer Pipe Size 4" Sewer U`8-A. TigardSeptic Tank
water Service Pipe Size 3/4" Storm Sewer a Ditch ❑ Drywell��
Street and Curb Requirements-_ Wetinq
i Driveway Width 17 v_T_-_-____No. of Pay' ng Spaces _ 2 —�
SEPARATE PERMITF REQGIRED FOR SEWER L.r; ' ' ' JMBING
SPECIAL INFORMATION
1
ADDRESS ASSIGNED-- --131!10 8.W. ♦sh- ------
FIELD CHECK BY BH DATE 11.9-72
PERMIT APPROVED BY
It is understood that all work will conform with applicable codes and ordinance
of the State of Oreqon and the City of Tigard, Oregon, and that the building ft
not be occutied until a Certificate of Occupancy has been issued by the City)-loo
Tigard Building Inspector.
;, S nature ofApplicant
Address 13%/0 .5,c ' y;� ,� �J,,• Permit. No.
owner._ G-,nr,c'r c ion fey '
r�G.6 �..... __.
Paid by.
Type of Building Date conn..cte,0 3'y�;�•P
Service Rate Inspection fee
Contractor Paid byDate
Size of connection Assessment Paid
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 1 0 7� DATE.
PERMIT IS GIVEN TO 4..
OF
TO CONNECT A
TO THE STSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $.'.... ..TIGARD SANITARY DISTRICT
.........................
B,r
CONNECTION INSPECTED AND APPROVED
Date Superintendent..._� _._____ ____Superinteadent_�_-