10260 SW CENTURY OAK DRIVE WM M I[ 10 ■ w
12J 0
Ell
0
N
,J
LV
1 p
'zj O ri UJ ,r,1 (n C►�!.` ►s� I•-• t7�1 Ppb'
r-1 C y
J 2)
� J)
I 0 .
F - r
O r
--
1 w, W
tv En
tori
H }
r I
E�
I
n {
i
10260 SW CENTURY OAK DRIVE
W�JLMKA lu
3A180 mvo TEnimo ms 09ZOT
E-4
CE 11
Cc)
rHt
r.
a4
E-4
ITI V-4
C)
E-1
rr) t4
M.
�4 rlr
o.
l aw
C)
City of Tigard Mechanical Permit 123 Permit_---- $3,00
Fee—----—-—
New Installation LJ Replace (I Rploc-,rion ❑ Addii,.,n 0 Alteration L1 3%State—,
CONTRACTOR0
OWNER
ADDRESS--- WORK ADDRESS
PHONE APPLICANT
Heat Input Rating (BTU Per Hour) Vent Size Flue Size
FUEL OIL r 7 GAS El ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit 3.00 Air Cortditior Compressor 15 to 30 HP 10.00
New- Under 100,000 BTU 4.00 Air Handling 10,000 CFM 3.00
New- 100,000 BTU&over 5.00-- Air Handling Over 10,000 CFM 570-0
Floor Furnace 4.00 Evaporative Cooler 3.00
Wall - Floor -Suspended 4.00 Range Vent Fan 2.00
Install Vents On,y 2.00 Vent System 3.00
-Repair - Heat& Cooling 4.00 Hood Commercial 3.00
Air Condition Compressor 3 HP 0 Commercial Duct System 10.00—
Air Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL,PONTRACTORS OR SUB-CONTRACTORS
APPROVEn BY DATE ISSUED BY DA rE
RECEIPT
774 Signature of Applicant
m
.M
9
OF oc,
CITY OF TIGARD
G�, Y
0w•ner:.TS!elatin..Do .
ve�.op ent .Compatny. I ermit No.....Z3-1.65-...-.
Building Address... A0261]_S...We.. L'.antury. Dak ..pr.i_vc .. . ...........
Certifica!v is hvreh.v e;ive n this29.tbh.. day of.-No.v-ember. 1.9-2.3...•
that said building inay he occupied and
that it complies with all requirements of
the Building Code for the City of Tii;ard,
as approved by the Tigard City Council,
j Fi iildina lnspochrr
City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME . PERMIT NO. :
DATE:// 12XIL? DATE ISSUED-__1_L_
OWNERS NAME : _� O C
ADDRESS : _LirK S _
CONTRACTOR :---- --- -- - — _
TEST' A r J , Water �] , \�ist:al , La!- ,rotary P
RESULT.' Approved. , Disapproved J Pending Cj
SKETCH:
J c�
iZ iL
IMSPECTOR DATE
)TE Attach Supplemental test lata hereto,
I
City of Tigard
INSPECTION RE �
QUEST
for
INSPECTION TIME : PERMIT NO. : i
DATE: DATE ISSUED :__L_L_ i
OWNERS NAME .* /2
AC.DRESS: _L-z) 71.
CON'LRACTOR : --- - -
i EST : /Iir ;.], Water[] , Visual (*] , Laboratory p
RESULA— Ap.-roved :0,3upproved 0 Pendiog p
SKETCH.
—� ---
t
I
NSPECTOR DATE
`NOTE Attach supp,emental test Oath hereto]
City of Tigard
INSPECTION REOUEST
for
+NSPECtION TIME .'c2,' �' PERMrr NO. . .
DATE . -��� �__r OAT'E ISSUED'--,-'—,'—
OWNERS
SSUED' —rOWNERS NAME ' —
WDRESS ' .�' T
TES 1 _ wester '
i
RESUIY Hp �ti cn ,�. �i; ✓pro'+e
r+ 1
SKETCH:
INSPECTOR DATE
COTE: Attach supplemental fast ,:ntc r.eret]
A w
4
PLUMMF33TNG PEMIT� APPLI(,ATION
Jurisdiction of
Type Fee Permit No '7�3-_1�
No. �f Fixture
f Permit fee __ID 1,
/ water Closets (Tcilets 00 Pei-nit Issued k 1 ;
Bath Tubs_, 00 Approved by _
FU
Lavator `'Dashh_n �^'► Building Pearl"
_ Shower Receipt No. _yla�?
,,in s, Dlc hwa2hin
Sinks Kitchen
of B
Sinks Urdinai ._ Lo�ation u ng
ar�_�
Sinksl
Autt)ma ti'' Ibis washer
Dis f Owner 1-'r.,e
Laundry Il rays
Name � Address t ---
s°
Drains, Floor
Drains Area
Drd e r'1 erat i
1. -1
Rain Drams _}< <
Na Address Pser
AU omatic Washer
ountain: ; r.,1 cin
Fountains oda
_ Hot Water TatTC
Water Serv7_z i
Bu` Old or ew) Al er. Repair- or
Ux mals
atc - ash- arT Mall
- -
Lawn Z rink l e r S s t.em _ r _---------
,"hisper-mit becc,mes null and void if work cr construction authorized is not
_
,,ommenr-_d within 60 day:, or if' construction or work is suspended or abandons
fur a per ;od of 120 days at any time after work is commenced.
All plumbing firms must be licensed by he City of Tigard and post a $1,000 bond.
I hereby certify that I have --ad and, examined this application and know the samF
to be true and correct. All provisions of laws and ordinances governing this tyI
of work will be complied with whether specified herein cr not, the granting of a
permit lues not presume, to give authority to violate or cancel the prc visions
of any ether sta a or lo3al law regulating construction or the performance of
construction.
S gnatur of Applicant
i
City of Tigard
INSPECTION REQUEST
for
IINS r .'TION TIME : -�-'c PERMIT NO.: .—
DATE:
O.: .DATE: DATE ISSUED'
OWNERS NAME : ;p <--
ADDRESS :
--
ADDRESS : e6e T •'"7-
I
CONTRACTOR : �
TEST : A r `I, Water, Visvax, La" .rator-� (l
RESULT. Approved Disapproved 1 , Pendmg p
I SKETCH: r
Ilk- lgrllcr-
I
I
I
INSPECTOR DATE
E�NOTE: Attach supplemental teat data heret:01
1
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: �O- -��' PERMIT NC. :
DATE: X73 DATES ISSUED
OWNERS NAME : L - - — -
ADCRESS:
C0N'TRACl'0R
E ST : ,', -_ , Woter[l , V:sualto , I_aboratvey
RESULT: Ap--rove, , �i3approvad G i�er►di��g p
SKETCH:
INSPECTOR DATE
NOTE: Attach supplemental teat data beret]
r��
CITY OF TIGARD
12310 S. W. A41n WOO
11GARD, OREGON 47113
t,
APPLICATION FOR BUILDING PERMIT
New Construction XI Demolish ❑ Addition Remodel ❑ Move❑
ZONING F_y DATE ISSUED 7-17-7; BUIDI�jG PERMIT
DATE RECEIVED BUILDING FEE $ 6d,00 No
3 .16$
BY PLAN CHECK $
Fr. OTHER $ 10.00 VALUATION $ 17,316.00
TOTAL $ 78.00 RECEIPT No. Zqfrljr
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT M 57 MAP k 251 10D CENSUS TRACT W-8 JOB $
Architect or Engineer Tualatin De!:lopment
Address 15IJ.L y;, >> ,th we. Tigard• Oreton X1223 Phone
Owner same
Address_ Phone
Builder
Address Phone_ _
BUILDING USE Single Res. x❑ Multi Res. ❑ Comm. ❑ Industrials
OCCUPANCY GROUP_ No. of Stories__ Total Height____jL Area of Lot
Type of Construction = V Floor Area B ` 1 11p 2
Set Backs: Front lU Back ld L.Side u_ R.Side d
Private Sewer Pipe Size`_ 411 Sewer KiW Sim_ Septic Tank ❑
Water Service Pipe Size 3 4' Storm Sewer ❑ Ditch Q Drywell❑
Stree+. and Curb Requirements-- exi:.UnK —
Drivet ay Width lb' _^ No. of Parking Spaces 2
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED _IJ260 S.W Cet.L,a,L uhk Dr.
FIELD CHECK BY rC __.DATE_ 7_17-71
PERMIT APPROVED BY_LL � z _
It is understood that all wnrk will conform with applicable codes and ordinances
of the State of Oregon end the City of Tigard, Oregon, and that the building wil
not be occupied until a Certificate of Occupancy has been issued Lj- the City of
Tigard Building Inspector. 1
S g attuuet:�App�licaa nt����