10275 SW CENTURY OAK DRIVE-1 I
ej
' S
W
co
- 1 h
wiA Ifs '_) hd �]
lj
fca �3U G; � Ic H
06
r.rl t
r
Mi y
tj.
, � o �-
U�l H 1-
;p C1 CH
I
G
I
c]
.y
10275 SW CENTURY OAK DRIVE
..s --
S11INC] XVO X21[] MD MS SLZOT
0
u
w
ti
r t '-u �J
1
t-t
�1
0A Cn 6
C=7
4 rX, cv H c� a a s1 `1t
�V n
F� E1 12141
M
rr �
Ar
F1 r�
J �
IN
l7
RI T i E-4
rr1 y W C�. G rr rr) W !Y pq
ILtii i. q �� J
N
�J-
0
.4
r 1 0 Fa
C' CITY OF 'TIG
ARD �l
OREGON I
Owner:.......
c�itTualatin evel_
o�. m�atnht. Company.
N�e.vrsnml
bt.9Nfi� . 73-,110y9_ .D
ltuilding Addresq, x0.275..$•.W . . ......7
...3. .._...
_..C_entury qqk Orivehereby given this.. day of_
that .
said building inlay he occupied anal
that it complies with all requirements ol•
the Building Code fol, the City of Tigard,
as approve(( by the Tigard g d C>ty Council.
$uildinv Inip'ec}Of
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : _—
DATE:/,/ DATE ISSUED:_ Z Z—
OWNERS NAME ' Z , c-l!"ADDRESS : l'��T / ---- --- --- -
TEST A r J, Water �7 , Visual, La'- ,rotary [1
RESULT: Approve A Disapproved _1 Pending ❑
SKETCH:
INSPECTOR DATE
ich supplemental ter t data heretl
i ,
1
.,Ity of Tigard
INSPECTION REQUEST
INSPECTION TIME . -_. .__ .�� PERMIT NG
DATE : DATE ISSUED I
OWNERS NAME :
ADDRESS: LOT / ♦ -_._S.k.mrnt``_'��►E�I,2
(w0N r R A TOR
EST ' . h, sero , ab et,)ry -
RESUL ruved-5�' .uppt�vA G U
SKETCH
cm It
I SPECTOR DATE
COTE: Attach -,uppiemental Lost uutu her(-to,
;;ity of Tigard
INSPECTION REQUEST
for
.NSPECTION TIME . ¢wU PERMIT NC. .
DATE . /?z '21 ?ATE ISSUED
OWNERS NAME : — 7 ),
ADDRESS ', �,— �-
0N rRAr,TOR : - -- ---- —
ES f ' h ter al _ab-►et�r; :�
R,ESUI.'i' rove ,uppr). jd ao{dioc V
SKETCH.
i
71
I {
_lam 1
INSPECTOR DATE
LJJTE AttaI, sub— err entaI test uric 'r,r-r t >1
City of Tigard
INSPECTION REQUEST
for
!NSPECTION TIME :-4 .,.s ERMIT NO. . .
DATE. —Li&.23 ')ATE
ll-)WNERS NAME ' .
A D D R E S S 7
C-)N I RA C T 0 R
T F:S I V,l i e r
RESUL:r
SKETCH:
INSPECTOR DATE
[NOTE: Attoch sjpplementol !(,,3t fleret.10
<,ity of Tigard
INSPECTION REQUEST
for
Nti;'ECTION TIME . __. PERMIT NC. _
DATE: 1/10- 23 DATE iSSUED
OWNERS NAME : `L T)-L-
_
AnDRESS:
N,ter ❑ '_a b,_►etor; _�
RESUL : ,p ruved Appr).dd G , vidloQ U
SKETCH:
t
p
INSPECTOR DATE
507E: Attach supp emental test aafa heretu�
i
i
pity of Tigard
INSPECTION R�Q u E ST
for
'NSQEC'TIOti TIME : HERMIT
N 0. . .
I LATE: 'SATE ISSUFD'____Z_1
OWNERS NAME ' -- -T7,Q.
I ADDRESS :
C1)N7 R A C T 0 R :._,eQAJS"
TES'! -j . 'Winter . Ln , roi
RESU!T Appr, VVed V iirpprove 1 :nding
I SKETCH:
.4010 S74.fp.s J vee„,.?'
I
I
I
I
I
13PECTOR DATE
L' TEAt' supplemen?ol 'est ; o#n neret]
1
City of Tigard
INSPECTION REQUEST
f o r-
INSPECTION TIME : _ — PERMIT NO. :--
DATE: - —/�ylJ?3 'DATE ISSUED : L_
OWNERS NAME
ADDRESS: _ T /3 imirr,,F,- 4
C0N'TRACTOR :
'i EST : ta;r li; Woterg , Visua1,;-C„ Laboratory p
RESULT: Approved nisapproved ❑ Pending ❑
SKETCH: _
r
lee-Ir -
INSPECTOR DATE
NOTE: Attoca supplemental test data bar?ta]
PLUMBING PERMIT APPLICATION
Jurisdiction of
No. I Type of Fixture Fee Permit No.
Permit fee _,3r
' �J Permit Issue3 l
Water Closets Toil�ta
Ba th "D ibs Approved by �..
avato ash Bash, _ _ Building; Perini 'l s i_7i
Sr.ower _ Receipt No.
,yin ss,Dishwashing
Sinks. Kitchen _
Sinks Ordinary _., Loca on of Bui ding
_ Sin s-.
Sin s S7 0 D
Automatic DisFwas er�
i isal
Laundry Trays - NameAddress of Owner.- t-�-E
Drains. Floor
rains Area
Rain Drains
Automatic Washer Na k pdress of P� bar`-
oun ains , Drinking _ 1""
ountain )ri�da lig/
Hot Water Tank '' -�2: •rr3-�
Water Service Size
Urinals Build Lgld ,1r w Alter. ReDair or______
Catch-Basins 7-7 arT� ns p,
I'awn G rink. Pr system .__....
F_T.�7wimrriinE Pool _—_ Other
S _,rinkler=fem ____ �----
This permit become: null and vo d if work or construction auth:rized is not
commenced within 60 days, or if conEtruction or work is suspended or abandoned
for a period of. 120 days at any time after work is c,mmenced.
All plumbing Firms must be licensed by the City of Tigard and post a $1,000 bond.
I hereby certify that I have road and examined "this application and know the same
to be true and correct. All provisions of laws and rrdi.nances governing this type
of work will be complied with whether specified herein cr not, the gran. � ing of a
permit does not presume to give authority to violate nr cancel the provisions
of any other state or local law regulating construction cr the r,erformance of
construction.
i
1
Si ature� Applicant
i
City of Tigard
I
INSPECTION REQUEST
for
IINSPECTION TIME :.���N PERMIT NO. :
I DATE: G /is•/7z DATE ISSUED'
—I--/—
OWNERS NAME :
ADDRESS : / v7 /o _
I
CONTRACTOR :
I' TEST' A r LJ �r�� .
� Water C7 , � c1 0 , La'• ,rotor/ ('1
RESULT: Approved I PP �, Disapproved 1 - Finding
I SKETCH:
I
I
I
Sze 2 2
IKSPECTOR DATE
I [OTE: Attach supPlemental teat data hereto
1
1
Ty of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: % p"') PERMIT
DATE: G / DATE ISSUED
OWNERS NAME
ADDRESS: --
CONTRACTOR
TEST : Ar L—i, Water[] , V:sual r] , Laboratory I]
RESULT: Ap.-,roved , disapproved G Pendhig p
SKETCH.
1p
i SPECTOR DATE
NOTE A-tach supplemental test data beret
CITY" OF TIGARD
12420 S. W, Main Street'
TIGARD, OREGON 97223
APPLICATION FOR BUILDING PERMIT
New Construction ❑ Demolish ❑j Addition ❑ Remodel ❑ Move❑
ZONING p'0 DATE ISSUED---6,,/-,y3 BUILDING PERMIT
9
DATE RECEIVED 5-7.73 BUILDING FEE $ .0T— No. "�0
9
BY YB PLAN CHECK $—logg ___jc,k'v
OTHER $ VALUATION $ 28e74.60
TOTAL $ - �� RECEIPT No.
.-A
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT i 13 MAP N 281 11C CENSUS TRACT W-8 JOB 0
Architect or Engineer `nNUigtinjX
Address 15300 B.W. 116th Ams. Phone
Owner ears!+
Address Phone
BuilJer
Address _Phone
BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial❑
OCCUPANCY GROUPINo. of. Stories j Total ;Leight dig Area of Lot !"
Type of Construction MM V Floor Area B�— 1 1396 2 546
Set Backs: Front 10' Back 121 L.SidL— 5' R.Side 4*0
Private Sewer Pipe Size 4" Sewerusa Septic Tank ❑
Water Service Pipe Size 314" Storm Sewer Q Litch ❑ Dr}well❑
Street and Curb Requirements -4 JAM
Driveway Width _ Joe —No. of Parking . -)aces 1
SEPARATE PERMITS REQUIRED FOR SEWER ANL PLUMBING
SPECIAL INFORMATION
QP_-Iccue OF L.or �ci- __ —_—__- - -
ADDRESS ASSIGNED3�dj5 BLM petty;X O&k IMEL
FIELD CHECK BY__ EC' DATE 6-4-73
PERMIT APPR( VED BY
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the building will
not be occupied until a Certificate of Occupancy has been isp—d by the City of
Tigard Building Inspector. 1
t-ur
nature 0Qx
pplicant