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PLUMBING PERMIT APPLICATION
Juxisdiction of
No. Type of Fixture Fee Peimit No.
Water
Permit feeh
ater Closets Toilet;3 y y
Bath Tub ---' �_- Permit Issued. 7
_ _ Approved by
/ Lavatory Wash IIasio__ — Building YErmi �b
Shower _ Receipt No.
inks. Dishwashing, -'- --
Sink- T{j.tchen
Sinks Ordiria _ Location of Building
_1Sinks Bar ---- •-----.��._ __
Sinks, file _ _-.- _ 7=
-tut,l)-matic D s'F;wasser _- -- -- 1� _c � c+�
D i_sp 7 s a 1 - -- - - -- --_-- _-- -------
�L Laundry_Tra-, s Name & Ad re-:.; of Owner
Drains, Flog
_
DrainsArea
-Drains --------- --
-
-
r"
ator
Fain Drains -"�— --- ----�_-----
Automatic Washer Name & Address cf Plumber
ountain rin
Fount ins, Soda ---
Fio t 'Vater Tani:
Water Service 7Size. �_
Urinals - ^+ BuildinOI. r New Alter, Repair or
—
C tcT -9asins --7ar,
Lawn- — eo_ System
Swimming_Pt�o-6 ol�� Other r
_Sprinkler Sys-t�em
This permit becomes null and void if work or construction 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 cr)mmenced.
All. plumbing firms must be licensed by the City of Tigard and post a $1,000 bon
I hereby certify that I have read and examined this application and know the sa
to be tr,ze and correct. All provisions of laws and ordinances governing this t
of work will be complied with whether specified herein or not, the g.-anting of
permit does not presume to give authority to violate or cancel the pl•ovisions
of any other state or local law regulating construction or the performance of
construe tion.
Signature of Applicant
I
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City of Tigard
INSPECTION REQUE13T
for
INSPECTION TIME : PERMIT NO. :
3 ;
DATE: DATE ISSUED: —.—
OWNERS NAME :
ADDRESS :
CONTRACTOR :____ !0 3 3 s— s w CQ m,0_k A2
TEST: Air D, Water 0 , Visual ❑ , Laboratory ❑
RESULT: ApprovadB� , Disapproved ❑ Pending L-j
SKETCH:
i
t
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INSPECTOR DATE
[OTE: Attach frupp��Tentol t&et dote hereto
i
ALL SPACES MUST BE `NDO RS'DD
PRIOR TO APPROV L OF THEE
PUBLIC .^rOR;::, DEPT. BY _—:_�IL'C_=._-_ D aT-
C00i1 Y I; .'!_fil _."T. CY-- ---..
CITY +C. ... ... 7 CY--- -- -- r. j
,I
GENERAL TLI-ErNONE C".-_____-__.____....— L _
U s A
N. W. NATURAL GAS U'ti7:i.—__ i
1
P. G. E. G Y-- G AT
T. R.R. F. n.
t' �f•,r^'T 1,.��11/ •,IAtI�`1T�'.��.�.•.'-`.*I.�1�
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OF
CITY OF TIGARD �
OREGON
Owner:..Tualatin Development Company Poi No..73-111
.. . _.......
Building Adilress...10300 1.W. Century oak Drive
Certificate is hereby Riven tbis..29th.. day of.. Wivemher 18.....73
that said building may be occupied and
that it complies with all requirements of
the Building; Code foo- the City of Tigc.rd,
as approved by the 'Tigard ..1ty Council.
...� L.:... ..... _ ......... .
Rnlldin d Inspector
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : .______r.
DATE:/!-1W-:?2 DATE ISSUED:_.__l__1__
OWNERS NAME * - li. C .
ADDRESS :
ADDRESS : X27" --S-
CONTRACTOR :------
TEST'.
SCONTRACTOR :_-__-TEST. A r U, Water ❑ , visuo , Lat ,rotary ❑
RESULT: Approved , Disapproved j , Pending ❑
SKETCH:
INSPECTOR DATE
E : Attach supplemental ter data heret]
et �
1
City of T E gard
INSPECTION REQUEST
for
INSPECTION T) ME : il—
PERMIT NO .DATE `BATF
')W^lEkS NAME '
A D D R E S S : . . ih� •eF,EG p------
C 1N-I RA GTrjR :.� �.Jl�• �J --- —
7ES1
J . IV ter � Lo
RESULT Npp►, X , :'►�Pru,a + 1 -
SKETCH:
I
I
I
INSPECTOR DATE
INOTE: Attach su
C pPlem"tcl test ,:Utv naret]
I
pity of 'Tigard
INSPECTION REQUEST
for
J . ;CTION TIME . PERMIT NC. _.
DATE : 111Y" 22' DATE ISSUED .
OWNERS DAME '
ADDRESS:
O N T R A r TO R :
EST ' Y ter❑ , V l--Lu !] , _ab.►ct�rr `—�
RESUL';' ,F. ruvea, ,Appr),ad G e�idi.�r, C❑
SKETCH.
ANS-Pf6TOR DATE
[NOTE: Attach Supplemental teat uata hereto
of •Tigard
'ION REQUF, �
fr r
E .
PERMIT W-
iTE : _3 DATE 1S'3UF '------
•r
rr
ry
INSPECTOR C.M-E
TP. Attccn sup:7 efl'entc I Test u:,in herctJ
. i
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City of Tigard
INSPECTION REQUEST
far
— �G ✓r�7L3w CG %D� pc>j
INSPECTION TIME: PERMIT NO. : ,2,A—
DATE: DATE ISSUED :--/ i
OWNERS NAME ' --
A
AME A D D R E S S: � y0 s• ''` ' -��'����-,�__C�/g_�.
CONTRACTOR : R
i'E S T ' A'.; ,�, Woter V:auo( tl,�_a borr:tory J
RESULT np.-rove4l R- --, :li;approvad G , heriding 0
SKETCH.'
INSPECTOR DATE
NOTE: Attach supplemental teat data beret
JAW
PLUMDING PMRMIT APPLICATION
Jurisdiction of
d
o. Type of Fixture Fee Permit No. 3 -/
y Permit fee
Plater Closets Toilets vd Permit Issue3 1-10-13
ath Tubs Approved by
avHt;ory (Wash as n Building Permit --r
2
S ower Receipt No._nk
s DishwasEing
Sin. s Kitchen
Si s r nary Lication ofB ildingQ._ �
Sinks Bar ,�
Autol-atic Dishwa, e7.'
Dispose
n
aundry raysNa a & Address of Owrsr
Drains FloorAGA
.ra ns Area - .444
Drains! e f r i A—e—r-a-tor 172A,,I _
Rain Drains
AuTomatic Washer N « Address of, umber
Fountains, Drinking
_
--Mountains, Soda 77A IX4-;
Hot a e r Tank
Water service Size
Urinals Bui. n 'Old or ew (Al(ell, Repair or
Catch-Basins - YarcIT--- a
awz S in er S s em
wi mm nPool er
-Sprinkler System
This permit becomes null an oid if work or construction 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.
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond.
I hereby certify that I have r^Qad and examined this application and know the same
to be true and correct. All provisions of laws and ordinalces governing this tree
of work will be complied with whether specified herein or not, the granting of a.
permit does not presume to give authority to violate or cancel the previsions
of any other state or local. law regulating construction or the performance of
construction.
.Z�j.X't
S ature f Applicant � �
t
IIr
Y
City of Tigard
INSPECTION REQUEST
for-
INSPECTION
or-INSPECTION TIM : _. ^�� �°�'''PE?MIT NO. :
DATE.' -.r 4ir-11 3 DATE ISSUED :
OWNERS
ADDRESS' ..
C0NN'rRar.TOR
V:sua; C] , I_a boratory ❑
RESUL. : ikvroved ilisapproved G , ,-)endioq ❑
S KETCH
�SPECTOR DATE
NOTE: Attach supplemental teat doth her�to�
CITY OF TIGARD
12120 S. W, Main Stme
TIGARD, OREGON 97723
APPLICATION FOR BUILDING.PERMIT
New Construction JOPUl Demolish ❑ Addition ❑ Remodel ❑ Wove❑
ZONING p..D DATE ISSUED �/'�"1�j BUILDING PERMIT
DATE RECEIVED 5..7-T3 BUILDING FEE $ 68.00 No•2a7 JL14 L
BY rg PLAN CHECK $—
OTHER $ 10.00 VALUATION $ 17 316.00
TOTAL $ 78.00 RECEIPT No.
it- Z
TWO SrTS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT q 55 MAP N 281 11C CENSUS TRACT W-19 JOB I
Architect or Engineer Tualatin Develop CompftY
A0d rens 15300 B.M. n6th Ave., Tigard, Oregon Phone
Owner same
Address Phone
Builder SEEN!
Address Phone_
BUILDING USE Single Res. a Multi Res. ❑ Cnnm. ❑ Industrial❑
OCCUPANCY GRP I No. of Stories l Total Height 14' Area of Lot t,uW
Type of Construction 1 11 111 V Floor Area B 1 7.170 2i_f
Set Backs: Front__ Back! L.Sideit R.Side`8v
Private Sewer Pipe Size 49 Seweraea Septic Tank ❑
Water Service Pipe Size V40 Storm' Sewer 0 !)itch ❑ Drywell❑
Street and Curb•Requirements—_ existirg _
Driveway Width_ 18' No. of Barking Spaces g
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED 10300 B.M. Century Oak Dr.
FIELD CHECK BY� c _�___ __� _ DATE- 6-143
PEMIT APPROVED BY (�f� j Aff
--
It is understood that all work will conform with applicable codep and ordinances
of the State of Oregon and the City of Tigard, orego and that the building will
not be occupied until i Certificate of. Occupancy hab jeen issued by the City of
Tigard Building Inspector.
S gnature o plir.ant