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Owner: ..Tualat.in ,.DevolopM9n,t...Co. .-Permit No. ?3-140
WBuildingAddress 10330..,5_.. ._Cent.ury. Oak ..Dr_ivo .
Cnrtifirato is herelw given thi9....Z th day of.. .Ngypi0e.r 19...73..
that said building may be occupied and
that it complies with ali requirements of
i the Building; Code for the City of Tigard,
as approved by the Tigard City Council.
' s.c,.,..;...... ...... . .........
Building Impectur
City of Tigard
INSPECTION REQUEST
f� for
L /
INSPECTION TIME : PERMIT NO. :
DATE : // DATE ISSUED: _ L_L
OWNERS NAME : / 0
ADDRESS -. Lc?f- --
CONTRACTOR :___ �-
TEST. A:r J, Water [] , Visual- , La!- ,rotary [I
RESULT: Approved , Disapproved -] , Pending [-]
SKETCH:
i/ wi73
r"'INSPECTOR DATE
TE: Attach eu Ismenfal fell apt defr heraf�
City o �f Tigard
INSPECTION REQUEST
f r _/
INSPECTION TIME: PERMIT NO. :
DATE: I' A2-SZ 73 DATE ISSUED : Z -
OWNERS NAME '.
ADDRESS:
CONTRACTOR :
TEST : i*k. - , Water[] , V:sual A t_a boratory �j
RESULT: Aporovedx , Disapproved G , Pending p
SKETCH:
INSPECTOR DATE
NOTE Attach supplemental test data beret 01
City of Tigard f
INSPECTION REQUEST
for E
INSPECTION TIME: _ PERMIT NG. :
DATE ' 1X/73 DATE
OWNERS NAME : -j-- Y9,
ADDRESS:
CONTRACTOR : _ __ _ ______
TEST : >io- U, Watery , V;sual L] , I_aboratory ❑
RE'+P1 T Aporoved Disapproved G Pendia q ❑ i
i
SKETCH: 46 7'-
SPEP' rOR DATE
NOTE: Attach supplemental teat data beret
i
City :)f Tigard �
INSPECTION REOUEST
i for
INSPECTION TIME : NERMIT NO. --
DATE .
O. —DATE . 1,1, /73— DATE ISSUED'
I OWNERS NAME : — Lilt—
_—
I WDRESS ' —
C1 N 1 R A C T U R :.—.____� 033 �—w-►ac17� �'r4�'�
TTS 1 -1 . 'inter
IX
:, aI if, Ln
RESULT.. Appro ea ,isvpprovO _1 Iridin,;
I SKETCH:
I
I
I
I IN PECTOR DATE
ICOTE : Attach supplemental test .tu+r+ neret]
1
IIP''
City of Tigard
INSPECTION REQUEST
far
INSPECTION TIME ' /1" 'S PERM;T NC. :
DATE : DATE �SSUEf` ._
OWNERS NAME -
ADDRESS: �3
CON,mArTOR : _S�� --
TEST "--l'..- V:Suai , Laboratory f]
RESULT ' /%p,,roved� s)isappro�ed G , Pending []
SKETCH:
INSPECTOR DATE
NOTE: Attach supplemental test data hereto
t PLUMBING PERM-ITQP ICATION
Jurisdiction of !Age__
No. Type of Fixture Fee Permit No. -
Permit fee
Water Closets Toilets J° Permit Issue i-e
ath Tubs App-owed by
ava o as asin Bui_ .ing Perm rL�
Shower Receipt No. 1k 2
Sinks. Dishwas ing
Sinks.- Kitchen
Sinks, r -naryLo ption of Building Z 3 30 .�Lf1
n s a r -- [Silo --
inks op r
u Ic Dishwas e: o
F_U
sal
rays N dC Address of OwnPQ(AJ��_r .
s Floor vl c/ld.�„�.ict• (K
s rea
s e r era orDrains
u oma c es er p Na & Address of P er
noun a ns r n n
Fountains, Soda
Hot Water TankZ —
Water Service Size
Urinals Buildiax_(Ol.d or N&))(Al er Repair or
a c - as ns - at sItla
Lawn Svrinkler System � � , 2 s
Swimming Poolear '
S;)rinkler SXs em
This permit becomes null and void if work or const-'action authorized is not
^ommenced within 60 days, or if construction or work is suspended or abandoned
for a period of 120 days at any time after work is commencer.
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond.
I hereby certify that I have read and examined this application and know the same
to be true and correct. All provisions of laws and ordine•.nces governing this type
of work will be complied with whether specified herein cr 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 cr the performance of
construction.
Sigtaturd c
ppiicant
�n
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: �_ PERMIT
DATE: 2 DATE ISSUED
OWNERS
ADDRF..SS: >7- 53 -11
CONTRACTOR
TEST . Air G, Water[] , V`.sual r] , I_aborotory
RESULT: Aporoved I i-)isapproved ❑ Pending n
SKETCH:
I SPECTOR DATE
NOTE: Attach supplemental te9t data beret a]
CITY OF TIGARD
12420 S. W. Main Stnwt
TIGARD, OREGON 97223
APPLICATION FOR BUILDING PERMIT
New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Mnve ❑
ZONING R_j _ DATE ISSUED x_27_7; BUILDING PERMIT
DATE RECEIVED 4-.)x-1; BUILDING FEE $tyr jjU__ No.
BY s ti PLAN CHECK $ -�I ! 1,(1U.07
OTHER $ 1U.00 VALUA �Ot $
TOTAL $ x' �- RECE I PT No. Y..t 8j
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT M )j MAP $ 2:',1 BUJ CENSUS TRACT };_� `_ JOB N
Architect o3 Engineer Tuol„tin Develt.ument CUMIAUny
Address` 113. j.W. 11' -n Ave. --Phone--.
Owner—
Address -- __Phone
Builder e�,e
Address _ Phone 11
BUILDING USE Single Rr :. ® Multi Res. ❑ ^ Comm. ❑ Industrial CI
OCCUPANCY GROUP 1 No. of Stories 1 Total Heights , Area of Lot
Type of Construction \�XX�)�CXXXV V Floor Area B_ —__ 1_� — 2�_—
Set Backs: Front Back — L.Side__4 R.Side 4 _
Private Sewer Pipe Size 4' __ Sewer Ki,uzcitj Septic Tank ❑
,::ter Service Pipe Size ;i 4" Storm Sewer X❑ Ditch ❑ Drywe11❑
Street and Curb Requirements k:x.LatL&
Driveway Width .i' _— No. of Parking Spaces
SEPARATE PEPJ4ITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIG'dED �U i�Q b.w.Cenwri_ ur: Jr._—
FIELD CHECK BY--- &C ----__---_-^UATE� -2(-1!
PERMIT APPROVED BY 't►4
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 issued by the City of
Tigard Building Inspector.
Signatur Applicant