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10360 SW CENTURY OAK DRIVE Vjtv y H n ' C) till H r � ? (h Lr caIj 1 r C• � PK -- f �o ts v t; ,.c' H , � 4, � til ry r•I � � 7 CCCnnn I � \ I Z 1 10360 SW CENTURY OAK DRIVE I � . y� 71ATN0 'AVO wINSD Mq 09f.OT Av > I W .Fj H 1 V l�/ I14 O rn H .1 y `�] 4 v q F . 'II 1HyE ark d V B n'1 O CITY OF TIk."X'ARD PiLmbing Permit Building Department No. Residential [_] Commercial El New Installation ;,-I Replace L-1 Date Addition Alteration Licensed Plumber -.,w Owner Z11 2 7,_T__1 Job Address 0 Address TC Phor,,3 Applicant CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL Fixtures-Traps 7.50 Sewer:First 100!t. 30.00 Dishwasher 7.50 Each Addit. 100 ft. 15.00 Garbage Disposal7.Y) Elector Pump 7.50 Water Heater -1 50 Water:First 100 ft. fate Backflow Preventer 7.50 Each Addit.200 ft. 15.00 Storm&Rain Drain:First 100 ft. 30.00 Each Addit.200 ft. 15.00 Mobile Home Space 25.00 Other(Specify): Rain Drain-Single Fam.Dw-Iling 15.00 PERI`11T FEE Comments. ..:---A$" ____ g4 STATE % Issued By,I — 'j Receipt N Applicant of TOTAL Signature �Fitir Plumbing Inspection Phone 639-4171 CITY OF TIGARD MECHANICAL PERMIT DATE , l PERMIT NO. '7 - S-All RECEIPT NO. BY _ -a' ,�'/ ��t/��lf �_______ ._ FEE ------ 7 1. Permit shall be obtained prior to commencement of installation. 2. Permit shall be obtained for all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. A]_1 work to be concealed must be inspected before cover up. New Installation Replace i❑. , Relocation ❑ Addition n Alteration ❑ CONTR. t��_/y_+ � LL.0? _ _. OWNER_-=-=--- -------- _ ADDRESS —t'�% l - WORK ADDRESS l � <� -; 4/��-)_SLl� APPLICANT �_-^' -i -'� TELEPHONE NO. FURNACE - MANUFACTURER ` �`/rr C�- �C rl� :,'c �" TELEPHONE NO. �- z-- -----�_�-- HEAT Input rating (Btu Per Hour) (1�3,r er+t, Vent Size �� Flue Size - FUEL OIL ❑ GASL41 ELECT ❑ OTHER _-- —'� -� _ `%� -r•. --� _ TOTAL SQ. FT. Top Floor __ - Main Floor !t'Cl _ Basement GENERAL ITEM NO. FEE ITEM NO. FEE For Issuance of Permit _ .00 X Boilers Over 52 Hp� New - Under 100,000 Btu 4.00X Air_Handling_10,000 CFM New - Over 100,00 Btu _ � Afr IVEdling_Over 10,000_CFM Floor Fur�nacL, - .00 vEva_poraat_ive Cooler -� .0 Wall - Floor - Su,�pen ed _ �+�� 'ent_Fan�-_ 2 .- Ins t a 117 en T s 0 Repair - Heat & Cooling - .00 Hood - Boihers Under-3 _ 4.00 UomesT_ lncinerao_r _ 0 Boilers 3 to 15 Hp 7.50 ��mm. Tnc1nerator _ 20.0 Boi e� rs-7 to 30 Up 10.00 Othergo-E_E_ s1_e_r • ,Boilers INSPECTOR'S COT- iENTS 0 APPROVED BY DATE ISSUED BY _ DATE Signature f Applicant �r.'/f,00 . Cit of Tigard Y g d INSPECTION REQUEST ! for INSPECTION TIME. PERMIT NO. :. DATE: f DATE ISSUED :—/—Z— OWNERS NAME : ADDRESS: S O-- CONTRACTOR : _ TEST : Air ❑, Water[j , Visual O Laboratory I RESULT: Approved nieanproved O Pending Aff' SKETCH. I I i INSPECTOR DATE LNO?F: Attaan supplemental test data berets, T 7 I I F, i ALL 37",�ACi= ,lusr BE 6i.E-.0 1-0 APPf'OVAL OF Ti-i_S- Pi_l'..NS i �•:�- - ,. . . ,.,..ter. ^•r ._�l�t�_�_ ., tr- =��_�� 7/-_-- IL r. r. 1 I I City of Tigard INSPECTION REOUEST -or �, ---- � 1���.� � � tom► INSPECTION TIME ' PERMIT MO. . .� DATE: //Z-2'1'2% DATE ISSUED:_.-..L_1_ OWNERS NAME : I (- . ADDRESS ' 5k� CONTRACTOR : iY4—wrZiN6 TEST' A r J, Water Q , visual La` ,rotory [t RESULT: Approved Disapproved - Pending 11 SKETCH: � �! i tV i I i i INSPECTOR DATE iOTE: Attach supplemental tea' data horst] I I amity of Tigard INSPECTION REQUEST for ! NSPECTION TIME. PERMIT NC, CATE : ZD-LaLll DATE ISSUED i OWNERS NAME ' T'�� '�' --�6� i ADDRESS: -taLL..__ �-'___ • fL��� - I E5T -N, ter ❑ ] '_�h :►ct �r. _J RESUI. sowed .Uppj�,ed G '�dl��r L_ S KETCH: NSPECTOR DATE 50TE : Attach cuppiementol test auto hereto) I i City of Tigard INSPECTION REQUEST i for I '►VSPEC TION TIME : ,,//� PERMIT NO. . ._ DATE: � a _. 'BATF ISSUED'_^iL! OWNERS NAME ' I ADDRESS * I C,1N7 RA CTO R :`_____.----- -------.-- — _ I l ES 1 1 f _J. ,Nntgr ` r „�I� r Ln I RESUI�� Appro�ed 5iscNprwe�+ Yl— +� .rdinJ SKETCH: h0 I I I I IN IE1ECTOR DATE [07E: Attach supplemental test ,ufv heret01 I 1, Ptl M, f'C 1F:PMJT APYGI t A'+I',41 Jeri edlOvInn of .j NO Fc Prm,It PI- pt,-mi t. c;Pr,„•mit 1 t:^ _,.. «,_. 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I:.t,�Vlci'''1; 1 l9ti►S it/Lrt r)►.�tlt•fj�l A' s., rk will be _. , yl q• r i S.li till I.`' rt i ► f dots A , , t .� not pr•esuror. to I , _ locyl l.irr regulating lzW'vLJ rF City of Tigard INSPECTION REQUEST for INSPECTION TIME: % ` _ PERMIT NO. : DATE: _;�71JVLT DATE ISSUED : �— OWNERS NAME .- �/ ADDRESS: _h-nT ;+y �yoHa►E,cti. t-3 C0N rRAC'rOR . i EST * A:r ice, watel;�C, VisualX/' l_aboratory 0 RESULT: Apnroved Disapproved G , Pending D SKETCH, l _ / e INSPECTOR DATE NOTE: Attach supplemental test data beret] City of Tigard INSPECTION REQUEST for INSPECTION TIME W30 PERMIT NO. : DATE : 7 DATE ISSUED:--Z--J— OWNERS SSUED:—.L/OWNERS NAME : � �� _ — ADDRESS :* DDRESS : j C O N T R A C T O R : TEST. Air D, Water p , Visual o , Lab,)ratr.ry RESULT. Approved Disapproved ❑ , Pending p I SKETCH: I I I NSPECTOR DATE ICJ�401'E: Attach supplemental teat data heret] 1 CITY OF TIGARD 11420 S. W. M.In Strut TIGARD, ORRGON 97117 APPLICATION FOR BUILDING PERMIT New Construction ® Demolish ❑ Addition C� Remodel ❑ Move❑ ZONING8•D _ DATE ISSUED 7-17.73 01TILDING PERMIT DATE RECEIVED BUILDING FEE $ � NCF73 . 163 BY FS PLAN CHECK $ OTHER $ 10.00 VALUATION $ 17AZ8,1g, TOTAL $� 78.00 RECEIPT NO. 17-/dr-73 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT M 50 MAP # a3l 10D CENSUS TRACT Wd JOB N Architect or Engineer Tualatin DevelopIient Cumlany Address 15300 3.'d, lloth Ave. Phone Owner ramc Address Phone Builder rime Address` Phone BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP i No. of Stories 1 Total Height 15 Area of Lot Type of Construction XjXXAWjLKjZMo0= V Floor Area B - 1 1aod 2 set Backs; Front q Back lU L.Side 4 R.Side - 7 Private Sewer Pipe Size 411 Sewer yini, CiteSeptic Tank ❑ Water Servicc Pipe Size �� Storm Sewer ❑J Ditch ❑ Drywell❑ Street and Curb Requirements Sx#atinr, Driveway Width_ ,y No. of Parking Spaces�� SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL ?NFORMATION ADDRESS ASSIGNED FIELD CHECK BY _ EC DATE 7-17-73 PERMIT APPROVED 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 occup?ed until. a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. Signature xaA Applicant City of Tigard INSPECTION REOUEST for i IINSPECTION TIME :©-V PERMIT- NO. : i DATIE .* 2LI3211a. DATE ISSUED' __L_L OWNERS NAME : /7L - - I ADDRESS _Z- -- I CONTRACTOR :--.- - I-EST ONTRACTOR :__._ _1"EST a r Li, Water X, N/isf-cl e, La" ,rctor� h RESULT. Approved'l , Disopproved 1 i='µnding �J SKETS,H: i I I I I SPECTOR DATE NOTE: Attach supplemental test Jata heret] 3�= - >. 1 1 7 F I r ��