10380 SW CENTURY OAK DRIVE t
f�
1�)
4�
W
• �_ 1 �l i KJ t t v � y
�7 11tiltlH
p
n t , H
40
� F-1 N F'r i ✓ �1 �
�r
r ,
r
►U�
`y tr7 �� 7
}
I � H
I
10380 SW CENTURY OAK DRIVE
ell3n TKI xNo mn m3D MS M:OT
q
z
H ` I
I
HI '' N
r r,
J- -
72
I
l �
F1
L7 G7
• � > H 9 t...� �n r, �j i� Z �I I
a
rn
Y]
BUILDING DEPARTMENT, TIGARD Tn
PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing v^ ork as herein noted to bP installed in accordance •iwitti the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-Lon tractors. '
Job 's .
Owmgr_1 _ Address �.� )at �
NuMa"ER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
ctEU1P
Sin Iq Fzmtly_1 bath—each 25.0
— _
Ou lex—Each 1 bath unit 25.00
Additional bathroams—each 10.00
Mobile Nome Space—each _ 15,00 _ _ 'ji'
INDIVIDUAL_ F_IXTUREB COMI''. (CIAI
1 to 50 Fixtures in 1 buitding—each _ 3.00 ;
51 to 10) Fixtures in 1 building—each 2.50
— +
101 t.,200 Fixtwes in 1 building—each r2,00 .
201 or more Fixture. in 1 buildin —each _ 1.50 _
MISCELLANEOUS
Sewer—each addi_thu"al 100 ft �—_ __— _ 10,00
Water Service to building — l 5,00
Other (Spe,''yl'
PFAMIT for Plumbing Insp?ction Phone 639-4171
4SState !Plumbing Contractor Ry '
i
TOTAL i(fir PFr'FIPT Kn. 1ee+1e.t no
7 '
t, OF O
C� ' CITY OF TICARD �C
ORN#Ox
Owner:... ......Permit No.Url4l .......
Building Address... Q.-S...W.. .CmnUtry...Oak..Ari.us.. ............. ..............
Cei tificate iA hereby given this... Vth_.day of.-MnvmmbLar............ 19...23...
,z '.hat said building may be occupied and
that it complies with all requirements of
y the Building Code for the I Ay of Tigard,
M as approved by the Tigard City Council.
Hnilding Int,w for
4
r ,
I
i
.Y
4
City of Tigard
INSPECTION REOUEST
for
INSPECTION 'TIME : PERMIT NO. :
DATE:/( DATE ISSUED:._..L_L...
OWNERS NAME : _.�1 -21. - =�
ADDRESS : ��CONTRACTOR : —
TEST'. kr ❑, Water ❑ . %fisual O , La" ,rotary L-1
RESUL:r: Approved ❑ Disapproved , Pending [I
SKETCH: g
4'
_,o 1� [,c_
SPECTQ DATE
)TE: Attach supplemental test data herstoj
� ew w se
City of Tigard
INSPECTION REQUEST
for
NL�PFC r!ON TI ME
OJERMrr NO—
DATE. 9�,>,1 ')ATF ISSUED- ._L.1.
OWNERS NAME '
ADDRESS :
C,)N 1 RA CTO R '.
TFS 1
_ �u ter _ . ..;�, i,7 ;•: ;�
RESULT "NNi ., e� Npro�e� 1 r:d,,
SKETCH:
a
INSPECTOR GATE
[*DTE. Aticc� eupplem"f0l !e.;f - u•r: neret]
City of Tigard
INSPECTION REQUEST
i
for
INSPECTION TIME: PERMIT NC. :
DATE: .-1?-L2$ DATE ISSUED :._!!
r< INNERc NAIME :
ADDRESS: _ J 4 3 8C� �"TveyUa✓�
CONTRACTOR : --------
EST : A ;3, 'JVt,tar , Wsua1 , Laboratory Ij
RESULT: Aphroved,E�_, )isapprovad O , Pendhig ❑
SKETCH:
11411PECTOR DATE
NOTE : Attach supplemental test data heret]
City of Tigard
INSPECTION REQUEST
far
.----
INFjPECT"CSN TIME. /'� PERMI1 XO.
DATE: 70 DATE ISSUED :---LL-
O W N E R S NAME : ._._._. -- _----
�
ADDRESS:_
CC,N TRACTOR : --
TEST : Woterpy V vuaiow/l Laboratory C]
RESJLT: Aporoved;2(9 [disapproved 0 Pending �]
SKETCH.
- � ,a r�
INSPECTOR DATE
NOTE: Attach suppiemental test data hereto
PLUMBING PFRM7[,T A?P' KATION
Jurisdiction of
i
No. Type of Fixture Fee Permit Pio. 73-/tJ�i ►'
Permit fee -��1'
Water Closets Toilets Permit Issuer -l-
ath Tubs Approved by 77
La
va o a1i asin Building Perm Y
Shower ishwasReceint No.
Sinks.ll _ 1n�
Sinks.-Kitc�ie�n
Sinks. it inar _ Lor, do of Buldipg 3dJ2 ,Sly
n s Bar atoms
nsS. c ---
u�a£i(; Dishwasher
Disposal.TraysJ�^ `
L un Name � Address o Owner �..F
Drains. Floor p,� z
Drains,-Kr-es
ains e r Qera or _
Ca sin Drains f
- Automatic asher Na & Ada ess of 1 b r
oun ains Dr n n
ountrains Soda _
Hot aEeF TanK _
Water-�--e—r-vice Size
Urinals Buil b Old or e Alter Repair or
ar Tns
mein o_�r n_er System -�
75Fn ri Pool ZMer
Sprinkler :.- s em � _
This permit becomes null and void if work or construction authorized is not
commenced within 60 days, or if construction or work is susp nded 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.
1 hereby certify that I have ras.d and examined this application and know the same
to be true and correct. All prcvisiona of laws and ordinances governor g 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
c;f any other state or local lEm regulating construction or the per"ormance of
construction.
Si riture Applicant
i
of
City Tigard
INSPECTION REQUEST
for
s►dddz�
INSPECTION TIMt : /D."3G PERMIT NO. '. -
DATE .
O. : -
DATE . 27-/6 ZZ-7 DATE ISSUED'_
OWNERS NAME :
ADDRESS : -
CONTRACTOR
DDRESS : _CONTRACTOR --- -
TEST r J, water ] , wisvol
RESULT . Approved 1 , Disapproved 1 P-ndingy
I SKETCH
.r
i
I
I
I
I
2.^ _ ?1�j
SPE CTOR DATE
! JTF Attach supplemental test io#o here,]
1
CITE( O TIGARD �
12410 S. W. Main 3froof +
TIGARD, OREGON 97718
APPLICAI.1 )rJ FOR BUILDING PERMIT
New Construction ❑X Demolish ❑ Addition D Remodel ❑ MoveEl
ZONING P-i DATE ISSUED o-2d-(s BUILDING PERMIT
DATE: RECEIVED _
BUILDING FEE $ '(l-00 No..�.� 14 1
FLAN CHECK $ _
BY F5 OTHER $ 1O.Lx) VALUATION $ 2u,d44
TOTAL $ �'(•U() RECEIPT No. Y.7-T3
G -.I& 73
TWO bETS Ui' PLANS AND PLOT PLA140 MUIIT BE FURNISHED WITH APPLICATION
LOT N 4- MAP # es, IUD CENSUS TRACT W-v _ JOB N _
Architect or Engineer Tua.utin Developmerst l}utyuny
Address i; jot V,. k)'.n Ave. Phone
Owner
Address _ _ -_-_Phone
Builder 11Lu
Address _ --Phone
BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial❑
OCCUPANCY GROUP i _ No. of Stories_L_ Total Height__ y• Area of Lot 4,15�i0
Type of Construction XIX;033J00X)MjXX" V Floor Area B - 1 ` 2 --
Set packs: Front 1 Back 21.) L.Side 4 _ R.Side 1,
Private Sewer Pipe Size 4" Sewer Kine City Septic Tank ❑
Water Service Pipe Size s/4" Storm Sewer ® Ditch ❑ Drywell❑
Street and Curb Requirements jLXIDting
Driveway Width 1" No. of Parkinq Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED_ 1�i(x) 3.W. Century Usk Dr.
FIELD CHECK BY _-y.___—_-___DATE
PERMIT APPROVED BY, ,,,r, ._Yl1
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 issi-ad by the City of
Tigwrd Building Inspector.
Signature cLf.pplicantl ,.I