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10460 SW CENTURY OAK DRIVE N 0 _ w _ m U , F rr, �r1 o � rl LIM- u r4 v fA J t:7 0 ►+J F C ir 1� W \ I v I c 10460 SW CENTURY OAK ORIVE r RAT6G mvo )CmINT) MS 09DIOT F-4 >4 I�A71 F-4 C-4 W w N c17 tZ rr) F 1 „��w.we..,.....,...wi+w»-vu,,,�,,....w`”Y'^Mw'A�aw71�►'.6M+rwrrr�R».ers�Mw,rtin.,+.w•,.a........�+w....�.,.�...,... �n.++r+,.u+wwr'!�/}rr,�"er•w�.,..:w.....+,r..• .,.n.,..«r.w^sersw�w�,.r.�WapM+ri�lYa-. BUILDING PERMIT APPLICATION TIGARD DATE__ ___, 19 �-�CITY OF 7`N° 01 i 4 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE -- OWNER d U, _ ADDRESS 1046U S*Q* e:i'It ur y Jak BUILDER PHONE _^ ENGINEER =LDER --�� ARCHITECT --- DE51GNER STRUCTURE _ ONEW ❑REMODEi- ^ ❑ADOITIO ' _❑REPAIR_ ❑RENEWAL —❑FIRE DAMAGE ❑DEMt—OTLITION O ❑ RESIDENCE ❑COMM ❑EDU;ATIONAL GOV'T ❑RELIG'OUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ,]FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS OCCUPANCY __LAND USE ZONE --BLDG.TYPE_ FIRE ZONE_ PLAN CHECK BY__ HEAT___--__ adding s broth and utility roast in the yareye OCC, LOAD FLO..,R LOAD —HEIGHT NO.STORIES __ FgEA—_ VALUE µ— BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit -- —------ �-- —. Plan Check 2. THIS PERMIT IS ISSUED SUI'JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL AP- ,.ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- —� 24 RESTRICTIVE LOVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRsYT CITY BUSINESS 196 State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND EATING. Total — . , ( /1 -,► By 7,d APPLICANT UR AGS NT ApprRecelpi No PV-IONF DATE INSP. TYPE INSPECTIOf• REMARKS PLUMBING DATE �JL 11.4.1 chiacoryy f� Permit No, Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in Final SEWER Final DRIVEWAY ' Final Storm Draina e (Rain Drain) Fioal Sidewalk Curb&Street Final BLDG.DEPT, FINAL TEMPORARY _ A roach CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final JEARLMLARLMLam j7J- CITY OF TIGAR.D MECTi NICAL PERMIT DATE__ , 7y` PERMIT N0. - �� �� g f'�---•--- CEIPT NO. �j�7G� __.------ BY —� / GC ?�i/.' _S.! c` --- -- FEE __r�--`�/------_— ----- 1. Permit shall be obtained prior to commencement of installation. 2. Permit shall be obtained for all appliances which are +o become afixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New in.Lallatton .[4 Replace/ Relocation ❑ Addition ❑ Alteration ❑ CONTR. ✓�['=I/£lam `•n.�__-- —_..._. owNER_..:� ADDRESS & 3e-r i ((;� /�" WORK ADDRESS ���t!n_��'l u• �•:% (74 APPLICANT 101 /�1. _T TELEPHONE NO. __i�62 - ell_ FURNACE - MANUFACTURER !'t� ✓moi TELEPHONE N0. HEAT Input rating (Btu 1-:-rHour) Vent Size J_� Flue Size ~' FUEL OIL ❑ GAS 0 IELECT U OTHER TOTAL SQ. F'..'. Top Floor Main Floor �L�%��_ Basement ,_ - GENERAL ITEM NO. FEE ITEM N0, FEE For Issuance of Permit .00 Boilers Over50 Hp___ New - Under 100,000 Bt,-u _�_ _4.00 Air Handling 10J000 CFM _ _ �aII New - Ove: 100,000 Btu _ Air Handling Over 10,000 CFM e Cooler Eva orativ0 Floor Furnace p Wall - Floor - Suspended �+.-� ent Fan Install Venoms . en1-System _ -- -- 0 Repair - Beat & Cool!ng _.00 Hood _ - Boilers Under .3 M 4 00 omesE1 n� c1nere£or —_—__ _ 5.0 Boilers 3 to 15 Hp_—_ 0Comm. Incinerator _ —_ 20.0 Boilei s �0 3_00 1 10.00 t r )T isT —__ -- - -- 3- Boilers 50 to 5U Hp INSPECTOR'S COMMENTS '0 'J. 0 0 _ APPROVED BY DATE ISSUED B :� DATE Sigrature,/f Applicant �1y I City of Tigard INSPECTION REQUEST for INSPECTION TIME ' PERMIT NO. : DATE '. 2.V' DATE ISSUED : L OWNERS NAME : ADDRESS: rONTRACT�,'4 : TEST ' Air U, Water(] , Visual p , Laboratory [7 RE�'ULT: A)proved Disapproved E , Pending SKETCH.* l� INSPECTOR DATE 50TE: Attach supplemental test data beret] r i i ALL SPACES A"US7 GE PRIOR TO APPROVAL Oi -,- r j,y�,,L PUBLIC WORK U�PT � Ott ILbIp � d'J , Y� ----- ! CITY TIC o N. 4V. P• G. E. - T. R. F. D. i City of Tigard INSPECTION REQUEST for INSPECTION TIME � _T PERMIT NO. — I DATEDATE ISSUED' _.�__L_ G YNERS NAME . _ ADDRESS : L-o7' '`j i CONTRACTOR TEST A r J, Wafer ] , \/isc:ui u , La''- ,ratory r1 RESULT: Approved , Disapproved 1 Pending O I SKETCH. I i 1N�PECTOR DATE ILNOTE: Attach supplemental test data heret- i i City of Tigard INSPECTION REQUEST for I _ V , INSPECTION TIME : PERMIT NO. : j DATE: DATE ISSUED' OWNERS NAME * __ •,C AD DR ESS . ^ ` ICONTRACTOR :--_---- --TEST . Air ❑, Water ❑ , Visual „ Laboratory ❑ RESULT: Approved Disapproved `] , Pending ❑ SKETCH: I I I I I I 2.S— INSPECTOR DATE LtJUTE Atfarh supplemental teat data t10-,ret- 1 MA ..r..aa Cify of Tigard INSPECTION REQUEST for INSPECTION T1111E * �:_'&r) PERMrr N0 DATE. —2l_1_2J__?? D,'-,T E I S S u r,� __Z___j 0 W N ERNAME A D D R E S S CONTRACTOR : TEST A r Ll, Water wisrai'd , Lu` rotor-, Fl RESULT.' Approved k Disapproved j Pending L3 SKETCH' 7 INSPECTOR DATE F Attnr,h ';"PP!em­ltn I test , ulr,. hervt,l City of Tigard INSPECTION REQUEST for- INSPECTION TIME : ��- 3y PERMIT DATE: DATE ISSUED OWNERS NAME : T'� ADDRESS: CONTRACTOR : --- — EST : ,-A'.,- Water C] , V:suai '' , Laboratory RESULT: Aporove !�emdi q SKETCH*. �`, /��✓ ��A'1... R INSPECTOR DATE NOTE: Attach supplemental teat data baretoj 1 I I City of Tigard I INSPECTION REOUEST E fo,M, INSPECTION TIME : 7.'3v PERMIT NO. . CATE: 6 11L ZZ; DATE ISSUED:--/ OWNL'Ru NAME ' _ T --- i ADDRESS5. --- CON'TRACTOR :------- ITEST. Air ❑, Water ❑ , Visual 0 , Laboratory ❑ l RESULT. Approved, Disapproved 0 Ponding I SKETCH: I I I I INSPECTOR DATE EOTE : Attach supplemer-O test dote hereto, 1 I City of Tigard INSPECTION REQUEST for INSPECTION TIME ' PERMIT NO. '. — DA O. '.DATE : _ DATE ISSUED:_ L I OWNERS NAME : r 0<�* I ADDRESS : 10-ALP �21L' �� .� ! _Lf _— CONfRACTOR :_ __ c'- iTEST. Air Cl, Water , Visual, , Laboratory ❑ RESULT. Approved , oisapproved ❑ , Pending L] I SKETCH: I INSPECTOR DATE I [NOTE : Attach Supplemental 'est data hereto I City of Tigard INSPECTION REOUEST for INSPECTION TIME ' PERMIT' NO. DATE :—___1/62? DATE ISSUED' OWNERS NAME CONT RACTOR :—.------------- TES1 x r ;] , Writer r] , El , La" rctor,- r1 RESULT . Approved El Dkcpproverl P--,nding SKETCH: V 73: IISPECTOR DATE [OTE ' Attach supplemental test jot, heret] City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. . _— DATE : _s /4,2? DATE ISSUED :_�� OWNERS NAME : ---- ADDRESS: C O N T R A C T O R : _ --- --— _ ------------- -- EST Water D; V.::uai V�, I-abaratory rj RESULT : Ai).-roved, , :)ijappravad G oendinq SKETCH: 71 INSPECTOR DA'wrE NOTE Attach supplemental test data hereto] PLUMBING PERMJT APPLICATION J,1ri-sdiction Df I�'I�, i PH Fee Permit No. Permit fee Water C1-(-'set., Peimit Issued— j Bays Approved by -- Lai a t Building Perm? ----Shuwer4 Receipt No. 'P"; Sinks . K- tz;h e n nk.3, C�d1,n6.-iy L — ocati n c;f 0 J Sinks.,—0 ir' A u+ m a t a Address, t Own D F Dra.n�i, Area saa x Dra 71*, C, Al R,,,-tl Dra.Lns Automat. _ Name & is -S T P- Fo u n Tt-a i r 3 ri -t 11- - —TTO—unta- ins. Sodatt' HrFVY'aTer, Tdnk i z e TT. But 1(iir "Altel. 7=,F=77a-- d Th, s p m I r « n r 1 and v(;id if work -.r constructir%j -cmmeri,7ed w-. Chir. or if construct,.cn or work is Suq, --Jod r abandcineu f'-'� h P e I - ', .11 �)f le at any time after' work is A` , Plumbing firms must be licensed by the City of Tigard and post a $1,000 bond, I heroby c-;rtify that I ilave —ad and examined this app"cation and know the same to t,-f- tV.-.- and ; All provisions of laws and ge:verning this typf! Of V%rg will. be complied wi th whether specified 1—rt in rr nol,,.q the granting cf a pe:lnit dt,es ni.-t ;eve authority to v 1 C, a t.�. ! r canr.,-1 tht- prt.'iVisa '-ns of any c trier ;;tat, lo;.al law regulating, :.onstructi,-,-n r r the perftrmancec-f Sigh : ature t. 1 Atte j.j *..!rit M I r, City of Tigard iN'SPECTION REQUEST for I INSPECTION TIME : 2,'co PERMIT NO. : 73"1ro X DATE: :!Z/Vizl" DATE ISSUED: <' 7 OWNERS NAME * %,126 I ADDRESS : IOV6,Q L - � i c/ .� 7 8C. i CONTRACTOR : o (r cc� > 01 TEST . Air D, Water U , Viauai , Laboratory E; RESULT. Approved 0-" Disapproved D Pending D SKETCH' I I I I INSPECTOR DATE ICNOTE: Attanh supplemental test data here t] 1 r I ICY 9 City of Tigard a rd ' INSPECTION REQUEST for INSPECTION TIME ' PERMIT NO. .' ----- DATE O. : -DATE: '�11& 17.3 DATE ISSUED:__2. I OWNERS NAME . 7' c'"" ADDRESS : _. --- CONTRACTOR : I TEST'. Air O , Water ❑ , Visua Laboratory [I RESULT: Approved , Disapproved ❑ , Pending Ll SKETCH*. I I I I INSPECTOR DATE COTE . Attach supplemental test data hereto] 1 i r '1 CITY OF TIGARD 11M f. W. Mob NMf TIGARD, OR11100H MW 4 APPLICATION FOR BUILDING PERMIT New Construction Demolish Addition Remodel Move ZONING P-D VATE ISSUED 4-473 BUILDING PERMIT DATE RECEIVED 4--1-73 BUILDING FEE $_ 9.00 No. r ,, 69i- BY EC PLAN CHECK $_ 10.00 - OTHER $ VALUATION $ 14,770 TOTAL $— - RECEIPT No. ` 7 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 42 MAP M 281 11C CENSUS TRACT N-d _ JOA A Architect or Engineer T.D.C. Address Phone Owner -- Address _ --Phone----- Builder T.D.C. Address _ _ ______Phone v_ BUILDING USE Single Res. © Multi Res. Comm. 1:1 Industrtal� OCCUPANCY GROUP i No. of Stories 1 Total Height-� Area of Lot 4,160 Type of Construction M1 IN V Floor Area B` J 1 -4AL__ 2` Set Backs: Front 20 Back 18 L.Side 6---- R.Side_ 6_(_`� Private Sewer Pipe Size 4" Sewer— Septic Tank l-_J Water Service Pipe Size 3/4" Storm Sewer a Ditch ❑ Drywell ❑ Street and Ctirb Requirements __,matins Driveway Width 18' of Parking Spaces 2 SEPA.tATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED FIELD CHECK BY E_ DATE: 4-4-7j PERMIT APPROVED BY (`{,,�,_ It is understood that all work will conform with applicable codes and ordinances cf 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 i Tigard Building Inspector. Signa'— a t re c4 pplicant --