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10470 SW CENTURY OAK DRIVE�vjjam 7 Fl C3 tn co D -5 erl 4- J, Tj 77 P3 O L J 0XI T1 Lrl �j cl) o rr 10470 SW CENTURY OAK DRIVE MA 2AT84 NVO XWIN2a nes OLVOT �o c m E a U r-1 N O I lU 0. ' c� vo I� I t�\ � M k, Q9 -� H ►-+ r :n �s C) coi wrlr cna, C*� w " re1 I c O liz J w I� t H fj D F Iii f 1 t 11 r.� J � r •Q� tn VI () j � E-+I :a by O �LJALiiliwu L+i�t'H:11.r+ci'a1a : tuWr,a N� PLUMBING I FRMIT • holder of a valid plumbing contractors license is hereby authorized to cause plumbirti work as herein noted to be installed in accordance with 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 contragors and sub-contractors. Owner Address NUMBEST OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS PEE ON EACH AMOUN i lollica USA Only) PISIDf:NTIAL _ SIMM Family-1 bath tech 25.00 Ot, lex—Each 1 bath unit 311.00 +��e Additional bathrooms—oath 10.00 Mobile Nome Spaceeach 1NDIV10UAL FSXTURE FEES �! 1 to 50 Fixturf , 1 builds --each 91 to 100 Fixtures in 1 building—each 2.50 101 to 100 FiAturei in 1 building--each 2.00 201 or mnre Fixtures in 1 building—tech 1,50 rdISCELLANEOU3 Buildl Sewer-1st 50 h. 10.00 Sewer—each additional 100 10.00 Water Service re buildirt3 5.00 Private Water S ttt —each 100 tt. rte. 10.00 Other ISaecif ): L PERMIT ci - for Plumbing Inspection Phone 639.4171 3%State SSG' Plumbing Cor tractor 8y TOTAL 6, yo RECEIPT NO. Issued P f City of Tigard INSPECTION REQUEST for ;NSPECTION TIME: : ,44PERMIT NO. : DATE: . �' '_ DATE I SSUED'_1_L_. OWNER-- NAME : _ C_ CONTRACTOR :-- ----. _ __L) c��_._�.�_ TEST: Ai► O, Water ❑ , Visual O , Laboratory p RESULT: Approved ❑ Disapproved ❑ , Pending, ❑ SKETCH: C_ cL ( . _. .( ~� c� 3 INSPECTOR DATE NOTE : Attach eupplementai !set data he.et] PLUMBING PERMIT APPLICATION Jurisdiction of No. Type -af. Fixt.urF- Fee Permit Nc . Permit fee —_ �ti'(�t f r Cl use t5 QTc l 1�:is Permit Issued _ $at.h T~_ab5 c Approved by Lav e r Buildting Permit�"� _ ShowerI nReceipt No. �y�n_:�t,w�, cam. ---- - -� r~rik:y C.-rl i n,ar j- L'acstion of Buy Id ink .)in ,7a i _ Sinks�5.. ot._. _ ----------- Au tuma C.1 D j:T -�-- --- ------ J flo --'` - rr.iY:_ ----- �____ CJamF & ddr•,.. ow-n-t Fi: c Vit., Ar—, i !;-1r •:+fit. ' �. � � it..0 ..+.�?1r�r._ r'. Tf-lll,� -1 kidr?SS or IL'U- --___�-1_-r---r--- Irts a v'- 6 ] A w:-)rk r:r lr:. t iitrLf'r, 1. l f . instru(' t' cI - ned :-,.. ,Iry t. me after w,.rk I ,• • r.. AlALI I;._u;r?blr.g f tr.r,: t:(- I tcensed by the City of , r; d and post 4-L ,()00 bon(] i I herby certx f,. t.h,i t -lave r-ad and examine ,d thi ap '1 ,L%:a t.,ni •and knew the sam to be true and c')r rect . Al I provi.si ons r a;:; anei r('. I nanc i v c•rning t;h.i.s ty a" wor, wC! 1 be r,nrr:!) w: t!l whether spec] r t a he-F in c r r., t,hr, granting of a p-rmit rnt rlr' ' o gi.vra authority tO vi ,late' , I '.tncF- I t. it- prc%;1si,:ns c;.f an,� _ r.hQr ata '., al law rcpulatin :onotruc t. c .,r, r the pert c rmanc? : f C �nstl '.'t]on, I i I �i ty or Tigard INSPECTION REQUEST f C, r ! NSPECTION TIME. PERMIT NC. . i DATE: DATE ISSUED .--,_L_ i OWNERS NAME : 7C . C� _ I ADDRESS: "('IN fRArTOR ' -- - - - I EST ' . N- ter 'j V'-,L;cx"] , '.ab,•utory r RESUL ' ,p 1'0Vetj ,-upp owfad CJ Li SKETCH:. �� I I I I I &IS CTAR DATE NOTE: Attach supplemental test u .ita bereto] ! 1 i i �,Jty of Tigard INSPECTION REQUEST for NSPECTION AIME y/��,��"4)PEP,IMIT N0'. . i DAZE : �_ 3c' SATE ISSUED OWNERS NAME ADDRESS . --- - i CON-TRACTOR . / - EST '. hY, terp , V' . , '_�r, �t :r; " j RESUI o%p rove,, uppt,)ved 5 �r�di_,c; ❑ SKETCH: i i I i i /INSPECTOR DATE �NOTF: Attach supplemental test rata her�t0 1 EMIEIT "A" CITY OF TIGARD Residential Structure Oczupaney Restriction KNOW ALL MCN Bf THESE PRESENTS, That occupancy of re3ident131 structure (s) c,n the fallowing described la,.a- ;r.or to the recording of an occupancy permit releasing the restriction in the Uee� Records of Washington County, Oregon, is prohioited by the ordinance of the City of Tioard, Oregon: DESCRIPTION OF PROPERTY: DoT 4/ �vMngE� ��FcY� /0470 S,w C:Ew7wt-%Q4K (DQ- T•w neap 2!51 — 00'D ADDRESS OF PROPERTY- /01-Z-0- NAM y4-7UNAME OF OWNER: T_L? C- — M AD)REFS OF OWNER: / Up IN WITNESS WNL'REOF, the undersigned has caused this restriction to be executed tni5 d%j day of ��,.� / _ 19 7-1 OWNER: Name AJ PROVED: Byt T.0.e By: i / 4y _ 4 Q P*PM Building cia ff1�d lot tea--•••"••^"".4......1Yl�..al�ElanHnn� ra~of A City of Tigard AQ6CA THOMIIAEN,l 'oO Fry .._.... ................ STATE OF OREGON County of Washington ) _���. � 33 , 19�• Personally appeared before me the above named �s?s�,rs• and acknowledged the foregoing instrument to be voles-ary act and deed. Notary Public for dmgcn y by Comm'esion Expires: ��L 9 ���g� �; �.� � �' rl w � � � � �$a� � ���Q �- o,o o ,. `^ N 3 �F�� I ���� � � � � �����F �.�� o K� v E� C�, rn � B�t� �O 3 i 'a� �� ;�. CITY OF TIG,ARD 12110 S. W. "n tk.a TIGARD, ORIGOW ffM APPLICATION FOR BUILDING PERMIT New Constructinn Demolish o Addition Remodel l_J Move El ZONING _-` DATE ISSUED BUILDING PERMIT BUILDING P:E $ Zz No. D - DATE RECEIVED -7� __a�; . 197 PLAN CHECK $ BY OTHER $� VAhUATIOtd $ oZ-O�i2�__ k$ l.1 RECEIPT No. n 77 TOTAL TWO SETS OF PLANS AND PLOT PLANS [RUST BE FURNISHED WITH APPLICATIO14 LOT 0 41 MAP A 2��] ` 1Ob CENSUS TRACT _IN- iSOB # Architect or Engineer` r, 4 , C.- __ --------- - j X Address_- --/S,3QC2 3,u. eOf Phone6-*q Owner— Phone wnerPhone Address _ ----- �— Builder— Phone Address __-__- ---- BUILDING USE Single Res. Multi Res tJ Comm. Industrial OCCUPANCY GROUP_ No. of Stories _ Total Height` � / Area of Lot Type of Const 'uction 'ate © Floor Area B _ 1 IZC� 2 Set Backs: Frontl4 [lack_14 L.Side� R.Side4 _� Private Sewer Pipe Size_ Sewer KIN c:yseptic Tank Water Service Pipe Site la Storm Sewer FA Ditch ❑ Urywell CI Street and Curb Requirements__ No. of Parking Spaces_ Driveway Width_ /$ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED D :/ FIELD CHECK BY �-�- _—DATE_L�-2_Z -� — _�� PERMIT APPROVED BY It is understood thbt 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 Occupaf:cy has been issued by the City of Tigard Building Inspector. ' SS gnature of Applicant