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10520 SW CLYDESDALE PLACE 'r. c.n � ' N 0 n 1-r RL v Q 0. C H ) 1 � x 1 '� t7: 7dtoIVrod �] t� � Pt it 'r r , 0 7Ir t h." Li (�� t,',�•�� . 4� FC �-d h X111 r. :u Rtei ;* 1:7 •� � to �i , tD V C r{ 10520 SW CLYDESDALE PLACE Wa � M LM ilm � 30t17d TIVOMOX70 MS OZSOT r h-• ; �pp A � f r f f I•� 19 �, tocj 0 14 ;M �t •� d �� `a�' I i � r � i fz u cn fk�yy (il rd Q� Ili G:e f'+• R: n w R cu f0 cn CD 1r1 N O �y0 r I City of Tigard INSPECTION REQUEST for INSPECTION TIME T+ PERMIT NO. : I DATE: /!9/ 7¢ DATE ISSUED :— Z I OWNERS NAME : ADDRESS: CONTRACTOR C°ts�nL �'�X•�--7lrt,�tl�[117l�e+' TEST . Air fJ, Water❑ , Visual ❑ , Laboratory [] 01 RESULT. Approved Disapproved ❑ Pendinq p SKETCH: (AAI, hAISPECTOR DATE CO79 ' Attach supplemental test data beret 01 , ALL SPACES MUST BE ENDORSED PRIOR TO ISSUANCE OF BUILDING PEPM.rT PLA1�1II,G DEPT. By � ate PUi:TTC 1.O2KS DZIPT. BY Date Ei� G DEPT. -----�.. RURAL it , CITE 0:7 _.. _0 By TITLE- D.A.TE� 1 i t i i� i i Cit of Tigard yard INSPECTION REQUEST � for I INSPECTION TIME: PERMIT NO. :—_ I DATE: .-t.2(e,( DATE ISSUED :--L—/— OWNERS "DAME. ADDRESS,' .�5 �0 ,j�� _L I CONTRACTOR : —. TEST : Air Q`, wap Visual , Laboratory p RESU iApproved Al , Disapprove-d --Pond in g CWW A, I t INSPECTOR _ DATE 5070: Attach Supplemental tett data beret a] (I I , I City of Tigard I INSPECTION REQUEST for INSPECTION TIME : -f-IfeO PERMIT NO. : DATE: DATE ISSUED:�.L1_ OWNERS NAME . I ADDRESS ' __ ICONTRACTOR : ��' � �• � .�+..... _ __ ITEST: Air p, Water p , Victual Laboratory p RESULT. Approved Disapproved C] Pending [] SKETCH I I I I 71 INSPECTOR DATE ILNOTE ' Attach supplemental feet data hereto I • c;7 '1'Y OF '1'1 (;AHD mFCHANICAL PERMIT ; -7 1'}..1•j1.1Ir NO. / ,/� :`/!?2RECEIPT NO. A TE._._..1.._.r"____---- • FEE BY 1, •pei�nit shall be oUtained prior to commencement of installation. 2,, Permit shall be obtained for all appliances which are to become a fixture to the building. Relocation, replacements, alterations, or changes to burners ;uid duct work require uire permits• • 4. All work to be concealed must be inspected before cover up. New Installation ly Replace Relocation Tj Addition 0 •klteration OWNER CONTR. --- -f- - 6" " ly0R.K ADDRESS T� ADDRESS APPLICANT TELEPHONE N0. FURNACE - piANL'FACTURER .1!21-1--r -- TELEPHONE NO.. �etr Vent Size _ �� Flue FEAT Input rating (Btu Perr Hour) �1�r _—� FUEL OIL GAS 0 ELECT U OTHER � lJ --------- ,► -----------_---___.---._- l Basement TOTAL so. FT. Top Floor Main Floor - ____ -_--- - --- GENERAL FFE a-� _ ------ ITEM NO. ITEM 140. .r For issuance. 'of Pern�i t .00 _ Boilers Over 50 Hp___ 000 Bt.1i ,00 Air~Hand].ingg_�x.01,000 CF'M 1jew -!Under' _100 -_ i -A-1r Handlnbver 5000 Cr:M flew - Over 106.000yBtu Q._ _ — - •. ---- 0 Evaporative Cooler Floor Furnace _ 0, Ment Fg ' -4 ; ---- ball Moor -Yuc�pen e _Z:UIT _ _Vend-_Sy _Eem — ?lis alf � s -- - -a--- -_x+.00 _ Beat & Co01in _ oilers Under 3 _ _ - Domes-Ud Inc -nerA or Boilers-" �0 15 - _ 7 comm. tic r;era or BoiSers l0 30 H _ 10.00 er3oL3 Bo i 1 e r s�30 o 5O _____.._- 5•'0 --- -- ==d- INSPEC'T'OR' S COMMENTS ______-_ _____ _-__.__�4�__ -.-------- •---•---- -- /ISSUED - -- a r•t�r�HOvr'n BY _ DATE BY DATE_ --�_"_��-��r NUL-m��MTJL.�.ALNWLMLM MR I City of Tigard INSPECTION RE � QUEST for INSPECTION TIME' �14f-n _ PERMIT NO. : DATE: _Z /S1 7e DATE ISSUED _._.L_/_ I OWNERS NAME : RQin ADDRESS: /O - 2- 0 CONTRACTOR : TEST . Air C7, Woterp , Visual p , Laboratory p RESULT: Approved`g , Disapproved 0 , Pending SKETCH: r + p I "-r v Rte? TD 14* I INSPECTOR DATE i CO?E: Attach supplemental test data bar ot0] I 1 I I City of Tigard INSPECTION IREOUEST i fo r INSPECTION TIME :/&'400 PERMIT NO I DATE: -7 I.W Z DATE ISSUED'.--Ll ' OWNERS NAME : M ADDRESS : juiryn 96AAJ IwAldd,yc- _ , I CONTRACTOR :----- ITEST: Air O, Water ❑ , Visual Laboratory ❑ RESULT: Approved ❑ Disapproved X, Fending ❑ KETCH S r MAR rX _ 7 INSPECTOR DATE IUTE : Attach suplwismental lost data hereto 1 `i )y Ire Address Permit No. Permit charge Owner f�c. �Xc� ' 41 jrj 42,Le A Connocti.on fee ,._ '5-W-- - - .w..... Peid by Type of building .y .� pate connected - Service r+�te �>> , W, Inspection fee �5 Con4ractor , Paid by date Size of connection Assessment paid City of Tigard INSPECTION REOUEST for INSPECTION TIME PERMIT NO. : _ DATE : DATE ISSUED:__1_1_ OWNERS NAME : ADDRESS : C O N T'R A C T O R :_. TEST: Air ❑, Water ❑ , Visual Laboratory ❑ RESULT: Approved , Disapproved ❑ , Pending L] SKETCH: I I I I I INSPECTOR DATE CNOTE Attach supplemental test data hereto] I PLUMBING PERMIT APPLICATION Jurisdiction of No. 'i.inE o.f Fi'rture Fee Permit No. V-LC -P Water (:losets Toilets 5°� Permit fee Bath T,ibs -�"---`-- � Permit Issuec' - Lavatc Wash Basin Approved by �_ �� - ' -� _ Building Perm tp Shower c� Receipt No. c, � Sin s, Dishwashing__ - ----� Sinksj, Kitchen u� sinks. Oar---yr --- — --- Location of Building inks�Bar___----_---- Slop - 1e, _ ---- Automatic Uis was er yam_---- ------- ------- Disposal ---_- Dispasal --- � ------- -- --------------- --- Laundr Tra s — Name & Address of Owner .�—_Y — _Drains, Floor _ — Drains, Area _ _Drains Regi era to -s-----g-----r Rain Drains _ �r-Z�Z- �'�.�_--------- Automatic Washer _ Name tk Address of Plumber �- ountalns;, rin i.n _ -�1�112 _Fount�ints Soda — -------.-__-- Hot 1Vater `.rank — -- -�— ------_ -- -- W 3j e r Service l Bu--------- Uri.nal.s — Buidin (Old or ew (Al ter Re air or Catc =13aasiris - a-rc- s -- .�— ____---z--�'=-______ Lawn sprinkler _S_ystem - -� --- — --- Swimming Pool , -inkkler System ---_------ This permit becomes null and void if work or constructioY) authorized .is not — commenced within 60 days, or if construction or work is suspended 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 bl,000 bond I hereby certify that I have road and examined this application and know the sam to be true and correct. All provisions of laws and o.rd.inances governing this ty of work will be complied with whether specified herein or 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 or the performance of construction. -Signat •re of Applicafft i i I i City of Tigard I INSPECTION REQUEST for I IINSPECTION TIME : PERMIT NO. : I DATE : L1�_`�. DATE ISSUED:- Z OWNERS NAME : I ADDRESS : CONTRACTOR :—_. .__ _ _ ITEST: Air 0, Water Lp , Visual ❑ , Laboratory ❑ RESULT. Approved ❑ , Disapproved 0 Per ling U I SKETCH* I I I i I 7 ✓INSPECTOR DATE COTE : Attoch sopplementol feet doto heret] I Cit of Tigard gard INSPECTION REQUEST � for INSPECTION TIME: PERMIT NO. :---- DATE: O. :____-DATE: DATE ISSUED :___.L1__ OWNERS NAME : ADDRESS: /01. Q -A..) 0D. J CONTRACTOR : a ` 1 TEST : Air ❑, Water❑ , Visual ❑ , Laboratory p RESULT: Approved , Disapproved ❑ , Pending p I SKETCH; I P'.=CTOR DATE LN07F. Attach supplemental tett data beret 01 UNIFIED SEWERAGE AGENCY NO. 4964 °`'G '` WASHINGTON COUNTY DATE 4� - V- CITY OF- APPLICATION FAPPLICATION FOR SEWER CONNECTION PERMIT OWNER: OWNER'S ADDRESS: —. 9� /(p •c5�. K!. _ _ � STREET CITU STATE ZIP BUILDING SITE: LOT _ BLOCK ADDITION Al"TAX LOT N0. _. � TYPE OF OCCUPANCY _ L1��_._. ADDRESS DWELLING UNITS_— _ FIXTURE SURCHARGE IF APPLICABLE PERMIT FEE — _4� 'INSPECTION FEE TOTAL DEPOSITED _ � �• (NEW) (EXISTING) BUILDING SEWER SYSTEM The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT�1 — '`'_.a-_- —- -- SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE --------- —__ INSTALLER RECEIVED _ �� +IAO cY OR ITS AGEN —_ COMMENTS: - J J 0 This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. CITY OF TIGARD 12420 S. W. Main Street TIGARD, OREGON 97223 APPLICATION FOR BUILDING PERMIT New Construction � Demolish ❑ Addition ❑ Remodel E] Move ❑ ZONING-1 DATE ISSUED —� —7� BUILDING PERMIT DATE RECEIVED BUILDING FEE $ 9� `- No• �! BY PLAN CHECK $ <<� — 45 OTHER FL- 7 $ VALUATION $ 900 TOTAL / 7, SRECEIPT No.1C)n6,,) TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # It, MAP CENSUS TRACT JOB # Architect or Engineer_ Address Phone Owner Address Phone Builder IC 1 Address �Drf71oQa,f� Tct. Phone 4 39_ Q / �11 ❑BUILDING USE Single Res. ❑ Multi Res. U Comm. Industrial OCCUPANCY GROUP _� No. of Stories / Total Height` Area of Lot Tyne of Construction I II III IV Floor Area B 1 2 Set Backs: Front ) L) Brick L.Side R.Side_/J' Private Sewer Pipe Size Sewer Septic Tank ❑ water Service Pipe Size Storm Sewer ❑ Ditch ❑ Drywall 11 ;;t-reet and Curb Requirements J)i-i.veway Width � D No. of Parking Spaces SEPARA— PERMITS• REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION