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City of Tigard
INSPECTION REQUEST
f o r
INSPECTION TIME ' PERMIT NG. :
DATE ' -J!—/J /� DATE ISSUED :
CW N E RS N A M E
A D D R E S S' b
CON,rRAr,Tr) R
EST . ,', V2sualx, Laboratory r3
):,;uppr,)�,?J G !--leiidi,lq
R E S U LT p meed
SKETCP.'
INSPECTOR DATE
NOTE Attach tui,oiemental test data hereto]
City of Tigard
INSPECTION REQUEST
f o r
INSPECT!ON 'riME'. PERMIT NO. : -
DATE: GATE ISSUED
OWNERS NAME '. -
A n D R E S S
C Cl N r R A C R
EST 'dater [] , V"sual-KII, Laboratory r]
RESULT' Approved :Disapproved '.j Pendia q
SKETCH.'
INSPECTOR DATE
NOTE : At,ach suppemental test anta here t(J)
City of Tigard
INSPECTION RE0UEST
for
I INSPECTION TIME :�c'(.�� PERMIT NO. : _
i DATE : Z� DAT'E ISSUED'_1_ Z
OWNERS NAME ' .- _I - D,C
I
ADDRESS .- - / ,2 nLY 5_ w. �'�-�,,j� � O,�K
G()NTRACT0F!
1-EST _i , 'A/ntPr L CJ , La' .rat or'J (i
I
RESULT. Approved, DisopproveH 1 P-indtng 3
I SKETCH:
f
I
I
INSPECTOR DATE
�_NC?TE _ Attack, supp'ementol test ,tufa he►oto1
1
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT
Dt TE: 71111-22 DATE ISSUED
OWNERS NAME : � /• 4� "
ADDRESS: QL.___
CONTRACTOR : - -- --- --- ----- -
i EST : ` . Water 0 , V:sual p , Laboratory r
RESULT . ' p,—roved; Disapproved G , Pending p
SKETCH.'
�
SPECT0R DATE
NOTE Attach sunp,emental test date hereto; /
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME ' _ 3ERMIT IgO. : __
DATE . _ Z/6/23 DATE !SSUED Z
OWNERS NAME ' _ 7•
ADDRESS. /053 5 C'EiuTy 2�/ capl/ D jz
CONTRACTOR
o FST : A4 Lam, Water Fj , V;suai f] , Laboratory rj
RESULT: Ap.,r)vedk )iiapproved 0 , !'ending
SKETCH:
i _ L ?1!i
NSPECTOR �3 DATE
NOTE : Attacn suppiemental test data hereto'
City of Tigard
INSPECTION REQUEST
for
--- --- --tea, ,
.�L�]" 1 by
INSPECTION TIME: 1,,3'0 PERMIT NO.
DATE : DATE I SSUED
OWNERS NAME ' -- r
. 'T�:
ADDRESS: - -1� 5a c '%�v� 1.1q� 'r7r�-
CONTRpCTOR : , 17.E
ESTV;suai
RESULT- ,/+p, roved , ,,uppro�ed C , :'e•idi,iq [_I
SKETCH.*
i sPEcroR ,��_
NOTE: Attocn supplemental feet date hereto]
:,':kTLGN i
Type �.;f Fixture Fee PRrm: '. NY ''_,,::_
1�04� Permit fee
'2, 'tia-cer-Closets Tc,_ '3 / Perm IIIIss•� , .„—,
bath rubs r �'1 , Appr,.-;Pd by
Lava+or`Lsh�$�a == -- -Ln°= Ba:id�rg Fe:�aii�
Shower fee" 4'.1. P1;. ...� _.....
inks~tilsr,w6.st;in — -
Si
Sin ks��_rdine yLica:_.:� if B_ lld ng
Sinks
Sinks Sic+ .----
Aotomatics�iwasher
and-y�'Tr ay_ __ _ Nam b A:c::ess ...f Owner �,�tsr,_:.:
Drains
lyrai ns Area
ains, Re r _Rerat'
Rain Drains �
Na G d� Address �;f Plunberf�.L'
Automa�c ashen
oun a ns - nk inz _
Fountains, c a
Hotter an
Water Ser='i .e-.'Size .: ' Re air or
'J ina.ls Buii�injC�d ew (A1terQ p
a - its ns =YaF ~ I _...__
awn Dr n e r
Swimming oo
This permit becomes null ani '.d if work c:r:strvction authorized is not
commenced within 60 day.;. or if construeticn cr work is suspended or abandoned
for a period of 120 day-s at any time after work is C.- nencede
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond.
T hereby certify that 7 have road rind examined this application and know the same
to be true and correct. All PT �. is � ,`•:., ani .ordinance.-3 g .rern Ttg t.hie 'ty}
of work will be complied with whether specl.fied herein cr rots the granting of a
permit does not presume to give autheri'ty to violate or cancel the provisions
of any other state cr local lave regulating ccr.atr^action cr the performance of
construction.
S:lgYi f':�.11Y�r^,t 77-1
1
City of Tigard
INSPECTION REQUEST
for
INSPECTION T'I,IE: PEP?MIT NO. .
DATE. C. 1131 -73 DATE ISSUED :__1__L_
OWNERS NAME ' —77/2 , C—_ ,
ADDRESS : ' %'
CONTRACTOR : --
del
i E S T : A., _j , Water 0 , V:sual I.] , I_a borat,)ry I]
RESULT: Approved :Disapproved G , Pending p
SKETCH '.
?
INSPECTOR DATE
NOTE . Attach supplemental test data heret�j
CITY OF TIGARD
11420 S. W, Main Stre*t
TIGARD, OREGON 97223
APPLICATION FOR BUILDING PERMIT
New Construction ❑ Uemolish ❑ Addition ❑ Remodel ❑ Mcve C�
ZONING P-D DATE ISSUED (, BUILDING PERMIT
DATE RECEIVED 5�-73 BUILDING FEE $ No
PLAN CHECK $ �p 3.�i�L --�
BY
OTHER $ VALUATION $_ 21p�40
TOTAL $ , ii1� 6c RECEIPT No.
,;• 7- �j
TWO SETS Or FLANS AND PLOT PLANS MUST RF. FURNISHFL) WITH APPLICATION
LOT # 29 MAP N 281 11C CENSUS TRACT W-8 Y — JOB A
Architect or Engineer Tualatin Dsvelapmsnt C011119ugY _M
Address—y��am x-w_ >>6th ent � —Phone_
Owner__._�_—.__!��_ —
Address Phone
Builder_- sea
Address_ —Phone `
BUILDING USE Single Res. l_J Multi Rer ❑ Comm. U Industrial❑
OCCUPANCY GROUP I ! No. of Stories 1 '"otal Height 15' r Area of Lot6,400
Type of Construction ' V Floor Area B`- 1_122§_ 2
Set Bat.;.— Front Ipt Back _jAtjL L.Side go _ R.Side, 4t _
Private Sewer Pipe Size 40_ Seweruse Septic rank ❑
Water Service Pipe Size__--3;4r ,_ Storm Sewer Ditch ❑ Drywell❑
Street and Curb Aequirements___jW tgn _,
Driveway Width It ,No. of Parking Spaces_— 2
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMHING
SPECIAL INFORMATION
ADDRESS ASSIGNED S3.ir���pQ&I __—
FIELD CHECK BY —_ZC - __ DATE 6-4-73 `,..,,
PER141T APPROVED BY��7�yt,�, ,{,t,r��AW
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 issued by the City of
Tigard rluilding Inspector.
eigtia ure of Applicant