10580 SW CENTURY OAK DRIVE 'J
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME ' PERM!T NG. : —
DAT E
G. : _DATE : 5 DATE I S3l1ED
O'NNERS NAME '
A D D R E S:
C0N'rRACT0 R ._ r9%�+� �CJ�� -T�
EST - . N:terC7 , V!sual)el Laboratory r-j
RESUL"' ' ,p rovedx, aisupproved G ,-endi,ig O
SKETCH:
INSPECTOR DATE
NOTE Attach suppiemen•al teat data herelal
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City of Tigard
INSPECTION REQUEST
�1 f o r
INSPECTION TIME : l. 3hr'ERMIT NO. : .,______
DATE : S__/1 12.3 DATE ISSUED :--.4---L—
OW
SSUED :-_ _4---L_OW N E RS N A M EADDRESS'.
----
CONTRACTOR : —_- — —
--
TEST : Air ❑, Water❑ , Visual ❑ , Laboratory ❑
RESULT: Approved X , Uisapprcved ❑ , Pending ❑
SKETCH:
'7
;.,, shy_ 5
INSPECTOR DATE
LNOYE Attach supplemental test data berets]
I .
City of Tigard
I
INSPECTION S EOTION REQUEST
for
i INSPECTION TIME : . z�(.:'_. PERMIT NO. : 23-/z
I DATE: DATE ccUE . 4Zlig-1 Y
OWNERS NAME . s.x ' '
I
ADDRESS :
CONTRACTOR : —�,�,C-& X.4,s.
ITEST . Air O, Water ❑ , Visual ❑ , Laboratory ❑
RESULT'. Approved ❑ , Disapproved ❑ Panding ❑
SKETCH' --zwz;T fvG ,I'll' 1lyl
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INSPECTOR DATE
CNOTE Attach supplemental test data heret]
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j—ei uA y
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City of Tioard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: -T /-1 /73 DATE ISSUED : s'
OW M E KS NAME '.
ADDRESS.-
CONTRACTOR
DDRESS:CONTRACTOR At,LezaLr,
TF:ST : Air ❑, Water❑ , Visual 0 , Laboratory []
RESULT. Approved ❑ Disapproved G , Pendinglrj
SKETCH.
INSPECTOR DATE
NOTE Attach supplemental test data bereto�
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: -C�'''' PERMIT NO. : ''
DATE: --" /y x/17.1 DATE ISSUED : r �'
OWNERS NAME '
ADDRESS:CONTRACTOR : -
TEST :
ONTRACTOR :TEST : Air O, WaterO , V1•"al O , Laboratory (i
l
RESULT: Approved O Disappr,)ved rJ Pending O
l
SKETCH.
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_� <<• �- ._ a ��� ice.
INSPECTOR DATE
I2107E: Attach uupplemenval tett data beret]
1
CITY OF AGME), ORMON
Permit issued c7_i�.a�'y..L— Permit No..
City Hall
1 , Huiidin Department Cost of Instaaordon._
i Appli�•allon APPnweri g 7
BY—iTca.Lµ1Jsf/�s6�.. Ar7^"" "/M PHwa/t, n�irwa q +w Fee for Permit �J
Applicant shall fill in coat of installation only,
Date. s�3 �_',—_ ahove this ,louble line. Street S+wer Permit_
relr Plumbing Pipor Fixtures atr.nrding to plana and sf eelflestions asid
Appllcstlon U hereby made w a alter es
Install dencrlption as given below:
lAwalion „!buildings—Number and Street f 1r to S _ a .---
l.d 3.: Block_--_ — Addlpg"_�'f1 I'`'1 Al hg—
Name Pnd Address of Owner06 is If
Name and Addresr. .lf Plumber 6 N k. /t` fl Aµ4 ��
Buiidirg Cold or Naw) N �w _heist to ModM._ .�'t— Cleeltpied as �'"!'• —
SCHEDULE OF WORK
NUN= _ NUYBn
rMrUR= Note Yore A'Pl'u FIxT[AtEe — New Move
Water Closets___,._._�I Fountains, Drinking
Rath Shower---_-- Fountains, Yard
D
Rath Tub � �J� Fountains, Sodn �O
Basins _—__ —1 e'�__._._.Z.. Not Water Tank ._..
_ �., t.�— Sinks, Rar
Sinha, Ordinary- — --
Sinks, niahwaehing Sinks, glop
N
Automatic Dishwasher__ ;— Drains. Reltigmtor--
I,aundry Trays.. — DRins, fee
u.+ins Moor— _—I-- Urinah ---- - -
Drains, Area-- ---���—I_�__ Catch-Basins, Yard__ - — --- —
Rain DralrCatch•Baafns, Garage _I—
/ — 6V CMeh•Bastns, Bub !6
Autums'.i: Washer—..--I—�—
Water Periait No._ Bldg. Permit No.___-_
RMARKS: —
�.� _rS1 ►� f_ e�. Its
INPOR I'ANII Plumbing shall not be Installed In any bullding, (eltha, new, •leered,or repaired), orcep, as shown or designated
on the torrespondinr building plans ss filed with, oretqract by, the Building Department In accordance with the
provisions of the Building Code and Ordinance 62.19 of tha City of Tigard.
rep{1alt the plumbing sysit according to his description, plan d specifications and the Plumbing Code of the
I agree to altet City o Tigard 1�
Install /
Plumbing Finn__ < -� -- --��--- -----
___ 8upetvlsor
_....�.. . .« «.w' ♦..�...., .. .. ire,.
CITY OF TICARD
12420 S. W. Mdse sheet
TIGARD, ORIGON WW
APPLICATION FOR BUILDING PERMIT
New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move
ZONING Cty. Y-R City -D DATE ISSUED 1-16-73 BUILDING PERMIT R
DATE RECEIVED-11-29-73 BUILDING FEE $ 80.00 No.
BY gg PLAN CHECK $ 40.00 7.
! OTHER $ VALUATION $ 21,710
TOTAL $ 120.00 RECEIPT No. OO—
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT M 35 MAP N 281 10D CENSUS TRACT W-8 _ JOB M
Architect or Engineer Tualatin Development
Address Phone
---- -- —
Owner Tualatin Development _
Address Phone
Builder Tualatin Development
Add-�ess Phone
BUILDING USE Single Res. LJ Multi Res. ❑ Comm. ❑ Industrialil
,CCUPANCY GROUP I _ No. of Stories 1 Total Height lb Area of Lot
Type of Construction .. Q V Floor Area B -1?2§ 1
see conditions of the County P-R and City P-,D
Set Backs: Front Back L.Side R.Side_
Private Sewer Pipe Size 4" SewerT181M, U•S-ASeptic Tank ❑
Water Service Pipe Size 3/4^ Storm Sewer 1. 1 Ditch ❑ Drywell❑
Street and Curb Requirements must comply with the street and subdivision compliance a r�eem�
Driveway Width 16 —_ No. of Patking Spaces g
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMPING
SPECIAL INFORMATION
THIS PERMIT FOR MUDEL ONLY4-NOT TO BE OCCUPIED UNTIL ALL NQUIR8KN1'B OF
THE CCITY OF TIOARD_HAVE_BEBN QOMf'M WITH AND A LETTBii imm GEMN
n_1L'-t]_ AIMHQHIVTNQ S&NITARX_aEM G0MX=0x..-_---- - —'.—
ADDRESS ASSIGNED 10580 B.W. Century Oak Dr.
FIELD CHECK BY BK _ -_ ---DATE L-16-73
PEPJ4IT APPROVED
r
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 wilA
not be occupied until a Certificate of Occupancy has been issued by the City of '
Tigard Building Inspector.
S gnature App icant
4
DEPARTMENT OF
ENVIRONMENTAL QUALITY lox- FQ
�a
TERMINAL SALES BLDG. • 1234 S.W. MORRISON ST. • PORTLAND, OREGON 97205
TOM McCALL
C0rvfRN09 December 7, 1972
1. & DAV
Director
RONMENTAI QUALITY
COMMISSION
8. A.McPHIIIIPS
,eirman,MrAAInnVIlI1
WARD C. HARMS, 1R. City of Tigard
Springfield Post Office Box 23557
TORRS S. WATERMAN Tigard, OR 97223 Re: S - King City
Porllend
GEORGE A dV1ATN
Portland
Attention: Mr. Robert F. (sill
4RNO1D M. COGAN
PorUend Gentlemen:
This is to acknowledge receipt of your letter regarding six
building permits fog model homes in the city of Tigard. These
homes will be in the King City sewer service area; however,
until the King City sewage treatment plant is rehabilitated
and brought up to state requirements, no physical connection
will be made to the sewer system from the proposed homes.
We have no objection to this procedure and will notify you
when the sewage treatment plant is performinr- satisfactorily
and sewer connections are possible.
We greatly appreciate your cooperation in these matters.
Very truly yours,
f i1
,P.
Harold L. Sawyer, Director
Water Quality Division
PDC:cjh
cc: Metro District Office
cc: Washington County Health Dept.
cc: Tualatin Development Company
cc: City of King City
TELEPHONE,(503)449.5696