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BUILDING PERMIT APPLICATION TIGARD DATE-- 4 /30/ 4052
1 til-UNDERSIGNED s-iFREBY APPLIES FORA PFRMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 63 9-7 224 3
ORAS SHOWN AND APPROVFT)IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE -
ta:t LOTNO. 2500 .
OWNER alte..r 'lut.ti or ADDRFSS 105rl$ qW I'epturi-Oak
ARCHITECT
ENGINEER
BUILDER owner ADDRESS a 15 ov is DESIGNER
STRUCTURE ❑_NEW C! REMODEL _ El ADDITION ❑ REPAIR _— ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ AESIDENCE L COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE U STORAGE U SLAB❑ FENCE
OCCUPANCY t"3 LAND USE ZONE "BLDG.TYPE � FIRE ZONE PLAN CHECK BY HEAT— - -
aiistruct 1 aiiarium addtLir,r; to single family d"ll.i"ll _
--- Rl). ,ger nLaitm .n.i COdr •
SEWER PERMIT M -
OCC.LOAD FLOOR LOAD 4'r HEIGHT NO.STORIES 1 ARCA 14" NO.BEDROOMS-- VALUE
BUILDING DEPARTMENT SET BACKS FRONT _ REAR LEFT SIDE _ RIGHT SIDE > .�'
Permit Y 'G•5 THIS PLAMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
_;
Plan Check WORK WILL BE DOP E IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
_ • WITH ALL APPLICAi i_E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 3 313 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT:' BUSINESS
--- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 2 '02
SDC- (•` J �/Cdis a.
Total cr ai 5.3 i --
PDCM APPLICANT OR AGENT
B �l �S Mrts �
y — — Receipt No -- -
Approved
ADDPFSS PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
--
.5 - u/ Contractor
Permit No.
Z Rough-in -
Fixture
Final -- --
HEATING
Contractor
Permlt No. _
Gas or Oil
Rough-in -
Final --- -
SEWnp - -
Final
DRIVEWAY J
Final ^
Storm Drainsgr
(Rein Drain)Final
Sidewalk
_ Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARYCERT'FICATE OCCUPANCY
CERTIFI CATE OCCI.IPANCY Fl inal`
Landscaping
Inning F;nal
BUILDING PERMIT APPLICATION Spp NMI 1111jur",PAW"Momp�WAWW 111111111111"—w"---www—
OF' TIGARD DATE__ `_.___f__, 19 t � 7 1
THE UNDERSIGNED HERr3Y APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONErf..L'r f—�,��
LOT NO.
INNER 'alter Nutting JOB ADDRESS 10b,6�� gW Century Gull HOME ADDRESS
ARCHITECT -
:'iaal�►fe ENGINEER
EIU;LOER ADD_RES� DESIGNER _
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION OREPAIR DRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL 01;0V-T [:)RELIGIOUS[]PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
[:]BOND ❑MOVING ❑CONDITIONAL USE JDESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
OUPANCY LAND USE ZONE h^-'—j BLDG TYPE FIRE LONE PLAN CHECK.BY---0W- —
CCHEAT_t -
;slsgi1L+c. iroint zac�c� �11c;itian Lu t<in�la� t":�.;..iy riue.IIi.ng. �-
Appravud by Sumtmort lE Id Arch. t:nmmittes V.11/73. —
OG _I,OAD --- FLQUR LOAD-- HEIGHT ---- NQ:$T4R1_C_S. } _AF3EA. r� _�J4�@ 4�QQM �—
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE FIGHT SIDE
Permit 26 r 0 -------
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION! CONTAINED IN THE RUILDING CODE ZONING
Plan Chsck 14-000 REGULATIONS AND ALL APPLICABLE CODFS AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILL ".E DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total +17.nri ALL APPLICABLE CODES AND ORDINANCES. THE I;:SUAINCF OF THIS PERMIT DOE'S NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CO'S,TRACTORS TO HAVE CURRENT CITY BUSINrSS
State Tax' 1.12 LICENSE, SEPARATE PFRMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total !43. 12
av PY
-- APPI ICANT OR AGENT
Appr�Jved — RecF�I,1
No
a a iv .a a•oa
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING
p DATE
Q Contractor
Permit No.
T Fav' /.'!' ,c,, -r,Q, �. Rough-in
t :rr Fixture
Final ^�
HEATING
L ;Contractor
Permit No.
Gas or Oil
_. Rough-in
Final
SEWER
Final
_)RIVEWAY
Final
—_ Stonh Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Anproach
19L DEPT.FINAL TltMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : AG' PERMIT NO. : ----.--
DATE .'
O. : —__---_DATE : -s 442/ 7,T DATE ISSUED :
OWNERS NAME' : m�- —
ADDRESS:
C O N'r R A C T O R :EST '/Air ..-J, Watery , v"Sual Laboratory
RESULT: Npnrmsd X , nisapproved G Peridiog d
SKETCH.*
INSPECTOR DATE
NOTE: AttorR supplemental test data hereto,
� I
City of Tigard )
INSPECTION REQUEST
_ far
INSPECTION TIME PERMIT NO. :
DATE. / 14..� DATE ISSUED : I Z
OWNERS NAME : ---
A D D R E S S: oT" - ��3
C 0 N T R A C TO R : _7� _ _.-_-----_ -.--- --— .
TEST : Air ❑, Water❑ , Visual ,�La boratory ❑
RESULT: Approved] , Disapproved ❑ , Pending ❑
SKETCH:
Ir -5 .z�- 5' tT7,s
L lVri 4-/i141j,41E t
e7e"" RUM P 5--v—'A 77 O.J/ Pl 2E..PA,AVE
Ar/uF', 'T".
INSPECTOR DATE
[OTE: Attach siirpiemonto test data bereta]
w w w
NX
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : r�'.
PERMIT NO. : !�__�
DATE : "' DATE ISSUED:- 1Aal
OWNERS NAME : 770 C ,
ADDRESS : —L0 55's'
CONTRACTOR :____
TEST: Air (], Water p , visual 13,--Laboratory
RESULT';Approved IT Disapproved n , Pending L]
SKETCH:
INSPECTOR DATE:
ENOTE : Attach supplemental teat data heret]
1 -
I
City of Tigard
INSPECTION REQUEST
for
J
INSPECTION TIME : PERMIT NO. : _7 '3•�
I DATE: --2 DATE ISSUED:
OWNERS NAME :
IADDRESS : s�s k-�c L2�.ti �.
CONTRACTOR : ��j C
TEST. Air ❑, Water L] ,/Visual ❑ , Laboratory El
RESULT: A ppror?d Q Disapproved Q Fending (]
I SKETCH:
I
If4
I
I
I
j
SPECTOR DATE
I [NOIF : Attach supplement1,
I feet data keret]
I
s9:1'.�. CITY OF TIGARD, ORE( �'
k)N Permit No.___
Permit Issued GHa Hall. -�
Application Appruvad Building Department Cost of Installation-_
4p fW4 oaths*/"POOA04 PGa eail ay 9wrta!/a4f*`v Fee for
n�l�
By WAdali
/f Permltr�! -.
Applicant shall Lill in coat of installation only,
Date.-
above this double line. Street Hewer PermiL______.
repair Plumbing Pipes or Fixtures according to plans arui specifications and
Application is hereby made to sitar description as given bslow:
install
- OAe P
Location of building-Number and Street 1ds �� `S J -
��G �+•t /"� 'Q r Cis �._
LoL_-- Block_ ---�- AddfNen
Name and Address of owner ;7- A �•f� #7 C kip 40c,
Name and Address of PlumhenT I1 k. 6 ��r w O /0/u r-a, 4- r 1.(- 4/ 054
Building told or New) Z!r:1-.`-�---Height in Storie4,,".-d occupied w
SCHEDULE OF WORK
NUMBER tat MMR
m FIXTUPAS NOW Yore "Len )li>:l'111t1m New Ile" 'a
Water :
r •
CITY OF TIGARD
14020 S. W. (Main WrOW
TmARD, vRFOON WW
APPLICATION FOR BUILDING PERMIT
Now Construction ] Demolish ❑ Addition ❑ Remodel ❑ Move C1
ZONING cry P-R and City P-D DATE ISSUED146-73 BUILDING PER11IT
No
DATE RECEIVED 11-2)-72 BUILDING FEE $_1Q�00
PLAN CHECK
BY BH OTHER $�� VALUATLIJN $ 32,217
TOTAL $� RECEIPT No._ =rp
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNIFHFD WITH APPLICATION
LOT N 22 MAP Nom; /ao CENSUS TRACT w"8 T JOB N
Architect or Engineer Tualatin Develo went
Address _ �Phone----
Owner
hone- -Owner Tualatin Development Co. _ _4
Address--��_— .— ---- -- — Fhone -4
Builder_ Mme --—-----
Address _, P1,one`__ 4
BUILDING USF. Single Res. [ Multi Res. 17 Comm. El Industrial P
OCCUPANCY GROUP I No. of Stories 12 Total Height_16__ Area of L,)t_____ -,j
Type of Construction X)0UMXXAGaLXX)M V Floor Area B__I_U.L_ 1__[p2 2
see conditions of County P-N and City P-D
Set Backs: Front___ Back---- I,.Sic9e _ R.Side_
Private Sewer Pipe Size Orr Sewer Tig" Septic Tank ❑
Water Service Pipe Size y" _ Storm Sewer ® Ditch ❑ Drywell❑
Street and Curb Requirements Hast comply vlwith the str"etAWt_ajDj yjA nnn1—=-=mo"""w
Driveway Width 16 — No. of Parking Spaces-2 ,
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
-- l�gg_�jT FOR 11�L Dea.Y--ROT mn B8 )rP_1IPIEII_UNTIL-ALL ravnrrTamu� �THE CITY OF TIQARD HAVZ BW COMPLIED WITH AND A_I&TER F'RQM_Q1W9K —
ADDRESS ASSIGNED_ 10565 B-M- Century OWL
FIELD CHECK BY_—_ BH_ __ __�___� —.�_ NTE___1-16-73
PERMIT AP ROVED By,
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.
c
S gnature p4\App icar,t
N11
4 ���
DEPARTMENT O1=
1 ENVIRONMENTAL QUALITY �°Fr
/ V
TERMINAL SALES BLDG. • 1234 S.W. MORRISON ST. • PORTLAND, OREGON 97205
rOM McOAII
GOVERNOR December 7, 1972
L. e. DAY
Director
RONMENTAL QUALITY
COMMISSION
B. A.MCPHILLIPS
a148n,McMinnville
NARD C. HARMS, 1R. City of Tigard
Springfield Post Office Box 23557
ORRS S WATERMAN Tigard, OR 97223 Re: S - King City
Portland
FORCE A.
fM.MATH
Portland Attention: Mr. Robert F. Hill
PNOLD M. COGAN
Portland Gentlemen:
This is to acknowledge receipt of your letter regardic,g six
building permits for 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 ti state requirements, no pi,ysical connection
will be made to the sewer system from the proposed homes.
wP have no objection to this procedure and will. notify you
when the sewage treatment plant is performing satisfactorily
and sewer connections are possible.
We greatly appreciate you cooperation in t-wese inatt.ers.
Very truly yours,
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!I503)229-%%