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:;ity 9 of Tigard �
INSPECTION REQU ES T
_ for
N5PECTION
TIME. �T- p"'!� PERMIT NC. :__
DATE.- v7S'"3 DATE ISSUED
OWNERS NAME :
.ADDRESS: t i �
---1-- - ----
GON rRArTr)p
Antero , V.SL;Ct '_ab: ct�r; I
RESULT: p.-roved
x , ppr3,vad G :=endi, 41 U
SKETCH
I 1
INSPECTOR DATE
50Ttr: Attaon Supple— est cora hereto
1
of Tigard
INSPECTION REQUEST
ter
N-SPECTION TIME . PERMIT NC. . a
DATE• DATE ISSUED
OWNERS NAME ' ,.4:� C i
ADDRESS: _1_4
. EST ' . V' _ :c: 'J . .ub-►rt�r I
RESUL'," ,p, roved uppr)•.ed G p
SKETCH:
Lo r
f
NVS�ECTOR DATE I
NOTE: Attucn supplementai test Oulu her -t� I
1
of Tigard
INSPECTION REQUEST
f0 r
NISPECTION TIME .&TCF4w!Ya/ PERMIT NC
DATE .: _Z1-_'r,_�Z3 DATE ISSUED ._
OWNERS NAME ' _Z pC
ADDRESS: __ 15Q -45-h.) C&VJ_._.44.K al reIe
CON rRQ ,-,rnR . 7-Pe- _ _ �1����_�`
-EST ' . N ter p , ,v,. . n, ct)r;
—RESULI* . (+p, raved O ,uppt -�vtd G eridi�cW
SKETCH:
I
INSPECTOR DATE
50TE : At to cri Supp ementoi test uutc lie r�I0 I
1
i
I
City of Tigard I
INSPECTION REQUEST
for
INSPECTION TIME .* jj 11-e7 . PERMIT NC). : -------
DI DATE ISSUED
OWNERS NAME -
ADDRESS: _ Z -
--r
CONTRACTOR :
EST Water❑ , V:suai [] , Laboratory r
RESUL l" : /,p.,roved ❑ Disapproved G Peno g p
SKETCH.*
/ INSPECTOR DATE
NOTE ' Attach [uppiemental test date hereto
C
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIPAE: . PERMIT NO. .
DATE: 11/5 DATE ISSUED : I Z_
OWNERS NAME- - !�
ADDRESS - --CONTRACTOR
- - ---.--_---- —
TEST : Ai: u, Woter❑ , Visual [I , Laboratory C]
RESULT: Aprrov id Disapproved CJ Pending ❑
SKETCH: f
Z-
INSPECTOR DATE
NOTE : Attach suppiemental test data beret
City of Tigard
INSPECTION REQUEST
f o r
INSPECTION TIME: PERMIT NO.
DATE: Z- LA122 DATE ISSUED :—
OWNERS NAME :
ADDRESS '.
CONTRACTOR '
EST V,;tp.ro , V-,'sualy(�, Laborctory 0
RESULT '. /,p.-roved Pending D
SKETCH.'
INSPECTOR DVE
-NOTE Att(ir.r, -,uppi PrnF,,nt a I test J r0n h p-0j
f I
PLUMBING PERMIT APPLICATION
Jurisdiction of �naAi 1
No. Type of Fixture Fee Permit No.
Permit fee
Water Closets Toilets Permit Issue
A roved U
ath bs PP ' Y
Lavatoryas Basin Building Penn
Shower Receipt No. h1161
Sim—Dish asFin
,yin s i tc en ozad
Si s din&r Loc ion of Build g r � ' '(�J
Slnks. Ba
Sins Slop
Automatic s was er
is +osa
r a s N do Address f Owr�graundGd
DrainsFloor
Drain.-, -Area
—s4•
rains –Beta ,or --
Rain )rains
u o� mr atir- washer Nagy b Ad cess of P bare _
nun urns n in ,[t:fy "
Fountains, SNada :' —
o a er ar. xeg
'+Dater Service Size >
Urinates Build Old r,r Me Alter Repair or
C aVih- assns--Yat --
.awn tin ,er sTem
wimm:n c�:l er
S�ink�er seem
This permit becomes null and void if work or construction authorized is not
commenced within 60 days, or if ;onstruction or work is suspended or abandoned
for a period of 170 days at any time after work is commenced.
All plumbing firms must be licensed by the City of Tigard and post a 81 000 bond.
I nereby certify that I hevP -ad and examined this application and know the same
to be true and correct. All provisions of laws and ordinances governing thio type
of work will. be •^omplied with whether specified herein cr not, the granting of a
permit dues not presume to give authority to violate or cancel the provisions
of any other state c•r Local law regulating conetruc-cion or the performance of
.onstructic�n.
Sign ure rfllhpli:anc
t �'j
City of Tigard
INSPECTION REQUEST
for
INSPECTION "AIME: �� '�� PERMIT
DATE : ��/7/�'3 DATE 1 SSUED :_—_[-!__
OWNERS NAME
ADDRESS :
CONTRAr,TOR : - ---- - -- - -
EST : ,'�- •r Water[] , V;suai f] , Laboratory p
RESULT: /%p••rc,ved , :7lsapproved G , Pet!dhig
SKETCH:
__
I SPECTOR DATE
NOTE: Attach supp!emenla! test data beretaa
CITY OF TIGARD
12420 S. W. Main$1 so=
TIGARD, OREGON 17Y17
APPLICATION FOR BUILDING PERMIT
i New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move❑
�1 ZONING FD DATE ISSUED_Z.L1-,7_ BUILDING PERMIT
DATE RECEIVED 7-6-73 BUILDING FEE $ -?4.m No.
PLAN CHECK $ 73-153
BY
OTHER 10.
VALUATION $ 19 210.40
S 00
TOTAL $ RECEIPT No.
84.00 7-/
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT N_ 74 _ MAP M 2Sl 11C CENSUS TRACT W'I JOB Na
Architect or Engineer _ 20= I'La tin Deve�me:.t Co.
Address
153011 ,_u_ if;+_h A,_ Phone
Owner came
Address Phone
Builder
Address_ _ Phone
BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial
OCCUPANCY GROUP I , No. of Stories 1 _ To,-al Height—l4 Area of Lot
Type of Construction V Floor Area B - __ 1 _ 2
Set Backs: Front 10 Back 7 L.Side 5 R.Side2tj_
Private Sewer. Pipe Size 4" Seweryj'„Sit„ Septic Tank. ❑
Water Service Pipe Size 3/411_. storm Sewer ❑ Ditch ❑ Drywall❑
Street and Curb Requirements Exi.stillg__�
Driveway Width �,�, No. of Parking Spaces`
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED__ __ iSaj�g_u. rl�r,+. Onk Br.
FIELD CHECK BY EWC DAT F.
PEPJ4IT APPROVED 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 wil
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector.
Sig .a ure,aJApplicant