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9037 SW BURNHAM STREET-2 kz O q.. G: J L7 4 o c - 1-1 H C~ 6 . �� C; Q H L', r H r `C tj I ' � 4 77, F4 ci c I ~ cr I � D b y NJ M I f 0 cn s C7 v 9037 SW BURNHAM STREET 1213?J-TS WVIMIng MS LC06 CL 0 S Cr7 O H � cx u V c s I �0 Il ' N H �; H Z n co w to a. I � FQHQ� ri v F U-) H y ►� r f L � w C7 cn C rn 114 (r, 3 14 i cn v, a cn ...,P+....., , ......,, a-rM ur,R,'W*,«n• ,ayA„s, 471'IMPIWIVW-W-,-*-V"W�-. wxr "r ,.. . CITY 0P BUILDING PERMIT APPLICATION TIGARD DAT,-- 1!oy. L, _ 19--jLN2 J 10 6 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED Ovi AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANG SPECIFICATIONS. OWNER PHONE_ -� _ WNHA ..1 Iche ADDRESS Q�i SSoU, Surnham BUILDER PHONE ENGINEER gWLQE� 'ign —� ARCHITECT DESIGNER _ STRUCTURE ANEW ❑REMODEL UADDITION C1 REPAIR ❑RENEWAL ❑_FIRE DAMAGE [--]DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CA"I PORT ❑GARAGE ❑STORAGE❑- SLAB ❑FENCE ❑BOND CMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED �_,.1SIGNS QCCUPANCY—_-LAND USE ZONE -_BLD 3.TYPE FIRE ZONE_ PLAN CHECK BY-. HEAT -- -- ---- - 1tu install a 1A , x i7 wall S;Lgn (Tigard Radiator) -- ----- OCG LOAD FLOOR LOAD HEIGHT NO.STOn1E`' AREA VALUE BUILDING DEPARTMENT ,'ET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit -- ----THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN rHF. BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HFREBY AGREED THAT THE -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS i%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total ��•�� By ---- APPLICANT OR AGENT Approved Receipt No ADORF55 PHONE - - — --- .� DATE tNSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor 3/•7s c r —n� F— —_-- Permit No. Rou h•in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in _ Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) final Sidewalk Curb&Street Final _ Approach SLOG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zuni% Final i City of Tigcrd IN S PEC TION REQUEST i for ! INSPECTION TIME ' _ PEP.MIT NO. : I DATE DATE I S S U E D OWNERS NAME . Y- AD D R E S rj �1'l) c,T � '�u�ti'�E✓A�-"� C O N T R A C T O R : TEST: Air ❑, Water L , Visual ❑ , Laboratory p RESULT. Approved , Disapproved ❑ , Pending ❑ I SKETCH: © Y ice•>�sT,-�� ,��-T�� ;��rJ I I i 'INSPECTOR DATE COTE Attach supplemenial t`st data heret] ALL SPACES MUST BE ENDORSED � PRIOR TO APPROVAL OF THESE PLANS PUBLIC WORKS DEPT, SY�. � PLANNING r),-PT. G . _-.- i'ILDi!:G DEPT. f• COUNT/ H C:1.7H DPT EY.- --- CITY ADS",'. .3T;� - "1 TIGARD [i't- - -. GENERAL TSL,_.; �.•.•E E'Y_ USA - i.( �. N. W NATURAL GAS Hy.- P. P. G. E. BY. - ` . ^� T. R. - rY - - I w �, ity of Tigard INSPECTION REQU ' STi for INSPECTION TIME : PERMIT NO. : M DATE:: DATE ISSUED:.__!..—L__ O: 5'03 7 Address_ Permit No. _ Permit cha)•ge Owner y�� , Connection fee Paid by Type of buiidl" na _-ZgDlAa-0e- Sr+op Oats conn ted Z - 7� 3eruice rata "" °y� / nt,�X� Inspection fee Contractor Oaca - Paid by ��,. __ _ date Size of connection 4Aesessment paid gyp . �13l? ` ty of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE: _-Y DATE ISSUED.- OWNERS NAME :ADDRESS ,* __.L `7 CONTRACTOR --------------- TEST* ---TEST: Air ❑, Water [] , Visual ❑ , Laboratory p RESULT: ApprovedX , Disapproved ❑ Pending [] SKETCH: C INSPECT R _ ATE LNQTE . Attach Supplemental fast date heret01 i I F I City of Tigard INSPECTION REQUEST ' for I INSRECINON TIME: PERMIT NO. : l DATE: Y.may DATE ISSUED : Z - I OWNERS NAME : _---TL AD( LA II {lr�tivt. CONTRACTOR : 1.).i��_�. til TEST : air [1, Wote,-0 Visual ❑ , Laboratory ❑ RESU'_T: Approved 0 Disapproved O , Pending [� SKETCH. r INSPECTOR DATE NOTE . Attach supwaamentc, test data boret01 EF w w t w er els Cit of i City Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : DATE: ) ,,Y DATE I:aSUED :_ / / OWNERS NAME : _ ADDRESS: `-t CONTRACTOR TEST : Air L, Water , VieuaI [] , Laboratory ❑ RESULT. Approved , Disapproved ❑ , Pending ❑ SKETCH.' �.�.. 2.12 IA► PECTOR DATE 500E Attach supplemental test data beret] aw Permit Issued-..2--r L. CITY OF TIGARD, OREGON Per,nit No-7-Y7 3.,)_-Q City mall Applic•: ,ion Approved Building Department Cost of Installation B� Fee for Permit.._ _- ,Applicant Shall fill in cost of installation only, Date- __ above this double line. Street Sewer Permit__.____ repair PlumbingPipes or Fixtures accordingto plans andspecifications and- Application Is hereby made to adescriptin as given below: tns-- Location of building-Number and Street Block -- Name and Address of Owner. �C7r -- Name and Address of Plumberp'] -7- Building (Old or New)-— /M3tt-) I Height in Stories..._ ...-_ Occupied as defL�-�'� _ SCHEDULE OF WORK NUMBER _ NUMBER FIXTURES New I Move R'pl'ce FIXTURES �.e. M.,eTXPI'ce Water Closets_--. -Jjl-- Fountains, Drinking__ Bath Shower- ---_, Fountains, Yard Bath Tub----- ____ Fountains, Soda- Basins oda Basins Hot Water Tank___ _ _ - --_ Sinks, Ordinary_... _ __ _�_�I__ _ _ Sinks, Dar. .._-_ Sinks, Dishwashing ___ __ __ Sinks, Slop..._ Automatic Dishwasher__ Drains, Refrlrerator--_. Laundry Trays_- Drains, Tee Box-- Drains, ox Drains, Floor-..-_ -I Urinals Drains, Area__ Catch-Basins, Yard`_ Rain Drains--_____ _ Catch-Basins, Garage__- Automatic Washer_ - -I� I.Catch-Basills, Sub Soil Water Permit No ._-___ Bldg. Permit No.---- REMARKS: -------- - --• - ___ ,� IMPORTANT I-Plumbing shall not be Installed in any building, (either new, altered, or repaired), except as shown or designated on the corresponding building plans as filed with, or required by, the Building Department in accordance with the provisions of the Building God* and Ordinance 62.19 of the City of Tigard. re air I the plumbing system ac old g to this description, plans and r ecifications and the Plu bing Code o�the I agree to } Ity of Ti 7 p p p nstal 111 Plumbing Firm Supervisor 73aIk - _ t I I City of Tigard i INSPECTION REQUEST for INSPECTION TIME: . PERMIT NO. :. DATE ' = DATE ISSUED :--L. Z OWNERS NAME : ADDRESS: _ � �,•ri,� '�/ �a%�... CONTRACTOR : TEST ' Ai! p, Water[] , Visual [I , Laboratory p RESULT: Approved Disapproved El Pending p SKETCH. I I I I I SPECTOR DATE I-O79: Attoch supplemental test darn hereto] I I I w I City of Tigard INSPECTION PEGUEST for INSPECTION TIME : '3CJ_ PERMIT NO. : DATE: .. L247V DATE ISSUED: _.L_L_. OWNERS NAME : l7wej ADDRES _ Z :Gc� - — 00NTRACTOR : TEST .4 r J , Water ;� , ��isral La'' .rotor r [n RESULT. Approved 1;t , Disapproved _1 Pondl i.g L 1 SKETCH: d-� T Thio' IW 7-c> A19 e^1 776/4120 I I INSPECTOR DATE r CNOTE : Attach supplemental test data heret] :.ity of Tigard INSPECTION REQUEST f C, r NSPECTION TIME . /aM©� PE:RM11- yC DATE : -z %�� '74 SATE i 9 S U E D ;)N/NERS YAMS ' AnnRFSS --- �-,N rPA 'rr, R --- - - -- - - EST , [7 ]h-►ct�r RESUL. add Lj SKETCH: INSPECTOR DATE LNOTE: Attach supplemental test uute her,t� 4 CITY OF TIGARD 12420 S W. Main Etr"t TIGARI IGON 47223 APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move ❑ ZONING M-3 DATE ISSUED 11-9-73 BIILDING PERMIT BUILDING FEE $ 94.00 No. DATE RECEIVED 61.10 -13�.i2 BY PLAN CHECK $ •94 VALUATION $�! OTHER $ TOTAL $ 1.56.04 RECEIPT No. �/ _5.2 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N MAP N CENSUS TRACT �— JOB N Architect or Engineer Alaz PteSle Address 405 N.W. 19, Portland _- Phone 223-3828 Owner lamas Ochs Address 11865 S.W. Lincoln-, Phone_ 639-5342 Builder Address _ ^_ - ---_— .____Phone--.---- BUILDING USE Single Res. ❑ Multi Rea. ❑ Comm. ❑ Industrial❑c OCCUPANCY GROUP F-2 No. of Stories__ Total Heiuht— - Area of Lot Type of Construction IXXIIXXIIIXXIVI V Floor. Area H�- _ 12.42.Q__ 2_________ Set Backs: Front Back L.Side - R.Side Private Sewer Pipe Size 4" Sewer King Lit y Septic Tank LJ water Service Pipe Size 3/4" Storm Sewer © Ditch ❑ Drywell❑ Street and Curb Requirements As required by ordinance__— Driveway Width - 24' No. of narking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATtON L' ADDRESS ASSIGNED 9017 S.L(. Burnham Street ------ FIELD CHECK BY-- —__-1fl— _— ._--__- _---_DATF. 11-8-73 i PERMIT APPROVED BYE It is understood that all work will conform with applicab codes and inances 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 Building Inspector. Signature of Applicant UNIFIED SEWERAGE AGENCY NO WASHINGTON COUNTY DATE I CIT 1' U F._-- - -- -- _-- J _Tigard APPLICATION FOR SEWER CONNECTION PERMIT � I j OWNER: _ Tigard Radiator_ Shop _ - { OWNER'S ADDRESS: 9037 S.W._Hurnham 9tr-aat I STREET --- _Oregon +f CITY STATE ZIP BUILDING SITE: LOT- ___ BLOCK ADDITION TAX LOT NO. TYPE OF OCCUPANCY _ Radiator Shop I ADDRESS __.9 �_.S.W. 8u.rnham Street DWELLING UNITS .__.__ _ FIXTURE UNITS SURCHARGE IF APPLICABLE _ PEf3ULT FEE 450 _ INSPECTION FEE 69 ...._ TOTAL DEPOSITED -__ L(NEW) (EXISTING) BUIL.DIN(- SEWER SYSTEM _. � Tigard- The i-gerd-The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT/r%% SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO I HF ;FWER SYSTEM. LINE SIZE _ 4n_ . ..__ _ INSTALLER RECEIVED BY ENC„YJOA I S AGENT) COMMENTS: This Appiication and permit expires in ninety (90) days. The amount paid will he forfeited should expiration occur.