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12650 SW GRANT AVENUE-1 12650 SW GRANT AVENUE; 1 a, rl �J 1 4, 1. 1' eo H O w n rl v to n. E 2 , o Li tn W Q m nwrz � Q n '� rl h 4, ti �I s -n Q I I City of Tigard INSPECTION REQUEST for I INSPECTION TIME : lllrO PERMIT NO. : ' DATE : 51 71 DgTF ISSUED'_.1_._1_. I OWNERS NAME : 1-nL� - - -- I A D D R E S S : CONTRACTOR :__ TEST r :.] , Water j , `ii:1-41 ❑ , La'- ,rctor l rl RESULT. NpprovedN ,`Disapproved 1 , hnding - SKETCH: �2oNT R,�� nlLy I I ii SPECTOR D +TE rN f Att�r,r cu Pi)lemefit nI re,t �r: heret� 1 City of Tigard INSPECTION REOUEST for INSPECTION TIME : 4cob PERMI-T NO. . ._� _ DATE : .' -7 /7S. ATE ISSUED--,/ OWNERS NAME , 2&*( _ I A D D R E S 5 : _ /,.lc 5P .S 4AJ (a�____ ICONTRACTOR :___ _____ TEST r : 1 , Water �riei e1 '� rc+o►, (1 1 RESULT: Approved C} , Disopproved 1 1 SKETCH: I INSPECTOR DATE INOTE : Attach supplemental test j atc. hereto S City of Tigard I INSPECTION REQUEST for INSPECTIGN TIME . '.3v_ PERMIT NO. :Z-4--LZ I DATE ' - q101 -13 DLTE ISSUED:LIZLZ OWNERS NAME : -- ADDRESS : - TEST'. .ADDRESS :TEST. Air D , Water L?-, Visual,(-'Laboratory ❑ RESULT: Approved Disapproved O Pending ❑ SKETCH: r � i I INSPECTOR DA1 E ICNOTE Attach supplemental ter' datu hereto J 1 I I City of Tigard I INSPECTION REQUEST for INSPECTION TIME. : e'O _ PERMIT NO. . I DATE : � �j DATE ISSUED:!; • 7 2e- 0WNFRS NAME : . _ I --ADDRESS : /;?G e 0-, 01/111-7- CONTRACTOR TEST: Air p, Water [] ,,Visual F--' Laboratory p IRESULT'. Approved �, Disapproved p Pend�g Lj �- I SKETCH: I I I I INSPECTOR DATE I LNb1E: Attach su PPlemental feet data heret01 ,r w Itr ISI► w- i I e- ity of Tigard INSPECT!oN REQUEST for I INSPECTION TIME NC. : PERMIT I DA7E: / i�1;7-7- DATISSUED:& ,k-21'L- t OWNERS NAME . I ADDRESS ' I CONTRACTOR :--<!;; ` $ I TEST. Air ❑ , Water ❑ , Visual O , Laboratory a RESULT. Approved Ef Disapproved ❑ Pending I SKETCH' I I I I IN, PECT R DATE i i � [NOTE . .Attach supplemental teat data hereto] �rr�rr r r City of Tigard INSPECTION REQUEST fors INSPECTION TIME ' =);22LY\ - PERMIT NO. : 70`_X35 y DATE ' - 2/ `6/73 DATE ISSUED : �=- - OWNERS NA.dE : _ -- ADDRESS: /,�4 5 D CONTRACTOR TEST : Air L], Woteru-, Visual El " Laboratory (-J RESULT: Approved U3"' , Disapproved ❑ Pending p I SKETCH. I i i I WSPECTOR DATE LNOTE: Attach supplemental test data berets] City of Tigard INSPECTION REQUEST for INSPECTION TIME : zel .�,-i _ PERMIT NO. : +—. DATE : 1 1 / 7 DATE ISSUED : OWNERS NAME ' ADDRESS: At2l 4 � S CON,rRArTOR : bi1, i S -- --- i EST +.r 13, Water[] , V:suai [3 , I_a borctory rj RESULT: AporovedX, Oijapprorad G , t.endioq p SKETCH. (e��f 7-c-,(2)t4A6 5 )CNSPECTUR DATE NOTE ' Attach suopiemental test data hereto? X7.:1. i 3 FiI1II,DEIi VALUk I 'S F'k I:Il z'" DA`r1a 11-1 i�)Z d OWNER TE "EWER PERMUT "., 'v CCAI: R FFE I'I N,F:CMI. . DATE BY DATE EXCAVATION r'ILL -. r c)OTIPUS FOUr�v '..R CON_DIT10111 , . _ A'rZUIJ �EN`.1'ILATION _ FORMS SIABS __.._ REiNFORCIM STEEL i:-FE [MRS $XY'i' ., 6TIZUCTURAL STEEL — .....�___..,� .- I ll.-UMB ING R.I. . ' ':A:_` VFWAY �..�- 3ipOk' I'LASIiIrVG ....___ ..._.,.._..,.,.......�.,_._..._.._...._.._.. .... _ FRAME LA tiJALLr30,AitD _ �. �.RM DRAIN HEATIM _e WATER HE,AMIR _.._ . - (r! AJ .__..._.__.�.__._._...___•.____...._ _ _. &_Z2- J3'-) BUILDER VALUE FEE DAn' 71-17-)?- LOCATION owNrim JOB MAP LOT PLUMBER PERMIT S.;,'*,'R PUMI-1 FFE DATE BY DATE EXCAVATION/FlId, 11i CONDIT10111ir. FOOTIAGqLF�OUNDATION I !4TUATION FORMS PpIfoaxR SMTK4 SLABS~ 1LUES .-2n-YLFLUES STEEL LRE DOORS E7CIT5 13TRUCTURAL STEEL AlWF M)OR PLUMBING R.I. ;j VEWA Y MCF/FIASHINO waw FRAME :.,)RAM DRA14 LATNI OARD 1"WITIG HEAT-ING FENM/SCREEN WATER HEATER M" RM BUILDER VALUE DA IT, I t P704. LOCATION OWTOM J Ob # MAP C i LOTAv ttb IL PLUMER PERMIT SEWER MMIT FFE 13Y DATE EXCAVATION FILL CONDITIQUIC FOO'rllr,3ZFOUN,DATION FORMS PRIN)a.�,R SYSTE4 SIABS RE114FORCIIC STEEL STRUCTURAL STEEL IWE FLOOR IVF ..--.--,-I'I,UMBING R.I. MY FLASHINGWFR FWT. Am DM-14-- 5AJ?D HE-ATIM 5CRFYN WATER HEATER UNIFIED SEWERAGE AGENC'`'' NO. .__ WASHINGTON COUNTY [SATE --_- ��r�---- --.-- CITY O F..__ ._ T Lgara -- --- APPLICATION FOR SEWER CONNECTION PERMIT OW N E R: ,--- . -M. K. 4ine 4ull.der OWNER'S ADDRESS: STREET Tigard Uregoii 97223 CITY — STATE -- - -- T.IP - B'JILU'.NG SITE: LOTAQl. _ BLOCK ..__ __--� ADDITION _- 261 ZBD _. TAX LOT N0. __ ._ TYPE OF OCCUPANCY r ADDRESS _ --__ _12650 $.W. Grant St. --__- ' DWELLING UNITS ----2 FIXTURE UNITS26 - - SURCHARGE IF APPLICABLE PERMhFEE .-- 8 _ INSPECTION FEE 35___ TOTAL DEPOSITED 885 (NEW) '(EXISTING) BUILDING SEWER SYSTEM Tigard The Applica-t agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT P SEWER PERMIT THIS PERMI'l AUTHORIZES CONNECTION TO THE SEWER SYSTEM, LINE SIZE 6" INSTALLER Nd Ferrell ._ RECEIVED BY IA ; Y OR AGENT) - --- F / a COMMENTS 'this Application and permit expires .n ninety (90) days. The arnount paid will he forfeited should expiration occur. ttrC rr 144 sue ;<< AIL AA .' UNIFIED SEWERA0E AGENCY NO 4771 b; WASHINGTON COUNTY DATE u-17-72 CITY -erd APPLICATION FOR SEWER CONNECTION PERMIT OWNER: _.___.___ M. R. Hine Builder OWNER'S ADDRESS: 1-156o s.w. 90th --... Tigard STREET — orepn _ 9723 CITY STATE ZIP BUILDING SITE: LOT_W2- BLOCK _ _ ADDITION 281 2BD TAX LOT N0. TYPE OF OCCUPANCY 2 units ADDRESS ._.__ __-- ._--_ 12650 S.W. Brant DWELLING UNITS ___. ._A2— FIXTURE UNITS ____26 v SURCHARGE IF APPLICABLE ___ _ ,.PfRMq FEE 8yU_ ---_-_-_ INSPFCTION FEE —35___ TOTAL DEPOSITED 685 T t Bard (NEW). )(EXISTING) BUILDING SEWER SYSTEM The Applicant agrees to comply with all rues and regulations of the Unified Sewerage Agency. APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE ____..__. I STALLER ___ Ferrell RECEIVED BY_ NCtl AGENT) COMMENTS: - This Application and permit expires in ninety (90) days. The amount paid will be forfeited i should expiration occur. t PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of FixtureFPP Permit No. _3 Permit fee later Closets (Toilets) Permit Issue_-'_9 .7 Bath Tubs Approved by _ — Lavator} Wa�_h Pasr.n �� z Building Permit Shower Receipt No. _�4 Sinks Dishwaciiri - zr?:s, Kitchen 17 Sulks. Brdinar ' Location of Building 1j nk F Bar Sinks, Stu Automa t. ci s wa-' s e- � ------ - D is os a Laundry Tra s Name & Address of Owner _Draj- Floor _ Drains Area `-- - --- -- - Drain::,1 efrigeratorRain Drains ---------- ----- --- - Automatic Washer Nance Address of Plumber Foun arn Ts rIn in— Fountairis oda - ---- Hot Water Tank _ ---— WaterService Siz- _ z -'-- - -- -- U:trials _ Buildin �Uld c; 1F � � J(Alter , Rep��.i r_ Law„ prink er System �L ns w mm�.rig .Pool 7 e r -- ---__ _— S rinkThis permit becomes null and void if work or construction au the r ized is ri(;,t, commen:-ed within 60 days, or if construction or work is suspendpd .-r abandoned for a period of 120 days at any time after work is c:,mmenced. All plumbing firms must be licensed by the City of Tigard and past a $1,000 bond. I hereby certify than, I have road acid examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type f of wox•k will be complied with whether specified herein cr not, the granting of a permit does not presume to give authority to violate cr cancel the provisi;)ns of any other state or local law regulating construction or the performance of construction. Sithature of Appli -:ant _ i r; CITY OF TIGARD INN t W. MWO ore* Toomw,01toom WL-) t. f' APPLICATION FOR BUILDING PERMIT , New Construction ❑Z Demolish ❑ Addition ❑ Remodel ❑ Move ZONING—A-2 DATE ISSUED 11-17^T2 _ BUILDING PERMIT DATE RECEIVED ]1-1-72 BUILDING FEE $� 71.00 No { BH $ 46.-10 72_237 PLAN CHECK BY OTHER $ VALUATION $--- ►� TOTAL $ 117.15 RECEIPT NO. TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # 801 MAP I 281 2BD CENSUS TRACT W-19 JOB # krchitect or Engineer Charlotte 016son Address Turd Phone Owner M!ke Hine AdOress Phone Builder Mike Hina Addr ss _ _ _Phone___ BUILDING USE Single Res. ❑ Multi Res. LTJ lupl.el Com:r. ❑ Industrial OCCUPANCY GROUP I No. of Stories 1 Total Heiqht lb Area of Lot. . Type of Construction V Floor Area Bim, 1 1600 2_ _ Set Backs: Front 25 _ Back 10 L.Side_ 23 R.Side_i'l Private Sewer Pipe Size 6" Se-o:- U.S.A• TII1 V ptic Tank ❑ Water service Pipe Size 1" Storm S.wer I((x „'tch ❑ Drywell❑ Street and Curb Requirements AS Rlpt_MW BY PUBLIC WOdM t Driveway Width 2D No. of Parking Spaces_ 2 SEPARATr PERMITS REQUIRED FOR SEWER AILD PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED �gyi FIELD CHECK BYBH DATE 11-17-72 PERMIT APPROVED BYC— _ It is understood that all work will conform with applicable codes and ordinAnnos, of the State of Oregon and the City of Tigard, Oregon, at:.; that the building M1 ' not be occupied until a Certificate of Occupancy has been i.esued by the City ON Tiaasd Building Inspector. r ) / r 1 gignature of Applicant r CITY OF TIGARD r; ism & W. Mob spew ' TIOARD, p11pON W APPLICATION FOR BU LDINC PERMIT New Construction LJ Demolish ❑ Addition ❑ ❑ Remodel Kppa Z,3NING A-2 _ GATE ISSUED 11-17-72 BUILDING PERMIT DATE RECEIVED 11-1-72 BUILDING PEE $ —�$.�- No. BY- I gb PLAN CHECK OTHER $ VALUATI09' $ 17. TOTAL $ RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MUST BS FURNISHED WITH APPL CATION i LOT 1 801 14AP / 281 2HD CENSUS TRACT W-19 _ JOB t R Architect or Engineer Marlotte Olson Address— __ Phone Owner Address_ Tigard --- - --- ____ Phone Builder_ yi Hj� - Address - �_._._,_----_--------•------- _----- _ Phone BUILDING USE Single Res. ❑ Multi Res. © 3 Plex—Comm, ❑ IndustriAl OCCUPANCY GROUP H No. of Stories 2 Total Height -- 22 Area of IAt . Type ,:�f Construction Y, V Floor Area B -- 1 1120 2 400 Set Backs; Front_La'�_�- Back 10 L.Side 23R.Side 17 _ Private Sewer Pipe Size Sewer T - 6"- U.B.A. i�rl§eptic Tank ❑ Water Service Pipe Size 1" Storm Sewe- I]x ❑ Ditch Drywell❑ Street and Curb Requirement.s,__- a---R1iQ(rIRSD BY PUBLIC WMM Driveway Width 20 � 3 �No. of . arking Spaces_ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION Al>I}KESS ASSIGNED 9.W. print A8 . FIE1,h CHECK BYi' BH 11-17-72 PERMIT APPROVED By _ Itis understood that all work will conform with applicable codes and ordinaneos of the R*ate of Oregon and the City of Tigard, Oregon, nnr: that the building will not be 01:cupied until a Certificate of Occupancy "aa boon issuedby the City o! 1 igard Building Inspector. Sere of Appl Tart CITY OF TIGAIRD ` 1211/ L W. MND skeel TIGARD,01200N ff= t, APPLICATION FOR BUILDING PERMIT New Construction © Demolish U Addition Remodel Novo "ONING A-2 DATE ISSUED 11-17-72 BUILDING PERMIT BUILDING FEE $ 26.00 DATE: RECEIVEC a-1.72 �_ No. 72vZ�� v BY B11 PLAN CHECK $ r "'� VALUATION OTHER TOTAL $ 42.90 RECEIPT No. JO TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION ;y LOT # 801 MAP # ;251 2BD CENSUS TRACT 11-19 JOB # Architect or Engineer _ Choxlotte Olson Address- -Phone Owner Mike Hine Address T Phone Builder_ Mike Mine ,- --�-- - Address Phone BUILDING USE Multi Res. — Con-). L_J Industri" Garage y OCCUPANCY GROUP i No. of Stories 1 Total Height 11 Area of Lot Type of Construction V Floor Area B_ 1,1100 2_ Set Backs: Front- �5 _ Back 1-0 L.Side_ 23� R.Side 17 Private Sevtt--2Ape Size_`—` Sewer��,�__S4ptic-I'ank LJ water Service Pipe Size -- - S eS w_ar,Q Ditch [] Drywell� Street and Curb Requirements AS HSQUIRED BY PUBLIC WOM Driveway Width _ 2`_ ___ —No. of Parkinq Spaces` SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 12650 S.N. Grant 8t. FIELD CHECK BY �BH _ _ DATE_ 11-17-72 PERMIT APPROVED BY tt in understood that all work will conform frith :,pplicable codes and ordinance of the State of Oregon and the City of Tigard, oregcn, and that the building M not be occupied until a Certificate of Occupancy has teen issued by the City of . Tigard Building Inspector. l�/ Si gnature of App cant ans �e Y PERMIT TO CONNED"' Tigard Sanitary District PERMIT N? 735 DATE (!^ C^ PFT•.MIT IS GIVEN Tb OF TOCUNNECr A TO THE SYSTEM OF TIGARD SANITART DISTRICT AT THIS PERMIT MUST BE POSTED ON THE DE4CRiBEb PREMIF.EB UNTIL CON- NECTION I9 MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. j PERMIT FEE PAID ..........................TIGARD SANITART DISTRICT CONNECTION INSPECTED .AND APPROVED Slu_-- e- �tenden__ Tax Lot 2 SI 2 BD 800 23-10 North Tigardville Addn. Assessment 1061.35 Lateral 67 .03 1128.38 11-1-61 50.00 & SA thereafter Address G%S lU.Lf/� fd x�� Permit No. Name of Occupant /l�CL �` iAl s �1> Permit charge Connection fee Paid by r r Date connected Type of Building _ Inspection fee_-____ Service Rate_ Paid by __ Date Contractor_. _. -_ _ _ A9sessment.J1,1_? -_Paid Size of connection i Address i2t-))U ;�.W. C:silt Permit No. 4770 _ Permit charge Owner eke Rine / , ").j- V c't Connection fee Pa .d by Type of building _duplex ?L Date connected Service rate --WKK ]X=Tjl Inspection. fee 35 Contractor Mike Hine Paid by Date Size of connection 4" Assessment Paid George Heusser #73-03 1211H S.W. 125tb.