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i,ity of Tigard
INSPECTION REQUEST
f o r
N-15PECTION milE . PERMIT NG.
DATE ' ke9 " DATE ISSUED
OWNERS NAME
AnDRFSS '.
CON TRA""TOR .
EST N i er V' —",l b .,rct,)r
RESUL." roved Ll .uppr �.ed 0
SKETCH:
INSPECTOR DATE
'NOTE Aiiact, suppiementai test uu',c harv-t
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :. �'� ' _ PERMIT NO
DATE : % �3 DATE ISSULU:_1L/p-LL-1"1,
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OWNERS NAME : .— ` 4 J
ADDRESS : .--
CONTRACTOR :-----
TEST'.
DDRESS : ._—CONTRACTOR :-___TEST'. Air 0, Water �] , Visyal 2-, Laboratory p
RESULT: Approved L3', Disapproved Ll F'end.ngl []
SKETCH
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INSPECTORS DATE
CNOTE : Attach supplemental fest data heret
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City of Tigard
INSPECTION REQUEST
far
INSPECTION TIME: PERMIT NO. : -722,w/_
DATE : f L!�' DATE ISSUED : �'-
OWNERS NAME : , -ZEI?U-4
CONTRACTOR : — ?r"u /
TEST '. Air ❑, Water[I , Visual B-,-'-Laboratory tJ I
RESULT' Approved ET' , Disapproved 0 Pending f_]
SKETCH.
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INSPECTOR DATE I
LNOTE Attach supplemental test data �e►etil]
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Cit i
y of Tigard
INSPECTION REQUEST
for I
INSPECTION TIME : PERMIT N0 `
DATE ' ---7- e0/-;S DATE ISSUED :-- / /
OWNERS NAME .' -jr.V-Y
ADDRESS: .--
C 0 N T R A C TO R
DDRESS —_CONTRACTOR TOE,V-e
TEST : Air U, Water[] , Visual El, Laboratory Ej
RESULT: Approved ff, Disapproved D Pending ❑
SKETCH: I
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INSPECTOR DATE
_NOTE: Attach supplemental test data beretp7
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C iiy of 'Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ___ PERMIT NO. :-
DATE ' ---2-
UJ. :_DATE : -_-2__ L __ DATE I S S U E ID :.� / Z _
OWNERS _____�_-----.-.--_-
A D D R E S S: --.-
CONTRACTOR . _-____ . - —._-_-- _---------__---------_._..
TEST : Air [j, Water[]/Visual [a Laboratory p
RESULT' Approved CT , Disapproved O Pending Lj
SKETCH; I
INSPECTOR DATE
FNO?E : Attach supplemental test data hereto
woo
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME. 4P.'ce' PERMIT NO. :.ZZ- .) i
DATE : .2 � 1.2.3 DATE ISSUED
OWNERS NAME .' kul�-x-n -
ADDRESS: _ sli�J ��� ���, —
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CONTRA TOR : ______ Al Y-' ,c
TEST : Air ❑, Water❑ , ,Visual Laboratory []
RESULT: Approved L'f , Disapproved ❑ Pending [J
SKETCH.'
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INSPECTO'i DATE
LNOTE: Attach supplemental test da`d he►eta-
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Ty of Tigard
INSPECTION REQUEST
far
INSrECTION TIME: _.J,G:= PERMIT NO. -.
DATE: 2 0W73 DATE ISSUED
OWNERS NAME :,:, —
ADDRESS: — �'—
C 0 N T R A C T 0 R : --
TEST : Air ❑, Water[] , Visuil ❑ , Laboratory ❑
RESULT : Approved ❑ Disapproved Pending L4
SKETCH:
INSPECTOR DATE
LNOTE' Attach supplrrme,JOI teat data haretil
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Permit ch4fQ.s
Owner Connection t'ee 425
v,x-.-a�,•r.on:a�-m•rrz_..a<r-s..n-a,n.:s^.-m+-a.-r...,a.nusu_s,a au,r�ma:�.txm � ,:rn..s.cc...ro+w.n�-nrr+s.y+msaay,*n:��na�r+.se:.r.rs
.XY mPann. . C�int,raGtor)�, .�•„�.•..::���._. Heid by .a,,...: .n .,...,• ., „m:._,�.., av-,.....R:_..__.__,„
Type of buildinq rea Date connected 2-14-73
_�.,..m_ .s.c:.s.•.w.wnes..em,.n�._se.. ._,.ns mra.--a.m.r.�mix.mu•.rrres.mnar.a—..,..wrct+wvc.:
Service rate„_3.00_p = th .,.-� ..., x nsl�pt tj o n fere 25
Contractor Paid by same dat”
Size of connection 4" Assessment Peld
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: -;); .36 PERMIT'
DATE: _..::,,-�J-1-1L2-! DATE :,,SUED :_1__L._
OWNERS NAME : _-, 4Y
ADDRESS; _—
CONTRACTOR
TEST : Air ❑, Water[}';�Usual ET-,"laboratory p
RESULT. Approved Bx, Disapproved ❑ , Pending ❑
SKETCH'
INSPECTOR DATE
FOTE.' -trach supplemental test data heretaj
CITY OF Tx(WtV Mk-HA-TT.ICAL PESWIT
1/16/73 PERMIT NO. --O/ }� RECE11PT I`i;t
NY FEE 'rV
1. Permit shall be obtained. prior to commencement of installation.
2. Permit ahall be obtained for all appliances which are to become
a fixture to the building.
3. Reloca-;-icn, replacements, alterations, or changes to burners arta
duct wor'k .require permits.
4• All worl; to be concealed must be inspected before cover up.
Now Installation W Replace ❑ Relocation ❑ Additton []E�tption ❑
C'ONTR. J EP,RY BONN OWNER
ADDRESS 8174 SW BEQAVFRTCN HIGHWAY WORK ADDRESS 9435 SM O'MAeA
PORTLAND, OREGON 97225 APPLICANT i MPFRA t 1_ PLUMB i N(3 A HFAT t W,, 14 1
wM�14
T TELEPHONE; r,70. 777 3801
FURNACE -- MANUFACTURER GENERAL ELECTRIC TELEPHONE NO.
NEAT I• put rating (Btu Per Hour) 1114100,000 V en ll Size 5 1 rich Flue Size Inch
FUEL OIL ❑ GAS LD ELECT L__1 OTHER
TOTAL SQ. FT. Top Flour Main Floor 1402 Basement
GENERAL
ITEM N0. FEE ITEM NO. F
or Issuance of. Permit xx 3.00 Boilers Over 50 H
ew -
Under 100,000 19tu Lj L 0 A r , andlln 10 000 Chi
- Over u xxx - r Hand1ii er°
or Furnace o a ve C--'-r IM
~
Floor - us ep n e en pan
a aenTs- 2.UU Vent Ss em
e e r .- ea & (,00 n 00
b ersUnderr3 4.00 Domestic Incinerator
o erss , o 0 Comm. Incinerator
vilers I to _ 10.0 er, o , s eco=
0 er8 � d p
INSPECTOR'S COMMENTS
APPROVED BY ,, DATE _ - ISS ED BY / C, DATE
Sioature of Applicant —
:o'-;"k
�.
PLUMII7NG Pk"RT4IT APPLICATION
Jurisdiction of CA1` Y—Tifim
x
No. _ Type of Fixture � Fec Permit No. •7 d
Permit fee 30.00
2 Water Close Ls Tcilet;5 Permit Issue
_ Bath 1),ibs �� Approved by 4
Lavatory (Wash Basin_ ►L�" Building Perms
I Shower r Receipt No.
Sinks, ni shwasvi.fi-K—
in�sitcn
cl
.i.nKsi rdin_aryLocation of Building
n s Bar-- 9415 Sly 0' MAM
Oinks, --a3op
1 is osa
Lavndry_Trays Name & Address of Owner
Drains Floor JERRY BONN
_ �81 4 SN EAVE�TOY
Drains.!Tree �f H IGHNA
Drains , e rigerator EG 97225
Rain Drains
FAu ,oma c oun .al.rTTas�her .ti Name & Addre-�s of Plumber
is, DrinkingMP
� IERIAL PLUMBING d HE�,TI ,
ountains, fo—ca^ P 0 17
Hot waTpr an �T !—F '?�_'. __.__ 97206
Water Sere ice Size T- 4 • �v
Urinals IIuildin * .1 c', New Atte r Repair or„w,,
Cate - as ns --Yar — 'Cns�a_ NEN _ INSTALL
Lawn 0pri11 er aystem _
Swimming Pool 77 0
Sprinkler S s mem
This permit becomes null and void if work or construction authorized is not
commenced within 60 days, or if construction or work is suspended or abandoned
for a period of 120 days at any time after work is commenced.
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bo"
I hereby certify that I have r-ad and examined this application and know the
to be true and correct. /x,11 provisions of laws and ordinances governing thin t
of work will be complied with whether specified herein or not, the granting of
permit does not presume to give authority to violate or cancel the provisions
of any other state or local law regulating construction or the performance of
construction.
IMPERIAL PyNkIBINf- d HEATING, INC.
i ature of Applicant
G
CITY OF TIGARD
I'M tV# ago10no
APPLICATION FYM BUILDING PERMIT
ED
NConstruction Demolish Addition Reisodel Mc,w
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MING R-7 UATE ISSUED _ u-10-72 BUILDING PERMIT
Ll-� 7l BUILDING PEE i�,��.� No7tiytini
GATE RECEIVED - ----
BY Dd PLAN CHECK i
OTHER 1 1p VALUATION $ 21
TOTAL: S yp� RECEIPT No.
TWO SETS OP PLANS ANI) PLOT PIANS MUST BE FURNISHED WITH APPLICATION
• 47 MAP I 11i1 ?CA CENSUS TRACT W-8 JOB 1
Architect or Engineer Bruirier -
Add reaa Phone,
Owner __. _. Jerry Bonn -- — —_
Address BuC.bar R,alty M. Phone_q
Builder_ _ Jerry Aoan
Address Buaber Realty —Phone----
BUILDING
Phone `_BUILDING USE Single Res. Multi Ras. El Comm. IndusM'.&t
OCCUPANCY GROUP I No. of Stories 1 Total Heiqht 16 Area of Lo!
Type of Construction V Floor Area B` 1�1W+�_ 2
Set Backs: Front P!D Back`__P_ 1,.Side-10_ R.Side13d
Private aewer Pipe Site Sewer U-8-A- Ti&r#eptic Tank D
Water service Pipe Sit,/48 _ Store: Sewera Ditch El D:yweII n
Street and Curb Requirements _wrung _
Drive,.ay Width— 1L_._� No. of Parking Spaces__2
SEPARATE PERMITS REpUiAED FOR SEWER AND PLUMBING
SPECIAL INFORMATION {
t
ADONESS ASSIGNEDyb' 8.M. O1Mats
FIELD CNECR BY DATE u'10-7'
PERMIT APPROVED BY
It in understood that all work will conform with applicable codes and ordinan
of the State of Oreqon and the City of Ticar,d, Oregon, and that thu building wi
not be occupied until a Certificate of r'• iancy ham been issued bi the City of
",'igard Buildinq Inspoctor.
ffignaturreofy Applicant ~�M�
77
UNIFIED SEWERAGE AGENCY NO __ 4779 _.._
..ASH I NGTON COUNTY GATE --1130!-- 14
CITY OF
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Q• M. Bona, Builder
OIN N E R'S ADDRESS ----.10250_SW, Winter
STREET
'
CITY STATE
BUILDING SITE: LOT__47 BLOCK _______ ADDITION
TAX LOT N0. --_.._ TYPE OF OCCUPANCY Rda_.---..___,.--- - ----
ADDRESS
DWEI_-LING UNITS - - 1
FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE - 425
_ _ INSPECTION FEE -45__ TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules arid regulations of the Unifi--' Sewerage Agency.
APPLICANT ..--�_
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
kit a. N. Boau, Bul.1der
j I. INE ')IZE INSTALLER
!
RECEIVED
IA GV OR dirs AOENt)
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d COMMENTS:
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This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
a
� _ BUILD
VALUE �1l ` ;
LOCATION C' 3 c.�s ? FEE _ DATE
JOb n� 0whER
'LI iII 3E '__.' 7 r c. �> X0T 1YFE n
WT,�RPL' ,7 f 1 •l,L�IL4lL
PE. MIi• �l�
IJP---FEE � k ��,E
i N'FCtiAP�ICAL i'%r�MIT
DATE BY DATE
_ —
EXCAVATION/FILL
�.� FOOTINGS/FOUNDATION AIR CONDITIONING
_--_- FORMS VENTILATION -
SLAT3S
St'RINKL.ER SYSTEM
REINFORCING STEEL P1ASU,dRY FLL'I� 'S�
T_RUCTURAL STEEL ----� i��Ii�E DOORS-LEXITS _
--
R I - -- -+-.--_•_ GARAGE FLOOR—
�""_"._"--
ROOF ?'LASHING ----
_ FRAME - -- -- -___ SI~JVIR
STORM DRAI IV
LAT}i/W,'�I:L�30ARU .._.. _
A' 1NG — PA_ RKING� _
W�'�TFR HLA R FENC, YscRLLN _.._..._T`
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