11245 SW VIEWMOUNT COURT Vievr Dunt Ct• CO;UMBIA Ct3STOD: H014—PS
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LOCATION -
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JOB # _ MAP f 5 ' - J LCI
PU.7 IM
PEELUIT FEE
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S,WER PERMIT - Fru - - trS iMiANTCAL :ERMIT
JAIL i BY ZA Z, I BY
EXGAvAT-ION/F= AIR COMITIONING _
FOOTL-IGG�Fc'-`:MATZO.: st M"ITILA-TION
FORMS _ )FRLM,M SYSTEM ...t Ln
SI1a:S MCS75RY/FLUES
IMITORCIM S= FEE 5- EZK, EXIM
3 ?'JCI✓:RAI 3Tr' GARAGE FLOOR
W 7-73 fLUMHLZG R.I. -'' ( -�2 73 DRIVEWAY [�
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ROOF/FLF fiI:,1G e 2f 13 SEWER -_ G
_3c, FRAW •. STORM DRAIN
IATH/=OARD FARIJAC. - O
HEATING FENCF. SCFM:N �
WATER DATER — FINAL - y
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Ovvner...... ... ........... Ca 1.s C i$ ....'Permit No.
Building Addrw....--� cauTt
Cerci $cyte is �.' �$..... _ .._ ., 19.
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thol, Rig Cade for the City of Tigard, r
by the ftard CjW C
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City of Tigard
INSPECTION REQUEST
_
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INSPECTION 'TIME : �%�=Oy PERMIT NO, .--
D AT
G. :—_DAT I:: -L-1(L 3 DATEISSUED :
OWNERS NAME : —
ADDRESS:
CON'T'R A''T O R : —��------
'; EST : 'woterp , V;3•ja14, Laboratory I
RESULT . Ap•-roved );.;appro�,ad G i'endiog []
SKE C;N:
INSPECTOR DATE
NOTE: Attach supplemental test data hereto]
M MINIMAt !S N
'173
Mdclress _l�q s.W�.,1L,j,�yID^�'.nt t
Pt rm t No .
Permit c har Ke
(miev ��u Connection Fr-!-
.
ee
.paid by Columbia Custom Homes
�pyie of �>>xildir.g Residence _ Date cowiected 6-2I
Service rate InaF�rction fee
Contractor _ Columbia Custom Homes Paid ty Same Date _
size or (.'OnD.eotiorl ��_ - ARsessme"t
City of Tigard
I
INSPECTION REQUEST
for
I INSPECTION TIME '--/.--
PERMIT NO. : .__..__ _
I DA- E . 3' . DATE ISSUED'_.1'_Z
OWNERS NAIVE
ADDRESS : j �--
CONTR 4 CTOR :—A
ITEST A r0, Wainr visi-cle2r,",La" ,rator,p rl
RESULT. Approved r Disc
pproved 1 P#ending 3
I SKETCH:
I
I
INSPECTOR DATE
I [OTE : Attach supplemental test uato heret:01
1
i
City of Tigard
INSPECTION REQUEST
f r
INSPECTION TIME : rf P-:PMIT NO. :
DATE.' DATE ISSUED : I Z
!.�f'L�,,tic c� �i cXr r:•��t
OWNERS NAME :
ADDRESS:
CONTRACTOR
i EST '. Ale u, 'dater❑ , V; uai '1 , Laboratory 0
RESULT: Aporoved ' disapproved G Pending
SKETCH.
�G x & vt %r
INSPECTOR DATE
NOTE Attach suppiemental teat data hey et01
City of Tigard
INSPECTION REQUEST.
for
INSPECTION TIME: ._ PERMIT NO. :
DATE: DATE ISSUED,,: i /
OWNERS NAME
ADDRESS:
CONTRACTOR
E ST ' ,' ., Nr ter ❑ , V:suai I_aboratory 1-j
RESUL-i * .,,p.-roved L4' , )!suppro�ad G , eridi iq ❑
SKETCH:
Ila
INSPECTOR DATE
NOTE : Attach suppiemental test data keret]
4
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: � PERMIT' NO. :---
DAT E .'
O. :_—_DATE : DATE ISSUED :-"
OWNERS NAME : ����dr�
ADDRESS: l_!�¢S s. v_(G�s_N►o� �{. c.t
CONTRACTOR : C1c pe.c56
TEST : Air ❑, Water{ -1-9isual {-l;Laboratory ❑
RESULT: Approved L -!6iqup0roved O fending ❑
SKETCH:
INSPECTOR DATE
50TE: Attach supplemental test data hereta�
0
i
I
Cify of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : sdi-9 PERMIT NO. : '73-7b
DATE : DATE ISSUED: 4//M
OWNERS NAME .
IA D D R E S S : __ 11.2 1(/ —`u-c;
I
CONTRACTOR : _------ ----
TEST: Air Ll , Water I) , >ual E3', !_aboratory ❑
RESULT: Approved 0 , Disapproved ❑ , Pending Il
I SKETCH:
I
INSPECTOR DATE
Ir OTE : Attach supplemental test data heretj
1
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1177
UNIFIED SEWERAGE AGENCY N0. -_ 4826
WASHINGTON COUNTY DATE 4-5-73
CITY OF Ted —
APPLICATION FOR SEWER CONNECTION PLRMIT
I '
' Columbia_Chat..ROMa�
OWNER: _-- - - -�----_._ - ---
OWNFR'S ADDRESS: _.--
j STREET
1I-Ire
ZIP
ITT
--STATE T—
BUILDING SITE: LOT-21_-_---- BLOCK ____-__. - --- ADDITION
?l TAX LOT N0. . -___-_-- TYPE OF OCCUPANCY deg'--- -
f
ADDRESS _ --__---112�� 8• Xlea�moua _C --- --
I
DWELLING UNITS FIXTURE UNITS
SURCHARGE IF APP 1-1CAB l_E ---.-5,0- :�--dexry--tie'7�--------
PERMIT FEE -- 42� NSPFCTION FEE --`' 47p-5-- TOTAL DEPOSITED ----
(NEW) (EXISTING) BUILDING SEWER SYSTEM -__ Tf�llTd-- ------.--_-. ---
The Applicant egrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEINER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
411Columbia Custom
LINE SIZE _____ INSTALLER -- - - ----
RECEIVED BY
CYC ITS AGENT)
COMMENTS:
IThis Application and permit expires in ninety (90) clays. The dmount paid will he forfeited
should expiration occur.
CITY OF` TIGARD
11120 b. W. M.Lw Str*O
TIGARO, ORIGON 9n"
APPLICATION FOR BUILDING PERMIT
New Ccnatruction (❑ Demolish ❑ Addition ❑ Remodel ❑ Move ❑
20NING R-7 UATF. ISSUED ►-5-73 BUILDjrjG U T
BUILDING FEE $ No. ., v
i DATE RECEI'✓ED�-2�i-7J _ 5b.00 No.
^
PLAN CHECK $ pg_ _ -
BY Fs VALUATION $ 13,852.60
OTHER $
TOTAL $— 4 — RECEIPT No. 2
r S
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT M 21 MAP k—291 ADD CENSUS TRACT -- W_19_ _ JOB 0
Architect or Engineer„ _ Columbia Custom__
Address 9 Mt. Jefferson Terrace. Lake�gwe:gu _ Phone
v....... Thnl:Mn
Address 1..254 s.W.-V.ewmount Lt. - ---� Phone--
Builder same
Address Phone
BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial
OCC111PANCY GROUP I No. of stories 1 _ Total Height The Area of Lot----
Type
ot—Type of Construction XXX)U=XL'WOIXK:IXX V Floor Area B_ ^ 1 93b 2---
Set Backs: Front-27l Back, 15, L.Side 5 __— R.Side_z__
Private Sewer Pipe Size 4 Sewerusa_Tigard. _ Septic Tank ❑
Water Service Pipe Size 3/411 Storm SewerE2 Ditch 0 oryweIl❑
Street and Curb Requirements _��,ice_„—_--__--__
Driveway Width la, No. of Parking Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNEU _— 11254 S.W. Viewmount Court
FIELD CHECK BY BC — — —_�_---DATE 4-4-73
PERMIT APPROVED BY
It is understood that all work will conforn with applicable codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and teat the building will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector. /,i
Signature of AV-plicant y '�
atr k
.. �`
pRnlicnwttOa Abrovpd
Milk"
- w CfAA o
Applicant shall fill iA.CO*Of l<I.IItEt AtiOD Only,
Date_. _ above this double lone. street Rever wn w
iicatlon �a hereby made W PitsmMng Pipes or TbdmM ecroedint to pleas and specifications and
Application = ti- pqcr on as given below:
_ �.ro
r 100
IA)Vation of building---Number and
Lot
Name and Address of OwMr
Name and Address of Plumber, -
��rL_
Building (Old or New)._._._-.—_G7'� - HOW in Ltortae-_---- - UccupMd� ----=
SCHEDULE OF WORK
I
NvNUMB11M>a>B�R
11FIXTURM Now move R'pl'ce rMURM Now j rio�e�'
:slater Cloads._. _-�I— - Fountains, Drinking
—
Rath Shower._._.- Fountains, Yard
Bath Tub__ i'onntaina, Soda - RE:(;E: VFED
Basins __ - __ --I`2 Not Water Tank . — v
&V � APR 91973
Sinks Bar
Sinks, Ordinary— - �"� `' �I'
Automatic Dishwasher.__ o ___ _ L_
Sinks, Dishwashing ���_ sintra � CITY OF TIGARD
.101 Drains, Refrigerator _ --
�)
lAundry Trays_ _ Drains, ice Box._
Urinals
�� __._
Drains, Floor.. --I
Drains, Area _ I. Catch-Basins, YsreL
Cateh-Basins, Garage— i--
Rain Drains -
Automatic Washer _��__, hatch-Basins, Sub SOA_.
Water Permit No.--.- ---. 111dg. Permit --
REMARKS:
IMPORTANU--Plumbing shall net be Installed in any building, (either now, altered,er repaired), except as shown 9r designated
on the corresponding building plans as tiled with, or required by, the Building Department In aecerdanxa with the
provisions of the Building Code and Ordinance 62-11 of the City of Tigard.
r the plumbing system according to this description, plans and specifications and the Plumbing Code of the
I agree to inatsll t City o - 'igard.
Plumbing Finn- -- __ "�" __ _.- --_—• - �Y -
- Supervisor