11330 SW VIEWMOUNT COURT J-11-330 SW VI.hWMIOUNT COURT
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Cit of 'Tigard City �.. ,
INSPECTION REQUEST
for
I INSPECTION 71 MF' :_� �= PIERMIT NO. '
DATE: is _ DATE ISSUED*--Z_J—
OWNERS NAME : -
IADDRESS : / / 3 C7 J Gt, ^� -,•wws __
CONTRACTOR :— T—
TEST t\ r J, Water O , visual U '-CII a'• .roIto yY �l
IRESULT '. Apvroved�, Disapproved :1 , Panding
SKETCH:
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INtiCT0R DATE
1 COTE : Attach sup pler+entaI test data heret-
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City 1 i gard
INSPECTION REOUEST
for
!NSPEC'TI4N TIME ' .�,c'I��—/f-� PERMI r NO. . ..._____—
Dl�TE . ,.��:� `
' )ATF_ I SSUED'
oWNERS NAME
A0ORESS '.
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(,', )NI RACT'jR
SKETCH:
I -- /.���c. C�-c'�rt r'l�'T fry/+sF �F.Fr�,� ��•��'•�w�
1 �;c � t�'-�rs•F. rr"=�--ST C�.rlE'-wk/p- ���' i'�f'i�.
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I 1N3PE6TOR DATE
IL ,'T;. ; Attach supplementc! !vi ; o"' neretl
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City of i igard
IIV-SPECTION REOUEST
for-
a �
�NSPECr►ON
rIME : . .�?,"� PERMIT NO. . .
I D A T E . ATF I S S U i=D'_._.i___
I OWNERS NAME ' —
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►tES�lr NNpr,,�e i i
I SKETCH:
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I SPf.CTOR DATE
iTE : Attcch , PPleme of 'C'>` !Prot]
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CITY OF 'I'.ICARD MECHANICAL PERMIT
DATE_, '' PEP.M I T NO. RECEIPT NO.
BY
FEE
1. Permit shall be obtained prior to commencement cf i.nsta'. ' +r
2. Permit shall be obtainc3d 1'sr all appl i.ances wh;ch are co ,e
a fixLure to the building.
3. Relocation, replacements, ajtorations, nr changes to burners and
duct work rE-qui re permits.
4. All work to be concealed mus•+ be i.nspE-cted before cover up.
New Instal.laticn Replace Relocation ❑ AJditi�n 1__] Alteration L_a
CONTR. OWNER
ADDRESS') WORKAPPLI
• .�M
DANT l .
TELEPHONE NO. _..
FURNACE - MANUFACTURER 'I EILI,PHONE NO ,
HEAP Input rating (Btu Per flour) Vr,nt Si 7,F _ Flues Size �
FUEI, 011, �.� GAS LELECT Ll OTHER
TOTAL SO. ','-'T. Top Floor Mai I•i F1 j o r _ Basement
GENERAL, _.._._.__.__._.. .__._._. ..._,...._._.. ..,.__.....__.__.___._._...__..._..._.._.
I T04 NO. FEE ITEM .._._...._..__._.._.... NO
For Issuance of' Permi t ',()() Boilers Over 50 IIT) r
New - Under 100,000 Btu_ -_ 4M00- Air andlAnL1U 00C CE�M�'�
New - Over~ I() c.)c.)c,��i_ _ r_ _ _._ i.x jIrK Ing ei10.00771-T
r
Floor 'UrrI�aCE' r�'.Va or�� ,jVP . (:()n.Fr'
Wall
- Floor - aUS�)eri e � 4, 77 ,arl�___.
c �
Re a r -• Heat & boa 1.n F .� . -r- ()r�-
. i1Sr;mc,(i
o. ers _Uner II
MOIrP s 0 15 HP ,.�.[. i-o -Tri__c�L.•_n-_-e-..r...._.�_.`.e...__z-._________.�._...
Boilers 1 to !7 I -
�
3s.11
Boiler--s _ to 50 1 ip ___-�__ TTS s75t5: _❑^❑_.�...___- _.. �___ �
INSPECTOR 'S COMMENTS
APPROVED BY DATE ISSUED RY � DATE
_-__-____._-._
Si.gnatur F )f Applicant
/ CITY OF TICARD MECHANICAL PERMIT
DATE ! '/.�`_ PI.RM I T NO. _° '!►_lRECEIPT NO.
FY �' `~ ��. - FEE
1 . Permi, t ,halt be obtain?d prior to :ommencpment ;;f S nstal.lat:i.on.
2. Penni.t. :hall be obtairit.:-d fcr all appli.aric�s which are 'to become
a fixture to the butl.cling.
�. Rel.oc<ati.on, repl.aTement.l, a1t.c;ratiQnsy, --)r, change.; to burners and
:1uC t. work rF:,dui re permits.
4. All work to be conceal.od mist be inspected befo.rr, c^vez• Up.
New Instal Iatic:n I . 110�Repl.ace U I3•e].ocatxon A,H ! + i n A11- teral.) ^n �.
CONTR. ''' __._ .L �` ! OWNDR__.____
ADDR S�7 __ /_.. _ __._..__ _.r,�f. //'`'"'�/r'_' .�•''_r �: V!f)1tK AL)llfi.ly;i ; ._. �-"..�_:..__ .._._f
AHILKANT
TELEPHONE NO.
FUPNA(71�, MAN1)FACTU10,,It !:: .'�� __..._ ..__»__ _....._.. '1'El_(?l'fIONE' NO" .._..._._�._........_._...
IIEAT Input• T'.'ltlr]t (!ItU I:,f.,r IIn)xr') _!f' r'' V(1 It, ';I7r� w' L Flue S., ze
FUEL 01111._1 GA,13L] 64m',L,cr L' OTHER
TOTAL., 50 . F 1'. Top F1 oarn� Basernen1.
GENERA!,
I TFTI rjn, FEE ITEM No . F .1
l.'OT_XSQUt7.T1Cf° of Fermi t _ _ 3.00 Bo�I r�> ()t'r.r
New - Under 10000,7?�t)i - 14.00 Air Han�cllri.; 1f),000 CFM
New •- c
r ( c; � Btu _ , M 7 Vin, 1 n r-Tv' r
Pl
c�or I �.�rnace __ ) (( c)rattiv` _..ncl fir
hor s enc. e _�. _T�ti5- _ �c, 'an
Ins-tall ren rT �` Y _�"il
Re nir - eat s Cr�,o1
o .•.ers Under lip
of _ers y, too'' T7 I�p_ �ygr��r�nlTi._'T7IIC{ 1.t7^lf .�{-T'
01 CiX a�r— o 7'�_�3� T)�1 �.._.._. �,,)�l.l;)~ —7�-.[ 71: IVf.: l.• 'r7l c,J..f'T T_..«.._
I14SPECTOR I S COMMENT:'
APPROVED BY DATE __— -_ ISSUED Ili I)ATE
Signet i-e )f ApL)ltcant
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City of Tigard
INSPECTION REQUEST
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for
SPECTION TIME: PERMIT NO. :
DATE: / /.25'17 / DATE ISSUED :r11
INERS 'VAMC
ADDRESS: -
)NTRACTO R : -i-�'' -'A- -_ 123
.ST : Air LJ , Watery, Visual 0 , Laboratory ❑
:SULT : Approved Disapproved ❑ Pending Q
CETCN:
- 3/ 7
INSPECTOR DATE
TF Attach SUPPlemenlal test dota hereto
City of' Tigard
INSPECTIO14 REOUE ST
for-
INSPECTION TIM.. PERMIT NO. :
P DATE: /,2W� DATE ISSUED:_�L._
OWNERS NAME :
ADDRESS .
CONTRACTOR : r�
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TEST. Air O, 'eater `usualf , fiat' ,rotory [i
Disc !roved _) Pending RESULT: Approved � PP 9
SKETCH:
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I INSPECTOR DATE
ICOTE : Attach supplemental feat d ata heret]
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME ' PFRMIT NO. :
j DATE: / 2-17y DATE ISSUED' .!-L—
OWNERS NAME . ��'�^ Y•h�- —
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ADDRESS : t\ ��,_ tit er V � cfvo
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CONTRACTOR :-- � -� —
TEST. A:r J, Water ❑ , visuai 0 , La!- .rotary Cl
RESULT: Approved,, , Disapproved J , Pending p
SKETCH: 6)v_u
GCS CC¢�.dr
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3l ry
NSQECTOR DATE
COTE: Attach supp-emental test data heret-10
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City of Tigard
INSPECTION BEQUEST
for
INSPECTION TIMEPERMIT NO. :
DATE: —I)AIL-1 i— DATE ISSUED: /�-
ti
OWNERS NAME : —(
i ADDRESS --
I CONTRACTOR :�
TEST , A r J, Water ❑ , Visual ❑ , La'- ,ratory r
RESULT. Approved Disapproved 1 , Pending ❑
I SKETCH' --
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I �NSPECTOR DATE
ICNOTE : Atr(;u.h supplemental test data hereto]
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PLUMBING, PERMIT APPLICATION
Jurisdiction of
No. Type of Fixture Fee Permit No. Z3-ZF7-/-"
Permit fee
Water Closets (Toilets) Permit Issue Z2 i ' ,7
Bath Tubs Approved by
avato Wash Basiri Building Perm
TF
Shower Receipt No.
Sin s Dishw-as ling
i
Sinks, Itchen
Sink: Ordinary _ Location of Builciinng
--Sinks, ar ---
Sinks Slo -
u oma i_ci s was er --- --
f D i s, r s a �
aundr Trays _ Nal Add ess of Owr r
Drains Floor « °� lam``'`' rc*•L�i --
rains' rea -_---,`
Draina� e ri erator —
Rain Drains
Au tamatic Was er Name ,ddress of b
oun a ns r n i
Fountainsn oda
7777ater Tank
Water Service Siz
Urinals Buildin (_y�.� Newl (OWAMMO-Ad or
a c - _as.ins - Yard ___-- -ns a — ---.
Lawn 'prinkler System
j mingPool _ Me—r
lig S rinkler S stem
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 t'-ac City of Tigard and post, a $1,000 bond,
I hereby certify that I have read and examined this application and know the semi
to be true and correct. All provisions of laws and ordinances governing anis ty)
of work will be complied with whether specified herein or not, the granting of a
permit does not presume to give authority to violate ur cancel the provisions
of any other state or local law regulating construction or the performance of
construction.
, 3 0
--- is Signature o Applicant
24 Z
UNIFIED SEWERAGE AGENCY NO. _ 4920
WASHINGTON COUNTY DATE 11-13-7-4
Tigard
CITY O F�---- ----------_--- - -
APPLICATION FOR NEWER CONNECTION PERMIT
t
OWNER: Columbia Custom Homec
OWNER'S ADDRESS: 7 Mt. Jeffsr n_Le����®
I STREET ---'�LL--
�ake Oswego _
I CITY STATE --
BUILDING SITE: LOT__12 BLOCK _____ ADDITION .1l"Winaunt
! TAX LOT NO. TYPE OF OCCUPANCY ._ r� �
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ADDRESS 11330._3_j_U„__yiewmount Ct.
DWE' LING UNITS... 1FIMURE UNITS
SURCHARGE IF APPLICABLE —_-- ------ 50 _to_-_
flatry Dell
PERMIT FEE --_95Il__ INSPECTION FEE _---25_- TOTAL DEPOSITED
EW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all ules and regulations of the Unified Sewerage Agency.
APPLICANT �Lc.t�C '??it�i- _I (I C1
SEWER PERMIT'
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
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LINE SIZE __A_" _._ INSTALLER
RECEIVED BY________
QR ITS AGENT)
COMMENTS 1 _S-- 112 U 4—
This Application and permit expires in ninety (90) days. The amount paid will he forfeited
should expiration occur.
FXHISIT "A•
CITY OF TIGARU
Residential Structure OccLpany Restriction
KNOW ALL. MFN 9Y THESE PRESENTS, that occupancy of residential
structure (s) an the following described lands prior to the recording
of an occuparcy permit releasing the restriction in the Dead Records
of We:shingtan County, Oregon, is prohibited by the ordinance of
the City of Tigard, Oregon: (The City will issue a rslaasa
as soon as a finial inspection deterwines that the construr.tion
is satisfactorily completed)
DESCRIPTION OF PROPERTY:
IN/
ADDRESS OF PROPERTY: 1133P S.W. V1FWM0UN1' CT.
NAME Of OWNER t ( 01JIMB I A ('lIST(1M HOMES
ADDRESS OF OWNER: Mf . AEFI-'I;kSON Ti:RR. S.W. I AKI osw!'0'
IN WITNESS WHEREOF, the undersigned has caused this
restriction to be executed this 13 day of November 19_],,x•
OWNER;
Name
APPROVED: Title
9 y= --
I–uli-T d i n 0 f F I c Ia
City of T,'gerd
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STATE OF ORFG►lN
County o► Usehington aa. _ Q.�4tlf7LL(- A - , 19
Personally appeared before as the above named
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�,&% ,�La. and acknowledged the foregoing
instrument to be XtA, ,L_— voluntary act and dead.
Notaf y Public rot Oregon
My Commission Expires:
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupany Reetric:tion
KNOW All MEN BY ThrSE PRESENTS, that occup&nr.y of residential
structure (a) on the following described lands prior to the recording
.)f an occupancy permit releasing the restriction in the Deed Records
of Washington County, Oregon, is prohibited by the ordinance of
the City of Tigard, nregon: (The City will issue a release
we soon as a fiwal inspection determines that the construction
in satisfactorily completed)
DESCRIPTION OF PROPERTY:
ADDRESS OF PRJPERTY: 11330 S.W VIE'WMOUNT (:T.
NAME OF OWNER: COLUMBIA CUSTOM IIOM1iS
ADDRESS OF OWNER: 7 MT. JCFFI:RSON TERR. S.W. LAKE OSWEGO
IN WITNESS WHEREOF, the undersigned has caused this
restrictio to be executed this 13 day of Nuvemhcr , 19 i .
OWNER:
Name
APP - VED: Title
Byl
u n g OT€�TiT
City of Tigard
STATE OF oREGnN
County of Washington
`zz personally appeared before me the above named
/( tG and acknowledged the foregoing
instrument to be �_ .�i voluntery act and dead.
eta y Public for Oregon
My Commission Expires:
IYV 0./,I
.LF TnVMa;tN M ..,m
k—,Is
X55 ,�. 424 P
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+ StATE Or OREGON
cmmty of WashMytun i,/ H
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Rrgar 1'Mmsun Dimior of Records
and Eieclianr and E.ORcio R►caeder o?Con.
•eyasKee fa smd cowity, do hereby certify
rhat the wiihm
,n IrMr-wNo of wilting was
rKMrrd and warded in book of rK,,,&
No
of sold Gwit,
Wil"e" mry h—f and seal affl■ed.
ROGI'R TNOMSSEN, Dirrcfot MRKm Is 8 Elw1orp
e0pPl-e
OE a
CITY OF TIGARD
12420 b. W. Main Woot
11GARD, OR[FOM M2.1
APPLICATION FOR BUILDING PERMIT
New Construction u Demolish LJ Addition t_J Remodel ❑ Move ❑
ZONING_ _ DATE ISSUED „ „ ,1 BUILDING PERMIT
DATE: RECEIVED BUILDING FEE S LSI ,n NO.
'- FLAN CHECK $ 10.00 73-260
VALUATION $37,964
-- y- - — OTHER S 4.00 recording --
TOTAL $ 1.'�'F state RECEIPT No. rf,I(,_
-1 :?2— /'-/4 ?�
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT 4_12 MAP 0 2gl pC CENSUS TRACT U lg_ JOB 1
Architect or Engineer__ _C_jjyl,hia
Address__Hamtt�r____________.------- - __-----_
7 Mt. Jefferson Tnrrece Phone
Address
Builder
Address _ _ _ Phone
BUILDING USE Simile Res. L_.J Multi Res. ❑ Comm. ❑ Industrial❑
OCCUPANCY GROUP I _ No. of Stories 1t_ Total lieight-16 Area of Lot
Type of construction XYXXXXXXYYIXINX V Floor Area B_--- 1___1550 Z__808
Set Backst Front 20 Back 15 L.Side 6 _ R.Side 6
Private Sewer Pipe Size 4 Sewerura Tikard Septic 'rank ❑
water service Pipe Size_ 3/4" Storm ;ewer ❑ Ditch ❑ 1)rywe11❑
Street and Curb Requirements
Driveway width lot _ —No. of Parkinq Spaces
SEPARATE: PERMITS REQUIRED FOP SEWER AND PLUMBING
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SPECIAL INFORMATION
ADDRESS ASSIGNED 11130._S_U.
FIELD CHECK
PERMIT APPROVED BY
It in understood that all work will conform with applicable codes and o dinanees
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 ttteen issued by the City of
Tigard Building Insr^:tor. _ >�
4f e
gnattre of Applicant