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13515 SW VILLAGE GLENN DRIVE 13515 SW VILLAGE GLENN DRIVE � J Y � I 1 N �.0 r� A " I N F� d a rnw ` lit Ike 411 o f � � 5-1 d E+ NP� C1.4 Gt410 1141 n0 � y �n u� u, .n I City of Tigard INSPECTION REQUEST far iNSPECTION TIME : PERMIT NO. DATE RATE ISSUED:._ I OWNERS NAME : Z3 IADDRESS �s` -- I CONTRA,CTO R - _ — ITEST: A:r 0, Water ❑ , Visual, Lar .rotary ❑ RESULT. Approved , Disapproved ❑ , Pending [j I SKETCH: I I I ; I I Y INSPECTOR DATE I ICOTE : Attach supplemental feet data hereto] i i i I I 1� Cify of Tigard v INSPECTION REOUEST I for I INSPEC rION TIME FERMI r NO. . . _ I DATE : l� .'� /�j- 'SATE ISSUED _-_i 1 OWNERS 'NAME ' Y 4 4 U D R E S SLz4-&:�2e---6e- C,) -6e-_C,)N I R A C T 0 R : TES] � r :.J, Water �] , �' �; r�i , bi rr,! „ ;1 RESULT • Approv ed;K �DkrpprovO 1_- :nd,ng J SKETCH: M PECTOR DATE COTEAttach supplemental test ,four. heret] Cl y of Tigard INSPECTION REQUEST for � E COPY �' � SPECTION TIME: 2�' `:' ERMIT NO. : DATE ' -/"7_1 DATE ISSUED : HERS NAME _ ADDRESS: )NTRACTOR : .ST : Air LI, Water[] , Visual , Laboratory p ZSULT : Apnroved ❑ Disapproved Pending ❑ (ETCH: INSPECTOR DATE TF.. Attach supplemental test data heret] Filill q 11 i City of Tigard INSPECTION REQUEST for SPECTION TIME: ���' PERMIT NO. :-- D AT O. :._DAT E : �.._/�.�L?-3 DATE ISSUED : iNERS NAME '. G � ADDRESS: )NTRACTO R : -ST : lair IJ, Water[] , Visual ❑ , Laboratory ❑ ESULT : Aporoved,O , Disapproved ❑ , Pending ❑ (ETCH: (INSPECTOR DATE TE Attacn supplemental test date beret] 1 Fig C'SIV D �`��� CITY OF TIGA.RD MINCHANICAL PERMIT CC1 18 . DATE LO-a-5- PERMIT NO. -a CEZ N0. UIIY Of 119 D. BY ,1 FEE 1. Permit shall be obtained prior to commencement of installation. 2. Permit shall be obtained for all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners end ? duct work require permits. 4. All work to be concealed must be inspected before cover up. Now Installation P4 Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ CONTR, Richard HaIIberg OWNER Richard He I I bens ADDRESS 584 4th St Lake Oswego Oregon WORK ADDRESS 13515 SM VIII age Glenn Dr APPLICANT imperial Pb I q b Htq, Inc. TELEPHONE NO. 777 3801 FURNACE - MANUFACTURER General Electric TELEPHONE NO* OOM TIM 0 HEAT Input rating (Btu Per Hour) 00,000 Vent Size 4" Flue Size 5" FUEL OIL ❑ GAS 0 ELECT ❑ OTHER TOTAL SQ. FT. Top Floor Main Floor 1300 Basement GENERAL ITEM NO. FEE ITEM NO. FEE xx For Issuance of Permit .00 Boilers Over 50 _Hp NOW - Uniler . 00 0 C Btu—�-xx '4,00 Air Handling 10,000 CFM er 100,000 Btu-- r Handl n& Over 10.000 CFM 9;_001 oor Furnace va o���e Cooler 56 oor - us er► a en an - - _ natall Ven s m *pair - Reat & ooIna 4.00 0o ere n er 4.00 Domes-tic Incineralor 5.0 o ars oComm, Incinerator G .ars 15 to 0 '0 t Other Not EsTed • o ere O 5 • INSPECTOR'S COMMENTS APPROVED BY DATE ISS?'►' Y Si ature of Applicant H+q Supv. I I Cify of Tigard x� I INSPECTION REQUEST for I INSPECTION TIME PERMIT NO. .' ___ I DATE . DATE ISSUED-_ Z I OWNERS NAME * ADDRESS : /—j. 5- I { CONTRACTOR TEST. A r Ll, Water rj , \/is,,al 0 , La' ,ratory p IRESULT. Approved EJ Disapproved 1 Fending C] SKETCH: I I I I I I I NSPECTOR DATE JLdOTE : Attach supplemental test data heret7 1 Jute`isd�le+ti�N�e� • �i aiFiktear�► , g �' fl►�r I Wit'` Its +ift (Tail bly s of owner in r n 1 .qa ae of P1.1imber u v a I a or i &A _ un n oun min A?'L 11 ° l arAlter. Rr_ ater .,a c - ag awn r @t^ w mm� -- ,, r e r permit becomes null and void it work or t n o strkaisosusp suspended abandoned ed is not This p., or if const;ruc ,i coa +ta periodof1 0 dahin 60 ys at any time after work is commenced. for a p post a �I.,Q00 band All plumbing firms must; be liceetsed by the City of Tigard and p the on b certify �r,,�tat I ttdve road and examined this appli.cati.on and know this9ty I hereby All provisions of laws and ordinances governing of E to be true and GOI'I'9li of work will be oanplied o give whether tuho spectoivio ate or cancenotl the provisions permit does not prepume to give regulati of an other state or local lawequlatinR construction or the performance o Y construction. Jeture of App cant City of Tigard INSPECTION REQUEST for INSPECTION TIME :. IOU . PERMIT NO. — — DATE. /ca' ATE ISSUED'- Ll OWNERS NAME 40 DRESS : . % 3� -- "I.F S .I J Ln ' rr.i RESULT ��ppru�e� ::isr�prove� 1 :rdr SKETCH: 11L[ 3_ INSPECTOR DATE COTE: Attach supplemental 'e;. .; u*, reret- City of Tigard INSPECTION REQUEST for NSPECTION TIME . _._—__ PEP,MI'f NG. . DATE: —13 7? DATE ISSUEDOWNERS NAME ----- A n DR E S S: ! .-- ;(',N I-RAI7r) f - - - --..- -- EST ierp , V' .:Uai '] , '-ab,�rcitory 7j R.ESUL. , ruvetl O ;Uppra-,ad ;-evidi-iq L7 S K E T C H: INSPECTOR DATE LNOTE: Attach sup piementoI tost uata tier et� ify of Tigard INSPECTION REQUEST for INSPECTION TIME . R%9.52PERMIT NG. . [SATE : J/,0/,g `21 DATE ISSUED OWNERS �vAME .' —414, �9 11, ADDRFSS: _ � ;EST ' . �+-terC� , V' . .... �. .ab-►at'7r�' �.� RESUL," SKETCH: 4 i FNSEGTOP DATE COTE: Attach suppiementai telt oats he►�toj elrara r�, ��i ?y of Tigard INSPECTION REQUEST f � NSF'EXTION TIME. �e�' a PERMIT NC. DATE: E~i )ATE ISSUED OWNERS NAME : — _ - ADDRESS: _ x,35% : EST ' . Y,, terQ , j RESUL',' : `,p roved uppl7.dd G e�rdi �c� L] S KETrW r Q I ' I INSPECTOR +— DATE [OTE: AttoCh supplementol test uatc herr.-t01 City of Tigard INSPECTION REQUEST for INSPECTION TIME :�L' PERMIT NO. '. .-- DATE '. O. : .DATE : 7 DATE ISSUED'—L1— O W N E R S NAME­ -- A AME __A D D R E S S : _/J z!S' -�_ s` ICONTRACTOR :— 4i;�t •,J -- - ------ TEST r ;.7 , Water �7 , ,�i$� clk� , La' .rctord F1 - RESULT. Approved Disapproved J Ftinding � SKETCH: I I I INSPECTOR DATE ICNOTE Attach supplemental test date hereto, 1 I 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME : �'3a PERMIT i DATE: P- DATE ISSUED'.__1_1 OWNERS NAME : - ' AME . ' I ADDRESS '. CONTRACTOR TES1 � t -.i , Water r] , %fiscal Cl , La" .rctor� r1 RESULT Approved g , Disapproved 1 , P-inding SKETCH: In' -VIP� I t vo s7` X70 J- 73 13PECTOR DATE [NOTF Attach supplemental test uar❑ here,] 1 w t I i . City of Tigard i INSPECTION RECUEST for Tr IINSPECTION TIME :4�_�1r PERMIT NO. : . — i DATE -7 ZIAN IIATE ISSUED'—/_L—_ OWNERS NAME ' ADDRESS : --�� r_.� �✓! . I CONTRACTOR :-- TEST ONTRACTOR :---TEST , r L.T , Water RESULT: Approve Disapprover♦ 1 P-nding J i SKETCH' I I I i I I � - ,3 i --'INSPECTOR DATE I ` COTE Attach supolementoI test ,tate hereto I l UNIFIED SEWERAGE AGENCY NO. 4875 WASHINGTON COUNTY DATE 7-16-73 _ CITY OF- Tigard., APPLICATION FOR SEWER CONNECTION PERMIT OWNER: - -- - Richard Ha lberg OWNER'S ADDRESS: ___.__t6010 S.W.Parker Rd. STREET -- CITY STAEF- --- ----- 21P� -- BUILDING SITE: LOT---19— BLOCK —___-- ADDITION _._ - Village SM Glenn_ TAX LOT N0. _ -- _ TYPE OF OCCUPANCY Rasid nrn ADDRESS 1j �5_W• Village Glenn Dr. --- - --_ _ DWELLING UNITS-- -- l —.__ __ -- _- FIXTURE UNITS SURCHARGE IF APPLICABLE - - _- -,_--- _-- - - ---------..- __ PERMIT FEE — Z -- - INSPECTION FEE TOTAL DEPOSITED 450 - NEW) )EXISTING) BUILDING SEWER SYSTEM -__ _ __ Tigard The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPI_.ICANTV - SEWER PERMIT THIS PERMIT AUTHORIZES CONNFCTION TO THE SEWER SYSTEM LINE SIZE ---_4" - - INSTALLER Dale's Plumbing__ _ RECEIVED BY -- _ --- ----- -�. ____--—-- AO N R ItS AgEN I COMMENTS. �c _ This Application and hermit expires in ninety (n I) days. The amount paid will be forfeited should expiration occur. CITY OF TIGARD 124" A. W. AINn It"o T MAR0, 040460M Rlt7 APPLICATION FUR BUILDING PERMIT New Construction 0 Demolish ❑ Addition 0 Remodel ❑ Move❑ ZONING _ R•7 DATE ISSUED 7-16-73 BUILIuNG PERMIT DATE RECEIVED ,,,« AsUILDING FEE $?4.j�,_ N�3 . 1S9 T- PLAN CHECK $ fly 116 X7.00 _ 1),595.0()OTHER $ VALUATION $ TOTAL $ 111.(X) RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MU.�T BE FURNISHED WITH APPLICATION LOT I Yw I., -_ MAP 1 erl 2CA CENSUS TRACT ,`-(, -- .108 1� Architect or Engineer Address_! _. Phone towner HRt:l,arj, dot-16 huGiness ae U.11. Develo went Address_ _1,.j,, ­w-J oma;,- 1-ke r..•.+ve —_,..Phone Builder_ __3tyC+___ Address Phone BUILDING USE Single Res. Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP I _ No. of Stories 2 __— Total Height 44' _ Area of Lot70CX) Type, of Construction X:Y-43ZXXX1X1XXXW V Floor Area B—_i 1_13.,.'4 2 Set Backs: FrontMHack _ L.Side 7 R.51de_- 7 Private Sewer Pipe Site_ Sewer U1a T16" Septic Tank water Service Pipe Size__ t/4_ Storm Sewer © Ditch ❑ 1)rywe11❑ Street and Curb Requirements� Driveway width 1"� _ No. of Parking Spaces Z_,_. SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED�— 13`.`- g•w. yUAM JWna Ds.._,___ ._ —-- FIELD CHECK BYE_. �. .....DATE 7-1u-73 PERMIT APPROVED SY .f 64rz It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not he occupied until a Certificate of occupancy has been in%ued by the City of Tigird Building Inspector. , _ nature o -pp an . i Addrees1J_ ;� l.' Ji.1 �r �1�pD_ Permit No. A875 Permit charge Owner _ fZ i�t�a,rcJ Ball l� (contractojpnnection fee 425 Paid by same Type of building resjdence Date connected _.,.,.., Service rate _ ��,. 00 g" muntlL_•_ Inspection fee 25 - - Contractor _�.��.1�ere Paid by Sarna date Size of connection _ Assessment paid y