8995 SW PINEBROOK STREET ul
899L) SW KNEBROOK STREET
I •
Lal �--••--. _ _ 1�� � � i
v
J � o ! i i + ;
Li it
r4 k
� 10 I i.
•,11•��t� �riy I}��1 �f��r � ? � i�
1 '1,7 i',ll f�1� i`kt I.ay7�
,+ I. � 'h t;. It 1`. {.� v"+1 •U-:
'� �; �+ i,.I. ..r I!-� '- J •.•-��':.
rt', 'i I+"1 fad•r7
cy l l r'
' V �� �t�1 r :� ` i+-l'i •�'� ��,",..+3•.T�i't.�{. l�l� �it:' 1'1
c-:°Fro 1
R � '
H f(4A H • R
�
��I fi ! 14,,E=, � `N��.,i�. � ,• ��
V-41 I'll En.(;"l0 tr14-1
�' ra�`�vs•I l .t
(����{( 1'It ' ')I sitZ,i...'`rJ�^,,t,+�. 1�•.''i'i�(.i1
0 44 fro
bili (al 1++ ix�llfilC`C: 'f:'s;s,iL:l,." r31.t:
• i1 E 1 j i
�.,
p ! �: j� j la 1 t
o
• i 1
"1 +—,Imtll•1:,!± Cot
Qf
C
tZ
3
u7
Ot
O�
co
r
City of Tigard
1NSPEC'T10N REQUEST
for
INSPECTION TIME : _ PERMIT NO.: _____
DATE: 3 DATE ISSUED:-_--L.-
OWNERS NAME : 6 (" yam_ ��-�--- -
ADDRESS : r 9 S 5 �_•, , .,;, 2"
CONTRACTOR :---- — ---
TEST. Air 0, Water [] , visual CI , Laboratory p
RESULT: Approved'. , Disapproved Q , Pending U
SKETCH:
INSPECTOR DATE
ach supplemental tert data hereto]
City of Tigard
INSPECTION REQUEST
for
IN'PECTION 1'114E: PERMIT NO. :_
DA rc: _ 2 /7 DATE ISSUED :-/ Z
OWNERS NAME ' y� •.. ;��
ADDRES":CONTRACTOR :
TEST . Air 0, Water[] Visual [ , Laboratory [
RESULT. Approved ( ', Disapproved 0 , Pending C]
I
I
I
l
I�
I`
I SPECTOR DATE I
CNC'f E: Aft ach suppl*menta I tart data hereta� I
1
. U
PLTYB]NG PERMIT APPLICATION
Jurisdiction of
No. Type of Fixture Fee Permit No.
Pe—nit fee
Water Closets , Toil_et_s Peinit Issued _ .--7 V
Bath Tubs _ Approved by
_ Lavatory_ WashBasi.nj _ Building Permi
Shower Receipt No.
S�in�s�Di,shwashi.n�_
Sinks,'titchen _ ��a'
Sinks, Ordina�� _ Location of Building
_— S i nk s LBar----- ---- --..� _ _—�` S— ✓��i n/r moi?'.?i<�._—.--------------
S i n k s._ ,l off— __ — -_--__— _ -------------—__-
_utoma t.i.c Di s'iw�7s er ! -_------------ ------ - --
Disposal
Laundry Trays_—_— Name & Address of Owner
_Drains,_F1oor__ _—
_ Drains, Area _�—�--
Drains A_Refriaerator __-- —.----_---__-•-- ---____------
Rain Drains
Automatic Washer M Name & Address of Plumber
----Fountains, Dizn i.n --�- _J- AV/ NawES
Fountain, Soda t
Hot Water Tank Water Service SizeH
�`-- '_I ter Repair or
Urinals —• Buildir� Old_ or New �.� _
CatEFT-asins --Tara tnsta' i ------ _—._— M
Lawn_�rinkler System —
l` Swimming Pool -- _-- - -_-__ O:her
I- Sprinkler Sys_tem___—___
This permit becomes null and void if work or construction authorized is net
commenced within 60 days, or if construction or work is suspended or abanConed
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 bond
I hereby certify that I have rPaa and examined this application and kno-'V the sam
to be true and correct. All provisions of _laws and ordinances governing; this ty
of work will be complied with whether specified herein or riot, the gr�ffl---,ing of a
permit does not presume to give authority to violate or cancel the provisions
c)f aray ocher state or local. law regulating construction or the performance of
construction.
Sim gnature of Applicant
CITY OF TIGARD
iN20 S. W, M"in St,**#
T IGARD• OREGON 92227
APPLICATION FOR nUILDING PERMIT
Now Construction Demolish ❑ Addition � Remodel ❑ Move❑
' DATE ISSUED /0- BUILDING PERMIT
S aw., No.
DATE RECEIVED BUILDING FEE _._.�.._.._..._._._
BY PLAN CHECK $ I/ ••1 U -- ---
OTHER/ •=�i�i $. VALUATION 5--- �
TOTAL $ Z3_ RECEIPT No.�� -"
i TM SETS OF PLANS AND P!.OT PLANS MUST BE FURNISHED WITH APC' "'ATION
LO 1 4h, j41E1ACIK MAP 1 r71 CENSUS 'TRACT - JOB 1
Architect or
Address
owner -- �C
Add re 9a �l,la:�_1'luc C�irif DK, �___ ----Phone 4';�)' (�'�1'/t1
Builder_ ILL_Lk 1.1f_► -.�+ ---- -- - --. __,
Addr.ss �1 +S 'JL4' �L� _�_ ___Phone�'�'; -��7C`
BUILDING USE Single Res. Multi Res. ❑ Comm. ❑ industrial❑
OCCUPANCY GROUP .L _ No. of Stories _ Total Hc..,ht` _— Area of Lot,
Type of Construction I II 111 IV(V) Floor Area B--- 11jq__ 2_ _-_-
Set Backs: Front 1`, rack SD f L.Side_/C' __ R.Side L2
Private Se*, Pipe Sir.er Sewer _ Septic Tank l�
Water service Pipe Si: rm Sewer ❑ Ditch ❑ Drywell El
Street anti Curb Requirements_.
Driveway Width_ _ �No. o! Parkin- Spaces,
SEPARATE. PEPMITS REQUIRED FOR SEWER AND PLUMHING
SPECIAL INFORMATION
ADDRESS..ASSIGNEDoe
'�L[/f ____1!Z"r-_c�, ✓�_�✓� �/' fE''--� _
FIELD CHECK
PERMIT APPROVED
It is understood that all work will conform with applicab r codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the buiiding will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspe^tor. f �v `,
'i gnature of A1pp1 scent