9000 SW PINEBROOK STREET M-
9000 SW PINEBRCOK STREET
1 I 1
LO
STI
cn
t, ►-a r 11 �n � ,�
• �� `' it� C� � � � Liz � C] F` C�
,J
EA
,i
rA 1
Q
H 1
1
c,
{l E+ 0A r.
IA
O �L
a
r
w
tA
Crry Or '! IGAJRD. JCA � Permit lto
Vvlrmi4 issued- 2 -9� 01V H01
>E$t>tildin� Tiep�rt,m�ent I
of [netalistloe------�~---'
AFPlicetia;i Approved �/,� �t'.,,, �
AP1 "'ratios ora p�eisait, P� .�esdfauc�lewfor Permit—�-- ----
�y- ` Applicant shall fill in cost of installation only.
et SewerVale _----
�'/ aho�✓e this doitble line.
repair plumbing Pipes er Fixtures according to plane and apeciflcations and
Apolication is hereby made to alter description u given bela�r.
install 4P j
�.•t T - -
I,ocation of building-•Number, and Stree -
Bt�ck
Lot
Name and Address of Ow.rer_-------
Name and Address of plumber_------ — -_^ _
Auildinr,, (old or New) --
h
`�!..�� _-- eight in StoriesOccupied
3CHEDUL'. OF WORK
MM I NUMBER
NU
New I Move F'ol'ee Neer iroee-- RDI_`�.
FIXTitRES
- ---- i ♦,�
+ Fountains, Drinhtng_._._._
{ Waler ('losers._,- - -- -�•"� Irountains, Yard---.-
Bath
ard --4Bath Shower ___--__--._.�.�.....- sz--
f Fountains, Soda-----
I }
Bath mon _ _ - --,!—L---------- 41 l
• u+
Hot Waw. —
Basins _----- - - -
— _ Sinks, Bar_ --
Sinks, Ordinary------- Sinks, -
I __ _ Sinks, 91op._-._------
Sinks, Dishwashing - - _
Draind, Refrigerator -
Automatic Dishwasher. 46 -
Laundry Trays-----
Urinals
Drains, Flour._.-..
t;atch-Basins, Yard --
Drains, Area.— I
Catch-Basins, Garage I--
Rnitn Drains, I I I
Catch•Baa',ns. Sub Soil_
Automatic Warner
- tl
--.._.-..—.-- -p Ridg. Permit
Water permit No_..__ NN ,� -------- -- - n�--
REMARKS:
�,e shown of design
T building, 1o'thor now, altered,or repaired), except
IMNORTAN T I Ptunnbing shall not be Instannllyged M am e� Tigard.
o" the `orrssp ding boling Clodeplanand Ordliedneo th,19r re, ,rGltY y' the luilding pepnrfro►enf in accardaf►ca with
provislona of
of repair the plumning system according to this description p ns and speeifics0onj� and^tte Plumbing Code
I agree to inalter stall 1 City of Tigard.
- _ . _-- --_ - Supervisor
Plumbing Firm _ �,,,
f._ 3/ BUILDER �.. VALUE �? c�,XPER a,/ x'25 DATE._-� ,
,�i ��--, _. �-- -----
LOCATION � = a e,�a OWMR
PE ISI PE
O1. FEE7
:SMI T
SEE E I 7c uc ,E...__ - i � N_�....�--
BY
_ EXCAV; TIONvFILL AIR CONDITIONING
FOOTINGS FOUNDATION ILATION
FORMS RI� NKLER SYSTEM
SLABS MASONRY FLUES
REINFORCING STEEL DOORS EXITS
_ STRUCTURAL STEEL r GARAGE FLOOR _
,C 7-7 PLUMBING H. I DRIVEWAY
ROOF/FLASHING SEWER
FRAME — --
STORM DRAIN
LATH WALLBOARD PARKING
HEATING -— __. __.. _ . FENCk;LSCRk%EN ._____�_....w.,.__._.._ --_
WATER HEATER ,INAL
1
CITY OF TIGARD
$1..^ 9, W. Ruin n+.n
' *ooAnD, oaraa+ 97
APPLICA7ION FUR BUILDING PERMIT
New Constructioli U Demolish U Additior Remodel ❑ Move❑
vtONING_ a= R-'j DATE ISSUED_ 3-E3-72 _ BUILDING PERMIT
BUILDING FEE$ ►1.00 No. -.v)
DATE r4ECEIVED_ -/-,r2c 1A• 3�
6Y L6 PLAN CHECK VALUATION S _
OTHER S RECEIPT No.-����
TOTAL $ b1.50
TWO SETS OF PLANS AND PIAT PLANS MUST BE FURNISHED WITH APPLICATION
LOT KAP # _ CENSUS TRACT -'Cf , JOB t
Architect or Engineer ___
Address Phone�J_ __—
Owner G. Br �ti�o
Addreaa kW S.M. fluebrwk- —_ _—Phone
Builder Sebel1 Homey _
Address
BUILDING USE Single Ree. ❑y Multi Res. ❑ V COMM. C_ Induhtrial ❑
OCCUPANCY GRO.:n I __ No. of 'stories •AIX ot&I fieight_ -` Area of Lot_
�
lfix]stinIII IV V floor Area B 2
Type of Construction I II 1�
Set Hacks: From.exiuting Back I,..,iLie R.Side�_
Private Sewer Pipe Size existing_ Sewer MSeptic Tank ❑
Water Service Pipe Size Storm Sewer ❑ Pitch ❑ Drywell ❑
Street and Curb Requirements_ e,
A06 j
existing No. of Parking Spaces
Driveway Width ____�-�__� -._----.
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
S"ECIAL INFORMATION
ADDRESS ASSIGNED A Yn r;.Y kj rn hraajL__ -
FIELD CHECK BY __-----DATE 3'8-72 _
PERMIT APPROVED BY` t
It is understood that all work will conform with applicable codes and ordinanc,
of the State of Oreqon and the City of Tiqard, Oregon, and that the building •cilli
not be occupied until a Certificate of occupancy has been issued by the City of i
Tigard Bu! lding Inspector. ��_
gnature Applicant