14641-14647 SW 106TH AVENUE-1 14641--14647 SW 106TH DRIVE
� 0
i
E-4 ti T
. r0
r W W y, ~ �'WWH
to Cr) PI [� - -- - -
y pf7 V �.1
n r� T
_'
U
J `
�i V� I
J ; fl
0-4
C
to -4 ,
i
I
City of Tigard I
INSPECTION REQUEST
for I
) _ _
INSPECTION TIME. PERMIT NO. : --. --
DAT E: .3 /,–L-Z4 DATE ISSUED :___L__!
OWNERS NAME : 'y'VA---'/✓ S —.
ADDRESS: 2 y/ /loCv"'� _ I
CONTRACTOR : .-
TEST : Air
ONTRACTOR TEST : Air El, Water 0 , ViGuof L] , Laboratory []
RESULY: Approved , Disapproved D , Pendinpv
SKETCH.
XWrI
I
I
i
I
I
INSPECTOR DATE
[OTE Attach supplemental test data beret]
1
i
I
I
City of Tigard
INSPECTION REQUEST
for
o � I
INSPECTION TIME: PERMIT NO. :
DATE: 1 DATE ISSUED .' Z
OWNERS NAME :
ADDRESS: 1y(� ` /U
CONTRACTOR : .--.------------
TEST '
ONTRACTOR : .__. __TEST : Air ❑, Water ❑ , Visual [I , Laboratory p I
F'ESULT: Approved 0 Disapproved O , Pending p I
SKETCH:
I
I
I
I
I
�1—J M
INSPECTOR DATE
5NOTIR Attach supplemental test data beret]
f
I
City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME ' /0 :50 PERMIT NO. : .__. _
i DATE ' /1717 DATE ISSUED'__Z
OWNERS NAME : -37,0N � 5___ ___ _
I ADDRESS :�V4 4//_ 104
ICONTRACTOR :---------------------
I-EST'
ONTRACTOR :-TEST' .a r `I, Water C7 , Visral ❑ , La - .ratorY rl
RESULT: Approved O , Disapproved , Poinding Iff
I SKETCH:
73
I NSPECTOR DATE
IOTE: Attach supplemental test data herat-10
1
C/T Y of T/GARG► NOT W BE REMOVED
PUBL I C NOTICE."
DO NOT OCCUPY
BUILDING AT _ � �1 (-q1 47 5. __��������
CERTIFICATE OF OCCUPANCY CAN NOT RE ISSUED UNTIL
ALL PROVISIONS OF CITY OF TIGARD ORDINANCE NO. -
HAVE
O. _HAVE BEEN COMPLETED .
• / �• / �-� � -�r •.,-f ,c u alt ah�•tt-f'.
DATE B4JIL10I0 INSPECTOR
PLUMBING PERMIT APPLICATION
Jurisdiction of
r
No. Type of Fixture Fee Permit No, - I Permit fee
Water Closets Toilets `i "L' Permit Issu�i\TTL
Bath Tubs ��' Approved by ;
Lavatory Was asi.n Building Pe:in 22_j.�ej
-I— Shower W Receipt No.
n s Dishwashing
Sinks, Kitchen
Sins rdi.nat y Location of Building
ins ar_�_ - -. -
Sinks, Sic )
Oro
u umfa tiC is lw :J
is osa. _
L andry Trays Name & Address Of Cvner ����
Drains, F'lcoT -
rains Area _ _ ----
r t.r __ r. - - --.- -------
Rain Drains '
Automatic ashes .a' ' Name & Address i Plumber -_-- _
nun a i n s r n , n _ ----
Fountains oda Hot hater Tank�
Water Service maize 3�R'
Urinals Building New) (Alter Repair or
a c - asins - arcl ns a --
awn S p rin em _
wimmin Poch _G-ther ------
S grin er ay_�tem
This permit becomes null and void if work cr construction authorized 15 not
commenced within 60 days, or if construction or work is suspended or abandoned
for o period of 120 days at any time after work is c )mmencede
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond.
I hereby certify that I have r-ad and examined this application and ki.1ow the same
to be true and correct. All provisions of laws and ordinances governing this type
of work will be complied with whether specified herein cr not, the granting of a
hermit dues not presume to give authority to violate or cancel the provisions
,if any other state or loyal law regulating construction or the perfornance of
construction.
Signature of App- icant:
. fffff `^'MR.i"'�Illlfwtl
IFIED SEWERAGE AGENCY NO. 4719
r ` 11U�ASH I NCTON COUNTY DATE e. .�
CITY OF-
APPLICATION
FAPPLICATION FOR SEWER CONNECTION PERMIT
;f
OWN E R: ____ ._.__.04W144M. INAIAM. ZM* ---------__-_--
OWNER'S ADDRESS: ___._...______
STREET
__--
BUILDING SITE: LOT--3k..&-JS- BLOCK _. _-._. ADDITION !-
TAX LOT N0. __-_.._ TYPE OF OCCUPANCY
ADDRESS _ - -- --1404-4-14W &.W 10641,
DWELLING UNITS 2_________ FIXTURE UNITS
SURCHARGE IF APPLICABLE -.___-_�Q,QQ_fl4�i�► D011-
PERMIT FEE _.-_.830-00 INSPECTION FEE 33,00 TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and regulations of he Unified�Sewerage Agency.
� n1 I�
APPLICAPdT -_
SEWER PER=v`
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM,
LINE SIZE M - ._ INSTALLER .__ 1_.___- _
RECEIVED BY_
ENC III AGENtI
COMMENTS:
This Application and permit expires in ninety (90) days. The amount paid will he forfeited
should expiration occur.
.. f
f`
VALUE-", /o`' FEE i ��s DATE I-72
LOCATION i.�i�i 9' /,/ V: Sc� iC>� -E�
JOd OWh.6R �r '�
# .�i io sa .eJ
PL M E ¢ *cti f `* TYPE
SEWER P P j -o
i EE L-_
NE(11 rERMI T
D e m F
_ BL DATE
EXCAVATION FILL AIR tL2CONDITIONING
FOOTINGS FOUNDATION _ VENTILATION
FORTIS
SLABS SPRINKLER SYSTEM
REINFORCING STEEL MASONRY FLUES
FIRE DOORS EXITS
STRUCTURAL STEEL
GARAGE FLOOR--- -
(' 7 PLUMBING R. I . _ GARAG SAY --_____.__ -
ROOF FLASHING - -�-- ------ _
----- SEWER
C: 7 FRAME
LATH/WALLBOARD STQRM DRAIN _
PARKING - __....._
HSATlNG - _. --- �-�
—.--. . TER HEATER � ._ FENCE SCREEN , ..���M •_ ._...._ _. ._
---- _, FINAL ..�...._,.._.,.�� ._...._.�...._.._... .
r• ,
CITY OF TIGARD
1"X • w. Main
TioAsu. 00060a gym
APPLICATION FUR BUILDING PERMIT
New Construction FLI Desolish ❑ Addition l__J itResodel � Now 0
1
ZONING_L pousf�P-R DATE ISSUED 8.7_78 4� ILDING PERMIT
DATE RECEIVED �i.�— BUILDING FEE $ MOW ; ���
PLAN CHECK S� w�
BY O +� ALUATIO
OTHER $
lir §"%,A M
a43r RECE I.NT No. (60S i
TOTAL S IMM itcoa'1cwmsr Ia.�s •/Y );,
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT 13►-35 MAP 1 Ul UK CENSUS TRACT JOB 1
Architect or Engineer_ edela�_�l�t►adis�F _ _
Address 19%2 • ■.M. MOMMY Qt. Phone �T-7e16
Owner — Il-ltldsr, I",
Address 12750 S.M. PaGme M• ,hone 639-5309
Builder—
Address—
BUILDING
uilderAddress_BUILDING USE Single Res. ❑ v Multi Res. ❑I DUPLss Comm. CJ Industrial❑
OCCUPANCY GROUP_ No. of Stories_ _ Total Height_lr— Area of Lot
Type of Construction Jit V Floor Area B- I am _ 2 1
Set Backs: Prost—fir ��ack L.Side_-� R.Side_ ,_�—
Private Sewer Pipe Site w• Sewer �� y"$eptic Tank ❑
Water Service Pipe Site_- • -� Storm Sewer I Ditch ❑ Drywall ❑
Street and Curb Requirements Would
Driveway width � ---___. NO• of Parking Spar.Aey.__-j
SEPARATE PERMITS RP.pUIRED FOR SEWER AND PLUMBING
SPECIAL INMRMATION
ADDRESS ASSIGNED— It" i l _S.r 1066
FIELD CHECK BYjK_r. .. . _DATE__�Z�_
PERMIT APPPOVED BY
It is understood that all work will conform with applicable cedes and ordinances
of the State of Oregon and the City of Tigard, Uregon, and that the building will
not be occupied until a Certificate Qf Occupancy 4as beef► issued b the City of
Tigard Building Inspector. '
� t4,
�c
g ature o cant