14666 14672 14678 14684 SW 106TH AVENUE IIIIIII, . II� VIII. M
1466-72-78-84-90 SW 106TH DRIVE
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Rddresslye,�- - );-k u -90 Ir. Permit No. JL5.
Permit charge ._
Owner Connection fee 1�), 13 3
Paid by
Type of building t &C,4. Date connected MIA
Service rate I rnirauLL Inspection fee a5
Contractor Paid by c�- date
Size of connection Assessment paid
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71i R �'►' � � ay► #! �
City of Tigard
INSPECTION REQUEST
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INSPECTION TIME :_ L30 PERMIT NO. ' ----
DATE: .// /
O. :DATE: _// / 7/ ?-3 DATE ISSUED'
OWNERS NAME : 2
ADDRESS : ,L'�� l�
CONTRACTOR :--
TEST'.
ONTRACTOR :TEST: A r J , Water ❑ , Wisual ❑ , La'- ,rotary L-1
RE )ULT. Approved , Disapproved :a Pending ❑
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I SKETCH: -
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I
I
INSPECTOR DATE
ILNOTE . Attach supplementol test dato heret]
1
1
C/TY of T/GARD NOT W BE REMOVED
PUBLIC NOT/CE.'
DO NOT OCCUPY
BUILDING AT
CERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED UNTIL
ALL PROVISIONS OF (JIT_OF TIGARD ORDINANCE NO. -
HAVE
O. -HAVE BEEN COMPLETED .
DATE BUILDING INSPE-CTOR
it r.
"
PLUMBING PERMIT AP-PLICATION
Jurisdiction of — ----
Fe Permit No.
No. rype of Fixturf Permit fee � �
- 7z
Waiter Gl.ose is ( Toilets a° Permit Issued 1 Approved by
Bath Tubs Building Perm
Lavato kWa h Easin I 'k, Receipt No. 629Sr�,
Shower —�
in s D�.shwasring 0 t'c�c
Sinks Itchen _
rd�n_a Location of Building
Sin s1.
n s
Sinks Slo ,
i s wd s e r ------- �' i ; '
put��ma i� V ' �-
D i s ,,s a d _._--- Name & Address 1)f Owns
Laund r Tr a ---------
Drains F1oc'r' -
rains Area
Drains e i iKerat.r _ -----
Ra .n Drains ob Name Q, Address oij'lI umber
Automatic asher
our a ns r n i
Fountains bo a
Iict Water atlk
Water Sergi ice Size — Buildin �# ^t' New r Ke _air or._.,._
Urinalsns a
71-7--
_
._
Lrinklpr .� - _
awn -
ier
Sw;.nun rir� -
rr S ;;gem — —
or ed is not
This permit becomes null and void if work traction ornwo kCisosuspended7or abandoned
commenced within 60 days, or if cons
for a period of 120 days at any time after work is commenced
� of Tigard and post a $1,000 band.
All plumbing
firms must be licensed by the City
road and examined this application and know the sam
I hereby certify that I have nd ordinances governing this
to be true and correct. All provisions of laws athe granting of a
of work will be complied with whether specified herein rcc
e to give authority to violate oancel the provisions
permit dues not presum
ar local law regulating construction nr the performance of
of any other state
construction.
Signature f pp'��cant.
■► w w w
r /0
F MY 'UNIFIED SEWERAGE AGENCY No. 475
WASHINGTON COUNTY DATE _ It .0-2h-T2
CITY OF
APPLICATION FOR SEWER CONNECTION PERMIT
OWN E R: ___.___--_ —-- StAu Adkins Bui101rir Ina
OWNER'S ADDRESS: AlvYl.
STREET
*m M9
CITU - STAVE ZIP
16- 7-18-1y�0
BUILDING SITE: LT_ -_ _ _ _._ BLOCK . _____._�__ ADDITION
TAX LOT N0. TYPE OF OCCUPANCY _____ __5_unit■
ADDRESS 14666-'L2-713-84-W_4.w. 3pliu
DWELLING UNITS S FIXTURE UNITS
SURCHARGE IF APPLICABLE.__._ ._._-2sj0 to -_Dmii_�______,-
PERMIT FEE __�"!1- _.. INSPECTION FEE 35__ . _... TOTAL DEPOSITED _._ 2'410
(NEW) (EXISTING) Ii►►1�1I1Ibir, SEWER SYSTEM ____ nom!
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
2
APPLICA T--_, 1.� �4q
SEWER PERMI
TH1,, PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE -- INSTALLER .___ � U
RECEIVED BY
ICV OR ITS AGENT)
COMMENTS
This !Application and permit expires in ninety (90) days. The amount paid will he forfeited
shouli:I expiration occur /
X% "k
CITY OF TIGARD j
7 U r 1 W M.V. We.#
TGAPi, -ANGON VM3
APPLICATION ruR fil.Ii.0:Nt_' 71.10MVI
New Construction U Demolish lJ Additic., ❑ RemAdel ❑ MowC3
=ONINGP-D _ DATE ISSUED 10.12-72 BUILDING PERMYT
DATE RECEIVED BUILDING F£P. S Mum No. ?�'.. 13•�
8Y B8 PLAN CHECK
OTHER 5 VALUATIOU S __VjA0,Q0 _.
RECEIPT No.��
TOTAL S_ 3D1.9S t �
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT 116-17-19-19-"0 MAP 1 2B11 ".DA __._ CENSUS TRACT �M-19 _ JOB 1 78-16
Architect or Engineer iSdalma_a. lardias
Address 19ha-N.W. KNnwy Phone--
Owner—_- Stan
honeOwner- -____Stan Adlclna Builders, IAG.
Phone -
Address _ -� _--Phone
BUILDING USE Single Rey. ❑ Multi Rea. a 5 uniteComm. ❑ Industrial❑
OCCUPANCY CROUP H No. of Stories 2__, Total Height, 25 --_ Area of Lot_-_
Type of Consi.ruction ZXKXYZXXXXZXLZM V Floor Area B -» l_,_V5Q__
Set Backs: Front •' _ Bac:k_•- L.Side_•• _ R.Side_ --_-
Private Sewer Pipe Size 6" Sewer U.S.A. TIVAeptic tank-❑
Water Service Pipe Size 1» Storm Sewer D Ditch Cl Drywe11 ❑
Street anti Curb Requirements btiatlrt;
Driveway Width_ ib�__— _ _- -_ _No. of Parking Spaces 10 _
sEPARATE PERMITS RF.VUIREU FOR SEWER AND PLUMBING
SPECIAL INFORMATION
HYMN
D. x —*�- .� I
TIM COITION Cr 91jM. 10t•th AM MADOUA..•.r�y•�- ii2 �
ADDRESS ASSIGNEUi __`_ �_• 1MG66-rt�79$�►-90 B.M. 106te - - -
FIELD CHECK BY_ �_---._ __ ._ _ . _ _ . _.. DATF.���yu
PERMIT APPRWLD ll get
It is understood that all work will conform with applicable code% and ordinances
of the State of Jreqon and th• City of Tigard, Oregon, anl that the building will
not be occupied until a Certificate of occupancy has been issued by th City of
Tigard Buildinq Inspector.
Sqtktarp o App r'nt
•
BUILDER VALUE FEE /
' DATE
LOCATION.. . y/_� , r UWIvr;R ,� /:. '
x
PLUME �• v ' ti r–– TYPE
PERMIT
SEWER FE'�MI 7t ,_/ I;E- NFCHA AI, PERMIT
DATE BY DATE I3Y
EXCAVATION FILL AIR CONDITIONING i
FOOTINGS FOUNDATION VENTILATION
FORMS SPRINKLER SYSTEM
SLABS MASONRY FLUES
REINFORCING STEEL FIRE DOORS EXITS
STRUCTURAL STEEL _ GARAGE FLOOR
PLUMBING R, I , DRIVEWAY
ROOF FLASHING _ SEWER
1. c1z FRAME f� STOfUM DRAIN
LATH WALLBOARD t'.ARK1NG
HEATING
—_ FENCE SCREEN
WATER HEATER FINAL