14677-14685 SW 106TH AVENUE e► s � e� � � a� �
14677-14685 SW 106TH DRIVE
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Address 14(0']7 a" 3j rz� 10g'. Permit No. t �-
Permit charge
Owner. Connection fee �tst)
Paid by
i ype of bui J ding �, � Date connected
Service rate !S' Sr «�_ _ Inspection fee
Contractor �,� ��`� ,..i Paid by _ '_�c�,w.� date
Size of connection {" Asnessment paid
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :.-
DATE.'
O. :._DATE: 3 1 7J?V DATE ISSUED : I I
OWNERS NAME : .Szt? - —
ADDRESS: '`'& /cwi` T"
CONTRACTOR : .---- ------- - - -- —
T`ST : Air C], Wote,[] , visual [] , Laboratory [] I
RESULT: Approved 13 , Disapproved ❑ , Pending ❑ I
SKETCH: I
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INSPECTOR DATE
LNOTE Attach supplemental test date beret I
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City of Tigard
INSPECTION REQUEST
for
1N8P 'CTION TIME: PERMIT NO. : - r
DATE: .3 1717+ DATE ISSUED : Z j
OWNERS NAME : .ST-l•' 60KI& s I
ADDRESS: U4.^7 7 `'
CONTRACTOR : _-
TEST : Air p, Watery , visual 0 , Laboratory p
RESULT: Approved p , Disapproved p , Pending p I
SKETCH.
I
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INSPECTOR DATE
[N07QAttach 9 pplementa' test data beret] I
G/TY of T/GARD NAT TO RE REMOVED
PUBSIO NOT/OE
DO NOT OCCUPY
BUILDING AT , I-il,171
CERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED UNTIL
ALL PROVISIONS OF -CITY OF TIGARD ORDINANCE NO. .-
HAVE BEEN COMPLETED .
DATE BUILDING INSPECTOR
City of Tigard
INSPECTION REQUEST
far
INSPECTION TIME: PERMIT NO. :
DA'Z'E DATE ISSUED : i
OWNERS NAME '.
ADDRESS:
CONTRACTOR '.
TEST : Air p, Woter[-j , Visual 2-', Laboratory I]
RESULT: Approved E�', Disapproved O Pending O
SKETCH
INSPECTOR DATE
LN01f Attach supplemental teat data hereto]
t
City of Tigaria
INSPECTION REQUEST
for
INSPECTION TIME' o PERMIT N0. . ____
DATE : ��gl;, DATE ISSUED :---
OWNERS
SSUED :__OWNERS NAME : �._ L���; -
ADDRESS: —
CONTRACTOR ------___-_--
TEST : Air ❑, Water 'D , Visual 0- -,----Laboratory EI
RESULT: Approved [!-i', Disapproved ❑ r-ending L]
SKETCH:
INSPECTOR DATE
LNOTE Attach supplemental test data bereto]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ��3v PERMIT N0.
DATE: —,;Z/23/94 DATE ISSUED :—//�,%
OWNERS NAME
ADDRESS:
CONTRACTOR :
----k ____� �
TEST : Air [], Woter[] , Visual p , Laboratory
_RESULT: Approved GJ Disapproved El Pending O
SKETCH:
INSPECTOR DATE
LOTE: Attach SUPPIOmOntol test data bereta�
,Uuuu UUUU . .U.71 1. 1
PLUMBING PE MIT APPLITION
Jurisdiction of —rj!aa
\3
No. Type of Fixture Fee Permit No. Z,-)L — 1�-P
Permit fee -5 ''�s
Water Closets (Toilets) Permit Issue z
Tabs Approved
Bath by
LavatDry (Wa T__B_�_s_�=n 14' Building -7,�a-/97
Shower UY Receipt No.
S i.n s 1�i_z was .:LTIg
inks, K 1 tch r-n
t4'
Sin sCrdinar
Location of Dl,�ildirig 1'5�<27 A)
, inks, Bar
Sinks, Sloe
.2- Automatic Dishwasher,
T)i sp c,sal
Laundry Trays Narti� & Address of Owner '1141�'411_ s
DraIns, Fiocj'
-TYr—ains, Area
Drains . RefT'Lgerat,jr
Rain Drains
Automatic Washer 'i 0? Name R Address Plumber
FountainsDri.nKIng <. -�"' r-, - AL"_k14 Aa�
Fountains, "oda
Hot Water Tank
Water Service Size
Urinals Building t%4poW New) ;Alter, Repai.r or
Catch-NasinsTni 1)
Lawn SUjnklpr System
Sw.LiYurji.ng Pocl
"Tr.Lnkler System __j
This permit becomes null and void if work or construction authorized is not
commenced within 60 days, or if construction or work is suspended or abandoned
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 --ad and examined this application and know the same
to be true.- and correct. All provisions of laws and ordinances governing this typ
of work will. be complied with whether specified herein or not, the granting of a
permit does not presume to give authority to violate or cancel the provisions
of any other state cr local law regulating construction or the performance of
construction.
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Signature cf App*, i �--int (�,/
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UNIFIED SEWERAGE AGENCY NO. 4752 __. _
WASHINGTON COUNTY DATE 14-24-72
CITY O F
APPLICATION FOR SEWER CONNECTION PERMIT
C'NN F R. Stan Adkins Bui.lder� Inc.
OWNER'S ADDRESS: _ ___§q14 ,_W. Barbur Blvd.
STREET
--
CITY STATE Tir
BUILDING SITE: LOT_3O.31 BLOCK ADDITION
TAX LOT NO. -___ TYPE OF OCCUPANCY Duplex _
ADDRESS 14677-85 O N- 106th
DWELLING UNITS FIXTURE UNITS
SURCHARGE IF APPLICABLE —__ 10ClL_tQ_Dli' Y 111211 _
PERMIT FEE 850 INSPECTION FEE W-.35 TOTAL DEPOSITED -.9165-
_INIE1NI (EXISTING) [1I.III F11run SEWER SYSTEM ---___—..-- —Tiprd .-- -_-- .-----_ --
l
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT'" -_t �-.�'
r
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE __ INSTALLER _ Ferrell
RECEIVED BY �� ---------__---
`�`
1` NCh.OR ITS AGENT)
COMMFNT
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BUILDER VALUE s- i' FEE DATE,/e
LOCATION t)WIvr;R
J013 ;z- P TYPE
PLUMBER 7 PE —IT—F i FEE 3
SEWER PERMIT FEE MECHANICAL PERMIT
DATE BY DATE _ BY
EXCAVATION FILL AIR CONDITIONING _
.FOOTINGS FOUNDATION VENTILATION
FORMS SPRINKLER SYSTEM
SLABS MASONRY/FLUES
REINFORCING STEEL FIRE DOORS EXITS
_ STRUCTURAL STEEL _ GARAGE FLOOR
_ PLUMBING R, I . DRIVEIJAY
ROOF FLASHING _ SEWER _
FRAME _ STORM DRAIN
LATH WALLBOARD PARKING _
HEATING FENCE SCRELN
_ WATER HEATER FINAL
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CITY OF TIGARD
'1." f. W %-M Prow
tr,ak(? C>NIFGON 17:13
APPLICATION FUR hUILUINi; i'i.NMIT
New Construction Demolish ❑ Addition ❑ Remodel ❑ Move El
ZONING P-R DATE ISSUED 1042-72 BUILDING PERMIT
DATE RECBIVft 28-'r2 BUILDING FEE S106.50 No.72"0 N97
BY in
-' PLAN CHECK S VALUATION S �' ►•�
_ OTHER S 10.00
TOTAL 5�116fa•SO RECEIPT No.
g�y 7
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION �
LOT 1 3D-31 MAP 1 281 10A CENSUS TRACT W19 ,- JOB A 72-a
Architect or Engineer
Address -196 u_u_ __--__ __-------Phone =1.7fa6
Owner _ iun AdX1nr Builder, Inc --------
Address
Builder
Address
BUILDING U8B Single Res. ❑ Multi Req. d duplex COMM- ❑ Industrial❑
OCCUPANCY GROUP I No. of Stories-- a_ ' otal height- r Area of Lot_
Type of Construction XXXXXKirrinr X)x = v Floor Area
Set backs: Front -- Back "" L.Side_"
Private Sewer Pipe Size�aM Sewer U•d•A. Tipr#eptic Tank ❑
Mater Service Pipe Size_ U44 Storm Sewer 1;j Ditch ❑ UryweII ❑
Street and Curb Requirements — &3dativd
Driveway Width ^ �_ _Nc . of Parking Spacan__,__
SLPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
MO OCCUPAdCY IQfrIL ?IN 11YDRAIIr L, i'v,ALUL) ON
_-_--TIMI-00RMM or S.W.-106th AND KliDUCA.'..-
ADDRESS ASSIGNED
FIELD r11FCK bY—_____._ -.DATr___1D-1z-T?
PEMMIT AP P(AILU By
It is understood that all work will conform with applicable codes and ordinances
of. the State of Oregon and the City of Tigard, ore(jon, And that the huild:nq will
not be occupied until a Certificate of occupancy has been issued by the City of
Tigard Building Inspector. /1
���e or A� irant