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13000 SW 107TH COURT-1 13()00 sw 107TH COURT 0 ci ZN5 0 r24 Z15 r\l Aw c) F2 NN NN L14 Addre.-i-, S.U.—II17-tt--f&urt Permit Nn. 4858 Permit ch&rge Omer Vincent-Nelson (Cortractors) Connection fee 425 Paid by 88M9 Type of buildin,�, Date connected 6-25-73 Gervi,� -ate 3.00 pur month 25 Inspection fee M-1cm.9 n t-.,N p IgLg n Paid by __jL4M8 Date _ 61ze 11 counection 411 Assessment Paid a0 , OF O - U -�I LARD C'G� CITY O�' '1" �' OREGON 73-129 Owner:.. Unry*!!:k-:,yAl.WY.... ...... ............ ...............Permit No......................... Building Address....13000..3.41s..107th...CQMxt......... ............... ... ... .............. Certificate is hereby given this-2101....day of.........g�G!tw!!b�r 19 73 that said building may be occupied and o that it complies with all requirements of . the Building Code for the City of Tigard, as approved by the Tigard City Council. I �. ✓!�✓ 4;; ............. .... ... I liafl�} ]na{x•Ptnr City of Tigard INSPECTION REQUEST fr)r NSPECTIDN TIME :. — �JE:RMI r NO. _-- DATE ' — DATE : ')ATF ISSUED'__- -_ OWNERS NAME ' -- ADDRESS ;r► r__F RESj!?` App ti'- ' ,,�r,.,?� _l a., SKETCH:GoT.3Z �V'fvC� 'ter oT' 13 rSI F.CTOR DA IE 5 -ITE Attach tiippiementc, !r;' c• reret] City of Tigard INSPECTION REQUEST f o r. INSPECTION TIME : PERMIT NO. :-- DATE O. : _DATE : 2L17 DATE ISSUED :--- OWNERS SSUED :OWNERS NAME ' ADDRESS'. CONTRACTOR : -_---- ---- - i"EST : ,I:r i_ , 'Naterr] , V:suai !] , �_aborctory RESULT: Ap.-roved L] lisappro%ad It , oeridhig p SKETCH: P�*►s T� �. v r'a17' �r per' o��x ,�'' T�� S,e}!� ® !,1✓S 7- r/s a sTG��»T 'T o 14, 37e,ia < & U " N V Y'�17+)� O 71•v � 9� s� T ,iii°Pµ 13 � 'P I SPECTOR DATE .7 NOTE: Attach sup i I } data hereto cm �wria w Ills I 1 i ui . V of Tigard INSPECTION REQUEST t for INSPECTION TIME : &-* m?' PERMIT NO. .' . I DATE -. _LL1_73 DATE ISSUED* OWNERS NAME : 1L,V l'L')VT D ^� I � ADDRESS : 1'001) I CONTRACTOR -_ -Y— TEST' ,A r ;.7, Water wisvcl/ Ln ratorl (1 RESULT' Approved , Dkopprover 1 P4ndtng 3 I SKETCH: I I I I INSPECTOR DATE ICN0T[ Attach supplemental t e 9 t ,carr• hest] 1 ra i 6P Iz icn I� - ; o Z 0 m (r% W Z 2 o U) oma z �\ 3 -- m m C' o • a Y ` O Z a Q \ e V m rn la. Q O Cl) C:: Q rn v �UM . . I \ p City of Tigard INSPECTION REGUEST 0 for I INSPECTION TIME : r PERMIT NO-- DATE . 1-2s7z� DATE ISSUED' __L_L_ I OWNERS NAME : I ADDRESS : - ' _ee I CONTRACTOR :— TEST ONTRACTOR :—PEST .� r j, Water;3;f vis; c, La rctor; n 1 RESULT: ApproveaDlsopproveH 1 �`tinding ;� I SKETCH: I I I INSPECTOR DATE ICOTE : Attach supplemental test dafo heret] 1 1 >� e o I■r ilr Iff City of Tigard INS°FCTION REQUEST for i -------- S ---�-- ----____--_ INSPECTION TIME :�4j/V�SNEPRM1', NO. : ._______� DATE: r)k. E ISSUED _:_._ _ I OWNERS NAME : _ ADDRESS : oT__ ;�'- _ I C')NTRACT'OR :- II-EST A r �j, Water [] , `�i� cl p , La` ,rator-1 n IRESULT ' Approved Disapproved 1 Poinding 3 SKETCH: I I I ITOR DATE I COTE Attach supplemental test data heraf] City of Tigard INSPECTION REOUEST for INSPECTION TIME : 10c, PERMIT NO. '. ..__.__� I DATE : DATE ISSUED'�1.__L_ WNERS NAME . - �Au- - >- ADDRESS : i-A -1- Ste, ICONT R A C T 0 R : _ TEST � r ;J, Water 7 , Viewol D , La • .rator; rl I RESULT; Approved Disapproved 1 , Ptinding J SKETCH: I I I I IfSP, ECTOR DATE I (Nn7E Attach supplemental test Ja►c hereto] ® I Ell I I� City of Tigard INSPECTION REQUEST for I !NSPECTIoN TIME60 PERMIT NC. : . DATE : DATE ISSUED-__1_1 OWNERS NAME : VENC r �� wA i•t.� ADDRESS : CONTRACTOR :_ l"EST A r J, tauter p , �/isnal La` ,rator� n RES' 11_T; Approved Disapproved 1 Ponding SKETCH: ok" ,4lTW 8Ll,c.4_)1nJG jVe,C&),7_ r/es - geex) LIP I I 1 I i I —ITV—SPECTOR DATE COTE : Attac[, ;„pplem.,ntal test data heret] 1 f UNIFIED SEWERAGE AGENCY NO. 4858 WASHINGTON COUNTY DATE CITY OF rl'�'-"-' APPLICATION FOR SEWER CONNECTION PERMIT OWNER OWNER'S, DRESS: k STREET Greeppn ---- - ----- CITY STATE 711' BUILDING SITE: LOT_- BLOCK — ___— ADDITION _-.__Fgthfinaer TAX LOT NO. -- __..__ TYPE OF OCCUPANCY -Resiclencc ADDRESS _-_ --1,(UUQ-S-W- lUrth Ct. DWELLING UNITS . -- -1 - --- -- FIXTURE UNITS SURCHARGE IF APPLICABLE Jp ".Derry L)e13 PERMIT FEE -425 - -- INSPECTION FEE 25 _ TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM ____Ttjprd._ The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency /' ,7 l A P P L I C A N T �c 1�:11 L/ -� SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SFtvER SYSTEM. i n . �� nt Enterprises snu Cutistruction LINE SIZE __._ 4 '-_ INSTALLER RECEIVED BY___ /x < IAOEIFip/ OR IAOENt) rCOMMENTS: This Application and permit expires in ninety (90) days. The amount paid will he forfeite(l should expiration occur, CITY OF TIGARD X14.0 S W. N4in Nreat "GA.. ORf00N "217 APPLICATION FOR BUILDING PERMIT New Construction a Demolish ❑ Addition ❑ Remodel ❑ Move ❑ ZONING R-7 DATE ISSUED--b-IIA-21- BUILDIF-. PERMIT DATE RECEIVED Julio 4, 1, 3 BUILDING FEE $#4,u_ No. PLAN CHECK $ 4•1,uu BY YS OTHER $ VALUATION SPtii,)0b•00 TOTAL $ 1- 1 .W— RECEIPT No. y�•2i' S 6- LI-71— TWO 7TWO SETS OF PLANS AIvD PLAT PLANS MUST BE FURNISHED WITH APPLICATION LOT 1 31 !1Ah 1 CENSUS TRACT JOB 1 Architect or EngineerV ngentAlWkQ&-_— 1 Address Phone (nrner—.— —, Address _ _ _ __ —Phone Builder :_ ._ Address __ Phone BUILDING USE Sinqle Res. a Multi Res. ❑ Comm. ❑ Industrial OCCUPANCY GROUP_ No. of Stories_g, Total Height_.ja,6_ Area of Lots Type of Construe:tionXAZXX.IMXJMXY)= V Floor Area B,---, 1124,d -_ 2J70� Set Backs: Front 41 Back � L.Side_ 1.2' R.Side 12' _ Private Sewer Pipe Site 4.t_ Sewegusa Tigard _ Septic Tank ❑ Water Service Pipe Size-3/4" Storm Sewer © Ditch ❑ Urywe11❑ Street and Curb Requirements LxInti' Driv"way Width— lo' _ _ No. of perking Spaces—_--,L- SEPARATE: PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFOR.MAT LON ADDRESS ASS IGNEU- �._---W_. .,I�IJU .A� luDt :St__ __•--__. .__� _ .. FIELD CHECK BY _. __... .--- —___..___-Dt rd_ 0LR11IT APPROVE::: It is understood that all wur►. %ill conform with applicable codes and ordinances of the State of Oregon, and the City of Tigard, oregon, anti that the building wii ' not be occupied until s Certificate of occupancy has been issuad by the City of Tigard Building Inspector. 51gnatu'a(,I J�Cppl rcant s ■ PL�TIg 1 NG FERMI P APF i.:�A c Jur-sdicti^n of _-_--��.-------_-.___ ype if Fixture Fee Perm,:." N Permit f-,:, wa- ;r cic'sets Mi.lets __-- Permit Bath Tubs __ Approvec t•�� Lavatory Wash Basin - Building F°'- Shcwer Receipt No. Sinks, DI--hwas'.:irig Sinks Kitchen Sinks CrdinarY Locati, .. I B . . .k.4 •' n s� a r _`_ -- inks Slop Automatic Dishwasher _—. -•---... ....__.__._�.�._.._____.r____�—.... i Disvc-sal undry Trays --- Name & Add: - Dr a i n s Floor --- ---- -- ------._...--------- ~~ rainsArea ____ __.�.•---� w._._..._r______._._-- --_------- -Dr ainss Refrigeratir -------- Raln Drains Autom c Washer Name b Add: -ns , f P: -.Tbe: Fountains, r n n -.---- --- — ---- .5untainso-Tc a _ ---Hot Water Tank --------- Water Service Size _ B�.iilait: i� Nt-A lAiter qeinals �r Cat--h-Basins - ar nsta111__M___� Lawn '-)v rink er- System I Sw�mm n oo S -in er ys ,em :his permit becomes null and % if work cr � .r.st:"•:^t1 ^n auth: : l7.ed is n-'t. �omrrpnced f,ithin 60 days; o, i _ nstructicn w:.: k is amu=;per./Up. i:^ar.r:^ned f-:r a period cf 120 days at pry time after work is r rmenred. All plumbing firms must be licensed by the City ;:If T'.ga:'d c.nd pest a $1 ,D00 bond. I hereby certify that I have -nad and examined this application and knew the same to be true and correct. All pi( visions of laws and �rdlnl n,:,?s g^verning this type of work will be complied with whether specified herein cr rct9 the granting of a Permit dues not presume to g.•.,<, authority to vi. latr- -4 the Frcviglons �.f any ether state or local law regulating const'."';,-tl, r. :-r the performance of cons tructic1n.