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13385 SW 110TH AVENUE
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CITY OF TI "TARE)
OREGON
Owner:....
Art Pruitt bldr.
.. .s ....... ........ Permit No....
0198...........
Building Addres ...... ...... 13310th Ave................................................ t "
y
j, f Certificate is bereby given this..... 4th...day 119........... 19._.7.5. Y`
that said building may be occupied and
m
that it coplies with all reyt�ixements of
f.. - the Building Code for the City of Tigard,
as ipproved by the 'Tigard pity Council. ++'
✓....................................
' Building Inspector
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City Df
INSPECTION RECUEST
for
INSPECTION TIME : PERM!' ;y
%ATE: /U 13 ��� 4-VE SSL)Eo:---j
"WNERS 'V.VIZ CJrZ �i�1�Tr �-
i A lD D R E 3 a � �' �...i //G TN
TEST'. a ::: . hiter visual , -cDo•ato-Y
RE3dJLTr_v3d , s:p-ravad ?e
I i'tE7CN:
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I'S PE 0R SATE
Vit. : At'och S.rDp4mental !9s• d its here'1
5,U 9L I
ADDRESS /f-5 '� /rowPERMIT NO. `
PERMIT CHARGE none 1
OWNER CONNECTION FEE y r s
PAID BY
TYPE OF BUILDINGS DATE CONNECTED
SERVICE RATE !�3lmuiLtL INSPECTION FEE
OR PAID BY :tip DATE
CONTRACT
SIZE OF CONNECTION ��' _ ASSESSME14T PAID
City of Tigard
INSPECTION REQUEST
T
f o r
INSPECTION TIME: PERMIT NO. :
DATE: !S/?S DATE ISS(IED .__--/-_1L_
OWNERS NAME :
ADDRE;IS:
CONTRACTOR : _ �1 a�'� _•
TEST : Air ❑, Water Ll , Visual ❑ , Laboratory ❑
RESULT: Approv-,d Disrar��^:+ r7 , Pending ❑
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t� Tof; DA,rE
5 0T E
Kim,
City of Tigard
INS,"IECTION REQUEST
for
INZ')'PECTION TIME' ZZ;496?
DATE
OWNF '?S
ADORF-331' 41e tor-
CON' T-k ACTO R -�f
TF * Air t
A/1
RESULT: Olsa�prcv^el FJ [3
tf
G T 0 R
Iku lot') iarp,,cli
W IN
'm""r"�".' .uR'-•^�.:r^r--.^^.v-.ane,^a.-'a':"^rt----T--,r'-----.--.,w�+�.t.......w._....,.........,.�,.....r�,.,wnn<,r«.,,a.xaw„M?l�•Z°M.�+..rt"�'�°'Mr.r?7^-r.win-�....y,._..a„.-.�.
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE_;' N� u `�
THE JNDERSIGNED HEREBY APPLIES FOR A PERMIT OR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYI? G PLANS AND SPECIFICATIONS. OWNEF PHONE - —
OWNER Art Pr-u7t.t't, b1dr• ADDRESS � • xlUth BUILDER PHONE
ENGINEER
UILELER 01Jner AR4-HITECI uESIGNER
r�-__
S-+TRUCTURE KNEW _❑_REMODEL. OADDITION ❑REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
0RESIDENCE _❑COMM LIEDUCiITIONAL ❑GOV'T ❑RELIGIOUSQPATIO ❑CARPORT [-]GARAGE ❑STORAGEEISLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL_ USE ❑D'=SIGN REVIEW CUCOUNCIL APPRIIVED OSIGN__�_
- 3 r_
OCCUPAI ICY. LAND USE ZONE BLDG.TYPE_ Fi=1'ZONE__ PLAN CHECK BY_ �_
c onet,t '.JClt 1425 eq. ft. fruma duelling with fruLl basement and
ei:ectiod garage according to approved plans --
4 bodrgun
OCC, LOAD 10 _FLUOR LOAD Q 1b HEIGHT NO,STORIES AREA 3404 t`VALOE L
BUILDING DEPARTMENT SET BACKS FRONT ..a REAR 38 LEFT SIDE 19 _- RIGHT SIDE
Permit 135.00
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY ' GREED 1HAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN :OMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUP CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State �' LICENSE. SEPARATE PERMITS REOUIREn FOR SEWER, PLUMBING AND HLATING.
Total 705.
By
APPIJC.ANT OR AOEN7
Appro.--d Receipt No
ADDRESS
--
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. 00/,& e
Rou h in
Fixture
' + Final
HEATING
v e - �Srt���0 ''U T (1 r�tsSu�� — Contractor ,
� '�-1Yl✓� eQ i Zp C?. pa I, O Permit No.
_ ^ // Tttilgc` t' ��1�/��T Gas or 0;1 _
�c�c�.L.L7/��� ���!CI.vL v ���LL. f� •� LE Ro�ch-in
7o re Final _
--- II�L'V l.Vi jl-t �i.Ti1�lii S ivyytJS/'�c0 SEWER
Final _
DRIVEWAY
Final _
Storm Drainage
S4-7' - (Rain Drain) Final _
Sidewalk
s' ? ___t� °"n �-�o✓A I'�d e Curb&Street Final
IF
Lil-
A roach
BLDG.DEPT,F NA 1p'MPORARY CERTIFSC TE OCCUPANCY
CERTIFICATE OCCUPANr� Final
Lardicaping
Zoning Final
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UNIFIED SEWERAGE AGENCY NO. 5051
WASHINGTON COUNTY DATE - 3-7-75
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
Art Pruitt Bldr.,
OWNER: ---- --- ----- -_
OWNER'S ADDRESS: I.s2--
St
R T
IPCITY
BUILDING SITE: LOT.---b----- BLOCK ___ _ ADDITION —Mira--f?ark— ----
TAX LOT N0. .--------- — TYPE OF OCCUPANCY r_"#.drdns$------
ADDRESS _--
D W E L L I N G UNITS--- FIXTURE UNITS ---
SURCHARGE IF APPLICABLE ,------- 5_0.00—tQ--Dqr-y ��11---- ----- ----
PERMIT FEE25------ INSPECTION FEE - 25...---. TOTAL DEPOSITED 550 _
(NEW) (EXISTING) BUILDING SEWER SYSTEM ____fanno Creek The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT__ __---
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
n
LINE SIZE qINSTALLER
RECEIVED BY-.--.
- -
IA NCY OR ITS AGENT)
COMMENTS: . -This Application and permit exp+res in ninety (90) days. The amount paid will be forfeited
should expiration occur.
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