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Z Istel's" 24 )( ��I,IlII1111111111111111111111111111lI1111I�IIIIIIIIII1111111111111111tlllllnl�nilc►11111111111111I1IIIIuIIIIIIIIilII11111II111IIIlI1I1111Ii11II11u1111nII11I1111i1111►IIIlulllululL1n111llilnullu1111111i1111nlILII111IIIlIIIIlII111unI1uII11Ill1ulluu�+uI1111�L�'lI1nllnll+wll111 r JUNE 3 19 92 It �IIUW-xw-xw-�IKJEWA� 13415 SW 110TH AVENUE T F-.4 J r14 1.7 4z ti 4 .2 C IIl ril 4. EA c '4 .4 .14 1•� MOURN 9 CITY OF _ >.�� N20328 BUILDING PERMIT APPLICATION TIGARD DATE ' 19 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHLLNE OWNERADDRESS / x �~ S ` � y BUILDER Phi NE ENGINEE /t►4�MI.. rr `✓ L1 N $Wj,JIER L I� ARCHITECT DESIGNER STRUCTURE bNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE [:]DEMOLITION ❑ RESIDENCE ❑COMM EJEDUCATION.- ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GAF AGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL LIJE ❑DESIGN REVIFW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY - aLAND USE ZONE %- .BLDG.TYPe FIRE ZONE__._ PLAN CHECK BY HEAT OCC,LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE BUILDING QJPPAP.TMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit x, r -- --- — - -- -- --- __-� ` THIS PERMIT IS ISSUED SUBJECT" TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULAT.3NS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE — -- --'� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State 1 1 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 1�.:1. :� � - 'N I ( -- APPLICANT OR AGENT Approved ( Receipt No. G ADDRE'SPI-IoNt DATE INSP. T77E INSPECTION REMARKS PLUMBING DATE Contractor o✓ J' yr. Q lr- .,�_ Permit No. Rou I -in _ FixtL re Final HEATING C. Contractor Permit No. a Gas or Oil Final _ SEWER _ Final _ DRIVEWAY Final Storm Drainage _- (Rain Drain) Final Sidewalk Curb&Street Final-----.---- A inal ______ Approach BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY -- Landscaping Zoning Final I i I f I Ir CITY OF BUILDING PERMIT APPLICATION TIGARD DATE 4-30- _--__, 19 75 N° 0256 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ OWNER �'rl��!' '. • , i+Tt,l"TA ADDRESS 13415 5*Lis 110th BUILDER PHONE ENGINEER BUILDER ARCHITECT DESIGNER STRUCTURE _ ❑NEW ❑REMODEL ❑AUDITION El REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCAi IONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAC—E DSI_AB ❑FENCE ❑BOND ❑MOVING ❑LONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY—__-_LAND USE ZONE_ _—BLDG.TYPE-------.FIRE ZONE_- PLAN CHECK.BY_ HEAT_ 113 A 44 patio Unc:k as peer planar -- -- OCC, LOAD FLOOR LOAD HEIGHT NO.STORIES_ AREA_ -___VALUE 300 BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit • — ��-�--- "— THIS PERMIT IS ISSUED SUBJ_CT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABI E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT GOES NOT WAIVE —'— RESTRICTIVL COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State. » LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total-- b By APPLICANT --------T.-'��_.- Approved Receipt No ADDRE", 40 — 'J DATE— INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor — -- r' JJ �r . •_—t Permit No. --- Rough-in Fixture _— Final _ HEATING — _— Contractor --- -- — i Permit No. ----- — __ Gas or Oil Rough-in Final _ SEWER ---- --_ — ---__—_A Fina l DRIVEWAY -- -------- -- -- Final Storm Drainage (Rain Drain) Final --_ Sidewalk Curb&Street Final A roach BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTicICATE OCCUPANCY Final Landscaping Zoning Final C ify of Tigard INSPECTION REQUEST for INSPECTION TIME' PERMIT NO. : — DATE : / 2 2 - DATE ISSUED :—_/ Z OWNERS NAME -- ADDRESS: /2 —= CONTRACTOR ----- _- __ TEST ' ,'%!, L-J , Water ❑ , Visual (� , Laboratory RESULT ' Approved Il , Disapproved O pend gig U SKETCH: •r sic r / .,1�i� � i INSPECTOR DATE [NOTE : Attach suWeme"01 teat data heret01 1� w It iLWJtIR WAIIIIIIIIIIX City of Tigard INSPECTION REQUEST for INSPECTION TIME: L—O : PERMIT NO. DATE: L 1/x ,73 DATE ISSUED :— / OWNERS NAME ' ADDRESS : _Zaq 5 5-4.L /LD—�5--- C n N T R A G T O R : i EST ' ,a j , WaterO , V:sual w, Laboratory ❑ RESULF '. i+p.-raved ,K , :>isapproved r Pendwq ❑ SKETCH.' i INSPECTOR DATE NOTES Attach supplemental test sato beret Print or Type—Last ame, First Name,Middle Initialew Area Code an ME Edwards Industries, Inc. Telephone No. /"I — o.am free,Apt. te, ox or o.(In care o 1\J �Dt 8925 SW Beav-Hills Hwy �Annmna Pr,%Ire. ..State onA Code --- -- 4 v' Box 25110, Portland Ore _ffo.en ree,Apt.,Suite, ox"A or R7f Ne nn ca' r1 NEW New Addrrks rmid Trlrphom,,Ymnbr,r- ADDRESS ""s' P.O. BOX 549 - 10350 S.W. 5th AVENUE BEAVERTON, OREGON 97005 PHONE 643-8511 SIGN \\ HERE COMPLETE 07;4ER BF,OE i nor �■r � � � � � tie � ei I City of Tigard INSPECTION REQUEST for --- --- Gear.,r��_ ---- INSPECTION TIME : 10C _ PERMIT NO. : DATE: 'S-ZA—LI!�3 DATE ISSUE^✓ : L. Z 1 OWNERS NAME : ��c moi_ J �r� i d-L ., r„L ADDRESS: ---_/34 /'7 er CONTRACTOR *. _ TEST : Air ❑, Water ❑ , Visual ❑ , Laboratory CJ RESULT' Approved ❑ Disapproved ❑ Pending .9KVTCN: ,z lti,irJ C,U INSPECTOR DATE NUtF Attach supplemento; test data hereto, i City of Tigard INSPECTION RE© UEST for _ Ski I INSPECTION TIME : PERMIT NO.: _21j-52 ; I DATE: - J /12JI-L DATE ISSUED: / OWNERS NAME IADDRESS '. _.. /312 vt I CONTRACTOR TEST'. Air ❑, Water.,� Visuals , Laborator,y ❑ RESULT: Approved IQ , Disapproved ❑ Pending L] I SKETCH. I I I f I I INSPECTOR DATE IOTE : Attach supplemental teat data heret-10 i I � t I C y cf Tigard INSPECTION REQUEST � for INSPECTION TIME : .„, 351 PERMIT NO. : 7.2 3 DA'rE : � DATE ISSUED : is 1v ' OWNERS NAME ADDRESS CONTRACTOR '. TEST : Air ❑, Water[] , Visual B , Laboratory ❑ RESULT: Approved (2' Disapproved ❑ Pending J SKETCH: I I I I I I J-, I INSPECTOR DATE I NOTE Attach supplemental test data beret a] 1 I Id • k h Ink CITY �r t0 ce�ent�ew.nt , 'in* t @hall be obtained py nil appltence• which are to bwcoasa a Hsr �• }arodt @hall be obtainod [ N to the builrllnq at changes to burner• and Aue! . Relocat ion. replace"nti l• "►r require perm3te before cover un. i 4. All he concealed @+vat •"'r" Alteration ❑ µepiacw Relocation ❑ Addition j�stallatron �• OWNER • --__ _ _•�;••----- -•«•_ --- - "" 1l0Rlt ADIMIESS / �!. it �.�/,//1�..��� APPLICAYr • TZLCPHOKC NO• ___ TLLBPtl0MB MO. "11ACE - pt�PAC•PURzR [ t1��- - Vent S1se Flue Sise IR►c Ir put ratinq (Btu Per Hour 1 _. __ _ PuOIL 13tti. te Baeeent ^,. Top Floor j,LMain p'loor t .rxF%tA4 IT01 No. Paz ITCH NO, PR6 AM'T la Over st 0 �O @uance-oi_?° 1.t 0 } �lx OU Ct 00�OOU s� 5• 0 ° -W �s—Over 00o c 0 Dtu ° vu 1 _a_ --. - 4 .%pKAtA.�S�_oolsr 0 > �endq nt an 0 r _ 4 y r _� SY♦ft� V nt 4th Cool��g 0__ n nkat_oar _ 0. a r a y 1 0 0. �. _ c __ Inc, i_ n�r!tor,^_....r, •0 1 H1__._ - -- 0 0 Ot r Mot Itred - @ Co D H 0 Iw CMP1w(`I S C'OWRIfTS- --------- --- - v _ -- W1Tt ISSURO BY ♦TE APPRtr/BD BY ignatur@ of Applicant '' WL! W >� a 7;71 Mj ,7 Cfff OF ' + WN Permit Pio.__ s Chr MWZ AWlimtiw► Approved $'d] no for rrr.att 3_._......,,,..R ; Applicant shaI! fill in coat of Installation only, above this double line. Street Sewer Petrmit_ _ _ ._ raps a �-..-._._..r��. •K Application is hereby made to alterr Plwnabir►g Pipes or Fi�rturee at�mrtln` to pia+ and specifications and install description as Bron►: . Location of building--Number and Street--._- -_ BloclL - ~ — -- tion and Address of owner._.. Name and Address of Plumber-_ J lBulldinB fold or No _ Helght in Stmies - --__ ���— Occupied as SCHEDULE OF WORK NUUM Nill[BP.1t rlXTURM New, 1[ow R'pl'ce F'L7C't'[IR1,S New I Move E'pl'oe - --- — - - — Water Closeta� �_ Fountains, Drinking )lath Shower — p --- —- _ Fountains, Pani._- — vv Bath Tub 1� Fountains, Soda . - — otv Basins _ _ ---_-L._ L�.� Hot Water Tank._ Sinks, ordinary- __ . .�- � Sinks, Bar Sinks, Dishwashing _. I_ Sinks, Slop Automatic Dishwasher. _ Drains, Refrigerator Laundry Trays-_ —� _ Drnina, lee Box _ I Drains, Floor__ __.I __ Urinals I Drains, Area_ - c'alch-Basins, Yard— Rain ard Rain Drains-_- _ I' __I_ ,•� ('arch-Basins, Garage Automatic Washer_= 'I I J 200 -I Catch-Basins, Sub Solhl —` r . Water Permit No_.. _ Bldg. Permit No. REMARKS -- t— ------------ �I t IMPORTANT I-- Plumbing shall not be Installed la anyWilding, (either new, altered,Or re ired), except as shown or dNtgneW on the corresponding building plans as filed with, or required by, the Build DNarhnenf In accordance with *A Provisions of the Bu(ding Code and Ordinance 67.19 of the City of Tigard. ra 'ir I the plumbin si agree to alter CI of Tigard. ystem according t.o this description, t�IAns and spec IoA9 and the Plumbing Code of the Plumbing Pirm_ �'.yr�•t-�,.�!� "� � rvisor ! WWIN ,.,... . . .orf 4: LY ' � _.� • rr ®® f WERAGE :. WASHINGTON COUNTY DATE � t• r ;4 CITY OF _ 24" APPLICATION FOR SEWER CONNECTION PERMIT OWN E R: __ _ Sdwats ItAustries, .P!!, — i OWNER'S ADDRESS: S*V* 3" _e fty•__�_�___� STORET CITY 8TATt 21► BUILDING SITE: LOT--7- -_s BLOCK ADDITION XLh k%rk TAX LOT NO. TYPE OF OCCUPANCY ADDRESS ___ __ __._13h15-- 1.b_ ltnth.,m. DWELLING UNITS -- l __.._.__..___._______.___ FIXTURE UNITS 14 SURCHARGE IF APPLICABLE50 to Dell PE MIT FEE 4?S.-. INSPECTION FEE ____._ TOTAL DEPOSITED ..___.. (NEW)) (EXISTING) BUILDING SEWER SYSTEM (he Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT IA,11-) SEINER PERMIT THIS PERMIT AJTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE -- _4 ___._- INSTALLER ____ ._ _ . Somerset Plb6.- RECEIVED BY . _ 6 NCV IT TI - --�_ COMMENTS ----. _.___-_ This Application and permit Pwpirea in ninety 190► days. The amount paid will be forfeited should expiration occur. / d A f ♦J I i I . City of Tigard i INSPECTION E TION REQUEST for IINSPECTION TIME : PERMIT NO. : I DATE: DATE ISSUED:_ Z OWNERS NAME : I ADDRESS : 3 N CONTRACTOR -- I � TEST. Air ❑, Water ❑ , Visual 17 , Laboratory ❑ RESULT: Approved EJ Disapproved L1 , Pending [] I - - I SKETCH: I I I i I I I INSPECTOR DATE I COTE : Attech supplemental test data hereto I ■ Le 1, ► � 13 Addrese �, \oto. 4\. Permit No. (-1'7 4 -� Permit charge M Owner -- Connect icon fee uv Paid by Type of building ��{� ►� Q` '' ' Date. connected Service rate _. i n^7 0 c t 1 o n fee ���.� Contractor _.1� nr _ , n Kiald byrf,ite Size Of connection �� ------------._ A98e8:,.ment R a l d L� J` 0 � t w I i I I I i BUIL-)ER 4 )uri-- VALUE 7,ere' FET ICJZ—`' DATE /o LOCATION / 15Z.'<< ' //r'<` !� U W Iv L R JOB # MAP # �S LOT Z16Y lYP PLUMBER PERMIT ;•,---,o i' FEE SEPEE > > of MECHANICAL PERMIT ; 2 >/7 � .EXCAVATION FILL AIR CONDITIONING ,� FUOL GS FOUNDATION S VENTILATION - � " FORI-Ia _ � SPRINKLER .SYSTEM SLABS _ MASONRY_FLIJES REINFORCING STEEL_ FIRE DOORS EXITS STRUCTURAL STEET, r^ GARAGE FLOOR____ PLUMBING---R- _ DRIVK�IjAY____T_____..__..__.__� ROOF FLASHINu _-..._. SEWER _ FRAME ST_ORM DRAIN LATH/WALLBOARD PARKING HIATING .__ �._.__ FENCE SCREEN ..�_._—.._ ......_...__ WATER HEATER _ _ FINAL___—r___.,. ■ ,.XO_ .. / -'�l.�ice.,�,c G-li t'k G/,�dLG.c� m>p' G�`�? •- /(�-07 4-%Z, I rr°, ,;�;�'; ;rir:c>,�ra�,�,.rr�j1ls:?:!S;';ii;lti°�;i:141, S i i E p� A CITY OF TIGARD I210 L W. AIDU ame TIGARD. 0080ft "223 APPL?C'ATION FOR BUILDING PERMI'i New Construction © Demo IIBh ❑ Addition ❑ Remodel ❑ Move❑ LONINC; 11-7 DATE ISSUED 10"`18'72 r BUILL�NCt PERMIT DATE E.ECEIVED NUILbING PEE $ 'W� No. �. "(1a 1n_l1_r� n BY --�� PLAN CHECK $ -------- 27,000OTHER $ 10,00 VALUATION $_ TOTAL $� inL_m RECEIPT No. (0gW TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT / 7 Block Z MA r' 1 &1 3D CENSUS TRACT W-19 JOB 1 Architect or Engineer _ idrrda Iaduaf,�u Y _- Address Phone Owners Boli s c. Address 8A5 S.W•-Beerrton UUsd&U 8 . ^_ Phone,l� Builder _ Bolidey Bows Inc. Address_ BUILDING USE Single Res. a Multi Res. ❑ Comm. ❑ Industrial ❑ OCCUPANCY GROUPS-- No, of Stories a j_ Total Height__a_ Area of Lot-mw- Type othType of Construction V Floor Area H-1W1_ I—IW7- 2_ Set Backss Front aO __ Back L.Side__1,5_^ R.Sida Private Sewer Pipe Size�4~____ SewerU`BJ• TlPt'dseptic Tank Water Service Pipe Size____JI4" Storm Sewer ❑j Ditch ❑ Drywall❑ Street and Curb Requirementsy Driveway Width _ 17 �No. of Parkinq Spaces_ _-2 SLPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION -- -_—...____--.____�._�__ .___-- _ - •--•-•-- ----- ------------gyp ADDRESS ASSIGNED_ 1 415 Isve 110th re. �- VI ELD CHECK PERMIT APPROVED BY_��� 7t is uneerstood that all work will conform with applicable nodes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building wil not be occupied until a ?ertl.f.icate of occupancy has been issued by the City of Tigard Building Inspector. /NO' qna ure of App ica �