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13830 SW 114TH AVENUE-1 JJJJJJIM�� - 13830 SW 114TH AVENUE I , ' o E-1 ::3 �� Al U Q� rre,77 cry � I 04 1 ( r rZ ITI TilQ �\ M1 a c WWW C � � r` Pq �( 1 Ap H V CITY OF TIGARD 12420 S. W. Mein 4fr"t TIGARD, ORRGON "M APPL'.CATION FOR BUILDING PERMIT New Construction ❑ Der.iolish ❑ Addition a Remodel ❑ Move❑ ZONING R-7 _ DATE ISSUED 9-28-73 BUILDING PERMIT BUILDING FEE $ 5.00 *lo• DA'Z'E RECEIVED -- 'Z Aw-60- BY �— PLAN CHECK $ 2.50 _ VALUATION $ cnn OTHER $ .08 one parcont TOTAL $ 7.58 RECEIPT No. ? /C' ,!-ez 73 TWO SETS OF PLANS AND PLOT PLFNS MUST BE FURNISHED WITH APPLICATION LOT N 10 MAP N Vieueount CENSUS TRACT IJ-19 JOB N Architect or Engineer _ Address Phone Owner. FALHII�nn Address 13931711 Ste_ -lAth Phone_ _ Builder same Add:.ess _ _____.._�_ _. Phone--- BUILDING USE Single Res. a Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP No. of Stories_ _ Total height—____, Area of Lot Type of Construction I II III IV V Floor Area B _ 2—,._ Set Backs: Front Brack__ L.Side------ R.Side_ (_� Private Sewer Pipe Size Sewer________ Septic Tank LJ Water Service Pipe SizeStorm Sewer ❑ Ditch ❑ Drywell❑ Street and C•jrb Requirements^ ____.__,__ .__ Driveway Width__ No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 13830 S.WL114th Ave_.________`_ - FIELD CHECK BY _EWC ___.__-._ _�. DATE18-?:1 _ PERMIT APPROVED Bl �_C' It is understood that all work will conform w4th applicable codes and ordinances of the State of Oregon and the City of Tiq rd, and that the building will not be occupied until a Certificate of Occ s I issued by the City of Tigard Building Inspector. �j ature of—Apolicant I ' I r ity of Tigard r INSPECTION REQUEST i far i NSPECTION TIME . PERMIT NC. . DATE : ,'24-Z? JATE ISSUED OWNERS NAME : -�. -- A 0 D R E S S: CON rRA(.TOR : ---- - --- ---- — ESTH tarp , V' RESUL. ,p ruved) uppr :.gid G - `�di_�c; U SKETCH. I r 72 ANS PECTOR DATE IOTfr: Attach supplemental teat uuta ner,-tl_jl 1 W W wlwA=wxwlw-lwA=lwJpffLww� City of Tigard INSPECTION REQUEST for INSPECTION TIME ' PERMIT NC. '. --- DATE: DATE/ISSUED :_!—! OWNERS ATEI$SUED :— OWNERS NAtOE ' ADDRESS' Z-3 CON,rRAr,TOR ' iL , WaterEj , V'sual 1,1 , Laboratory 0 RESUIT: Apr,roved 13 , :');iupprovfadX !'ending p SKETCH: - Y, NSPECTOR DATE NOTE Attach supplemental test data beret 1.' ity of Tigard i NSPEG FION REQUEST for C NSPECTION TIME. _ oo PERMIT NC. . . DATE: /'`'" "j DATE iSSIJED OWNERS NAME : ADDRESS: ' (-,N r R A r.TO R --- EST : ,: , ._ wtarp , v' - ....� �. '.ub_►ct�r" '=J RESUL* <,p roved. uppro,ed G 1] S KET(-:N: I f -----____ L 1 ' INSPECTOR DATE NOTE: Aftaah euppiemental teat uuta her,t� l I i f Addreee_ iigin I_ 114th Awe. Permit No. Permit charge Owner Cglumb 'a.CU tgm Homos_,_ Connection fee 425 Paid by Type of building res Date connected 8-2-73 �_.. I Service rate 3.00 per month Inspection fee 25 Contractor same Paid by same date Size of connection _ 411 Assessment paid �II- I Citi of Tigard INSPECTION REQUEST i for 1-�� -- -- — ---- IINSPECTION TIME : �� PERMIT NO. '. .--- DATE '. L-, l DA'rE ISSUE'D'_l l-- I ` OWNERS NAME : I A D D R E S S : CONTRACTOR : —DLII��— i TEST .� r D, Water Lr] , `/is"Gl x , La'- ,ratan r.1 iRESULT : Approved � Disapproved 1 P-rding SKETCH' �uQ / Z I U10 i Yj 2,t Z2 INSPECTOR DATE I50TE : Attach supplemental teat joie heret] 1 City of Tigard INSPECTION REQUEST for IINSPECTION TIME :-2-� c' NERPIIT NO. i DATE . 2—&L� DATE ISSUED' OWNERS NAME . - --- _-- IADDRESS : - - --- - --�-g r CONTRACTOR :- --- i TESL ;J , 'dater L7 �� icy ci raforl ri RESULT, A roved- Disepproved 1 Pinding 3 SKETCH: I I I I 2 < I INSPECTOR DATE COTE : Attach supplemental test data hereto] 1 1 � � }Q c,, O O oc� U � N N � O UrU. Q O O ►�- r ti 0 ' J *.Pit • K � a z � �1M N Ell � I i 1 City of Tigard INSPECTION REQUEST for j INSPECTION TINE: __ PERMIT NO. : — DATE : �'y11lL73 DATE ISSUED :.L� OWNERS NAME ' CON-rRACTOR EST : ,V,- _l , Water[p , V:sua1X, Laboratory (] RESULT: Ap,-,roved)i(, Disapproved G , Pending p SKETCH.' INSPECTOR DATE NOTE : Attach supplemental teat data beet( ! t t t� w Il! lit* to" Loused_ Gam_ ?�__. Cr" Or TIGULRD, IJI Goes Permit No_i 3 city RAUa. ApIlleation Approved Buil-ling Departlnwt Cort of Installatlom- By___.�.c�.��7.ct1IB�'_- ,glow�das �1 Arg ��asalg 'a�!l.�row Fee for /J Applicant shall fill in coat of installation only, Date 4�- -.A; _7 3 _-__ above this double line. Street sewer Permit------ Application ermit_ ---_Application is hereby made to Plumbing Pipes or Fixtures according to plans and specifications and install description as given below- Location of building--Number and Street �/__ _�,► -___ Lol_ Block-_, Addition—.-_--_ _ _ -- -- -- Name and Address of Owner—&-1;55 Name and Address of Plumber �G�; '` -� � _�3�:c. - Building (Old or New).—="7+t-A441"- _ Helgbt in Stories .. _ Occupied aa____� SCHEDULE OF WORK L_NUMBER NUMBER FIRTTJRFS [ Now TNove R'P11ce FDITURES Now Move R' 1'a Wste- Closets ___-__�I Fountains, Drinking---- Bath Shower _ _ Fountains, Yard— Bath 'Cub - I _ Fountaias, Soda-- Basins odaBasins _� A Hot Water Tank Sinks, •)rdir►Mf d + Sinks, Bar Sinks, Dishwashing __ L Sinks, Slop Automatic Dishwasher_� /._ _ _ Drains, era or..—_ �— Laundry Trays I Drina, Ice Box----- Drains, ox__--Drains, Floor- - _�I___ -- Urinals I I Drains, Area__ ggl _—_ Catch-Basins, Yard_ Rain Drains __ —I' S�i __ Catch-Basins, Garage Automatic Washer �__� _ _I I Catch-Blains, Sub Water Permit No - Bldg. Permit No__2 '1�3___ REMARKS r IMPORTAN I -Plumbing shall not be Installed In any buliding, (either new, altered, or repaired), except as shown or designated on the corresponding building plan as filed with, or rpulred by, the Building Department in accordance wdth the provisions of the Building Code and Ordinance 61.19 of the Clty of Tigard. ! agree to e plumbing a�9!cn, according to this description, plan, and sheciflcanuns and the Plumbing Code of the install City Tigard Plumbing Firm_..-_-- �jor i I City of _i i g o rd u i INSPECTION REOU EST for INSPECTION TIME : / r DATE: DATE ISSUED' —L- 0`,VNERS NAME : —r- ADDRESS : � I CONTRACTOR '.- ---- TEST A r j, Water � , ��is� cl 7 , l_a' .ratnri 111 RESULT: Approved Disepproved 1 ,,-indin�i J SKETCH: DoT.' 73 I N SPE CTOR DATE �NI(_ Attnch uppinmentnl tr^,t i'' k'F.rot , 1 a i i I I I City of Tigard INSPECTION REQUEST for INSPECTION TIME ' — PERMIT NG. : DATE : fes DATE ISSUED :--J-1 OWNERS NAME : ADDRESS: CONTRACTOR '. .TEST : Air L,, Water 0 , V;sual M. Laboratory 0 RESULT: Approved I& , nisdpproved O , Pending p 1 I SKETCH: INSPECTOR DATE NO?F. Af1UCh ,uPti omeninl telt 17'e her Pt'd I f Ooze d;lTr UNIFIED SEWERAGE AGENCY NO, TS 5;) _ WASHINGTON COUNTY DATE juise 13, _ 73__ CITY APPLICATION FOR SEWER CONNECTION PERMIT d OWNER. Calumbin CustomHc;lre�• _ I OWNER'S ADDRESS: .---.-- -. ___Z Jefferson Terrac:n_.. STREET .-- CITU � - --STATE 711, BUILDING SITE: LOT--Lu BLOCK _. _ ADDITION yj@�,�lount TAX LOT N0. __ .._____.—.__ _..___. TYPE OF OCCUPANCY Pe:.idenre ADDRESS ..;a y -U.W. 11 E{th Ave. DWELt-ING UNITS _1_ _ _ _. ____ FIXTURE UNITS SURCHARGE IF APPLICABLE 7U to Derr,, Dell PE9MIT FLE ': -- INSPECTION FEE 2� fUTAL DEPOSITED4.510 (NEW) (EXI:,T'NG) BUILDING SEWER SYS1ENI The Applicant agryus to comply with ,ilk rules and regulations of the Unified Sewerge Ager�y APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SY', ELPl 4" CU1u1nbiB CI._,t_IID ,1.1nle LINE SIZE - ____ _ INSTALLER RECEIVED BY (A(*CIQCY OR ITS AGENT) COMMENTS- This OMMENTS This Application and permit expire~ In nilrety (90) days. The art,cnntt 1wid will Iii! lurfeited Should exl)iratiOn occur. CITY OF TIGARD 12120 S. W. M.In Street TIGARD, OREGCN 97227 APPLICATION FOR 11UILDING PERMIT New Construction 5XI I)emolish F� Addition Remodel Move ZONING H-t DATE. ISSUED 0-13-73 BUILDING PERi4IT DATE RECEIVED N1ss• 44,. BUILDING FEE $_,73 U4 uu No. BY F5 PLAN CHECK $ mm - OTHER $ VALIIATIO14 S 3u,384.uo TOTAL $_ c, RECEIPT No.`'; /N j TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 10 11AP N 2a1 3DC CENSUS TRACT Jog N Architect or rngineer C,,lwrillgCistom HulneL Addressr I Mt. Jefl'ersun Terrsee, Lake U:;wegu, ureru., _ Phone___ Owner Columbia jtom llgmte.(Jerry Eatenson) Address ;;ame Phone Builder-- Address— uilder—Address _ _ _ Phone_____ _ BUILDING USE Single Res. OF Multi Res, l_..J Comm. M Industrial O OCCUPANCY GROUP i No. of Stories R--- Total Ilei-jht Area of Lot ..._ Type of Construction p.X.c>UDaJQCCMX= V Floor Area R - - l Ile; 2 Set Backs; Front . Back 4k) L.Side a. R.Sidn _ Private Sewt.r Pipe Size 1l" -r_ Sower ..3 -T1J,jIrj Septic Tank Water Service Pipe Sizr_ 3/14'• _ Storm Sewer 1:1 L'tlCh ❑ Drywell ❑ Street and Curb Requirements_ Driveway width_ y,. __ �— —No. of Parking Spaces SEPARATF PERMITS REQUIRED FOR SEWER e.P; rI,UMHING SPECIAL INFORMATIOrl ADDRESS ASSIGNED_ �Jd ,, �L.w. 114tH fivj.. FIELD CHrCK BY PERMIT APPROVf.0 9Yr It is understood that all Mark will conform with mi,pli,.al.ic co,int; a< Ordinances of the ,taty of ore,jon and the City of Tiqard, Orequn, mvl t I;,,+ tt.er building will not be occupied until a Certificate of Occupancy hn•1 I it i:;yue,l by the City of Tiqard Puilding Inspector. S nature`rif i4ir[iC" rt