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13680 SW 115TH AVENUE 13680 SW 115TH AVEFUE ool n r � U M w I. a 0 U , v f x 'Ikr r• f 0 U p I —T IT z r24 � H 1104 I �a•wiwLMIY�yM1/Mlwws'I'..ww�ww�wrRr-..v�w.,.nrr+s�.w�.+wl•wgptr A�A�'�^MM�""'�" "•r....�n.rtvw w w«axalh►11yAiY�'^�Rstir7wn,Q�.ra:.v*rs•,. r.�nw«nw,. .•l CITY OF BUILDING PERMIT APPLICATION TIGARD DATEi'`24 75N° 0583 _— I THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR INE WORK. HEREIN INDICATED tt OR AS SHOWN AND APPROVED IN THE ACCOMPANYING 7LANS AND SPECIFICATIONS, OWNER PHONE__— I r�sncr - 5timiet 13bau 5.we 1115th OWNER ADDRESS BUILDER PHONE owner ENGINEER ALUJ."R �1 +�_^ _ ARCHITECT __,DESIGNER _ t--�_ STRUCTJRE QNEW_ REMODEL ❑ADDII--TI1ION ❑REPAIR ❑RENFW_AL _ ❑FIRE DAMAGE 0DEMOLITION ❑ RESIDENCE ❑COMM 0EDUCA1I0NAL ❑GOV'T I_JRELIGIOUS❑PATIO ❑CAR-ORT ❑UARAGE ❑STORAGE❑SLAB_❑FENCE 0130ND L_.IMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY_ I LAND USE ZQNE_R 7 _BLDG.TYPE J FIRE ZONE_ _PLAN CHECK BY r�a _ HEAT construct roof over existing dock according to approved sketches OCC.LOAD FLOOR LAD __ HEIGHT _ NO.STORIES AREA VALUE BUILDING DEPARTMENT SET BACK'6 FRONT REAR LEFT SIDE _ RIGHT SIDE _ Permit THIS PERMIT 1, ISS9150 SUBJECT TO THE REG1ILATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANE AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE ODES AND ORDINANCES. THE iSSUANfF OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR ANI' SUB CONTRACTOR.' TO HAVE CURRENT CITY BUSINESS 196 State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total __�I• _sTn By _.. APPLICANT OR AGENT Approved Receipt No ADDRESS — i PHONE --- -- -- - - DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE _ Contractor Permi!No. Rough-in Fixture Final t _ HEATING Contractor Permit No. Gas or Oil Rough-in _ Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE('r.CUPANCY Landscaping Zoning Final i 1 , i O F O c le A CUA, CITY OF TIOARD ��v OREGON Owner: ...... .. . h-rnnit No . 73-20 Building Addro,,• 1-300...5.9.W.9.. �. 5.�.h...A.V.4.•... . _ Cerl i ricate is hereby given this...2.7 0...,day Of....Sw>S SAbar..... , 19.13.. that said building may he occupied and it that it complies with all requirements of !. the Building Code for the City of Tigard, its approved by the Tigard City Council. I � , 1 , Ruildi , InvpcctJu• I V-0106 U 0• M�nr J 1 � � i 1 f City of Tigard INSPECTION REQUEST for f INSPECTION TIME. PERMIT NO. : 7 -'2'0 DATE: DATE ISSUED :--.L— OWNERS NA1AE aGvrr►�'iN �GSTa� ���CEJ A D D R E S S: CONTRACTOR I TEST : Air ,J, Woterp Visual ( Laboratory p RESULT : Approved Disapproved ❑ , Pendin SKETCH.* INSPECTOR DATE [NOTE : Attach supplemental tont data heret� iAJUMMIRMM=f CITY OF TIGARD 1;U11.DiNG DEPARTMENT INSPECTION REPORT ContractorJ £uildim,l Address ❑ Excavation/Fill ❑ Frame ❑ Footing/Forme 'aSewer Connection [� Reinforcing Steel ❑ Sewer Teat ❑ Plumbing ❑ Final Date inspector iii � i o City of Tigard INSPECTION REQUEST for IINSPECTION TIME :_ '___ PERM.T NO. : 73 -2(c j DATE : 3-L2_1 DATE I SSUED:.�7L-J I OWNERS NAME ' -- A AME A D D R E S S 4:4 D � (' P,ACT0 R i . Air O , Water E] , Visual (' , Laboratory L] RESULT. ApprovedDisapproved L] , Pending L] I SKETCH: I I I I INSPE^TOR DATE EMOTE : Attach supplemental test data heret0] 1 }4 k oil i A 1 Address 1368 ti- .i- 1 jst.h p_:,o� _ Permit W..). A-7n;j --- _ Permit charge Owner Mr. 5tim er Connection fee � 42S Paid by Columb Type of buildliL, _ 999idBrice Date connected Service rate 3. 00 per month inspection *ee � 25 Contractor _ f 2lumbia Custom Hones Paid Uy _ lime Size of counection All Aesennment Paid 4-y'' i i i I I I i I e i City of Tigard INSPECTION REQUEST for INSPECTION TIME: ACS` PERMIT NO. : - DATE; 4 Agella DATE ISSUED : ,a 7 1 OWNERS NA*4E : l�//vu�.umi�ir� s�t'I�� _�•�— ADDRESS: C 0 N 1 R A C T 0 R : —TEST '. Air ❑ , :u^_tarp , Visual Laboratory p RESULT: Approlad -13", Disapproved p Pending [j SKETCH. INSPECTOR DATE NOTE Aticch supplemental teat data beret] I City of Tigard INSPECTION REQUEST for 17 INSPE :TION TIME : Ariceprr,,.) PERMIT NO. : DATE: - -112L 7-7 DATE ISSUED: 1-1L . OWNERS NAME : -- ADDRESS : 13&6c aw //S'`� CONTRACTOR :, --- i EST: Air 0, Water Q , isualy� , Laboratory ❑ RESULT. Approved 12-�- Disapproved C , Pending O SKETCH: �2 t INSPECTOR DATE OTE : Attach supplemental teat data hereto, I I City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : I DATE: ' DATE ISSUED:_._Z OWNERS NAME : — I ADDRESS : t 3(o Fly' I CONTRACTOR :--- TEST: ONTRACTOR :__-TEST: Air ❑, Water [� , Visual 0 , Laboratory [I I RESULT: Approved L9", Disapproved ❑ pending L] I '`1 It I j el(X L' C'"`'""' / YO Sr-E CTOR DATE INOTE : Attach supplemental fest data hereto 1 j CITY OF TIGARD MECHAN1.;AL PERMIT DATE 2.12_73 PERMIT NO. r �, ,� RECEIPT NO. BY FEE r 1. Permit shall be obtained prion to commencement of installation. 2. Permit shall be obtained for all appliances which are to become a fixture to the building. 1 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New Installation l_l Replace ❑ Relocation ❑ Addition ❑ Altera.-ion CONTR. SurGet Fuel & F;ng OWNER Columbia Cus',om Homejj ADDRESS 291J4 5 a `owall WORK ADDRESS 136,1,0 5 w 115th APPLICANT TELEPHONE NO. 23.i-518b FURNACE - MANUFACTURER Uarr•ior TELEPHONE NO. HEAT Input rating (Btu Per Hour) 150,000 Vent Size b" Flue Size FUEL OIL U GAS ® ELECT ❑ OTHER TOTAL SQ. FT. Top Floor Main Floor Basement GENERAL ITEM NO. FEF I`T'EM NO. FEE For Issuance of Permit _x 3. Boilers Over 50 H New - Under 100,000 Btu 4 j Air HandlinT 10,000 CFM New - Over 100,000 Btu x r• Handling Over 10,000 CFM oor Turnace Eva ora ive Cooler Wall - Floor - Suspended 4,uO Ventan nsa . Venoms . men sem 3.0 Repair Peat Ec Cooling T.00 —Hood Boilers n er 5 H T,�OrDomestic Incinerator Boilers o 7.50 Zomm—Tnc I n e r a I or ;20.10 o ers o 1. 0 er o , s e Bo ers o 5n 1p 15.00 INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED PY DATE Sunset Fuel & rqu . ' Signature of Applicant , lWTA Issued-c.�__1`�.�— aTY OF T112AAD. Gli&Oi P*UdtNo. City HLu ' Application Approved Building Department Coat InstallaHos!__ By. ►�i. �,.�1 '4PPlt°°1taa �°*• r�1 P•�art, P 9nsttsllalllew Fee for Permit Apl)licont shall fill in cost of installation only, Dite-- . —"1 ' --- above this double line.. Street Sewer Permit___.._____.- Application is hereby made to Plumbing Pipes or Fixtures according to plans and specifications and install descripticn as given below: Location of building—Number and Street_ ZIR _—� �=!/�_1�.�`221 Lot_._ _- .- Block____-._._ Addition— Name ddition_Name and Address of Owner _'!;? Name and Address of Plumber-_J Building told or New) Height in Stories __ Occupied SCHEDULE OF WORK NUMBER —4 FIXTURES New Move 'Wpl'ce FIXTURES New Move I R'pl'ce Water Closets___. Fountains, Drinking-- fr -- Bath Shower. _ -__- __,_ Fountains, Yard Bath Tub Fountains, Soda. Basins _ —� (D Hot Water Tank_---_— J Sinks, Ordinas � LI______+.�_,.. Sinks, Bar__ _ _-_`If Sinks, Dishwashing _. ____ . Sinks, Slop /- Automatic Dishwasher __ - 1�y Drain s ` I —I� Laundry Traysr_._._ _ Drains, lee Box I I — Drains, Floor_._. _. Urinals Drains, Area__ Catch-Basins, Yard r'' . I Rain Drains_ -60V Catch-Basins, Garage_ I Automatic Washer___ I �. . j_-_�.� Catch•Bosins, Sub Soil__, Hater Permit No.--- _.. -- - -- Bldg. Permit No. REMARKS: - - e IMPORTAN r I_-Plumbing shall not be installed in any building, (elther now, alfered,or repaired), except is shown or designated on the corresponding building plans as filed with, or required by, the Building Department In accordance with the �parrtovisions of the Building Code and Ordinance 64.19 of the City of Tigard. I agree to raflrt� -j the plumbing system according to this description, plans and specifications and the I'IuMbing Code of the install City Tigard, Plumbing Firm Supervisor UNMED SEWERAGE AGENCY NO. 4.7�_ -_ WASHINGTON COUNTY r)pTE 2.8'73 CITY O F Tii _ - ---------__ ,_ APPLICATION FOR SEWER CONNECTION PERMIT OWN E R: — Columbia_IM01111[ CUStam HOUMs OWN E R'S ADD R ESS: —.4 NI.-Jeff ara-n-Tarr&Qe STREET CITY STATE - --- .97-ZIP - BUILDING SITE: LOT47 _ BLOCK ___ ADDITION , V=eVMOUnt__ _ TAX LOT NO. TYPE OF OCCUPANCY ADDRESS -- DWELLING UNITSFIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE - . 425__._—__ INSPECTION FEE TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM 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. LINE SIZE ____ !;-___.—____—___ INSTALLER . _Copper Plh&. - RECEIVED BY_ . �_ �_ ty'�/ 1' C .►'i t o cr o l s ENTI i COMMENTS: . _ _This Application and permit expires in ninety (90) days. The amount paid will he forfeited shou.d expiration occur. �:ITY OF TIGARD 11110 & W, Main Mersf TIGARD, ORIGON VW APPLICATION FOR BUILDING PERMIT New Construction LXJ Demolish Addition Remodel Move 1NING R-7 DATE ISSUED 2-7-73 BUI'OING PERMIT r BUILDING FEE $ tpL_m No. 73­20 TE RECEIVED 2-2- 3 52.00 PLAN CHECK $ VALUATION $ 20,384. _ OTHER $ ­ TOTAL $ 156.00 RECEIPT TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION W-ly 281 10� Y 47 MAP # •-- CENSUS TRF.C'I ----- JOB #- - A---- hitect or i ngineer_ Columbia C;ugtom omes -- I r a s s _—, __—�__ __Phone .er Columbia Custom BOOMS "Y -- Phone lder Columbia Custom Bo'.es Phone ,ress_ --- LDING USE Single Res. n Multi Res. L—I Concn. Industrial Ll 'UPANCY GROUP I _ No. of Stories 2 — Total Height 22 Area of Lot 83U8 e of Construction Ilpp* (jp(X]LV V Floor Area B— i _ 1_ 1 1224 Packs: Front _ 20 Back_.g___, L.Side— _ 9__ R.Side`8 — vate Sewer Pipe Size 4" Sewer U.S.A. Ti®ergleptic Tank Ll ,!r Service Pipe size__jL4" Storm Sewer © Ditch ❑ DrywelI eet and Curb Requirements Existing—^ _ ---- veway Width 18' —^`_No. of Parking Spaces____ 2 SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ESS ASSIGNED— 13680 S.W. 11 th AW• ------ D CHECK HY� � —� -- - _ _ --DATE 2 PERMIT APPROVED BY s understood that all work will conform with applicable codes and ordinances he State of Oregon and the City of Tigard, Oregon, anti that the building will be occupied until a Certificate of Occupancy h s been issued by the City of rd S"Ilding Inspector. /) Z -- nature of App scant