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13730 SW 116TH PLACE NOW 13730 sw 116TH PLACE I 04 1 u wIN a; t Q ' tj 1E-4i0a `` c4 '�; ' G7 w C� � �c, � W 7►� � � � G, C) J c� a "� � r.>r � 2 �I � � a f• a i-� 1 t• cr- II Fri U Eml- � -a 04 c' t? i 1 r tlflf ■r IY �R �F �F Imo' P • i City of Tigard INSPECTION REQUEST i fo( INSPECTION TIME * t _ PERMIT NO _ i DATE : _2LJ112 .PATE ISSUED* Z OWNERS NAME : (' , - ADDRESS : �� 7 �C' aS��; i1.L" _u✓� 'E� �.� " i CONTRACTOR :-- TEST' ONTRACTOR :____TEST .a r ,j, Water �] , %lisvol 0 , Lo' ,ratan RESULT, Approved , DiscpproveO 1 Pojndinq J I SKETCH: I INSPECTOR DATE I [NOTE : Attach supplemental test Jata heret] 1 w w w w w ■ sr � Address ;a730 5,W, 13 F�ti Place Permit No. Permit charge ____„ Owner Quadrant Corp. Lontractori_ Connection fee Paid by qua rcl.rant Coif' 'type of bu:tding .. esideiAee Late connected Service rate ;.pQ uer monWi _ Inspection fee 2� Contractor w Quaarant Cor,P. Paid by same Date Size of connection 411 Assessment PAid S3`�°"/6 I I City of Tigard i INSPECTION REQUEST for I ---___ _ L .LILY✓•-k_' �ri'n I.� V}� INSPECTION TIME : PERMIT NO. : Z.) /4` DATE: /0/ 3ZM DATE ISSUED:.--l'1%2 OWNERS NAME : C L)a1RAw,JI ADDRESS : - i 3730 1 /G CONT'.RACT0R :_'_c.,-'j_ .7`,Jy„I — TEST. Air O, Water [] , Visual p , Laboratory ❑ Rt-.SULT: Approved 113 Disapproved El , Pending SKETCH: INSPECTOR DATE [NOTE_ . Attach supplemental test data heret] 711 IB >� 11'oMit imed i-7.•: - CITY OF .`I©ARD. OREGON City Hail Appllcaticn Approved Buildiar Department coat of Wstaall den_-..1.T" jos Anewrld, P"wi A ap NAAaddid" Fee for Perm1t___-.32.90._ Applicant shall fi" :n coat of installation only, Da;e1:_� above this double line. Street Sewer Permit-- X%, _--- -- Application is hereby made to " r Plumbing Pipes or Fixtures according to plane and specifications and install description as given below: Location of building-Number and Street__._____ 13730 SW 116TH Lot- ---- - 3 Block_.___ - ' T-__C� 1750 SW SKYLINE BLVD PORTLkM OREGON 07221 Name and Address of Plumber IMPERIAL PLUMBING 9 K ATINC,INC P 0 BOX 106327 PORTLAND 97206 Euilding (Old or New)_ __bEW-_ . Height in Wories ME __ Occupied as RESDIDI f SCHEDULE OF WORK NUMBER NUitt®M MTURESNew + Move I R'pl'ce FQTURES New I Move R' Poe -Z- I- —r __.__ _ Water Closet%_ _ Fountains, Drinking--— I-- Bath Shower-__..___.--. _._ Fountains, Yard—i—_ Bath Tub---.. - I 1 -- rountains, Soda I r ___ii 2 Basins ._ �___ _ _-' _ . Hot Water Tank-, Sinks, Ordinary_ ___.�__1-I _ _ Sinks, Bar Sinks Dishwashing _I-�-- `! J Sinks, Slop Automatic Dishwasher_-�_� ,._ �_ _-_ Drains, Refrigerator I Laundry Trays I I ( Drains, Ice ltox Drains, Floaor_..-. _� _ -_ Urinals I Drains, Area___ �1.-_I Catch•Basins, Yard__-____.j- Rain Drains_ I _g..� .__._ --- Catch-Basins, Garage-_ Automatic 'Iasher�__ _i _ _ Csich•Basins, Sub_Soi1�; Waster Permit No. _-_. _- _. ._ Bldg. Permit No.--_ F-?-LY1..--- ... REMARKS: IMPORFAN r I Plumbing shall not be Installed In any building, (either now, altered,or repaired), except as shown or des4nand oo the corresponding building plans as filed with, or required by, the Building Department In accordance with the provisions of the Building Code and Ordinance 64.19 of fho City of Tigard. the plumhhaR system according to this description, s and specifications anu the dumbing Code of the inata t'11% A igard � i� Plumbing Firm- IWER!AL PLUMBING t HEATINCAW. Supervisor r -IJ-7,Z. UNIFIED SEWERAGE AGENCY No. _4709 _-_- WASHINGTON COUNTY DATE CITY OF-- -- Tigard- APPLICATION FOR SEWER CONNECTION PERMIT OWNER: Quadrant oorporation OWNER'S ADDRESS: _____ 1750 S.W. Skyline, Suit! 20 297-3721 STREET K fort'and, Y _.. . ---Q��aSTATE 9741 ZIP BUILDING SITE: LOT._._ 3 BLOCK ADDITION TAX LOT NO. TYPE OF OCCUPANCY Rc 1tieIIae ADDRESS l}T39$a W• 116►�1h g}set DWELLING UNITS ].. _ _.. -__ FIXTURE UNITS SURCHARGE IF APPLICABLE _ 50.00 to Derry Drell PERMIT FEE . 425,00 INSPECTION FEE 25,00 TOTAL 'DEPOSITED 50040 (NEW) (EXISTING) BUILDING SEWER SYSTEM Tigu-d The Apl)Il r,;,nt to comply with all rules ancl regulations of the Unified Sewer,ige Agency. APPLICANT ,ft;/t :c.,_... ,,�e,,r �. ���.� `• I SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE 4" INSTALLER Lloyd Brom RECEIVED BYyy ; .J.,_i Ikc.t i� (;EOR OR ITS AOENTI COMMENTS: This ApIdicahrm m(I 1wrinit oxlrires III ninety (90) days, The anlntllit ►null will he fryl feitfnf 'rirnilrl 4'�pilatinn oi,r lit. I i FEE iii DATE 7 -7z # BUILDER L ^'.� i D�ER �r �.�:r�/ra.z.,E VALUE �s 1 LOCATION c u., ,. �� OWNER 10.8 PLUFBER9 YJA PZRMIT71- FEE ,Z SEWER PERM 7v .�S',��• +•�s : .BCH PERMIT DATE BY DATE 13Y EXCAVATION FILL AIR IONDITIONING -., FOOTINGS FOUNDATION i;• VENTILATION FORMS iSPRINKLER SYSTEM SLABS MASONRY FLUES _ REINFORCING STEEL _ _ FIRS: DOORS EXITS P STRUCTURAL STEEL GARAGE FLOOR PLUMBING R. I , �_�� DRIVEWAY_.._ ROOF FLASHING _ -- SEWER ,_ FRAME STORM DRAIN _ LATH/WALLBOARD PARKINC HEA" FENCE SCREEN - -- WATER HEATE'i ___'. �.__ FINAL_,..._...._.. _.._.�_._.. ..�. CITY OF TIGARD 11470 & W. Main !►reit TIGARD, 011111"N V= APPLICATION FOR BUILDING PERMIT New Construction Demolish Addition Rertod:el �� Move SONING A•7 DATE Issu-.1 741D-,I2 BUILDING PERMIT DATE RRCEIVED BUILDING F, E S 77•� No �, -IL-17 PLAN CHECK $ — '�- ~ BY —�� VALUATIOtJ $ W► •00 OTHER $ TOTAL $ 115.50— RECEIPT No. TWO t'ETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT M_ 3 _ MAP A 3C CENS7S TRACT W-19 JOB f Architt^_t or Engineer Jack Woodson `Associates A'°ktoOts_ _ Address Lft lVlaw,-Wash. __ _ —Phone Owner — Address—­—IPOS.W. SkjlApqjgvd.__, Phone Builrier •� ' Address ��-_� �• -_____Phone_ BUILDING USE Single Rea. Multi Res. 0 Comm. 1-1 Industr..inl� OCCUPANCY GROUP I _ No. of Stories__ Total Height ),6e__ Area of Lot 8�p Type of Construction I rd rpm o= V Floor Area B =�:.r— Set Backs: Front__ _ Back 4a _ L.Side` 5 R.Side .,,M,—' Private Sewer Pipe Site__ k"„v Sewer U.8 A. Tia"eptic Tank ❑ Water Service P!.pe Size`— 3/4" Storm Sewer E Ditch Drywell St_cct ana Curb Fequirements xxisti.xki Driveway Width 161 __ —__ No. of Parking Spaces A SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 1370 116tb nags FIELD CHEC l BY — �I -----_ - --DATE -4KL-Tg_J PERMIT APPROVED BY ­,r:�� i It is understood that all work will conform with applicable codes and ordinances of Lhe State of Oregon and the City of Tigard, Oregon, +end that the building will not be occupied until a Certificate of occupancy has �been isrored by the City of Tigard Building Inspector. . / � gnaturee of Applicant r ry i