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13750 SW 116TH PLACE t 13750 SW 116TH PLACE --- N V4 H r� Q pri rr �-' a o CO-) ��• � I r r%4 t+ cn oc", n -n �n «� f w � I cn t=1 (LES+ .o to rr 44 1-4 4-1 7. ti M r� i City of 'Tigard INSPECTION REQUEST for INSPECTION TIME'. --- PERMIT DATE :,/7; /� DATE ISSUED :--/--/-- OWNERS SSUED :__i!-- OWNERS NAME : --- ADDRESS: Z_-- __ CONTRACTOR ES'T : :;., ,Water❑ , v;sual CJ , I-aboratorY J RESULT : (%p--rovedi )d ).,;appro�ad G , Pendiog (] SKETCH.' I SPECTOD DATE NOTE . Attacn supplemental test data bereto] ii jI I City of Tigard I INSPECTION REQUEST I for I TIME: -AA-E.— PERMIT N0. : INSPECTIONI DATE: g j�- -2 DATE ISSUED OWNERS NAME : �••3J,D••; �` J I ADDRESS: — CONTRACTOR - — TEST . ,-kir D, Woter [J , Visual CJ , Laboratory ❑ RESULT . Approved I] , Disapproved ❑ , Pending [I S KF TCH: ` I I I I I I INSPECTORDATE I LNOTE: Ptlach sw3plemeniat test dato beret a] I Pw jrwtw City Qr Tigard INSPECTION REQUEST Ior INSPECTION TIME: 2 35'/t• PERMIT NO. : ' ✓-/9 L— DATE : 2 / , Z> DATE ISSUED : L7 OWNERS NAME ' ADDRESS: _ zyzez CONTRACTOR . TEST ' Air ❑, Woter❑ , Visual p,Luburatory ❑ RESULT: Approved 13 Disapproved ❑ Pending ❑ SKETCH: INSPECTOR DATE! ( NOTF Attarh eunplemental test data bereta� r CITY OF TIGARD HL.A`1'INC.; PERMIT PERMIT NO. 7 C'7-� RECTI PT NO. - _ FEEly �Z_ 1.. Permit shall be obtained prior to commencementanatallation, 2° permit shall be obtained for all appliances which are to become a fi.xturo to the building 3. Relocation, replacernent: aits�r�Z�w�Js, and dWct work require permit. 4. All work ((��t� be concealed-1 mu-st. be �..�r, ...� l before cover uk,. n sew InstallationI Yx Replace 11 Relocation ❑ Addition ❑ Alteration I-a :ONTR. QUADRANT COPR _ OWNER 1I7DRESS 1750 SW SKYLINE BLVD ____� __. WORK ADURESS 13750 SW_ 116TH JOB H 4 APPLICANT IMPERIAL PLU IB1►Jr 6 HEAT!NG.INC POR fLNADI OREGON _ v - - -- _ TELEPHO,IE NO. 777 3801 ?URNACE - MANjJFACTIJRER GENERJkL ELECTRIC...-.._...-.----e 'TELEPHONE NO . ---- -- --. EAT Ir put rating (Btu Per Hoar ) 10,2mVent Size 4'_� Flue Size 4" _ FURL OIL ❑ GAS "x ELECT ❑ oTHE'R TOTAL SQ. FT. Top Floor - Main Floor T.� 1i55 Baseme..t - GENERAL ITEM NO, FEE AM'T STEM NO. PEE AM'T Por Xesuai�ce of PermitI Boilers over SO Hp 5.0 - ,_-• vs �- Under 100 000 BtAir Handling 10M000 CFM _ 300 - 70 Over Over 100,000 BtuAir HandlingOver 10.000 CFM ___ 3 A uoruace Evaporative Cooler - - 2A0 sell - Ploor_ .- Sus endVent Fan_ _ — 3 0 - Install Vents __ Vent S stem - R air - Heat & Cooling Hood - 3°( --- � _ r Under 3 H4.0 Domestic Incinerator _ 5.00 - r __ Comm Incinerator _ 0,0 p�oil�ere 3 o 15 Hp _ —�" other Not Listed Y 300 �.�lrs 15to 3J Ham..__ _ -- Boiless 30 to 50 Hp INSPEC'I'OR' S COMMENTS �......__._-�T _ DAf� ISSUED BY DV,'E APPROV 1.0 BY fTE -1-�---� 1M :R1� P NG �E7kTING, INC. AY Signs e o Appl cant W qff 11 ff_Xq_WL Cr" OFTIGARD, OREGON rrait 10"Wd 11 .A0 2 Permit No- City Hall ,Al plieatwl Appiro%ed Building Department Cost of Fee for Pcrtn�t____ Applicant Au fill in cost 4' 1 rtA.111:1t",)11 only, Ott:et qcwer Permit_____ We_ above double line. Plumbing Pipe., or Fixtures according to plans and specifications and Application Is hereby made to atr install description as givou below: 13750 Location of building—Number and Street SW 116TH T I AARD Lot- . 4_ - Block---- Addition—_--HOLLYTREE Name and Address of Owner THE._QU -CORE- Name and Address of Plumber-lMR.LAL-PLMBIWz-l-tLATI.NGJLNC,-P .0 00 A_06ULMRT1AN0_.DREaML979Afi Buildi 4g (Old oiN New) Height in Stories Qom.___ occupied as-- RESIDENCE SCHEDULE OF WORK NUMBER i NUMBER FIXTURES I New I Move i I R'pllce FLXTURES New Mov 1 t'pl'ce A 2 AIER SERVICE—— 'I Water Closets__._1_- --- Fountains, Drinking- Both Shower___L Fountains, Yard--- .__j Fountains, With Tub ___!1 Not Water Tank III Sinks, 1,-dinary___._ __._ jSink,, Bar shin Sinks, Stop MUM&S. 9 Automatic Dishwasher. I it i not, Refrigerator i.-_.__., Laundry Trays- DrAs, Ice Box _1 Drains, Floor- Urinals Drains, AreaCatch-Basins, Yard Rain Drains Ca I rit-Ila sins, Garage Automatic Washer.___ Cateh,Vas1_ns,._,Siib Soil Water Perr"it No_ I1IdX Permit IMPOIkTAN f I—Plumbing *hall not be installed In any building, (olth*r now, offered,or repaired), except as shown or desIrMW on the corresponding building plans as filed with, or requirtel by, the BuIldirig Department In accordance with the provisions of the Building Code and Ordinance 62-19 of 'he City of Tigard. *am I the plumbing systein according to this de.4cription, plans and specifications and tbLLPlumbing Code of the I agree to I 01� of Tigard. install Plumbing Firm IMPERIAL PLUMBING 9 HEATING, INC. supery sor 47T UNIFIED SEWERAGE AGENCY N0. ___4722 WASHINGTON COUNTY DATE 8-25-72 CITY OF- - 11FArd - -- APPLICATION FOR SEWER CONNECTION PERMIT OWNER: ut►drent Co .___.. - _- - - - OWNER'S ADDRESS: ___-. _ _ Portland97 - CITY BUILDING.) SI-E LOO 4 BLOCK 1 ADDITION Hollytree - - -- TAY. LOT NO TYPE OF OCCUPANCY Residence ADDRESS 13750 S.w. 116th Place DWELLING UNITS 1 FIXTURE UNITS 14 _. SURCI,ARG': IF APPLICABLE ____-. ..- 50.00 4 Derry Dell in 11eu of _ r PERMIT FEE 425.00 -. INSPECTION FEE .25.00- TOTAL DEPOSITED 500.00 (NEW1 (EXISTING) BUILDING SEWER SYSTEM Thi Applicant j+gt�,es to comply with all rules and t h'if ,(je Agency. APPLICANT SENJER PERMIT THIS PFRM11 AU1 m-)R17LS CONNECTION TO THE SEWER SYSTEM. LINE SIZE 41' INSTALLER Lloyd Brm RECEIVED G3 T IAINCY OR ITS AGIENTI COMMENTS: This Aimlication and ttt-rmtt expires in ninety 190) days. The afivmt,t owl vrill he fotfeit'x) shoqdd exuiration occur w J t'7V•%;BUILDER Ctu..d►d_44-r VALUE 0p01,,a FEE 69a? DA.TE2 . -)Z LOCATION OWNER Job 'TYPE PL M PEI EE 7 SEWER PERMIT F�;E f • �� t' +� YECHAP C L PERMIT DATE BY DATE _ 13Y EXCAVATION :TILL AIR CONDITIONING FOOTINGS FOUNDATION D-S VENTILATION �3 FORI-13 WE- SPRINKLER SYSTEM SLABS MASONRY FLUES _ REINFORCING STEEL IFIRE DOORS EXITS _ STRUCTURAL STEEL GARAGE FLOOR�� _ . PLUMBING R. I . DRIVEWAY_____���__.�...._ ROOF FLASHING SEWER_._.___._____ ___-.__._e FRAME STORM DRAIN LATH/WALLBOARD PARKING HEATING _.N _ IFElicALqCREEN ... . _. ....._...__. _ t ..1 WATER HEATER FINAL ' CITY SO- F TIGARD 140Lw. Mo.Nw TIGARD,OREGON f'/W APPLICATION FOR BUILDING PERMIT New Construction LJ Demolish ❑ Addition ❑ Remodel ❑ Move Cl LINING 1-7 DATE ISSUED 84W-72 BUILDING PERMIT ATE RECEIVED 8-17-72 — BUILDING FEE $— T3,5� No. — PLAN CHECK $ �,5W.—OD Y gg VALUATION $__ OTHER RECEIPT No. (p(rS 3 + TOTAL S 87.00 - F-aL�-71 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 4 B1 1 MAP N CENSUS TRACT W-19 JOB A_ Architect or Engineer _.&6k Nsl4■sa LAAM29lat r,- _-. - -- qq AddressAellvin 84 vashin 'm Owner—� %"rout OWT - Address—.------ Phone i Address BUILDING USE Single Res. © Multi Res_❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP No. of Stories Total Height_`_— Area of I.ot7-- Type of Construction V Floor Area B-- Set �Set bays: Front x1 Back 3W L.Side_ 72 R.Side^_W___ Private Sewer Pipe Size 4" Sewer U.BJ. Tipr&eptic Tank ❑ 11 Water Service Pipe Size 3/4" Storm Sewer a Ditch ❑ DryweI1 J Street and Curb Requ: Driveway Width_ III No. of Parking Speces _;L_ SEPARATE PERMITS REQUIR..D FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED--. 13750 B•w• 460 Thee — - -- FIELD CHECK BY ----- �.._------- --- -DATE &,pa-Ti PERMIT APPROVED BY Lj 7' _.1i.s[1rf,�j _— �nes . It is unc9eLstood that all work will conform WA h appli cable codes and ord n of. the Stete of Oregon and the City of Tigar :'1:9111, and ,L11jtj the building will not he occupied :ntil a Certificate of Occ -y has be d by the City of Tigard Building Inspector. � gn of App scant 4 i I i I i I �. ...., VAMWW s fazt sly 1�-` �J Y Address ��r, W llutli 1'lr�c� Permit No. 472g. _ — — Pe:.,.mit charge owner uadrant Corn (cor�tractor_L— connection fee Paid by Quadrant CoXT. — Type of building Ltesidence Late connected Service .rate 3.00 er month Inspection fee Contractor (auRdrant Corn. paid by ,an�� Dat! - Size of connection )}' Assessment ysid�–'