Loading...
12150 SW 124TH AVENUE r\ 12150 SW 124TH AVENUE -- W r�, l ty E., tj LO Rj� ri) rn I NI p. I i ul .� ci H Q. ' w ` rOrOpr, fit' 4. 9 r ' I r. I ' City of Tigard INSPECTION REQUES1' for I r INSPECTION TIME :-/'/e"' PERMIT I DATE.* X173 DATE ISSUED-21-5:1-Z5 OWNERS NAME ' I ADDRESS ' -- ICQNT-!qACT0R :---- —�-�-- TEST ui, Water Lrl , Nlisval RESULT. Approved £r, Dlsopproved rtinding J F'CE T CH: I I I INSPECTOR DATE ICNOTE Attach suppleme,tol rest .j ora heret71 1 i I City of Tigard INSPECTION REOUEST for INSPECTION TIME , V SA,2 PERMIT NO. : 111. DATE : .] /14 /; 3 DATE ISSUED: -- L, Z3 OWNERS NAME * ADDRESS * CON'rRACTO R ,�'�' TEST: Air ❑, Water ,] , VisuaF$;Ta�Jboratory ❑ RESULT: Approved Ll--approved O Pending ❑ SKETCH.' l INSPECTOR DATE rh!OTE Qttich supplemental test data hot rPt� -.L Address 12150 w. ..=nth Ave. Permit No. 4795 Permit cha:ge Owner Don Rea Connection fee 425 Paid by Type of building Residence Date connected -A Service rate 3.00 per month Inspection fee 25 Cuntractor C. D. Shirley Paid by Same Date Size of connrctiur 411 �_.__.. Assessment Paid _ J ���` r I . City of Tigard INSPECTION REQUEST for IINSPECTION TIME :`") PERMIT NO. : . DATE: : 1-27--L - DATE ISSUED:2-b-L,—'3 4 i OWNERS NAME . IADDRESS : /, is-o -5C-- CONTRACTOR :- --` J �� — -- -. I TEST'. Air ❑ , Water [; J , Visl.tal a-, Laboratory E] RESULT. Approved Elr uisapproved U Pending (] I SKETCH' _ ---- - I I I I I INSPECTOR DATE [! 1E /Minch 5iipplomentaI test dcito heretl I ■ 4 Xw XmIr i City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : 13-!J DATE: _�2 42",12' DATE ISSUED : OWNERS NAME : <' y8• %, tiLu ADDRESS: 4V- ' sz, Ate, CONTRACTOR : e! 6. 61L,uw TEST '. Air ❑, Waterff—1 -vi-sual , Laboratory ❑ RESULT: Approved O , Disapproved O , Pending Er—'- SKETCH. r -SKETCH; ��ro 'e''•46 c go L)t �k-rbc• tc=� �-�c,UE f� INSPECTOR DATE LNOTE Attach supplemental test data beret] Pi."ING PERMIT #PP�JCATION Jurisdiction of �lvpe of FixturT Fee Permit No. 73 Permit fee d Watier Oinsets Toilets Permit Issue > BathTub's .7' Approved by avato as asiri010 0 Building Perm - 71_L`I Shower Receipt No. 7n7s, D�ishwes . ng Sinks. Kitchen Mnks, Ordinary Location of Bui.iding ar _ _ ,in -Slo� Au-top a is s was er - __ Dis osa�- L c�'xy 1raYs Name & Address of Owner Drains Floor Drains rea _ Drains. e r erator ;. Rein ains Y u oma 'ic ams rz Tdress of Plumber can a nsDrinking _ — nun a ns Soda 4 " ` _ o a e r Water Seryice Size Urinals _ Buildin Old or Ne _ Alter. Repair or ac -Basins - Yard awn S rrileer System - �wimmin oo er - r n er sem This permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 daye at any time after work is commenced. All plumbing firma must be licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this application and ►snow the name to be true and correct. All provisions of laws and ordinances governing this typ of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Sigpature of Appli:ent 4 f UNIFIED SEWERAGE AGENCY NO 4795 WASHINGTON COUNTY DATE 2-5-73 _ CITY OF_-- _ --- Tom---- ---- - -- - - - -- - - -'- --- APPLICATION FOR SEWER CONNECTION PERMIT OWNER: -- Il.E. 3hlPley OV:NER'S ADDRESS: _ 9510 S.N.__Hinviev ct. - STREET - -- �_...__ BUILDING SITE: LOT_ __.__ BLOCKADDITION TAX LOT NO. TYPE OF OCCUPANCY - Residence ADDRESS _ �..__------;sc�56 S.W. 324th Ave. ----------- DWELLING UNITS___r______­_,_ _-__ -- FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE __ - _425-_- ._-_ INSPECTION FEE ___�5_-__ TOTAL DEPOSITED 50 (NEW) (EXISTING) BUILDING SEWER SYSTEM Tigard 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 ___- A" INSTALLER _�C.r:____�. ,1 �tt'.�4.1c<-•Ll_.._ �-_ ' RECEIVED BY (�� _)(]ICvdv I ENCVI 4 ITS AOENTI COMMENTS: This Application and permit expires in ninety (90) days. The amount paid will he forfeited should expiration occur. CITY OF TIGARD 12420 2. W. Main ftrwf TIGARD. ORIGON 47M APPLICATION FOR BUILDING PERMIT Jew Construction © Demolish ❑ Addition ❑ Remodel ❑ Move 'ING R-7 DATE ISSUED 2-5-73 BUILDING PERMIT E RECEIVED BUILDING FEE $_ _ No. 74j- ±f PLAN CHECK $ 1U.00 OTHER S VALUATION $ 29i _ Or�•� TOTAL $ 171-S[1 RECEIPT NO.?�C? TWO SETS OF P',ANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION M MAP N aal 3n CENSUS TRACT y- JOB A hitect or Engineer ---------- ress Phone e r— C.B. sbirley _ ress - _ _Phone 1der C.B. Bbirley _Y ress Phone_ LDING USE Single Res. ❑X Multi Res. ❑ Comm. r-1Industrials UPANCY GROUP_ 1 _ No. of Stories 2 Total Heiqht` Area of Lot—auk_ e of Construction P jftoddabooft V Floor Area B _ 1 lnT_ 2U14S_ Backs: Front 21 Back 43 , y.Side 10 R.Side 19 %,ate Sewer Pipe Size 4" Sewerus.e_T1®ard Septic Tank ❑ er Service Pipe Size 3/ ! Storm Sewer 1G Ditch ❑ Drywell❑ let and Curb Requirements_ Existing ieway Width___ 1bo _____----No. of Parking Spaces SEPARATE. PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION 'ESS ASSIGNED 12150 S.W. 124th Aft. D CHECK BY — _-.--- --_— DATE- �:�7:- PERMIT APPROVED BY " s understood that all work will conform with applicablrssued od' nd ordinance he State of Oregon and the City of Tigard, Oregon, andat the building wi be occupied until a Certificate of Occppancy ha been by the City of rd Building Inspector. SS g�e of App c t I F\( / src4,r, l01Z 71 Aj I' 1 � a d x loo' '3000