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12168 SW 125TH AVENUE URM'� 12168 SW 125TH AVENUE Oddit 1 � i rj r >4 CA PLI �, Ell T � J 0 M ►' w JWjwJ 4 Will ti OF t� CITY OF TIGARD lVeje, OREI_ ON jOwner:...........D.....K.-.Fa.rr.y.......... .... ..Permit No........71.45..... Building Addrem.....121b.S._S.W...125.th. ........ ... ......... Certificate is hereby, given this....Uh.. ...day of-.Sevve0.0r.......... 19.-7.3... that said, building may be occupied and that it complies with all requirements of i ;he Building Code for the City of Tigard, 1 �. as approved by the Tigard City Council. _L./1��cw..►�l ..taJ ... r? _.. ...... . .. ..... Building It " ctnr r 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : . DATE: DATE ISSUED'_LI OWNERS NAME : ,:L L ADDRESS : ,L26,9' c� ' /I'S CONTRACTOR : I-EST � f *j , Water � , Visral � , La` ,rator,/ r RESULT; Approved�ff , Disapproved 1 Ponding 3 SKETCH: I I I SPECTOR DATE [NOTEAttach supplemental feat data herat01 ■ w City of Tigard INSPECTION REQUEST for I INSPEC'rION TIME - -Z:" ---_ PERMIT NO. : DATE: S_ /A/ 7 ? DATE ISSUED:-1_—L_ OWNERS NAME ' I ADD R E S S : -s•�� /�- _ __— -__--- CONTRACTOR :----- TEST'. ONTRACTOR :-----TEST. Air 0, Water [] , Visual 0 , Laboratory ❑ IRESULT: Approved ❑ , Disapproved R, Pending Lj I SKETCH' Aon (�l/jre sr,�elP &?WEEA) Cir. I r R�c�rc�, �tA�ti ✓ q L ,araC�3 /� -I-rlr E VE"Ai7 GpTMReoH, -/; %a coo> r/E-A I ✓ wwy /c'. T�N ti 4", i N G►AK-M�Gr 1��1 "�msq 9-A 23 INSPECTOR DATE ICOTE : !,mach supplemental teat data heret:01 I City of Tigard INSPECTION REQUEST f o r- i INSPECTIQN TIME: ` PERMIT' DAT" /s %� DATE ISSUED :---I--!_ OWNERS NAME * ADDRESS- _1z1G^ ,L,,, GON'rRA("To R EST ' ,' V:sualg , Laboratory f-j RESULT: Ap,,roved U �isuppr��zd i :gr�d�,iq L7 SKETCH: r00 s.x dvarVoir INSPECTOR DATE NOTE Artactn euppiemental teat da'a heret01 / I AddreFi, Permit Pkv. 4?88 1.2 if . S..LI....7.,5th Ave. Permit cl) ree Olawr _D,-Kc _Ferr contractor) Connection Yee 425 Paid by D. K. Ferry - - -•-----•-.------- Type of t'uildlr•8 _.Residence �_� Dime cunnectcd 2--20-73 Service rete 3.O ._ r- n -1� Inc - - _ p.a pectin f ee25.00 Contractor _ D. !t. Paid by same - Date Size of connectioe, 411 �� Asset;fimeat Paid PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture FPe Permit No. Permit fee _ Water Closets (Toilets '' ° Permit Issues Beth Tubs Approved by � Lavator ash Bas;;,.)— Building Permit jj shower Receipt No. 9 Sinks, Dishdas ing minks it-hen 3iriYs Ord,nary _ _ Location of Building i�/C 8_ S w Sinks a r _ —� Sinks, 5 0 AutoW, ic—is�,h�s iPr - --.�_ is SIIl . LaundryLa,(mdry Trays _ Name & Address of Owner Drains Floor _ 194'40 "; (Aj 2ayN I ram Argra _ Drani s, tteiri.A ator Rain Drains utomatic Washer a I P:amt & Address of Plumber �LG�tCr�h �'IwN.lar .10W11 a ;Ti.Zai3ns i7o ount Hot La� annmwater service Sze Urinals f �Buile_dr iM.n , (0(01-,j or New)_�A1_`e r-,-e_— Re pair or as ns - ar ,Jc",. r em Sprinkler Swimming Pool Sprinkler s This permit becomes null and void if work or constructic.i authorized is not ,ommenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work .is commenced, All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this aipItcation and know the same cc be true and correct. All provisions of laws and ordinances governing this typ of work will be complied with whether specified .ierein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or lacal law regulating construction or the performance of construction. Signature or ApplicW. Mob- __�_— 1111111F. F ;4 UNIFIED SEWERAGE AGENCY Ivu. __ __ 8 WASHINGTON COUNTY DATE i-W:13 _ CITY OF------ _._ Tigard _---__.____ _-__-_-- —.-__-_--_-- APPLICATION FOR SEWER CONNECTION PERMIT OWNER, _.___..___-____D• K" ferry OWNER'S ADDRESS: Booms !'errs Ad. STREET Q7lIZIP CITY BUILDING SITE: LOT BLOCK ADDITION —Bro°'f"r TAX LOT NO. —__-- TYPE OF OCCUPANCY ADDRESS ___.. �__._ __.. � .•�-i_ �1 .-_. ..__.. _---- DWELLING UNITS --------].- --.- --- FIXTURE UNITS G' SURCHARGE IF APPLICABLE - PERMIT PPLICABLE _PERMIT FEE 425_ . ._______ INSPECI ION FEE . 22 --- TOTAL DEPOSITED �(Ew)) (EXISTING) BUILDING, SEWER SYSTEM .._.___— Tigard The Applicant agrees to comply with all rules and requletions of the Unified Sewerage Agency. APPLICANT --,/- SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SF?,ER SYSTEM, N !ZE 4 - _ - _ INSTALLER D. K. Ferry -- -- RECEIVED BYAO flti[ tttve_. - ------ -.- ?,4 NCY R ITS AGFNTI COMME NTS: . .___This Application and permit expires in ninety (90) days. The ariount paid will he forfeited should expiration occur. 4 CITY OF TIG/ RD 12420 S. W. IWIn !front TI:.ARO, OREGON 97229 APPLICATION FOR BUILDING PERMIT New Construction ® Demolish ❑ Addition ❑ Remodel ❑ Move 7.ONING R-7 DATE ISSUFD_1-16-73 BUILDING PERMIT DATE RECEIVED 1-b 73 BUILDING FEE $ �-109.00 No. BY BH PLAN CHECK $ 54.50 73-05 OTHER $ VALUATION $_ 32,288A TOTAL $ .. 1-63-50_ RECEIPT No. '7317 1-ig 7,2 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION 1{ LOT #-30 _ MAP N 1M 281 W CENSUS TRACT W-19 JOB M Architect or Engineer Louis N_Bruinier 6 Associates Address _._-_-73.04 34.,-J�qr:�h►�lvd. ---- ---- --- -- - ------Fh�l�e�---- Owner D.K. Ferry Address Tualatia, Oregon Phone 638-7287 Builder Address / �/��� ;«, �. i �1„�t,;, y� - Phone BUILDING USE Single Rea. ❑ Multi Res. © Comm. ❑ Industrial❑ OCCUPANCY GROUP I_ No. of Stories 2 _ Total Height Z1 Area of Lot7000 I Type of Construction V Floor Area B 2,006 1` 2 I Set Backs: Front 22 _ Back 54 L.Side _10 R.Side_10 Private Sewer Pipe Size - ” Sewer U.S.A. TigardSeptic Tank ❑ Water Service Pipe Size`3P4" Storm Sewer 51 Ditch ❑ Drywell❑ Street and Curb Requirements >isietig Driveway Width_____ 16 _ —No. of Parking Spaces 2 SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED LU68 8 W• 12 " FIELD CHECK BY BH PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will, not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. -el/ rat .ego4Ap icant _