11520 SW FAIRVIEW LANE vNl
MAIN w LA
O
C, t, i�j C)
c H _ `
f r
UA
Lkl
I � r
r
I � }
C-4
N 1
lv
O F
ID
1
w
I 11
a�
11520 SW FAIRVIEW LANb
loom awl
S VI MSTANIVa MS 07STi
ap
v.
0
n~
I
al f
- -lit 3 i
H r py
p �] U] i,
U
wf` iti3
Ln 4j H f 7{ �a C 7 C7 f 7 GLI W �si
a
>I
'r O
A
1
a�, J
f. O
p•'
rFrI
€�
,R
H
EA
14
In
A
LALMM PON �.
occ
PJ
CITY OF . TIGARD1V
OREGON
Owner:. ...-4uadran� C4�rp......................................Permit No. 17-3--114..........
Building Address ....... FPS.W. Fairview Lone
-........ . .. . . . _ ........................
Certificate is hereby given thin.. 19 h.....day of.-.Nodamb�r , 19-71.
that said building may be occupied and
�. that it complies with all requirements of
the Building Code for the City of 'Tigard,
i ag approved by the Tigard City Council.
j ........ ................. 'C...... !.............
i
building inspector
�we.���• a1TIM IM U I
1
f
1
pity of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :,_94q__ PERMIT NO. . .
iDATE ')ATT ISSUED
OWNERS NAME ' — (./—*0J5�v�_--
` ADDRESS :
yES-1 -j . ovmer
RESULT Nppr,,-,ed , ZoisrpprovAO 1 ,ndin, Wj
SKETCH:
r,
I
` /7
1
/ N P OR DATE+ s
COTE: Attach supplemental test .: Oc neretl
XWA am lel i
, ity of Tigard
INSPECTION REQUEST
f
or
NSPECTION TIME : ' - PERMIT NO . —_
DATE , ')ATF
ISSUED'-.-
I OWNERS NAME ' - �c� „
1 I
ADDRESS ' t,°�1- ��K I --- - ---
1-F'SI
RESUL
T
I SKETCH:
i
i
i
7N-SPECTOR DATE
CN:OTE: Attoch supplemental lest .luov neretl
i
of Tigard ;
i NSPECTI ON REQUEST '
e
f r
+NSPECTION TIME .
PERMIT NG. ,
DATE: r- i -'� DATE ISSUED .—.._.�.— +
OWNERS NAME ' --4c
AnDRESS'
AME ' cAPDRESS: — — --- - -- .
{;C'r'y r A TO R
E S T .ti.-ter Cl , `V'' it .: .r�h ►at.)r -
RESUL- , rmed :uppt ,,ed G
SKETH: - +
I
i I
iwSP,ECTOP DATE
[NOTE: Attoct, supp emental test 4jato hereto,
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : .
DATE: IeL73 DATE ISSUED*--Z -�—
OWNERS NAME : _, �` ''• �" I "
ADDRESS :
CONTRACTOR :—
TEST
ONTRACTOR --TEST ,'x r J, Water,, visi-AP , La'• ,rcto r
RESULT; Approve Discpproved 1 ��nding
I SKETCH:
I
I
i
177
INSPECTOR DATE
` CCITE : Attach supplemental teat data heret:01
1
r _
CITY OF TIGARD MECHANICAL PERMIT
DATE—? l , PERMIT NO. i .li ice_ RECEIPT NO.
BY FEE
1. �ermit shall be obtained prior to commencement of installation.
2. Permit shall be )btained for all appliances which are to become
a fixture to the building.
3. Relocation, replacements, alterations, or -hanges to burners and
duct work require permits.
4. All work to be concealed must be inspected before cover up.
New Installation L" i Replace U Relocation ❑ Addition ❑ Alteration U
C ��aat oua �,t OWNER Quadrant
ADDRESS ►7ZO S d_Sky L n �ilvd- WORK ADDRESS 11'20 s yi rat rvi pw 1.nnp
__ PortlsujL Oregon X721 _ APPLICANT Imperial Plimating uriiitg
TELEPHONE NO. 7y;-3801
FURNACE - MANUFACTURER G E TELEPHONE NO. 64 fi lI fit
HEAT Input rat.ngrr (Btu Per Hour) 1�o�A- Vent Size � FI.ue Size
FTJEL O.IL ❑ GAS lI ELECT E] OTHER
TOTAL SO. FT. Top Floor Main Floor 1932 Basement
GENERAL
f r ITEM — NO. FEE ITEM NO. FEE
For, Issuance of Permit 7.00 Boilers Over 50 Hp _
New - Undar 100,000 Btu 4.00 Air Handlin 10 000 CFM
ew - er 100,000 Btu it Handlink ver 0,
Floor oor Furnace4-00 v� a ora£ive Cooler 3-4001
a T - Floor - uspenc.e +.66 Ventan
nstallrV'entr - e_n �_ys ,em 3.0
ITT)alr - HeE -& Cooling 00 Hood
,1FF'1Te-rsUnder 3
1_ rr.es_ic nc ne_ra�� 001
fers to 15 - omm„ nc nera or• 20.01
rc�Tlers o 10 00 ier Not L e
� lers o -.c p75.60
'INSPECTOR'S COMMENTS
Tinpertal )Plumbing Hnd Heatin
A?PROVED BY DATE 1 j._ ISSUE BY Inc
4
t -IVt14ell
Sig ature of Applicant
Heating Supervisor
J
Address 11510 S.W. Fairview Lane Permit No.
Permit charge
Owner Connection fee A75
Paid by OugdrAnt rnr12 �-
Type of building residence Date connected
Service rats —_ 3200 per moh b _ Inspection fee d-r
Contractor Quadrant Cora. Paid by game date
Size of connection _ 401 Assessment ��� paid
�� w ar♦ w w w w
1�
amity of Tigard
INSPECTION REQUEST"
or
N�4-'FGTION TIME. PERMIT NC
)ATE : �� `L3. DATE ISSUED
OWNERS NAME :
ADDRESS: - L -' 1 .,rAL-lf
{.'0N tRArTr)R : -- -- --- --
E ST ' �', h ter Q , V' '� '_.u�b/-►et�r I:j
RESULT" !,P roved 0 Juppro'vordL
SKETCH:
a
---..
70
INSPECTOR DATE
COTE Attach supplemental feet ur.' e her :too
I
Me1
t WR
L
27a- JJ
PLUMBING PERMIT APPLICATIONrr
,Jurisdiction of TIGAIM
No. Type )f Fixture FPe Permit No.
Permit fee xn nn
21 Water -''losets (Toilcts °t' Permit Issued ;1
Bath Tubs 0 Approved by
LavatoryWash Basin RBuilding Perm t '
Shower >q 1W Receipt N.j. s
Strks, hitctieri
Sinks Ordinary _ Location of Building
rte. a r_�� _. _ __---- -_•
Sinks, Sloes_ 11520 SM FRtgyIEM LM --
Aut:umati.c Dishwasher
Lai-xidry Tra s _ Name & Address of Owner
Dre ins Floor QUADRANT CORP _
Drainea 0X1750 SW SKYLINE BLVD
Drains , Refrigerator PORTLAND OPEGN 97221�_____�
Rain Drains
Automatdc as .s,,r Name d; Address of Plumber
nun a i n^L�7Sr i nk i n 1 MPER I A L P LUM81 NG d HE AT I NG
_, C.IN
Fountains, Soda F O M_X 06327
Hot Water 'dank °` Por•t 1 nad a Orag2n ^7204
Water Scrvice Size
UrinalsBuildin Old or New) (Alter, Repair r
a ch- asins - ar _Instar �
Lawn :-;pri�,Kler System
Swimmingocl
5 .-inklerSystem _
This permit becomes null and void if work or construction authorized is not
commenced w-.thin 60 days, or if' construction or work is suspended or aberndoned
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 application and know the sam
to be true and correct. All provisions of laws and ordinances gc-vern.ing this t
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 t ,)erformance of
construction.
IMPERIAL PLUMBING K HEAT1WW1NC.
Si ture of Applicant
i
WLCity of Tigard
INSPECTION REQUEST
for --
INSPECTION TIME : 1!_' "fie_-- PERMIT NO. :
DATE ' ?- v� DrATE ISSUED : !---/—
OWNERS NAME : �� ► --�I- —_
ADDRESS. 7-7--�
C 0 N T R A C T 0 R : __ ------
E ST '. ,'� . , 'ureter ❑ , V sual X , 1_aboratory I]
RESULT � lip Loved W , [)isapprovad [3 , Pending ❑ -
SKETCH: ADD OYC-- VOW*"
C?-- , 3
INSPECTOR DATE
NOTE: Attach supplemental teat data hereti]
Milff IF,
R w
City of Tigard I
INSPECTION REQUEST
far
INSPECTION T E: —■� PERMIT NO. : .,---
D AT E
O. : _-_DATE : _� 1�.�',�73 DATE ISSUED :__L_L_
OWNERS NAME : -4- c'
ADDRESS ' /' lwe i _t- - )j (j 5u.. --4 ,&"AJ . -
CONTRACTOR '.
'VEST : Air V, Water 1_aboratory r�
RESULT: Apnroved CS , Disapproved G Pendwq U
SKETCH.
INSPECTOR DATE
NOTE ' Attach supplemental test data here i01
UNIFIED SEWERAGE AGENCY NO. . 4869 _WASHINGTON COUNTY DATE Juni 2j
CITY O1 ---
APPLICATION
_APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: --- 4"&jrftnt -
OWNER'S ADDRESS: _.�.,i �q �.W. -6ky1{rip- ti,vd,�
STREET
_1 _ - - -- -.oI�g"-----
vt:mSTATE ZIP V_
BUILDING SITE: LOT_._i BLOCK _-_.__ ADDITION ___Hollytree
TAX LOT NO. _. ._._ TYPE OF OCCUPANCY Re:adeace
ADDRESS .. _�.y� .i.W, Ftsirview Lane
DWELLING UNITS 1 _ FIXTURE UNITS
SURCHARGE IF APPLICABLEMerry jell _
I�� . 47A
PERMIT FEE INSPECTION FEE 25-. TOTAL DEPOSITED
(NEW1. (EY,ISTING) BUILDING SEWER SYSTEM ` '�" '
The Applicant agrees to comply with all rules and regula ions of the Unified Seweragr Agency.
/ l
It
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE D" INSTALLER _ "drunt Cori).
RECEIVED BY
f ( GITS AGENTI
COMMF NTS
This Application and permit expires in ninety (90) days. The amount paid will he forleilecl
should expiration occur.
CI -Y OF TIGARD
12420 S. W. Main Str"t
TIGARD, OREGON 97223
APPLICATION FUR BUILDING Pk•;rMr,r
New 'oic;truction C] Demolish ❑ Addition ❑ Remodel � Move ❑
7,ON I NG DATE ISSUED u-2d-(3 BUILDING PERMIT
ITi F�I.r'F,1Vf:I BUILDING FEE $ p.Llj No.
'PLAN CHECK
i+y -- -- — OTHER $ �— VALUATION ; 23,.(:4..x)
TOTAL $ JAa*- RECEIPT No. ?-2&-:1
6
7- Tz
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
MAP N .,i�r CENSUS TRACT „_,, JOB M --
Ar'(•hitect or k.nglnvvr auu.iruuL C,ryora-Jg;),,
A? l re s s - -- --- — �-_ .e �, va., Y�rtiur., urefSfnl Phone.
Allrlre,s Phane
nui 1:der
Address,---- _ Phone-------
BUII,I ING USE Sinqle Res. DMulti Res. ❑ Comm. 11 industrial
7Cr`;PANC'Y GROUP_ _L No. of Stories.___ Total 11eight`-4, Area of Lot 1.647 _
Type of Const.T.uction *7DD4qLK&Vq4CXXW V Floor Area B_,-_ 1 I. ,. 2 -
Set hacks: Front—L— Back____— (,.Side 2b' _ R.Side—_J
Private Sewer Pipe Size 1` _ Sewer uoe T pru Septic Tank ❑
dater Service Pipe Size Storm Sewer ax Ditch ❑ Drywell❑
Street. and Curb Requirements — Eri.,Iill
,
Drivear,y Widltlt No. of Parking Spaces
SIPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INrORMATION
ADDPESS ASSIGNED,—yLj"i2) u.w. fAlrvNy Land �__ ---
FIELD CHECK TAY.___ -- LC
PERMIT ArPROVE.D BY���t�. IC/
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 huildirg will
not be occupied until a Certificate of Occupy as been issued tay the City of
Tigard Building Inspector.
?Signfftfte of pplicafit