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Address 13750 a W Fai"viex court Permit No. __. 785..x,
Permit charge
Otirner 4uadrant Cor3l . (contractor) connection fee
Paid by GWSdrant<_ or
Type of building Residence Date connected
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Service rate 3.00 per month Inernetion fee 2,; ;
Contractor juadrant Corp. paid by � —__r.— Date
Size of connection 411 Assessment Paid
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City of Tigard
INSPECTION REGUES'T
for
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INSPECTION TIME : ''3PERMIT NO. : ..�_ I
DATE . -7-AllDATE ISSUED' _.Z Z
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OWNERS NAME * C;wP_�_
ADDRESS : L 73,0 S_'�. ie I —
C t)N T R A C T 0 R —
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1-EST A r J, WaterL , La' rotor; P
RESULT: Approved t[ Di,vpproved 1 P-nding
SKETCH: C'- cls-
.lr,fp,., ,�,�.+a-mss- T'
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I NSPECTOR DATE
ICOTE : Attach supplemental test ,lata heretol
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City of Tigard
INSPECTION REQUEST
for
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INSPECTION TIME: PEP.MIT NO.
DATE: 7 1,2-173 DATE ISSUED :---/
OWNERS NAME : T Oc Mlzea_ ti�/}
ADDRESS.' _137 -K0
covrRACTOR : —
ES"r : jv( ,._, , Watery , V;sual rJ , I_aboratory C]
RESJLT: Approved , iDisapproved Cl Pending p
SKETCH:
(INSPECTOR DA"r .
NOTE: Attach supplemental test data beret,
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City of Tigard
INSPECTION REQUEST ,
for I
INSPECTION TIME: PERMIT
DATE ' / DATE ISSUED : &/91 I
OWNERS NAME
ADDRESS: _ —
CONTRACT0R - I
TEST : Air L), Woter [J , Visual ET',' Laboratory ❑ I
RESULT '. Appioved 0-'-' Disapproved O , Pending p 1
SKETCH:
i
INSPECTOR DATE
LNOtF Attach sup+ilemental test data beset]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ASAP PERMIT NO. . 7.2'<<p c-
DATE: -2 /40 17.1 DATE ISSUED : 11�L__'
OWNERS NAME :
ADDRF'SS: /3�Sy SGS �lcor'� '�.QGc�
CONTRACTOR :
TEST : Air C7, Water[] , Visual (.;Laboratory p
RESULT. Approved W, Disapproved C] , Pending p
SKETCH.
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INSPECTOR DATE
[NOTE : Attach supplemental test data bereta�
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' :TY OF TIGARD HE,,rING PERMIT AMC, 141
PERMIT NO. __-_07 3- t>a•!r RECEIPT NO. 7 _
N
1»bf FEE
1� I)ermit shall be obtained prior to commencement of inst ion
2. Permit shall be obtained for all applla.ices which are t -come a fixture;
to the building .
3, Relocation, replacement., r charges tc• .b AWrs ar.d duct wor:
require permxts , .„t-..
4, All work f-c be concealed must be before crverlsiD,.
How Installation: DXX Replace F-1 Pelocatr.on 11 Addition ❑ 1KftQration u
CONTR. OAUDRANT CORP OWNEv. QUADRIIORP
ADDRESS 175 �w �L LNE_81.Y� WORK ADDRESS 13750 Sj� IMEN LANE Ccx1R1"
PORTLAN�L_ � APPLICANT IMe.ERLAL�' r_ ATIMG IMC-
]y� TELEPHONE NO 3801
FURNACE - MAN73FACT Ut4ER _GLNMR L_ELECTRI.GTELEPHONE NO.HEAT It It put rating (Btu Per Hour ) 100,00() Vent Si.xe 5 Inch WJdvjue Size 5 1
FUEL OIL [I GAS F_jX E LECT El OTHER —
{ TOTAL SQ. FT, Top Floor Main Floor _ 1460—__ BasemetM1*1
'r�7L
GENERAL .:..
ITEM NO. FEE AM'T ITEM �Y t NO. FEE jW"
FOr Issuance of Permit XX 3.0 Boilers over 50 Hpi, r )5"0 _
ew - Under 100,000 Btu 4 0 Air Handlinq 10; 000 CFM 3, 0
New - Over 100,OCO Rt,- 5,.0 Air Handling Over 10., 000 C 5..0
floor Furnace �_ 4 001 Evaporative Cooler �tl _ 3�0
wall - Flocr __ u5perded _ _ 4 0 Vent_Pan � + 2. 0
Install Vents _ _ 220 _ Vert System _r _ t 3. 0
Repair - Heat & Cooling400 Hood_ 300
Boilers Under 3~ Hp_ -_ 4 0 DomeBIIC T,Cinerator Sn0
Boilers 3 *o i5_H� ._. _ " 5( Comm. Incinerator__
Aoi ers 15 to 30_f _ _ 0 0 Other Not Listed _ _— 3 0 _
Boilers 30 to 50 ftp_—_ 5 0
INSPECTOR' S COMMENTS
APPROVED BY ^l > DATE /f,�-73 ISSUED ��S ,�..i E
PEI1 PLANS1 i NG BC.
Sign. are of A�i'IC�ec nt �—
lid
PLUMBINu 1ERM11 APPLICATION
Jurisdiction of CITY 2E T'IGARD
No. Type of Fixture Fee Pe-mit No. � -��, � ; +&'
P rmit fee $30.00
7 Water Closets (Toi.l,?tsj P, rmit Issues
Bath Tubs _ Approved by 4� 7
2 .avato as Basin _ __ Building Perm� `� y,
Shower. Receipt No. �1 ;x
_ Ir
.�iin 'Di.3hwashing .
Si.nkKitchen _
Sinks, Ordinary �_�— Location of .Building
__44
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Sin all ��__ --- -�
Sinks, I
S — _�---- -
_ A :t oma i.c Dishwashei
ryry
Laundr—}_bra Name & Address of Owner
_
Drains, FlcOr• Teh Quadrant Corp
rains AreaMi0- RyIIne B I v M _
i ai r�si e i i,zero or Portland,Ori221 __�------- .
Rain Drains
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Automat; a.;her _ Name X Address of Plumber
Foun ains ri.n in Im ertal Plumbing d Heatiab�111�c_
Fountains Soda � _ P 0 Oox #06327-Hot Water an _ _ Portland, Oregon 97206
Water SeF7're —
U, mals Buildi.n Old or New) �Ai Pi �; Repair ci , +
Catch-Basins - Yard Tns a . NEW
i n A, r T V s tem
Swimming PC,-
This permit becomes rull and void if work or construction auth,:4 is not
commenced within 60 days, or if construction or work is suspend abandon(.•d
for a period of 11'C days at any time after work is commenced.
All plumbing firms mist be licensed by the City of Tigard and pq j a $1,000 bond,
I.
I hereby certify that, I nave read and examined this applicatr.cn .. .. d know the ,.+wrw
to be true and correct. All provisions of laws and ordinances 0_�r^ning this t.yp*
of work will be complied with whether specified herein or not, 1 'granting of a
permit does not presume to give authority to violate or cancelrovisions
of any _ther st.ste :1r Local law regulating :onstructlon or the f ,„;, 0 mance c
construction.
IMPERIAL PLUIN8IN 1ATIN(-'
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Sig a ure of Applicant. I .
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UNIFIED SEWERAGE AGENCY NO.
WASHINGTON COUNTY DATE
APPLICATION FOR SEWER CONNECTION PE 411T
OWNER:
OWNER'S ADDRESS: -
�_ STREET
CITU STATEZI
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BUILDING SITE: 'LOT___1 ! BLOCK ___?--__ ADDITION �'��'.:I�a�
TAX LOT NO. —_—_-____ TYPE OF OCCUPANCY
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ADDRESS -4. Li-ZZ��'l"�.,�i��1.z•
DWELLING UNITS FIXTURE UNITS : .
SURCHARGE IF APPLICABLE S 12._.
p PERMIT FEE INSPECTION FEE __ TOTAL DEPOSITS '�_e,___._—nn_-__....
'(NEW1,:' (EXISTING) BUILDING SEWER SYSTEM
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The Applicant agrees to comply with all rules and regulations of the Unified Seike9P. Agency.
APPL ICA ' r
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ALI.
SEWER PFRMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. •,� a.
LINE SIZE ''�" _. INSTALLER
RECEIVED BY
(AGENCY OR ITS AGENT)
COMMENTS:
si,.Y l
This Application and permit expires in ninety (90) days. The amount paid wiII44 (mb-Ited
should expiration occur.
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EXCAVATION FlLL "It CONDITIQUIC,
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SIABS
REItWORCIM SrilFL xi,28
MUCTUTAL STEEL F FUM
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77-F ;� WFR
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WATER HEATER M L
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CITY OF TiGAR
12420 & W. Moire Pre a Fy a
TIGARD, OREGON M"
APPLICATION FOR BUILDING PERMIT
New Construction Demolish ❑ Addition ❑ Remodel' Mow
ZONING R-7 DATE ISSUED1148- 2. BUIL PERMIT
DATE RECEIVED 11-21.72 BUILDING FEE .00 No. �2�247
BY BH PLAN CHECK $-_ 4o•00 !
ETHER $ VALU TION $ 21,825-40
TOTAL $ 120.00 RECEXV No. `f
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH 2ptLICATION
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LOT x 11 MAP A 291 3C CENSUS TRACT W-19 _ 1
Architect or Engineer Jack Woodman b Associates
Address Bellvne. WastitncctQQPhftl
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Owner Quadrant Corp. __ U I
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Address Skyline Blvd. -- Ph n T
Builder quadrant Corp.
Address_ Akyline klvd. _PilXrae�_
BUILDING USE Single Res. a Multi Res. ❑ Comm. Industrial
OCCUPANCY GROUP I No. of Stories 1 Total Height 16 In of Lot
0
Typp of Construction XKXK033Xr= V Floor Area B - 1 2
Set Ba:kss Front 20 Back 15 L.Side 12 R.Side A
Private Sewer Pipe Size 411 Sewer Tigard U-s.Areptic Tank
Water Service Pipe Size 3/4„ storm Sewer R Ditch Ci CFO 11❑
Str^et and Curb Requirements Rxisting _ _
Driveway Width 161 No. of Parking Space"bs2
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBIC.
SPECIAL INFORMATION
ADDRESS ASSIGNED 13750 S.W. Fairview Ct.__
FIELD CHECK BY
PERMIT APPROVED BY
It is understood that all work will conform with applicable codes'' nd ordinances
of the State of Oregon and the City of Tigard, Oregon, and that building Mil:
not be occupied until a Certificate of Occupancy has been issui!J + the City of
Tigard Building Inspector. - i
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S-ign'ature of Applica t
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