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10175 SW CENTURY OAK DRIVE 1� I 0 _ cn I Yy I ,`J Ll • r.; �� S i �l C l (t 1F C] Ui VA j 9r y J ^ / Qy K O ti LA (ij G � 'y� � `� U1 ►J7 :Z 1-1 � p =Rr A ra „q yy � t+7 C -X' f D ri I m 0 ti 3 r n O 10175 Sh C'ENT'URY OAK DRIVE 2ADqU )IVO X21 IN23 MS SL[OT u F- E OL CD -i cT C) 'e; 0 47 >4 I -4-- Az lu coH F4 c7 E E-4 0 ro W m LO rr9 O tT w City of Tigard INSPECTION REQUEST for INSPECTION TIME ' PERMIT DATE.'.,2 DATE ISSUED'..-1_L. OWNERS NAME : ADDRESS :CONTRACTOR :__- -- --- - - ---------_-_.__ TEST . A r .], Water ] , ��is� of ,� , La'- ,rator-, h i RESULT: Approved,, Disapproved 1 , Ponding D I SKETCH: I I I � I INSPECTOR DATE I CN OTE . Attach supplemental test Jata hereto] j 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : . DA...E ' _L,k�Z DATE ISSUED:.__L_L OWNERS NAME ADDRESS : .� 1 CONTRACTOR :- TEST'. ONTRACTOR :_..TEST. A r J, Nater ;] , Visual �, La'- gyratory [1 RESULT: Approved'i , Disapproved _1 , fending ;] SKETCH: SPECTOR DATE [OTE : Attach supplemental test data heret-10 City of Tigard INSPECTION REQUEST' for INSPECTION TIME : _ PERMIT NO. : DATE.' –LI DATE ISSUED :- OWNERS SSUED :OWNERS NAME : --I.--) .C . ADDRESS. -�_`� _?��.►�— , �, ----- CONTRACTOR TEST '. Ai( EJ , Water[] , Visual [j , Laboratory E] RESULT : Apnroved Ll , Disapproved O , Pending U SKETCH: INSPECTOR DATE FrTF Attecn supplemental test data beretal mmAlLm�� 1 City of Tigard INSPECTION (REQUEST f o Ie INSPECTION TIME : /�'••'�`� PERMIT NO. : DATE: "' (/JL DATE I S S U E D:.__-L_L_ OWNERS NAME : 710•C _ ADDRESS :CONTRACTOR :- TEST'. ONTRACTOR :- TEST. A r ❑, Water , Vist!al if. La'- ,ratory [1 RESULT: Approved3q Disapproved 1 , Perding [] SKETCH: SPP_CTOR- DATE CN0TE A t t a c;i supp!ementol test dotr, hereto, Jurisd�ING oPERMIT��A,�PPL�IgCATION 04', 4" okb Olt �. Type of Fixture Fee Permit No. Permit fee r.�' Water Closets Toilets Permit Issued Bath Tubs 0 Approved by Lavatory as as n Building Perm. 3 bower Receipt Nc . Sc j,2_ Sing. la washing s Kitchen Sinks. r nary Loc tion of Building (^, utomatic D a asher `.7fd'/Lttf '7Z isDosal 17 1ry raysr--- I Nambe Address of r �, ainsFloor ra ns Area a ns e r era or .:� an Drains u oma�icasheer— N & Address o Plumber C ,L oun a n" sem_ Tic� oun ains o a _ _ �- Not Waltr TanK water Service ze Urinals flail Old or w Alter R2Rair o ac .- asns - Yard .awn Sprinklir System Swiaing Poolier Springier system This permit becomes null and void if work or construction authorized is not commenced within 00 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 application And know the same+ to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, th,q granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law rep,^.Jating construction or the performance of construction. Sighature 16f Applicant City of Tigard INSPECTION ■ _EQUEST for _-- INSPECTION TIME: "30 PERMIT DATE : DATE ISSUED :---/ � OWNERS NAME :ADDRESS: CONTRACTOR : •�>,� 2rtLFdG�E __-: CONTRACTOR : TEST : Air G, Woter❑ , Visual �, Laboratory p RESULT. ApnrovedW, Disapproved ❑ , Pending [j- SKETCH. � I S KETCH: I I I I I I / INSPECTOR DATE I ` NCtE Aftnr.h supplemental fest data her eta� I 1 I 1 City of Tigard INSPECTION REQUEST � for INSPr t ,-ION TIME: PERMIT DATE: .7DATE ISSUED :—/ --i _ OWNERS NAME -- /. ADDRESS: - CONTRACTOR : TEST WoterC7 , V;sual , Laboratory o - RESULT ' A rov A disapprovod G Pendiog 0 i S KETCW j INSPECTOR DATE OTE: Attach Supplemental test data beret] N CITY OF '1'!GARD 12420 S. W. Main Mnw TIGARD, ORa00N ff= APPLICATION FOR BUILDING PERMIT New Construction Lai Demolish ❑ Addition ❑ Remodel ❑ Ho"e❑ ZONING p-n DATE ISSUED 9-11-73 _ BUILDING PERMIT DATE RECEIVED BUILDING FEE $ 74.00 _ No. 73, 213 BY PLAN CHECK $ 10.00 —T.==-i"ecordf.ng fwLUATION $ 19,448 OTHER $ nw one percent TOTAL $ RECEIPT No._��,_ 00.814 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 9 MAP N 2S1 100 CENSUS TRACT W-g JOB N Architect or Engineer Tualatin Development Company Address 15300 S.W. 116th Ave., Tigard Phone 639-3],Ol Owner Young & Stone Address Phone Builder Tualatin Development Co Address some as above Phone _ BUILDING OSE Single Res. F;1 Multi Res. ❑ Comm. ❑ IndustrialEl OCCUPANCY GROUP I No. of Stories 1 Total Height Area of Lot Type of Construction XA(X**XXL=Xa* V Floor Area B --- 1 _ 120d_ 2_,._ Set Backs: Front`_ Back L.Side Sr _ R.Side 51 Private Sewer Pipe Size q„ Sewer+kin cit•pptic Tank Ej Water Service Pipe Size__ Storm Sewer © Ditch ❑ Drywell❑ Street and Curb Fequiremew:smust comply ui�h etro■tL auhdiyi Driveway Width 161 No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED FIELD CHECK BY—Y EWC _ .---.--DATE-- 9-11-73 PERMIT APPROVED BY G+r•+✓ �Z%��`L� 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 rigard Building Inspector. S ►a ure o p 1 i .. --A