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C,�0 CITY OF _n( ARD 1VCjr
OREGON {
4wner:......Tuala.tin
Day lopmani..COO
' para
Building Addrey... Permit No...........�,�..al.. k�
ss-......1flA50.. 5.1�..._.Cantur 0mLkA)r-.ua..
Certificate is hereby given thii;-.. 12th.-.day of.....9.mp.tembes........
that said building may by occupied and �
tt.:,t it complies with all requirements of
the Huilding Code for the City of Tigard,
i as approved by the Tigard City Council.
Buiiriina;ei"or
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M W-AMALMIKM ..
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of Tigard
INSPECTION REOUES T
for
sN�;PECTION TIME . __ PERMI f NC
DATE .- i// '73 DATE: ISSUED
OWNERS NAME : _-!
ADDRESS : � � i
EST ; , _ . �J�.terp , V: L'ai {i ; '-nb�►ct�ry ��
RESULl r(jved/-o )i3uppra•,ad G L]
S KETCH:
I"—SPECTOR � DATE
COTE: Attach suppiemer.tal telt aata beret*
I
City of Tigard
INSPECTION REQUEST
for
7 -1
I INSPECTION TIME : PERMiT NO. :
DATE : 1M1.U_ DATE ISSUED:
OWNS Rf; NAME * 0.
`
All DR ESS : __'
I
CONTRACTOR :-
TEST.
ONTRACTOR :_TEST. Air p, Water p , Visual >(I Laboratory p
RESULT. Approved)ie, Disapproved Ll Pending ❑
I SKETCH:
I
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I
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INSPECTOR DATE
CN07E Attach supplemental fest data heret7
City of Tigard
INSPECTION REQUEST
f o r
INSFECTION TIME'. PERMIT NO. :
DATE: 7. 112123 DATE 1SSUED :-/---.:-`
OWNERS NAME '.
ADDRESS.' Y 3
CON,rRACTOR : -------
TIEST .' ,",if L-J, Water[] , V-.'sucllo , ! aboratory 0
,9ESULI*: Ap,-,rovea G rending
7�-- - - --
SKETCH;
�NiF'EMR DATE
NOTE.' Attach supplemental test data beret 0
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ' PERMIT
DATE : _7 /ADATE ISSUED
OWNERS NAME . ---
ADDRESS: - TCONTRACTOR ".- EST '. �as� +ote�r p , V!sua1;IJ , Laboratory r]
RESULT: Aporoved -�i.>approved Pendingp
SKETCH:
_72123
INSPECTOR DATE
140T Attach supplemental teat data beret
1
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I City of Tigard
INSPECTION REQUEST
for
I INSPECTION 11ME : lu,'0� PERMIT NO. : __—
I DATE : E/8/7a DATE ISSUED:—L1—
OWNERS NAME ' - --- 2-i-,: 1
I ADDRESS : LO450
I CONTRACTOR :_ -
ITEST' Air ❑, Water ❑ , Visual ff, Laboratory ❑
RESULT. Approved , Disapproved D , Pending
I SKETCH:
I
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INSPECTOR DATE
I [NOTE : Attach supplemental teat data hereto,
City of Tigard
INSPECTION REG?u ,.,-.ST
for
INSPECTION TIME : PERMIT
DATE : HATE ISSUED :—
OWNERS
SSUED :_OWNERS NAME :
ADDRESS
AME :ADDRESS _---
CON TRACTOR --- - -EST : ,a:r , rooter O , V.auai !3 , Laboratory
RESULT: Ap.,roved 0 , :)isapprovad G , Pending []
SKETCH.'
INSPECT OR DATE
NOTE Attcch suppiementcl test datc_ herel J
City of Tigard
INSPECTION REQUEST
for
t
INSPECTION TIME : roc~w PERMIT NO. :
DATE: DATE ISSUED'. Z--L---
OWNERS NAME : — T --
IlJ45G Cir � - ®r4K t
ADDRESS : ----
CONTRACTOR :--
TEST*. Air G, Water Visual IJ , Laboratory []
RESULT: Approve , Disapproved U Pending
wSKETCH: �{
INSPECTOR DATE
[NOTE : Attach supplemental test data hereto]
I
INw
mugw-A-m-miLlm
City of Tigard
INSPECTION REQUEST
f o r
INSPECTION TIME ' PERMIT
DATE 1 S S U E D
DATE ' ---.----,
OWNERS NAME
ADDRESS .'
CONTRACTOR
*; EST '. ,- ...-, , Water[] , v19um, ri , I-aboratory 0
RESULY ' kvroved 0 , !');SODprned K , Pendioq [j
SKETCH.' p*,4
6,v 4)4�1-4&j i
AASSPECTOR DATE
N01 E Attacn suppiernentnl tell d n'a here t J
ELMOMMMALft
PLUMBING PERMIT AMICAT ON
Jurisdiction of .
No. 'Type of Fixture Fee- Permit No. 7fflLaf*s O `
Permit fee
Water Closets (Toilets ) , Permit Issuer
Bath 'Pubs Approved by
Lavat� or�Wa:.h-�w.si_n �o Building Perm
Shower _ Receipt No. �Pyy
rV
Gln cT sr D�sr wao� :�np�r
Sinks Kitchen
Sinks Ordinary— Location of Buil _ng
Sinks, Par ^_ e
Sinks Slop
Automatic is�hwasF r �
Laundry Trays NAddress of Owner
Drains Flcoz
Drins, Area
Drains, Refrigerator _ � 2zx Y
.. Rain Drain-
Automatic Wader Nam & Address of gmber
17
Fountains , r n i nom_ _ l
Fountains oda
Hot Wa to F ank _
3 Water Service Size
U:l.nais Bu i Old or x Alter, Repair or
Ca 77: ash ins -tear+_ a1
Lawr. S rinkl er�:> Ern _
Sw.mmingPoDl 1 7 trier
.._ _Sprinkler System •__ — _ � ... .___
This permit be,.omes rull and vuid if work or construction auth rized is not
commenced within 60 dayr,, or if construction or work is suspended cr abandoned
for a period of 120 days at any time after work is commenre.d.
All plumbing firms mu. t be licensed by the City of Tigard and post a $1,000 bond,
I hereby certify that I neve r-ad and examined this appli<;ation and know the same
to be true and All provisions of laws and ordinances governing this type
of work will be compiied with whether specified herein cr not, the granting of a
p,-mit dues not prssume to give authority to violate or cancel the provisions
of any ether z;t.ate r local law regulating construction or the performance of
construction.
gna1ure of Appli. .�int
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I '
City of Tigard
INSPECTION REQUEST
{ f or-
INSPECTION
r-
INSPECTION TIME : %yd PERMIT NO. : .-73
i DATE: IL
DATE ISSUED' L -s
OWNERS NAME
{ A D D R E S S : _
{ �0NIRAC'T0R :
TES T r J, Nater �] , ��isi , La rctar! l'1
RESULT: Approved , DiscpproveO 1 r`s:ndonq ;]
I SKETCH:
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INSPECTOR DATE
rI401E Attnch supplemental fest Ja1r heret]
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[A, ��
City of Tioard
INSPECTION REQUEST
i for
I INSPECTION TIME :- -2'Lfo PERMIT NO. : �3- I I
DATE: _ //1/7.5 DATE ISGUED:
I
OWNERS NAME :
i
ADDRESS : - -/ _ kA
I CON'rRACTOR : C ._._LLtJ
TEST'. Air I^), Water ❑ , Visual Laboratory ❑
RESULT. Approved ff , Disapproved D , Pending ❑
I
I SKETCH:
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INSPECTOR DATE
IrNOTE : Attach supplemental fee! data heret]
i
CITY OF TIGARD
N470 S. '. Main frr"t
TIGARD, ORROON 97223
APPLICATION FOR BUILDING PERMIT
New Construction Q Demolish ❑ Addition ❑ Remodel ❑ Move❑
ZONING_?-L DATE ISSUED 4,17-73 BUILDING PERMIT
DATE RECEIVED FEE $ T4.Op No. � �+�1
T�- PLAN CHECK
BY gg ------
OTHER VALUATION $ 19,230.40
$
TOTAL $' RECEIFT No.1� ?.
TWO SETS OF PIANS AND PLOT PLAN!) MUST BE FURNISHED WI'i." APPLICATION
LOT M 43 MAP N 2S1 CENSUS TRACT W'19 JOB N
Architect or Engineer Tualatin Development Company
Address 15300 &WO 116th Ti�►rd r_ _._.__._-_.Phone—_.__..
Address Phone
Bui Ider same
Address _ _ _ _ --Phone
BUILDING USE Sing to lies. Multi Res. ❑ comm.+ l__..J Industrial F]
OCCUPANCY GROUP I _ No. of Stories 1 Total Bei-lht_15` Area of Lot5h§5
Type of Construction 7b000IS0(XJbUCl iV Fluor Area H -- _ 1 129 - 2
Set Backs: Front-5 __ back---- 4UL.5ide_- 10 _ , R.Sidey Private Sewer Sewer Pipe Size 4" Sewet2eR Ti,acrd Septic Tank ❑
:Vater Service Pipe Size-_5 Storm .Sewer L._.! Ditch ❑ Drywell❑
Street and Curb Requirements Existing
Driveway Width4� 18� _ No. of Parking Spacesy _2 _
^E:PARATF. PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
THIS FSRNIT FOR NO= ONLY-SNOT 2+u Ak OCCCUPIEp_MU_.AL�_R$qU.LEiFtZN1'Ei_--_.--
Ur TIM CITY Or TIGARD HAVE HIEN 00WL= WITH AND A LETTER FROM ORDOON
D.E.Q. AUTHOtIZIND SANITARY SZM CONXXV10N.
ADDRESS ASSIGNED 1L1 AaW. nsntl✓<Cinak rip_ �V
F TELD CHECK nY DATF 4-17-73
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 leen issued by the City of
Tigard Building Inspector.
Sign
Sign urs, Applicant �
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