8970 SW BURNHAM STREET CD
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Permit No.
Perra.it charge
Owner __ .�A�1�� �} .ci Connection fee `;Z.
Paid by
Type of buf lding rmp',I prate conne :ted V iI 7�
Service rate inepRction fee `
Contractor u`�c«c.c �Aiir < < Paid by ' ' ,,y date
Size of connection `� � c Assessment paid
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City of Tigard
INSPECTION REQUEST
INSPECTION TIME : PERMIT NO. :
DATE : `k 7t DATE ISSUED:__ -L_
('-)WNERS NAME : `yI�/f�'�S 11C11421=071L'l'
ADDRESS : tONAM609A,321'-
CONTRACTO '', : -
TEST: Air (O , Water ED , Viauol CJ , Laboratory o
RCSUL.T: Approved , Disapproved 0 Pending Q
SKETCH:
I SPECTOR DATE
INQTE : Attach tUDale mnnlnl f• f rf nln h.r• nl
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : ,0� 4� PERMIT NO. :
DATE: 1 DATE ISSUED:._1_I
OWNERS NAME : _ 1*;211/PAr—
AG DRESS7,-1
CONTRACTOR :
TEST: Air 0, Water ❑ , Visual ❑ , Laboratory CG
RESULT: Approved , Disapproved L7 , Pending [❑
SKETCH:
I SPECTOR [SATE
[OTE: Atlach supplemental test data herst]
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Cit of Tigard
garb
INSPECTION REQUEST �
for
INSPECTION TIME . 'oYrrVn PERMIT NO. :
DATE: i c/ DATE ISSUED
OWNERS NAME :✓//lir aufo,
ADDRESS: 99/70 S,-) a P,��f ,,•I I
CONTRACTCjR h1nLZE W_f11
TEST * Air, .: 'a. ^ Visual Laboratory I
p
RESULT' a I
pproved �„ Disapproved ❑ Pending p
I
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I
I
INSPECTOR DATE I
NOTE: Attach •upplermental test data here!a� I
1
PLUM.B1NG PERMIT APPLICATION
Jurisdiction of
No. Type of Fixture Fee Permit No. 0
Permit fee —
/ Water Closets (Toilets)__ Permit Issued
Bath Tubs Approved by
i Lavatory Wash Basin _ _— r ( Building Per-ml—t
Shower _ Receipt No. I
_ 9 in s, Dishwashing__ _
Sinks, Kitchen
Sinks Ordinary --M--, ___ Location of Building
— - i.n sL Bar_--___-------- ---_ _� �',s _v�/ _►'L°�' ..�!►�.—_. -------
Automa:Ei Dis washer--- _--- --"-� -- ----_.—_�._- -----__-•--
D i ssDsDo s a l
r
Laundry Trays = c� Nam e'&-Address--crf�Own er
_Drains, Floor — & C'o1- _ -------_—____--
Drains Area —
Drains,Rerierator � 'n
_-Ran Drains t=
Rain _
Automatic WasherName & Address of Plumber
ountains, Drinkin _
_Fountains, Soda 9_?L,_T
Ho t Water Tank �,c c �t����_ ��, ?;1•-�r3
Water Service (Size--',)
Urinals Buildin Old �New�(Alter. Repair_ or
CatcFi-Basins - arch �_ �ns� �_ - _
LE, Lawn Sprinkler stem
Swimming Pool _ 'GMi r
_Spr,inkler Sys-tem __-- -- ---- --____-
This permit becomes null and void if work or construction authorized is not
commenced 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 application and know the same
to be true and correct. All provisions of laws and ordinances governing 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 the performance of
construction.
el
Signature of Applicant .-.�--- -
PP
City of Tigard
INSPECTION PEOUEST
for
INSPECTION TIME : PERMIT NO. : .
DATE : _I_I DATE ISSUED:---L--L—
OWNERS NAME ' �' �� ,• �'lti ca C� —
ADDRESS : „
CONTRACTOR : — - ` °�-----
TEST* Air ❑, Water ❑ , Visual ❑ , Laboratory 0
RESULT: Approved ❑ , Disapproved ❑ , Pending L]
SKETCH.' I
INS ECTOR DATE
5OTEAttach suppleme.•tal test data hetet]
City of 'Tigard
INSPECTiON BEQUEST
for
INSPECTION T; ME : PERMIT
DATE : '_;!.� DATE ISSUEDZ _1__
OWNERS NAME :
ADDRESS * — L�a�-n. «,►-� , _
CONTRACTOR : __l_L4_S__ J , rLa t
TEST A r j , Water �] , \/isi'cl ❑ , La` ,ratory 1-1
RESULT: Approved ❑ Disapproved >,� , Ponding Lj
SKETCH: _
&Zle , cam u/►4 L L 7 C1 y N/2
I41-C 1,3Lor-KS Sc)t/ C u�Gu.vrr2arT�y
egj� j7vT G�g T�sT oti �ic+�eTG�c,
I _ST,,vG"7-
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I
NSPECTOR DATE
[NorF : Attach Supplemental teat data hereto]
1
City of Tigard
INSPECTION REQUEST
I far
I INSPECTION TIME : Z--- PERMIT NO. : — - --
DATE. mss- - DATE ISSUED'--L/-.-Z--
OWNERS
SSUED' -i_1__OWNERS NAME : .. --- --�
I
ADDRESS :
CONTRACTOR :----- -- -
Tr.ST A r J , Water 11 , \!isical E3 .raior'J n
IRESULT: Approved Disapproved 1 PNnding
SKETCH:
I � 7�' hf
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I INS?ECT0R DATE
ICOTE '. Attach supplemental test data heret]
1
Departm,tnt of Commerce—PLANS REVIEW Section 1y+. /� "
ROOM 3 6 STATE OFFICE BUILDING. PORTLAND 07201 NOTIiCE OF PLANS REVIEW'.
f?tlla la NOT A IIUILDING PSAMIT)
' � •Y�. of
Building A EGu'4L S /I.r.it rw';i i. J .:., / �tiN +� _i�(�!./�eSt� No.
OUILDINc f AD Mess E�;�,r ��et•
County LL +�[lrisE��i7,✓Occupancy Ait� ere is// Const.� —•'� Sound Velue0f t41 0' Plan Fee /=-z
Architect New Bldg. [�Addition ❑ Alteration 0 Date Received /_1Z.4-t(y
Owner ,�(�.1e/iLt�tl �-. t1a:�' Ae'dress 4 41 `.7- Reviewed 41 9-
N
Stories _�_ Area /Zy ` / �' ^�Attic � .— — Fire Walls Lr�Fire Escapes,/Y�--Ak Exits 4' K&1 ft.
MAIN rLM BASEMENT .IT STOPS 707 WIDTH
Stairs!M,—_/�__ Vert. Shafts A-j__ Sprinkler A /--/ _ Man. Alarm i'N4.P./yS d6A /
CLOSED CLOSED N0 TEE AREA COVEMED NT SI![ EET
Ht. Det.keNt /—_J _ floor(rf2okl" Ceiling -e 1EtL Roof L.L".a+r�Str. Members
LLAS% NO 71.E AREA COVO
Well cover KVil 4�/ Mir. rm. encl. Mi'oV Type flue_ -. Type Mfg, System rr Fuel A r;tIL.�G
The submitted plans have been reviewed for conformity with five protection statutes and regulations of Oregon admin-
istered by this office. Mems No.
checked on the enclosed list are applicable. These items and any specially noted provisions must be incorporated into
the project to meet current fire protection regulations. Approval of submitted plans is not an approval of omissions or
oversights by this office or of noncompliance with any applicabl? regulations of local government.
REMARKS:(A) C ei Z .J�"c^_ � �'.�`c'J.r.::_i.Z il" �_ A 1._1_4_43 ! _L�_L��
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.,���Ilel2.=D %Z'�:_��--b°•`,�= �-lam_-���:��e.r"A_.�a:'LV.SiI\ms's' +?e�.VL�
L.{st�L'[ IrLA&I. --
Examined by . mac _ "
Copies toil=issr`�yat.�r
Department of Conmieroe--Plane Review Section NOTICE OF FLANS REVIEW c:
ROOM 376. STATE OPFIe.E BUILr`!NG, PORTI ARID gyi71 eTN)E to NDT A EUILDING PERMIT)
.ri- �%•. '•s i4.f X_4 'l_Zy: c
Building�-+� ADDRESS
OUILDINO /l'L-
,�.A�,,��� ,•ems= /N>_ 4:���.��-i----� 'i�•z_�'E�i[.'�.c.-
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' CITY OF TIGARD
t II'M f. W, r.4910 ati... ,..
TIOARD, ORNROM M!�
APPLICATION FOR BUILDING PERMIT
NOW construction Demolish Addition Remodel Move
ZONING— M_-4 DATE ISSUED 1-9-74 BUILDING PERMIT
DATE RECEIVED BUILDING FEE $ 86,130 No. 74-02
BY PLAN CHECK S 55.90 —
—�—� OTHER $ .86 state VALUATION $ 23,786
TOTAL RECEIPT No.�
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LAT #_ 270Q MAP A � 2AD CENSUS TRACT JOA I�_
Architect or Engineer C.J. Olson
Address 11735 S.W. Katherjnn $ -re _-.—__ _____ Phone 6, �7q?
O'ner__-_ Richard L. _IRS
Address 7875 g-u�inn St 11gard, ntagan _ _Phone
Address _ _ — Phone+
BUILDING USE Single Res. 0 Multi Res. Comm. 11 Indust.rial
OCCUPANCY GROUP E-4 No. of Stories 1 hh��Totsl Height 1418" Area of Lot _ ,
Type of Construction f(XWX)NWXW V 1 hlulr Area B --- 12544 2 ---
Set Backs: Front 4C' Back14.6 L.Side 34.5 R.Side on line (variance)
Private Sewer Pipe Size.— A" Sewer r!Wptic Tank El
Water Service Pipe Size 3/4" StormSewer g Ditch ❑ Orywell
Street and Curb Requirements—— as required _Y city
Driveway Width 941 —No. of Parkinq Spaces
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
1
aval-o f @ ke dr�r�nege— —--•i
system
— — Fire Hydrant to be within 250 If. for building
ADDRESS ASSIGNED 697k- ,u. B rahaw RErmst
FIELD CHECK BY ]8 _-- _ --------DATE--
1
PERMIT APPROVED BY
I -is understood that all wrrk will conform with applicable codes and ordinances
a State of Oregon and the City of Tigard, Oregon, and that the building wil
occupied until n Certificate of panty has been issued by the City of
Building Inspector.
9 o
nature A li ant �—
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NO
INGT®N C60 DA' n.'
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APPLICATION FOR ' CONNECTION PERMIT
x�
OWNER'S ADDRESS,
�TSgllyd Iry - ._......._�.���" q l
a BUILDING SITE: LOT � ��--� ..�____.__ ._ ;t
--_- IBLMK _� _. ADDITION
TAX LOT N0. tOtVF OCCUPANCY -
4DD R ESS
A.'
� ' ' DWELLING UNITS--
FIXTURE FIXTURE UNITS
SURCHARGE IF APPLICABLE—
PERMIT
PPLICABLE_PERMIT FEE i CTItJIt f E E .--W- TOTAL DEPOSITED `�l[
(NEW) (EXISTING, AUILDING SPINER SYSTEM --__U ltrd__- -- •-- _ �,� '� �'
Tho Applicant agrem 10
CAM011► With +rll rtilas end re
v4stions of the Unified Sewerage Agency. •ti.
APOLICANT
k
SEY11g" PERMIT ' c '
M
,yep THIS PERMIT AUTHORIZES CONACTION TO THE SEWER SYSTEM.
�.,
LINE SIZE
RECEIVED
COMMENTS: . YMi Y •\
--- r
s! jM
P
September 210 1973
8u& White Screanprint Company
g,:10 S.W. Cedercrest.
Port1wid, :.rpgon
f"r. uhite:
This latter is to inr'orm you that your ouildiny permit
( '72-209) and a®,:-or permit k;-4%4) for property located
at 8970 ti.L. auinh,am :street, Tigard, ure6an are null
rand void as of tlutouer 31, 11173 nccordin;, tL the 1970
uniform Ouilding Code, Section 302, ')ubeectian (0)
and Unified 15ewaraya Ac
ency 70-12, ',ertion 2, Article
Me
If you have noy questions portaininy til thia 4natter,
please do nOt ht4eitate Lo c_intsct this Office.
E rnent Ciampt,911
Building tlfficial
L;f ti
a
RECEIPT FOR CERTIFIED MAIL---30t (plus postage)
SENT TO POSTMARK
ON OAT[
00 STREET DNC.
L_Os�p
LT) P.O., STATE AND /qQDE
/� .• b�BS3S'�a •��1i
gczl- _ _ OP ION t SFRYICb�%011 ADdifIONAL FE 6 Q r;
(S) t. Shows to whom and dote ds IVa' v M I ! �
R[TYRN With delowety to eddre6Xee of 85!
IIIOtNi 2. Showa to whom,data and*hare p�
ttRVlCtb with dohs-r,to addictsec On OSE! •/ (�
• DFIVER TO AODRESSE[ ONLY
SPFNAL DELIVERY (*xtro foe r*qut,ed) �
PS Perm NO INSURANCE COVERAGE PROVIDED— (See other side)
Apr. 1 97 1
3800 NOT FOR INTERNATIONAL MAIL M, ton n-•eo Tsa
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UNIFIED SEWERAGE AGENCY N0. 4764
WASHINGTON COUNTY DA Tl72
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: . Buz White
8970 S.W. Burnham Street
OWNER'S ADDRESS: -._. _--- --_--__ ---___- - ----__�___
STREET
Tigard Oregon 973
CITY STATE ZIP
BUILDING SITE: LOT __ __ BLOC); _ _____ ADDITION
TAX LOT NO _- ___ . TYPE OF OCCUPANCY Industrial _
ADDRESS 8970 S.W. Burnham Street
DWELLING UNITS 2 FIXTURE UNITS
SURCHARGE IF APPLICABLE
900
PERMIT FEF —ti;'0 - INSPECTION FEE - TOTAL DEPOSITED
EW) ' (EXISTING) BUILDING SEWER SYSTEM _ Tigard
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLIC' NTj%' --_--- ----_- ---
SEWER PERMIT
THIS PERMIT AUTHOkIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE 4" _ INSTALLER .. I Ed Ferrell
RECEIVED BY '
406 ITS ,ENT)
COMMENTS:
This Application and permit expires in ninety (90) days. The arnount paid will be forfeited
should expiration occur. �,,
cfC'7 BUILDER �A' VALUE ,Z Q,] :L FEE DATE,/,e,--?/-7z
LOCATION S, k5'-�ti „ �� 0WIgER < << «c
f OBMAP /� OT • Ano IJ TYPE
PLUMBER-- E 1 1 L
:SER PE RMI 1�� FE 8s�� :Nx, MECfiA " '„AL PERMIT
DA TE M _� BY _ t BY
EXCAVATION FILL AikiNDiT ING
FOOTINGS FOUNDATIONWof-hriTILATTLop
FORMS IL SPP.INUSKYSTEM
SLABS MAS& F S
REIEFORCING STEEL FIR ORS EXITS
_ ST_RUCTURI!L STEEL SARA ' LOOR
PLUMBING R. I . _ DRIVEWAY �
r ROOF FLASHING _ _ SE'rd"T'
FRAME _ T_ STO 1)
N
LATH/WALLBOARD rr. u
- HEATING �E SC EN_,..______.._ ._.
NATER HEATER �� NAL �__�
CITY OF TI,CARD
00 In" a W. ww fto*
APPLICATION FOR BUILDINr, PERMIT
New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Mme'
ZONING_ ](..4 DATE ISSUED 10-31-72 BUILDIN� PERMIT
DATE RECEIVED 10-3-72 HUILDING FEE S g3.Qp No. 72^03
BY PLAN CHECK 3.95
OTHER
l
OTHER $ VALUATION $_
TOTAL $_ la6-95_ RECEIPT NO.
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT #h12= MAP # 281 2An _ CENSUS TRACT r"8 JOB #
Architect or Engineer Robertlbnroe
Address -_,__,.py,:t1 nd _ _-------Phone
Owner. Buz Nhits
Address Phone
Builder Buz *its
Address __Phone_
BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. 11 IndustrL4
OCCUPANCY GROUP T2 No. of Stories 1 Total Height. 17 Area of Lot
Type of Construction AP3= III 7JV= Floor Area B--- 1 7096 2 --
Set Backe: Front 34 Back 44 L.Side 1,7.E R.Side O —(� 1�
Private Sewer Pipe SizeL
_ k" Sewer U.B.A. Tipr4eptic Tank
�
venter Service Pipe Size_ lw Storm Sewer 1:1Ditch L�: Drywe11❑
Street and Curb Requirements AS F�Wp= BY PUBLIC WMK'S
Driveway Width _ 37' -No. of Parkinq Spaces 6
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
TS'WUW IAMGIPING PIM MIST BE 83"JUTM BD
TO PLkMa[3 00HRISSION AND UVLANOM BEY=
ADDRESS ASSIGNED am S.W. Surribm Street
FIELD CHECK BY BR DATE, I0-31-T2
PERMIT APPROVED BY
It is understood that all work will conform with applicable codes r.nd ordinan
of the State of Oregon and the City of Tigard, Oregon, and that the building M'1
,got be occupied until a Certificate of Occup cy as b n iesued by the City of
ftigard Buildinq' Inspector.
f.; S gnature of 4qffAicant
�o
y� '
/ NO.
t_.A. 1 DATE
CONNECTION CHARGE
COMPUTATION SHEET
1. COMMERCIAL, DRY :INDUSTRIAL, PUBLIC STRUCTURES, CAR WASH, MANUAL C,AR WASH,
AUTO RTIC LAUNDRIES, LAUNDROMATS, ETC:
A. BUILDING AREA
SQ. FT. 1 1500 DU
B. LOT AREA
• L ACRE x 4 = DU
C. E IJC`(URE UNITS
FIXTURE UNITS 16 Du
SPECIAL SERVICES:
ELEMENTARY SCHOOL STUDENTS = 17 _ DU
eo
HIGH SCHOOL & COLLEGEI
S'P►JDEN7`S } * = DU
CHURCHES SEATS DU
HOSPITALS - GENERAL BEDS = DU
CONVALESCENT/REST HOME BEDS _ 2DU
=
SLEEPING ACCOMMODATIONS
WITHOUT KITCHENS ROOMS - 2DU
-
COMMENTS: 0 u. X ,� ..rte-, S 7 () 7
TO t 17
Lo V