9360 SW INEZ STREET WF
9360 SW INEZ STREET
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City
INSPECTION REQUEST
for
IINSPECTION TIME : : PERMIT NO. : .--
DATE
O. : . —
DATE: _11A 73— DATE ISSUED'_-1_—L--
OWNERS NAME . —
ADDRESS :
AME .ADDRESS : la
I CONTRACTOR
I
TEST' A r :3, Water r] , Vise of 0 , La' .ratorj r.1
RESULT, Approved, , Disapproved 1 Fending
I SKETCH:
f#4v
P �73
INSPECTOR DATE
COTE: Attach supplemental test data heret-10
city of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : 5 ' ' PERMIT
DATE: L-1— DATE I S S U E D:l LZLZ,-
OWNERS NAME : `OkLktw -+ 1 '-�., `e
ADDRESS : C 3� y SiA� axe
CONTRACTOR :—
TEST'.
ONTRACTOR :TEST. Air ❑, Water ❑ j isual C7 , laboratory ❑
RESULT: Approved El Disapproved ❑ Pending LI
SKETCH:
II
NSPEC LOR DATE
COTS '. Attach supplemental test data hereto
City of Tigard
INSPECTION REQUEST
for
')PECTION TIME: 2 PERMIT NO. : �_ /
DATE: . � b"�'7� DATE JSSUED : "-
OW+NERIS NAME : �-'^ ==�_---
ADDRESS: _ 9-100
CONTRACTOR : --
TEST *. Air U, WaterZ1,
OYlsual Labooturyp+RESULT: ApprovedDisapproved Cl , Pending p
SKETCH:
'NSPECTOR DATE
(NOTE : Attach supplemental tes'r data her-!to�
PUMING PXRMIT APPLICATION
t Jurisdiction of
i
or, Type of Fixture Fee Permit NO.
Permit fee
Z water oseta Toilets ,_,-w Permit Issue
Bat18 s Approved by
a a `w Building Permit '
Receipt No.
Mshwa9 .in
Ana en
n s. Ordinary Location of Buileing _ ,A)' S.L
n IS. or
.yin s Slop
u omaU1� _wash er Ary Tray* --
e
� Name b Address of (rl 0►tQ'
ains. Floor,
sins. Area
---
•alYl
Automatic as. er Name A Address of Plumber 4Y Ag,y„�L-VZyRLgr
oun a ns. Drink n ---- --
oUn a ne, a'oaa_ r
ot
ste ' Service Si,ce
rina a _ •_ $ui1Gt� Old or New) (Alter. E'.ePalr' or
1- A noYard na a.1 .uegu - sant. 1 _
wn ',2r1nXlPr System
--
Mis permit becomes null - id void if work or construction authorized is nct
ommenced within 60 days, ur if construction or work is suspMnded :.r abandoned
�or a period of 120 dayb At any time after work is commenced.
111 plumbing firms :nust be licensed by the City of Tigard a .d post a =1,070 t,Ond.
I hereby certify that I have --ad and examined this application and know the same
to be true and correct. All provisions of laws and ordinances governing this type
>f work will be complied with whs�ther specified herein cr not, thf, granting of a
permit does not presume to Rive ,authority to violate or :ancel the provisions
,f any ,ther state or local law regulating conotruetiun or the performance of
Construction.
Signature of Applt-.Ixn'
i
�t'3Cop
Addreee _ tPermit No. U lib
Permit charge
Owner Connection fee
�o,r,.lanri6ici._�'i _ Paid by
? ype of building j Date connected I
Service rate— =��' Vt Inspection fee .3S
..._ �9.i Y7 Ori�a
Contractor �YNMU,,.y ���,. ra ti� _ Paid by date
Size of connection " � Asses.smeni ,_ � paid
�) I
I
City of Tigard
INSPECTION REQUEST
I
for
INSPECTION TIME: "' _ PERMIT NO. :
DATE: ') LI-L' DATE ISSUED :
OWNERS NAME '.
ADDRESS:
CONTRACTOR :
TEST . Air C7 , Water L] , Visual Z-,-Laboratory p I
RESULT . Approved L4' , Disapproved U , Pending ❑-- I
SKETCH: I
I
INSPECTOR GAPE
COTE : Attach supplemental teat data be►eto]
I I I I I I I t
se ^
UNIFIED SEWERAGE ,AGENCY No. _ 4760
WASHINGTON COUNTY DATE
Tigard
CITYO F�_.._--------------
t`
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: _ _--_-- Marvin Naroee
OWNER'S ADDRESS: ._.___—_ 1110 R. 16th at.
STREFT
McMinnville - __�— _oreion ---- - _9T"8�
CITY STATE ZIP
BUILDING SITE: LOT__39_____-_ P.LOCK _ ADDITION
TAX LOT NO. _ _ TYPE OF OCCUPANCY Residence+_
ADDRESS 9360 S.W. Inez St.
DWELLING UNITS__ ___ __x_._ FIXTURE UNITS.. 14 _
SURCHARGE IF APPLIC*LE _
PERMIT FEE —!*1 __ _ INSPECTION FEE __- 5 TOTAL DEPOSITED
INEW) ) (EXISTING) BUILDING SEWER SYSTEM .__ .______Tigard
The Applicant agrees to comply with all rules and regulations of the ified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
f
LINE SIZE INSTALLER ___.___ 1�o�►d Brom _
RECEIVED BY
IAC F®R _ AG[ -
T G
COMMENTS:
WIWOM [Wxw
VALUE IEEE DATF✓i-
JOB ���- _ MA P TYPE
PLUMBER Pr; MIT EE
SEWER PERMIT 7(4C' FEE ; y � �� MECHANICA)J PERMIT �.. w.
DATE _ BY PATE
EXCAVATION FILL AIR CONDITIONING
FOOTINGS FOUNDATION VENTILATION _
FORMS _ 3PRINKL R SYS'T'EM
SLABS MA.SONKY/FLi1ES
REINFORCING STEEL � FIRE DOORS EXITS
STF.UCTURAL STEEL GARAGE FLOOR
PLUMBING R I . _ _ DRIVEWAY
ROOF FLASIIING _ SEWER�____�_
FRAME STORM DRAIN
LATH/WALLBOARD y_ PARKING
_-- HEATING - _ _ __. �.__._..- FENC) SCREEN
WATi,,R HEATER �`_� ____ _. FINAL _.__._.._. ..._ _--.-
es+s�
AAn
,••�,�,. i CITY OF TI GA R D
I
Ult A. w ma" W em
11a•Mo, oasQoM nm
APPLICATION FOR BUILDING PERMIT
Now Construction Demoliah FAddition Remodel Move
ZONINC,yIi`�� DATE ISSUED U442 BUILDING PERMIT
DATE RF.CEIV'EU 10416'T2 BUILDING FEE $ N.00 N�ywl�
BY as PLAN (_HECK $� �— ____C_._s_
OTHER $ VALUATION $ OAW
TOTAL $ RECEIPT No.
TWO SETS OF PLANS AND PLOT PLANS MUST 11E FURNISHED WITH APPLICATION
MAP 1—._._._- - CENSUS TRACT - W41 ^ -- JOB 1
Architect or EnginePr L. M. Hrieesr
Address Phone
c7wne r
Address_ _.-._-._
Builder Narvla PetWN
Address
BUILDING USE Single Res. 51 Mu!ti Rea. 11 Comm. i_1 Industrial
OCCUPANCY GROUP` - No, o: Stories.-2--- Total Height 22 Area of Lotl
Type of Construction V Floor Area B_ 2�_r
Set Backss Front 22 Back 1k.40 L.Side 1 R.Side 15-6_
Private Sewer Pipe Jit<e�y._ Sewer__2j4pLtj,_m Septic Tank EJ
Mater Service Pipe Si:e__A(4• - Storm Sewer (j] Ditch ❑ Drywe11
Street and Curb Requirements watift
Driveway width_ 17t _ No, of Parking Spaces
SEPARATE PERMITS REQUIRED POP SEWED AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED 9j60 ••y. Iris K.
VELD CHECK BY-
PrP.MIT APPROVED BY_�
It is understood that all work will conform with app± icable codes and ordinances.
of the State of Ore,inn and the City of Tigard, Oregon, d that the building
Dot be occupied until a Certificate of Oc
cupy be issued by the City 00
Tigard Buildinq Inspector.
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