9385 SW INEZ STREET 9385 SW INEZ STREET
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BUILDING DEPARTMENT, TIGARD �T
PLUMBING PERMIT
' " holder of a valid plumbing contractors license is hereby
authorized to cause plumbingr ork as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner' �? a�r�_____y_.._�._.__ Address_
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS _ FEE ON SACH AMOUNT (Office Use Only)
Sin le Family-1 bath-each _ _ 25.00 -�~�-
Ou Nx-Each 1 bath unit -� - 25.00 _
Additional-bathrooms-each 10.00
Mobilt Home Spacs-each 15.00
—
F.INDIVIOUAL FIXTURE FEES _
I to 50 Fixtures in t building-each v-' - 3.00�� �~
51 to 100 Fixtures in 1 building-each _ 2.50
101 to 200 Fixtures in 1 buildinq-each -r 2.00
201 or more Fixtures in 1 building-each 1.50
MISCELLANE0us
building Sawar-1st 40 ft. 10.00
Sewer-each additional 100 ft. 10.00 '� _ ��
,1a.er Servito to building S.00
IF�PP iwete water S• stems-each 100 ft. _ - __ 10.00 '
P RMIT For Plumbing Inspection Phor-e 6394171
.,State y� Plumbing Contractor Byt!'�t'C,���.
TnTdI �c .. .,_ ....
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT NO 2 4 6 8 l
— --- -- ---=----- __, holder of .a valid plumbing contractors license is hereby
authorize;, to cause plumbing work as herein noted to be installed in accordance -with the plumbing code of
Tigard. Such installations require ,nspection by the City Inspector who shall be n+ lified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all rontractors and sub-contractors.
Owner. >
� . --- Address_. ,
..1.. Date-_-
TYPE OF PERMIT NUMBER OF TOtAL
ITEMS FEE ON EACH AMOUNT
Sinale.Fem!Iv-1 beth-eech ��- -_ 25.00 - -
Du le c-Each 1 beth unit 25.00 ,--
Additfonel bethrooms�-e-eech_ _~ 10.00
Mobile Home_Space•-each _ " —•- ._-�_
INDIVIDJAr, FIXTURE8 CO_M_KFRCIA 15.00
-
1 to 60 Fixtured in 1 building-each 3 -
�51 to 100 Fixtures in 1 building-each_-_ 2.60 ---
f 101 to 200 Flxtures fn_t building-each -- _
2.00
201 or more Fixtures in 1 bullding a-each 1.50
MISCELLANEOUS
Sewer-each additional too ft. _ 10.00 --
Water Service to buildir�
6.00
Other S ecit
PERMIT �. — For Plumbing Jnspertion Phone 639-4171
_ `o Statp _ yy Pltlmhiag Contractor By
TOTAL y RECEIPT NO. Issued By - '--�—
I
E City Of Tigard
INSPECTION REQUEST
for
INSPECTION TI PERMIT NO. :
I DATE* Lid `ZL DATE ISSUED:—,/---j'-
OWNERS
SSUED:—,/---j'OWNERS NAME : .—t
ADDRESS :
C O N T R A C T O R :-_
TEST: Air ❑, Water O , Visual 0 , Laboratory ❑
RESULT: Approved)PI , Disapproved 0 Pending U
I SKETCH:
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I INSPECTOR DATE
I [NOTE : A'tach supplemental test datn herstoJ
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City of Tigard
lN�PEINSPECTIONREQ �UEoa"T
I for
IINSPECTION TIME : PERMIT NO. ;
DATE: L:kl 21— DATE ISSUED".-I_[.
OWNERS NAME :
A ri I)R E 5 S :
CONTRACTOR : -------�-_--
ITEST. Air ❑, Water U , Visual ❑ , Laboralory ❑
RESULT. Approved ❑ , risapprove4 ❑ , Pending [ ]
I YSKETCH:
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M INSPECTOR DATE
IUN�0TF Attach supplemental test data heret:01
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CITY OF TIGARD MECHANICAL PERMIT
DATE PERMIT N0. � =M_._ RECEIPT NO.
BY : FEE _E _._._- -------------_.�
I. Permit shall be' obtained prior to commencement of .installation.
2. Permit shall be obtained for all appliances which are -to become
a fixture to the building.
3. Relocation, replacements, alterations, or changes to burners and
dict work require permits.
4. All work to be concealed must be inspected before cover up.
New Installation Replace ❑ Relocation ❑ Addition ❑ Alteration U
OWNER-
CONTR. -
_---- --- ..�
ADDRESS
WORK ADDRESS _ 3�•r� -'-- ~� ��
. �- • (('� �� APPLICANT
TELEPHONE N0. ___--
FURNACE - MANUFACTURER _____�,.__.__ 'TELEPHONE N0.
HEAT Input rating ('Btu Per Hour) Vent Size Flue Size
FUEL OIL ❑ GAS® ELECT ❑ OTHER
TOTAL So. FT. Top Floor _ Main Floor_ Basement
rrENEFtAL
I't'r7 N0. FEE ITEM NO• FEE
For Issuance of Permit L. Boilers OverO_Fi�___M,
_ _ Air Handlin 1.0 000 CFM
New - Under 100 000 Btu 4.00_ ..�_ _._.__._._—
New`=-Over 10000"Btu_ _ wAir Handl i.rig_Ov_er 10,000_CFM
Floor Furne ,Ie _ _ _ +c.� Evaporative_Cooler—w _ -0
Wal' 1- -F_ oor = S r �i rent Feri - _—_�.._._.—� Z�Q
,�u�pended 7700--
ins - 0
` aII i_i_en 's ��
N
�air - Heat & Cooli_n __o. lens Ian er 3_H_.__ � ___ -400 BomesTic incineraEor _
Boilers-37op —Z`omm_rliicineraler _ 2U.0
Bo ers-i5 to 0-1 10.00
,Bo i 1 e r s 5_o_50. --• - -�0�5� --- ____ -------- --- �_-' .� -
! �S COMMENTS
INSPECTOR
APPROVED BY DATE ISSUED BY �_ DATE. ____ —
Signature of Applicant
City of Tigard
INSPECTION REQUEST
for
INtPECTION TIME: _1`���� PERM: f NO. :
DATE: J' / / DA-# E ISSUED :--L-Z
OWNERS NAME
ADDRESS:
CONTRACTORTEST : Air ❑, Water[] , Vieuai Laboratory p
RESULT' Approved Disapproved ❑ , Pending [-j
SKETCH
INSPECTOR DATE
LOT ' Atfach supplsmenfol tool data Geref]
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City of Tigard
INSPECTION REQUEST
� �ST
for
INSPECTION TIME: PERMIT NO. :--.--
DATE:
O. :___-DATE: ' ' ,S- DATE ISSUED : I
OWNERS NAME
ADDRESS:
CONTRACTOR : -
TE S T
ONTRACTOR . -TEST . Air [.1, Woter0 visual 0 , Laboratory 0
RESULT. Approved , Disapproved 0 , Pending 0
SKETCH.
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INgPECTOR DATE
COTV Attach supplemental test datn beret 91
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City of Tigard
INSPECTION RE-QUEST
for
SPECTION TIME ' __ PERMIT NO. : -----
DATE:
CI. : _— __DATE: iLZ5017-.-� DATE ISSUED :— I Z
INERS NAME : --
A D D R E S S: —
)NTRACTO R : . _------- -
.ST : lair I=.1, Water ❑ , Visual C] , l-aboratory O
=SULT : Apnroved ,f, Disapproved ❑ Pending D
(ETCH:
INSPECTOR DATE
TE: Attach supplemental test data hereta�
I
City of Tigard
INSPECTION REQUEST ,
for
SPECTION TIME: _ PERMIT NO. :____—_ I
I ATE : DATE ISSUED *. Z
I N E R S NAME : nAa-3�
ADDRESS:
)N T R A C T O R :
'I—ST'. Air u, Water[] , Visual r] , Laboratory ❑
-SULT : Apnroved W , Disapproved ❑ Pending �]
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(ETCH:
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NSPECTOR DATE
I s Attach supplemental test data berets]
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : -. PERMIT NO. : .�__.____._._.
DATE : A)1?5- DATE ISSUED __J._-
OWNERS NAME ' was- --_.--�
ADDRESS : X385 •,`�-kr _Z�+-[�CONTRACTOR :------
TEST'.
ONTRACT0R :------TEST. A r J , Water [1 , Visual ❑ , La+• gyratory [l
RESULT: Approved ❑ , Disapprove , Pending Q
SKETCH:
`}LL.
INSPECTOR DATE
Attach supplemental teat data hereto,
i
City of Tigard
INSPECTION RtOUEST
i for
i +NSPECTION TIME : ];.10 PERMIT NO. —
DATE -
O. . ._DATE : /42/46-/,;.t DATF ISSUED'
t)WNERS NAME . ,6VIZ-On —
AUDRESS 5,
Ct1NI RACTIDR
TES'l � , 'Ainter 1�, LQ r(.-4 ;1
RESULT Approve0jeDisrpproveH _l nding
SKETCH:
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ENOTE: Attach supplemental test .: uta ;,eietd
KEN
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :A1"l—l' PERMIT" NO. :
DATE : / 1 DATE ISSUED :—/*
OWNERS NAME : _ PL A)Ra.SF
ADDRESS: _ _ 22 S 5� - � —. EZ
CONTRACTOR :
V:suai T] , Laboratory I=]
RESULT: Ap.'rove(0� , );sappravad G Pends iR O
SKETCH.*
73
INSPEC'.-OR DATE
NOTE' Attach supplemental test data hereto
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : jf" 30 PERMIT NO. : __
DATE: /�s% '73 DATE ISSUED :__I
OWNERS NAME : Of Al <cSte- _
ADDRESS: S -7—/✓FL s7 _
ccliI rRACTO R : -- - ----- -
-i EST : Air U, Water❑ , V;sual !] , I_o boratory r
RESULT.' Ap,,roved Disapproved G Pendinq
SKETCH:
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INSPECTOR DATE
NOTE: Attacr+ supplemental test data hereto
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UNIFIED SEWERAGE AGENCY �tiS1
WASHINGTON COUNTY (iAIf AWA 1.9. 113 ---
CITY OF Tie"
APPLICATION FOR SEWED; CONNECTION PERMIT
OWNER librrib Plemme snithere
OW'IER'S ADDRESS: 1110 111. 11 1btb St"Ot
I l 11 f E T —..._.__
"U&"M
—._..�._. _ "Al J7126 TI —
BUILDING SITE: LOT--23--- BLOCK- ADDITION PuuwN T*rMga__.
TAX LOT NO ___. TYPE OF OCCUPANCY Buidaco� _
ADDRESS
DWELLING UNITS-.--3__. _ FIXTURE UNITS
SURCHARGE IF
PERMIT FEE _._. INSPECr10N FEES____ TOTAL DEPOSITED
j fit-WW (EXISTING) BUILDING SEWER SYSTEM
the Appllcent gree; to comply with all rulM and iegnlatvons of the Unified Sewerage Agency
APPLICANT �� �)�21
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM
LINE SIZE _ . 4k INSTALLER
F+ECEIVED BY___
IA fV f 7101N I
C O M M E N T S 4 glot y Izr-/Oq/
T1,,% Apniicatlo,l and mmit erpiMe M ninety 1901 days The emo int nerd will tw fo+felted
ruld r■p1r8U0n OCCUr
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CITY OF TIGARD
124" S. W. wM It
TIDAND, oaeeoM frrf>t
APPLICATION FOR BUILDING PERMIT
New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move❑
ZONING�� _ _ DATE ISSUED_�Zr.U____ BUILDING_ PERMIT
DATE RECEIVED 5-31-73 BUILDING FEE S_ >>� _ No. ?;; 12i
f!Y PLAN CHECK S_+mow VALUATION S
- #9 �-` — OTHER $ -- RECEIPT No.`�'5 ho,00
TOTAL. $y 174'71
TWO SETS OF PLANS AND PLAT PLANS MUST BE FURNISHED WITH APPLICATION
LOT 1 1j " MAP A 30 2S1`1JAC CENSUS TRACT M-tlJOB 1
Architect or t:ngineer_, "Bruin PenroN -
Address___W
owner Penrose Brothers
Add r e s c —r �__.._ _ _ __ �___-_--- - Phone
Builder Penrose Brothers
Address __ Phone--
BUILDING USE Single Res. a Multi Res. ❑ Comm. ❑ Industrial❑
(WCUPANCY GROUP I No. of Stories-2 Total Height ,4, — Area of Lotd"
Type of Construction DD00U0oamjjxu= v rlGor Area B -_ 1
Set Racks: Front 2U' liack 34' L.Side--` ' - R.Side_1_b'
Private Sewer Pipe Size 11.0 !� Sower u+s Tiprd._ Septic Tank ❑
water Service Pipe Size_- Storm Sewer 1� Ditch ❑ Drywell❑
Street and Curb Requirements
Driveway Width18' _No. a` Parkinq Spaces_ -2
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED 0385 S.M. Inas Street _
FIELD CHECK BYRC DATE..
,,.��¢-�];
PERMIT APPROVED Byte" ,ea,cI 110P9
It is understood that all work will conform +ith applicable codes and ordinances
of the State of Oregon and the City of Tigard. Oregon, and that the building wil
not be occupied until a Certificate of Occupancy^has2een issued by the City of
Tiqard Building Inspector.
to of. App scant
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Address 9a�3 5 A2L" 0,� . Permit No.10
Permit charge
Owner Connection fee �a5�
Paid by �lxzsa.e_ z��c.r�
Type of building Date connected 7 3
Service rata ,cjt; Inspection fee
Contractor ' a a a.0 402h 9,dj,: Paid by date
Size of connection � � Assessment paid
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City of Tigard V
INSPECTION REQUEST
A
INSPECTION TIME : ,YPERMIT NO. :
DATE : DATE ISSUED : i
OWNERS NAME :
ADDRESS --- `l.If L
CON'rRA('Tr, R : ----- �- --
i E ST : _, , 'Mater Cj , V:suai)Yl 1_ahoratory 0
RESULT : Ap. roved �, :'�i;3appra�ad G ;pending L]
SKETCH
INSPECTOR DATE
NOTE Attach supplemental test data her?1ol
I
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i City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME __ PERMIT NO. : .__
DATE: DATE ISSUED'��
OWNERS NAME :
I ADDRESS : __
I CONTRACTOR :_ _-
TEST � ! J , Water �_) , v :, i , La rct:ar ; n
RESULT . Approved 1 DisapproveH -1 ; "nding
SKETCH: lrttcG.
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3� 7�
I INSPECTOR DATE
CNOTE Attach supplemental test ,iota he►et]
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City of Tigard
INSPECTION REQUEST
I
for I
ME: ��,'On PERMIT NO. : 7� I
INSPECTION TI I
DATE: L_��Z3 DATE ISSUED :._`LOLL z
OWNERS NAME :
ADDRESS:
CONTRACTOR : Yf
TEST : Air D, Woter D , Visual Laboratory p
RESULT . Approved ❑ , Pending ❑__
IM
KETCH: Il
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R� `'� v r✓ S1 D !�✓ G MJ�,1��1
r �l��l►v I
INSPECTOR DATE
TOTE Attach supplemental test do'ra claretI I