11340 SW 94TH AVENUE •s
11340 SW ' 4TH AVENUE
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Cit. cr" Tigard
INSPECTION REQUEST
for
MPECThON TIME'. PERMIT NO. :
DATE: --7--Z3-lZ.-LY- DATE ISSUED :-,.L—Z—
OWNERS NAME : -Al
ADDRESS: --l"-
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CONTRACTOR :
TEST ' Air El, Water[] , Visuni Ij , Lliborntory
RESULT— Approvo,5 Disopr)roved 0 Pending [j
SKETCH
INSPECTOR DATE
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NNEW
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PLUMBING PERMIT APPLICATION
Jurisdiction of
No, Type of Fixture Fee Permit; No. 7 /3
Permit fee / sem • i
..I- Water Closets Toilets Permit Issued
Bath Tabs Approved by
.z. LavatovirWash Basin Building Perms
Shower Receipt No. 053
Sin s.Dishwashin
Sinks,--K cben
Sinks Ordinary Location of Building �__..____________�--•
Sinus, •Bar
Sinks,,__Slo____
Autom%tic DishwasFer
aundry Trays _ Name & Address of 0-onier
Drains, Floor _ �'F- 7 --rte- -
-Drains, Area
Drains Reri erator -------
Rain Drains
Automatic 9asher Name Address Of rimer
oun a3. r n .n •�- -� ____
Foun
_ _ tains, Som - 'o z -r-�fi-
Hot Water Tank
Water Service Size M_
Urinals Buildin Old r New Alter, Repair or
— a ori=has ns - ara- �nsta _ -
Lawn
_ Shrinke� r ystem - --
SwimmingIool
Sprinkler System
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 sarr
to be true and correct. All provisions of laws and ordinances governing this ty
of work will be complied with whether specified herein or not, the granting of F
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.
Signature of Applicant
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME ' 92y_ PERMIT NO.: _—.__
DATE: 1�7 DATE ISSUED:-,.-/
OWNERS NAME ' L �cY -- — -.-.-
---
ADDRESS : //-3
CONTRACTOR :--.----
TEST'
ONTRACTOR --TEST: Air 0, Water 0 , Visual ❑ , Laboratory ❑
RESULT: Approved , Disapproved ❑ , Pending p
SKETCH'
(ANSPECTOR DATF
COTE Attach suppiomwoI test dov3 hers,]
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City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME : �=,1 PERMIT NO. : _
DATE: / -1601' DATE ISSUED:,11
OWNERS NAME : 12- fir, e __-
ADDRESS : T Z`/ TL-
f
CONTRACTOR :------------
TEST: Air ❑, Water [] Visual ❑ , Laboratory ❑
RESULT: Approved Disapproved O , Peadng []
SKETCH:
7j S
I � _ -- - _-
SPECTOR DATE
ICNOTE Attach eupplementnl feet dote hereto
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CITY OF TIGARD
12420 S. W. Main Street
TIGARD, OREGON 97223
APPLICATION FOR BUILDING PERMIT
nAddition � Remodel � Move Q
New Construction Demolish - -J -
'- DATE ISSUED ��-/ -� BUILDING PERMIT
..ONING No.
DATA: RECEIVED_ BUILDING FEE $_ _S J -_
PLAN CHECK $ >-.)-
By _ VALUATION $ �
-----�- OTHERfI r,.. �.� $ - RECEIPT No.� �l -- --
TOTAL
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
# / MAP # T/ 'T - CENSUS TRACT ._-- JOB #
LOT /i/.�/!J c .,
Architect or Engineer_ / ,�r , t•- _ ---------- - "_ --��
Phone
Add r.e s s n_-._._.r --_-- - --------------_---_ ---- -_
Owner 4 rr-
- — Phone (
Address` // i Y ��=—_�L j�— _— _ --- ---- --- - _
Builder—
Phone
Address —
— � n Comm. Industrial
industrial
BUILDING USF. Single Res . � Multi Res . L-1 -
Total height Area of Lot--.----
Type
OCCUPANCY GROUP_ No. of Stories----- ------- --"
1 2-------
Set
__
Type of Construction I II III IV V Floor Aroa B--- --- ___-_____ _- ---
L.Sidei�( ( R.Side `4)-
Set Backs : Front `)� �! Back (� -
5ewer Septic Tank 1�r `� U
l i.ivate Sewer Pipe Size_____,-- .- -_--._- __ 11/•.
Water Service Pipe Size,__ ��
Storm Sewer ❑ Ditch I)ryweI
Street and Curb Requirements—— _._ __-_------_----_
Driveway Width _------- No. of Parking Spaces--
SEPARATE P1:11111ITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
Ir A
ADUIIESS ASSIGNED �-