12880 SW 107TH COURT-3 12880 SW 107TH COURT —
N
m '
W
C t
V C:c
O �
H
Q
C
W
CL W
c (u .N
L,i .-1 4-1 .-1
W C U U) x
O >1w w f-i C
'r1 C N 3 O C a)
4•) O .--I 03 O •i w
•^•I •H N Ii N -I a) (4
U 4--1 (U O L. (., U
C (0 .-4 O a) 0 O 0)
•� '�-- 0 r-( ,( N U w 3 C
LJ 4-) 1 0 a) (0 > (D N _y u v
CL (-1 C P 0) N N •1 3 O L+ 1--
Li
-W ,I m (U •r1 N 44 w a-) (U0) •.
U) I L- oOU) U7O. L- H
U W
3 Z: ct
oW ¢ n
c,.- x
> L)
r W
F- E:
` ) a
q
r
o
-i Q
o �
4-) w •-1
� vcn J m
Lr P
Lo ru 9-4
cr o u w
aC,o. c La_ -0 4j
O a) 0) rj (U
P-4 1 �— —A 0) U w
ro Cl c o. (o-, ..Li L� -Ii C z Q
ro •q v) U) E- Ulm ' • � w h�
E (U 4J E _0 C 7fa P-4 W,E (I- L , U 0
z W x00 .-( a) aWr-Ir, ca (0w _m
o mo. wt,_ (L (nfr. (nal., L��_I = ,
W - N
( S�!;E W Lai ^{
ti �► �: Ci rl L. Ln ¢O
p I
3
O
co
m
N
"".-.�
OF OC
CITY OF TIGARD Ctl
ORECON I
Pan American
Owner:.. Permit No,. ...4:71.3.3........
rj Building Address.........12B80 S...W.. 107th 1
.......................................................................
-
Cer+.ificate is hereby }_;even this...l8th....day of......Ag9�-,9-t............. 19.....75.
that said building may be occupied and
• that it complies with all requirements of
the Building Coca- for the City of Tigard,
as ap• oved by the Tigard City Council.
Building Inspector ,
�, =_.z:�w �,.�. �r•�r�Gs�:�vn,��te.�u:��3�c�+a� i -a2�. .�� _ .�.. a<�•,ri:�rx�'�rr�
'• � -4W ,
unw IN a s A.
4
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: _Zg2d"= PERMIT NO. :__
DATE: — DATE ISSUED :-_1 1_
OWNERS NAME : --j-
ADDRESS:
AME : - - L•'i,c Z.,F 7" .I .
ADDRk;;S: —,/A
CONTRACTOR :
TEST : Air D, Wotero , Visual D , Laboratory p
RESULT: Approve Disapproved ❑ , Pending p
SKETCH.
c--
s
INSPECTOR DATE
[OTE: Attach supplemental test data beret]
�� Al
it of e and
C y g
INSPECTION REQUEST
for
INSPECTION TIME:. •36 ^l'l,PERMIT NO.: ---
DATE:
O.: ---
DATE: S DATE ISSUED: _1
I eOWNERS NAME : L-dAy
ADDRESS -6-2 L �'ocLr�.l�
,
j CONTRACTOR :__Lk—- -c- -----
TEST'.
-----
TEST. Air❑, Water [I , Visual ❑ , Laboratory I]
RESULT: Approved 11 , Disapprove Pending L-1
SKETG •, XS
_
0 Hx114,
I GL C
w)r"t 1 f r il) fes''
C1)
r SPECTOR DATE
COTE A/lath •upplomenlol f�gf dafo horof]
I
1 < t t
9
C6) �4� Rvr e6l� ti 1°G06-, let)
0-? P•9 /C/v Co xr2 T,- r .L) k3,�45 ms
®r leler? /x,),5
1
.�� -lt--;r12cv& 41 rJ 72D
i
City of
INSPECTION
f o r
INSPECTION TIME : 'Rivl-'T VC: . : �.
DATE:
OWMFRiS WAME ; -4 t, w
i
ADDRESS : 4,1
TIF!zT; Air ❑, Water p , Vitunl,) ' , La 4nro+,
i
PESUL.T: Approvrd� Uisapvroved ❑
I SKETCH:
1
i
i
INSPECTC";
ICNOTF : Attoah supplemental fait de^o
I
City of T ' y o r1�
R
INSPECTION RE00" . ; ..
R 2 or
INSPECTION TI MF :—I?rlpl _ PERMIT NA
DATE: —7-1211? S DATE
OWNERS NAME : -
AD DR ES S :
AM€ : ..ADDRESS : !1h b'D
COPITRACTO R :_
TEST. Air U Water
x, Visual�', LaNprnfr.
RESULT: Approved Disapproved p , ❑ ,
SKETCH.'
f 'I
1
INSPECT01
COTE : Attach supplemontol tai.t do-u h;- �
PE lirl IT rm.
ADDRESS
PERMIT CHARGE
OWNER CONNI'LTION FEE �-oo
PAID BY
TYPE OF OU It-DING OATF CONNECTED
SERVICE RATE 41, . 1W)PI C r ION ["EE
PAID BY DATE
CONTRACTOR
SIZE OF CONNECTION ASSESSMENT PAID
(In-WIN
Icl �'Y OF
BUILDING PERMIT APPLICATION TIGARD DATE .6--) 7-9y 19 N° �y '
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
ID 7.4,
UWNLR2h f, ADDRESS Z/2,Y- -0 T� X09- 7.4, BUILDER PHONE
ENGINEER
BUILDER ARCHITECT DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION-� ❑REPAIR 01'.ENEWAL ❑FINE DAMAGE ❑DEMOLITION
aRFSIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELI%,IUUSLJPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑SONO OMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—LAND USE ZONE=&:2—BLDG.TYPE - FIRE ZONE 3 PLAN CHECK BY,,. ,"L _ HEAT
Ll w 1r�Li►�-1 .-
QCC•LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL IANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CI'.Y BUSINESS
1%State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
-_._.-. APPLICANT ON AOENT
Approved Receipt No.
AO.I ESS PHbW --- ---
DATE INSP. TYPE INSPECTION REMARKS PLUMBING UA1'E
_ Contractor arre.c..
✓a ./3- "P,� 71-1.�'. F rM.- i _— Permit No. - g ,f, I 7'l
_
&.r. wn/f) IAL Rough-in
MNNFtfy tail Fixture _
HEATING�T
( Contractor
Permit No. /O;(
Gas or Oil (z7ol _
Rough-in
A C J kg; �I,lt�L" Final --
1/7 (✓� � R�l� SEWER
Final
DRIVEWAY 'S-
Final
Storm Drainage
(Rain Drain) Final
— I
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
C F+ i '\TF OCCUPANCY Final
6 , Landscaping
Zoning Final
r
1031
UNIFIED SEWERAGE AGENCY NO 1981
WASHINGTON COUNTY UAI I.
CITY O F _ __ TIGARD
APPLICA TION FOR SEWER CONNECTION PERMIT
OWNER: 91 t2 P - ---- -- -- ---- -- - -
OWNER'S A D D P E SS. _ -3D-2-Q-S.U. --P444 ab r-nn-k---- _ _ _ .----- - _- -------------
STREET
----- -- -- h-�ar d-- --- ------- -�,- - - - -- -----
CITY STATE 7.IP
BUILDING SITE: LOT--.--38 -_-_ BLOCK ADDITION -Pathf ind.gr
TAX LOT N0. TYPE OF OCCUPANCY
ADDRESS __ 12880 S.W. 107th __---------------__-_--
DWELLING UNITS -_1 _ FIXTURE UNITS v __
SURCHARGE IF APPLICABLE 53--10- r-r-y Di-,'.1-
PERMIT
-- - —
PERMIT FEE . 500 - -- INSPECTION FEE ____ S__ TOTAL DEPOSITED
NEW) (EXISTING) BUILDING SEWER SYSTEM __-_Tigard _ __-_
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT-
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE 41_'-_ -___ INSTALLER
,q r
RECEIVED E`Y__ -
GENCY OR ITS AGENT)
COMMENTS: - �l -� 33 IS-V u� `
Fhis Application and permit expires in ninety (90) days. The amount paid will he forfeited
should expiration occur.
I14:0 S. W. Main str.N
TIGARD. OREGON 47227
APPLICATION FOR BUILDING PERMIT
New Conrttruction C� Demo ILshU Addition Remodel "love-�
ZONING � DATE ISSUED 4, .�7 ](� BUILDING PERMIT
DATE RL E.IVED /Z_y� BUILDING: FEE 5 ! 2 / ! •.� No. /
BY
PLAN CHECK S
I'1c�11Z��.p
_ 7.. OTIIFR/jm..4 -1 $ _ r .. VALUATION S
"�" RECrIPT No. >
TOTAL/% :�.<< S__.1.;.�y _ ./G _i'1
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATioN
LOT 1 _3 iii HAP 1 CENSUS TRACT� joB 1
Architect or Rnyineer 1�►_•I� t!j' ^� 1�ji, ►'i\/
Phone ,�� -
Address Z.,7-3 S Ali:. 1")12,�.t��. nr .o.� � l
cn,rtie r LA itqL.�. _Ly_ VOc._c___ . .__
Address '1 3 r1. L it��I�R.7��K - .--_.�i�.��.Itf) 1,t Phonet, S Q - 7 7y
Builder INC.
Address l:j lr v Phone-
BUILDING USE Single Res. Multi Res, L , Comm. ( , industrialI__
OCCUPANCY GROUP r No. of Stories 2 _ Tota. fight_ -_ Area of Lot/`•
Type of Construction I It III IV V Floor Area R_- 1 2
Set Backs: Front-,2-y- Back-113-— 1•.Sirle R.Side
Private Sewer Pipe Sise__ _ _ Sewer s!y Septic Tank L�
Water Service Pipe SizeAx Storm Sewer U Ditch nryweIIL _J
--. .� Y-----
Street and Curb Requirements (U
Driveway Wldth ? i No. of Parking Spaces- Z
SEPARATE PI•:RMI,r5 REQUIRED FOR SEWER AND PLUMIIING
SPECIAL INFORMA'rinN
ADDRESS ASSIC:NFD
FIELD CHECK RY I:A'I
PERMIT APPROVED BY
It is understood that all work wail conform with applicable clideS and ordinances
Of the State Of Oregon and the Cittyy of Tigard, oregon, and that the building will
not It* occupied until a Certifir.at� f O updncy has r!en lriyued by the City of
Tigard Building Inspector. p