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13505 SW 110TH AVENUE _., 13505 SW 110TH AVENUE cr J c'� �� ora I 01 t/�1 ,I[ 11':�� a` M'� F•i fc� p ir LO OA 44 i C Y=� �l L� Y'Y l.F L cry T P4 14 rl ;' �t I I Crit of Tigard i y INSPECTION REOUEST 1 for INSPECTION TIME :__---- — -- PERMIT NO.: DATE: . DATE ISSUED:_--/—L - -- OWNERS NAME : "'u -------- --_ ADDRESS : CONTRACTOR : TEST'. Air ❑, Water p , Visual ❑ , Laboratory ❑ —� Disapprove RESULT'. Approvedd d 17 , fending 0 ____-----_- 0 SKETCH: OPT n Qe J3�� L/ `-"_ DATE 4N , SPE CTOR NOTE Attoc" su DP lementol to+t doto heret] . r ALL SPACES MUST BE lif DORSED PRIOR TO ISSUANCE OF BUILDING PERMIT PLANNING DEPT. _ F ------ Dat PUBLIC WORKS DEPT. By Date BUI.LDIIIG DEPS. _ ByDate TUAT_,ATIN RURAL _ 'y FIRE DEPT. Dy- -` Date APPROVED FOR C'-_.3J.I:u1'ION CITY OF TIGARD 3 PERMIT ; -� ADDRE53� BY TITLE DATE I I I City of Tigard INSPECTION REQUEST for 1 ' INSPECT, ION TIME. ERMIT NO. : DATE: 9 /14/ 74 DATE ISSUED : Z OWNERS NAME : Ld s c _- _. — A DD 4 E S S: - 13.50 t1�.__ CONTRACTOR : _-- TE ST : Air p, Water[] , Visual Laboratory ❑ RESULT: Approved, Disapproved O , Pending ❑ SKETCH: INSPECTOR DATE COTE Attach supplemental feet dato berob '001 I City of Tigard INSPECTION REQUEST � for I INSPECTION TIME: _r% PERMIT NO. :,_—_ DATE : DATE ISSUED : 1_1:_._ OWNERS NAME : tj ADDRESS: - ='+�'��`' -� �' //o Tit CONTRACTOR : TEST ' Air 0, Wuterp , Visual , Laboratory p _RESULT: Approved C;sapprovsd O , Pending p I SKETCH. I I I I I INSPECTOR BATE I 1 L016: Attach supplemental tdst data bereta� I 1 I City of Tigard INSPECTION REQUE;:T I for INSPECTION TIME :AN, O PERMIT NO. : I DATE: 7 //7/ 74 DATE ISSUED:_ Z--i OWNERS NAME ' - _ L CONTRACTOR :_ ___1>� ITEST. Air 0 , Water Victual j� , Laboratory ❑ RESULT: Approved Disapproved U , Pending [] SKETCH: - �:�r�-��-�► -�9 I I I I I � INSPECTOR DATE EkOTF Attach auppiementol tent data heret� P AnDRESS 5- u• PERMIT N0. PERMIT CHARGE �,/ CONNECTION FEE OWNERss�-- — -` PAID BY ��11ILDING ��ATE CONNECTED TYPE 0, - - SERVICE RhTE - INSPECTION FEE oZS . CONTRACTOR PAID BY DATE SIZE OF NNECT1l)N _ ��� _ ASSESSMENT _ � PAID L'U PIN m City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT .VO. : DATE : /}v /,Z DATE ISSUEn Li._ OWNERS NAME ' ADDRESS: _ ��� �� S'L�- - C O N T R A C TOR : -_----- ----__-- _- - TEST : Air 0, Wat'rp , Visual C] , Laboratory p RESULT: Apprrw•ed 0 Disappruved O , Pending p SKETCH: INSPECTOR DATE COIF. Attach supplemental test data beret City g of Tigard INSPECTION REQUEST � for 'PECTION TIME ' PERWI T N0. : I N., DATE: DATE ISSIJED :___Ll__ /NERS NAME : �_'� -r ,s _ OM ADDRESS: _ � � T.r N T R A C TO R : - -- -- ----�.2"!f j Q --- - - C C ST ' Air ❑ Water I ❑ , Vieucl ❑ , Laboratory p TE _SULT: Approved ❑ Disapproved ❑ Pending ❑ I RE ETCH: so -- I - I I I I l I INSPECTOR DATE I E: Attach supplemental test data be elal I =J C Q- w w I� City of Tigard i INSPECTION REQUEST ; for INSPECTION TIME: PERMIT NC DATE: = Z-0"/ 79 DATE 1SS"JED OWNEKIS NAME '. ADryRESS: . C O N T R A C T O R ------ TEST : Air U , Water[] , Visual ❑ , Laboratory ❑ RESULT: Approved V Disapproved ❑ , Pending ❑ SKETCH: IN tPEC-TO R DATE [NOIE Attach suppiementai test data beret!] rw ■ City of Tigard INSPECTION REQUEST for INSPECTION TIME :--40-0! PERMIT NO. : . r DATE: _ ._L_L_-- DATE ISSUED'. OWNERS NAME : E� ADPRESS : �O Mi P 4�4.. CONTRACTOR --.--- -- -- TEST*. Air 0, Water [3 , Visual [3 , Laboratory p RFSULT: Approved , Disapproved ❑ , Pending ;] SKETCH: = ---- _.�i � , Ate-. ..� � � • ";� V I� U001; S CTOR DATE NOTE: Attach supplemental test data hersta I i UNiFIED SEWERAGE AGENCY NO. 4962 WASHINGTON COUNTY DATE C! IY OF 60141 APPLICATION FOR SEWER CONNECTION PERMIT OWNF ,S ADDRESS: —_-- DTREET ciii -}r! BUILDING SITE: LOT 0/4 SLOCK a ADDITION TAX LOT N0. )5/- 3 0BTYPE OF OCCUPANCY ADDRESS ----- DWELLING UNITS __ FIXTURE UNITS— SURCHARGE NITS_._SURCHARGE IF APPLICABLE I& PERMIT FEE S d INSPECTION FEE ,a _ uT.AL DEPOSITED .5,a S-. EWA IEXISTINGI BUILDING SEWER SYSTEM The Applicant agrees to cornpi,s with all rules and regulations of the Unified Sewerage Agency. APPLICANT 6�� /h �►�� SEWER PERMIT THIS PERMIT AUTHORIZES CONNECT;ON TO THE SEWER SYSTEM. n LINE SIZE INSTALLER RECEIVED SY. . �� ILL r��Sj///�_ ►�� -l.�c � f CC.MMENTS This Application and permit expires in ninety (90) days The amount paid will to 1 should expiration occur. CITY O TIGARD 12510 S. W. M.- StrwO ,.GARD, OREGON 91272 APPLICATION FOR PUILOZNG PERMIT New Construction Demolish ❑ Addition Remodel Move❑ ZONING- _ DATE. ISSUXD '-I - Ij- j 1 i' BUILDING PERMIT DATE RECEIVED AUILDING FEE $ ///,_�L' NO. ` -7 BY PLAN CHECK --- --- 0THF.RA '�,,.; S_y� .C•' VALUATION S x310 S'/O 4uAq44d. RECEIPT No. �Dr.Qjf__._.r.. LoTep t-/ TS�� '�PLANS._AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT 1 1400__R, ErMAf1Pt# ZSI-308 CENSUS TRACT JOB Architect or 7ngineer_-_04/Loi, C /.•�.�J 4ddreas`- 6f� � C -� Phone Owner M F Gn wi t Addresa_�� � L�� !E1 �_E��!r" - -_-_ ----Phone_ '710`7 _ Builder ts/w'N Address_? 3 k�_Z_t� � S� v. w�.,d � Phinei _ BUILDING USE Single Res. Mu1Li Res. ❑ CO1W. . ❑ industrial❑ OCCUPANCY GROUP_ No. of Stories_ Total Height Area of Lot Ptt7 Type of C��nu,trvction I II III IV CV Floor Area �1 [, l_jy ('_ Z Set Backs? Front_sf _ Back st' L.Side /r R.Side!r_ Private Sewer Pipe Size _ Sewer_ ✓ Septic Tank ❑ water Service Pipe Size_ Storm Sewer ❑ Ditch Drywe11❑ Street end Curb Requirements_aj_� _�` `_� Driveway width_,_` /j_ ,No. of Parking Spaces__`________-._ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMHING SPECIAL INFORMATION ADURESS ASSIGNED /AiC FIELD CHECK 81 UATE PERI4IT APPROVED BY It is understood that all work will conform with applicable codes and ordinances -if the Fate of Oregon and the City of Ti, ird, Orelon, and that the building will not be occupied until a - ertificatc of ' upancyha been issued by the City of Tigard Building Inspertor. ignature_'_0.f Appl cent rY OF TIGARD 12420 S. W, Noir SI,«t TIGARD, OREGON 97219 APPLICATION FOR BUILDING PERMIT New Construction Demolish ❑ Addition Remodel ❑ Move ❑ ZONING _ �A DATE ISSUED � BUILDING PERMIT BUILDING FEE S 5.00 No. DATE RECEIVED PLAN CHECK $ a S O 8Y-'_ _ ---- O� VALUATION $ OTHER $ SO.00 RECEIPT No. TOTALTWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT 1 MAP 1CENSUS TRACT — JOB 1+---- Architect or Engineer _— Address--- -_ -_---_ --_.__--___ _-Phone Address__ f 3 SOS Builder­­---_�_ Address-------__ _ __ `Phone .__.._._ BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP _ No. of Storiss-1 _-_ Total Ileight_ __ _ Area of Lot__ Type of Construction I 11 III IV V Floor Area B j0 t7___ 1 _ Set BacY%: Front_ir-_ Back ;� I,.Side s - _ R.Side_pSAiS ' f,,- "- Private Sewer Pipe Size ---_— Sewer Sceptic Tank lJ water Service Pipe Size-_______ Storm Sewer ❑ Ditch ❑ Drywell❑ Street and Curb Requirements Driveway widthNo. of Parking Spaces,_ __- SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED—________ . FIELD CHECK --DATE--,--- PERMIT BYDATE-_ _-- PERMIT APPROVED It is understcod that all work will conform with applica a codes and ordinances of the Stare of Oregon and the City of Tigard, Oregon, and that th4 building will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Buildinq Inspector. A�WatiAtt4IA'pp nt sE W t W t ''ovember 9, 1973 Edward Industries 892:: 5.w, Lb+avc.L Hwy 0ea„erton, GrQgun 37005 Gentl amont Thig letter is tri inform you that the building, plumbing and sewar porwits issued to you on November 2S, 1972 for Tax Mian 231 3G, 1"ax I.ot 10, Block 2 of Mira Park Subdiviei in, also known an 13'3G� S.W. 110th hes lapsed poesed their expiration date and are hereby ordered cancelled and void. Sincerely, Jana• Hrisn Acting Building Official J8?Pe y 41liM, CITY OF T10"D HFATIM rwtiT PEMIT NO. ar t shall be obtained prior to mwwncement f installation.Y -- v,; 3. Permit' shall be obtained for all appliances which are to become P flat to the building , 4' 3. Relocation, replacemer• r_ a i ^'v -, r changes to burnera and duct require permits . ;» 4. All workr be concealed rnu t. be .,.moi ... , . ,i }afore cover up Installation Replace 11 Pelocation Addit' on ❑ Alteration '�R• �CR111N� CYWNER WORK ADDRESS a V3 x;- We APITLICAATP � TELEPHONE NU.-------- - . i1' VRXACCB - MANUFACTURER l� .tc11i nomTELEPHONE NO. IIMAT Irput rating (Btu Per Ho.sr i �400jO rJ Vent Size _ _ M Flue Sias El -7 _ _._ �I U11L OIL El GAS h ELECT F—J OTHItR 11VTAL. SO. FT. Top Floor ����; �1'a i n Floor Basement _ C,RN E1RAL [TEM NO. FFP. AM"i ITEM NO. FEE isuance, of Permit _3 ,0 &.1 term over 50 Hg 'S Pjw .,Under 1001020 9t 4. 0i t HaWidlTx s 10, 000 CFM _ _� 3 Over 100000 Htu �( 5. � yl� Air Handling Over 10,,000 CFM _ 5. furnace 4 U~ Lvapo.rative ,Cooler � 3• t,Fa U_ Floor` Suspended 40 -?Vent Ten _ I• la 1 Vgnt s __ I 0_ Ve n t y ttern _ _ 3• Feat- b Cooling 4 0 _f od__ 3, rs Und er 3 H V 4 U _ _mestic�*ncinerator_� S. j,re 3 +o 15t���� _ 7 , 5 Comm :ncrnerator_ � 0• _mss_]5 to 30 U 0 Other Not Lasted 3. )Fka�i lie 30 to 50 Hp_ _ 5 0 IIWPiEC't'OR' S COMMENTS APPROVED BY _ _ _ __ _ DATE ISSUED BY DATE ignature of ApplicanC I i i I , _UILDEh VUE _.;G� a� FEE AL LOCATION OWh ER4 LOT TYPE FLUMBER PERMITLE SEWER PE'RMTT f 7 7 3 FEE MECHAINICAL i'ERMIT # DATE BY DATE 13Y EXCAVATION FILL AIR CONDITIONING FOOTINGS/FOU DATION VENTILATION FORP•13 SPRINKLER SYSTEM _ SLABS --- - MA LlRY FLUES REINFORCING STEEL FIRE DOORS EXITS STRUCTURAL ZTF.EL PLMBING R. I . GARAGE_FLOOR _. DRIVE ROOF FLASHING __.._ SEWER___. FRAME _ STORM DRAIN _ LATIN/WALLBOARD H?EATlNG WhT:[,R HLAT:N,RFINAL -.__...._.._. _ __.__w.-.... __._... W W / S i e R Ii UNIFIED SEWERAGE AGENCY No. WASHINGTON COUNTY DATE Tigard CITY APPLICATION FOR SEWER CONNECTION PERMIT M OWNER- -_- p.yr rd industries-__ OWN E F, 8925 B.W. Beaverton-Hillsdale Hwy. c, ADDRESS- STREET ------ _ STREET Portland CITU STATE 21P BUILDING SITE, LOT_ BLOCK __2___-- ADDITION Mires Perk TAX LOT N0. __.__ -___ _______ TYPE OF OCCUPANCY __ Residence —_ 13505 S.W. 110th ADDRESS . ---.--. -- - i DWELLING UNITS_-__ l FIXTURE UNITS SURCHARGE IF APPLICABLE -_50.00 to Derry Dell PERMIT FEE -_-_ 425 -- INSPECTION FEE 25 TOTAL DEPOSITED 500 (�NEW) (EXISTING) BUILDING SEWER SYSTEM ____ Tigan- ' The Applicant agrees to comply with all rules and regul,+ions of the Unified Sewerage Agency. APPLICANT"1 SEWER PERMIT I THIS PERMI'i AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE VINSTALLER _ Somerset Plumbin& �- R E C F I V E D BY A114 IA NCV WTS AGENT) COMMENTS: . ---- This Application and permit expires in ninety (90) days. The amount paid will he forfeited should expiration occur. CITY OF 'rIGARD *' Ila* l W. M.rl &~ t 14A", OR9001 "221 APPLICATION FOR BUILDING PERMIT New construction Desolish ❑ Addition ❑ Remodel ❑ move 13 6"n s-7 DATE ISSUED 11'25-T2 BUILDING PERMIT DATE. RECEIVED 11-16-'12 BUILDING FEE S l-� No 72" 240 PLAN CHECK Sl 2 BY BH OTHER f VALUATION SjpLft TOTAL $ 15b RECEIPT No. 7 Two SETS OF PLANS AND PLO'" PLANS MUST BE FURNISHED WITH APPLICATION LOT 1 10 Bl• 2 MAP 1 dal 3D r CENSUS TRACT _w_l, JOB / Architect or Engineer Bduny" Industries Inc. -- Address 8125 8.W. Beaverton E111ed:ls WY.----------Phone 292-3571 Owner Address ---- __-`Phone acne Builder Address ____ Phonew—� BUILDING USE Single Rea. ❑ Multi Res. ❑ Comm. LJ Industrial OCCUPANCY GROUP I No. of Stories 1 Total Height 2__ Area of Lot Type of Construction V Floor Area 81352 11352 2_—_ Set Backs: Front 20-__- !lack 31, (..Side 10 T_ R.Side 1 Private Sewer Pipe Site 4" _ Sever U.S.A. TioLrgeptic Tank water Service Pipe Site 3/40 _ Storm Sever a Ditch ❑ Drywall❑ Street and Curb Requirements W"ting_ Driveway Width 17 No. of Parking Spaces z SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAI, INFORMATION ADDRESS ASSIGNF.D�- 13505 S.W. 1.LCth -- FIELD CHECK BY—_ _ P8 _._ _—. _..__._DATE` 5_7z PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordin�na�a' of the State of Oregon and the City of Tiqard, Oregon, and that the building Vi not be occupied until a Certificate of Occupancy has been issued by the City �! ?igard Building Inspector. boo '' %� Da��n eaturePplicint 4 �I City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE : / DATE ISSUED : i OWNERS NAME '. . ADDrtESS: J3--05� St ��o�•c /U CON'TRA(7.TOR EST : , Water p , V:at.al I:J , i_aboratory IJ RESULT : l+p�,roved p ?isnpprovdd G l)endi,iy p SKETCH: I rI i ,• I / / I INSPECTOR DATE NOT Attach SUPhINR'Pntn; toot d')'Il hPI - I. JUN MRSINUM HQQ F1 'fl V) 44 K4 W5 wrj -1 114 Q