Loading...
11665 SW 114TH PLACE-1 11665 SW 114TH PLACE _ I I� 0 �a �4 o <, < tow � c,., � ZZ cq a ', Y j I!1 EH la •-1 V Opi U O to ` 3 r H cn ti w N 1)♦ 1< PIK I City of Tigard i INSPECTION (REQUEST I for I TIME: �' ` PERMIT N0. : I i WSPECTI i;7l� T ,o -, D,^,TIE .S S U'E D :__1._L_. D/,T E OWNERS i,J A ISA E :------------- ADDRESS: ADDRIESS: CONTRACTOR : k" , TEST : Air C7, Water p , Visuo laboratory p Disapproved 0Pending p RESULT: Approved, SKETCH. INSPECTOR DATE [OTE: Attach $uPP1eTentnl test data hereto] i ,1 `f �c CU crry OF P11GARD 'VCY G ORMCOx Owner:. R0 _0 .......... Permit No...,.. 73.-91...... Buildinq; Addrew._ ... .......11�b5.. .Y....11Ath..Plica................................,. Certificate is hereby Riven thie...Uh......day of_3aptesbar.. ....... 19..?3•.. ` t b that said bi�ilding may he occupied and that it complies with all requirements of the Building Code for the City of Tigurd, as approved by the Tigard City Coined. ' { t' ...................... E 1. Den....• U.W w Y. 1, Ell w w It ! �! City of Tigard INSPECTION REQUEST for INSPECTION TIME * _ PERMIT -- DATE : i / DATE: ISSUED : OWNERS NAME . - v -_ ADDRESS : ��F? — CONTRACTOR : - ---- —� i EST : Air L , ?Nater ❑ , V'.�.u(Yl�6, Laboratory rt RESULT: l+p,,rovedg :)iaapproved 0 , Pending ❑ SKETCH: I�SPECTOR DA E NOTE : Attach supplemental test data here tol City of Tigard INSPECTION REQUEST for INSPECTION TIME. 3 PERMIT PSG. :__ DATE : � �( l DATE ISSUED OWNERS NAMEADDRESS: �lk1l, �--- � CON"TRA(.'TOR : -- — i EST : ,' , water C7 , V:SUai ' , I-abora'tory I] )isu rj�ed Ci ;'ending RESULi� �. �+p�'raved (� , PP SKETCH.* NSPECTOR DATE NOTE: Attach supplemental test date hereto] i City ty 9 of Tigard a rd INSPECTION PECUEST for IINSPECTION TIME / '` PERMIT N O. : . ----- i D A T E . 1.)AT E I S S UE D' L-1_-- OWNERS NAME C- _vv I ADDRESS ' I CONTRACTOR'...— TEST > r J , ',Nater RESULT . Approt qd , Disapproved 1 ��,nndrng 3_ _�� KFTCH�i I I INSPECTOR DATE Fl,)TF Attach ,upplementcl test ,: o':• her 1� 1 I� 14 ! � R� I• !i A ice' ,1 b City of Tigard INSrECTION REGUEST for ----- PERMIT N 0. : _--- INSPECTION TIME - .._._---.-- DATE: DATE ISSUED:-1--Z-- i OWNERS NAME : `" ADDRESS CONTRACTOR :— - �_----- TEST. Air ❑, Water p , Visual O , Labaratory C] Approved O Disapproved , Pending p RESULT App + SKETCH: r�.21 .,lee. I I I SPECTOR DATE IC:NpTE : Attach supplemental test data he►et] 1 --. � 4,- A ddre s�Jlragl; ,-Addres�Jlragl; S-lj- 114#1 place Permit 4840 Permit charge Khmer - -._$IIR_11AL. actor Connection fee 425 Pal d by on Douslas __.._.._,_-- Type of building@�9�fence Date cutuuct-cd 5-30-73 Seril rt• rata Inspection .."ec 25 (,ontractor ---on_Q,oualas Paid by same Late Size of Assessment Paid i C i .Y 9 of Tigard a rd INSPECTION REQUEST for I INSPECTION TY-I /E : lZr AW PERMIT NO. . . i DATE. SA-MIM DATE ISSUED* Z L— OWNERS NAME: . 4/ A D D R E S S . CONTRACTOR ---- TEST `gist-el K , Lra'• .ratory ri RESULT Disapproved 1 Fending :3 Ii SKETCH: I I I I I 71;."/'3 INSPECTOR DATE IOTE ; Attach supplemental test iota heret] PLUMBING PERM APPLICATION Jurisdiction of No. Type of Fixture Fee Permit Nr, 7 t/ el Permit fe; + t Issu'-7 -5 Wat,.r Closets (Tc1le-,_). - Permit Ba th 3 0 Approved by V?.L� . I " Building PermT.Oa. Lay�i t�.)ri it6ff—C-1 I Receipt No. Shower I Sinks. Diahwa7_1.'.T-9 I Sinks. Kitaherl- —1 2 ne, `.',jnk,;, _Qrdinat Location Sinka. Rdr____ I Sinks.-j—lCD Aut-,mhttr, is 'Was Addrps!.. __ry r Nvn� loo: Pq 77 ..n. f t A 777n Dra-Re518 A U _T ;*a_tT7V_a_.%h,, ame & Addr-:,.- F�;un tains. Drinkit, &^n e-j K7 JL 74) A 51fir. ,d if work r c�n if' constructiCn ^r ry time after wcrk A:! p'..umbing firms f• licensed by the City I hereby c*-rtify hat I i3vp --ad and examined this app': 1 n Yr..w lhe to be true and .17.1 provisions of laws and ­iij,,a, v, tni work will be -! jith whether specified t in i i- Ing }'. ':alit I es nc t pr r-• .1. to gyve authc,111tv t(� v1­­' } r ns 'law rpgxjlatir,g j,_r.st,";r t i,n f Iny +h1_1, ;I at�_ -a] lo t Aj I �9 tl UNIFIED SEWERAGE AGENCY NO. .1"A0 WASHINGTON COUNTY DATE CITY OF.__. Tlw" APPLICAIIUN FOR SEWER CONNECTION PERMIT OWNER Homme by Liouglae OWNER'S ADDRESS 0j11 U.W. Barbur Bi`b• 2"-0615 51 Ntll t 17ii, PP BUILDING SITE LOT_ AL .__ BLOCK ADDITION 1,1J*Lh ; i.mA TAX LOT NO __ — TYPE OF OCCUPANCY MVJ,,,,, ADDRESS .- 33695 B.Y. 114th Phos DWELLING UNITS 1 FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE.. 425 INSPECTION FEE 25 TOTAL DEPOSITED 45v (EXISTING) BUILDING SEWER SYSTEM 2315td The Applicant agreos to comply with all rules and regulations of the Ulrlfied Sewrrage Agency A APPLICANT fJ SEWER PERMIT 1 THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM LINE SIZE 11" INSTALLER &i Forriel RECEIVED BY ITS AGFkTI COMMENTS o^I' t.44 This Apnlicalmn and permit elipues in nlnely IAO) days The amount paid will tie lurlelterl should eenualion uccur CITY OF TIG • RD 12420 S- W, Alin f,rwf TIGAND, ONIGON M23 APPLICATION FOR BUILDING PERMIT New Construction © Demolish ❑ Addition ❑ Remodel Move ZONING R-7 DATE ISSUED 5.9-73 BUILDING PERMIT DATE RECEIVED 4.3p.73 BUILDING FEE $ 74.00 No. PLAN CHECK BY VALUATION 519,�3•� OTHER 5_ l,�i.m '.- TOTAL $ x•00 RECEIPT No. / �n TWO SETS OF PLANS AND PLOT�sI �`�T BE FURNISHED WITH APPLICATION M-8 LOT 1 4 _ MAP 1 OM"E:NSUS TRACT JOB 1 Architect or EngineerW-i _ Jsak Godwin Address_____ —_ -___.�---•-----Phone Owne Phone�- Owne r- - ---Ron Douglas Add re cis -- ---Phone-.----- Builder - Phone_..--- Builder ------------• -- -- _--__.- Address _ - ---------.--Phone f BUILDING USE Single Res. 13 Multi Res. ❑ Comm. 1:1Industrial OCCUPANCY GROUP j No. of Stories 1 Total neightY_ 14" Area of Lot 8,0 Type of Construction XXX CCIXMX= V Floor Area B1- 3294" 2-.--- Set Backs: Front 2D'_ Back_O' F Private Sewer Pipe size Seweryr _ Septic Tank ❑ Water Service Pipe Size-�/1�!_- Storm Sewer © Ditch El Urywel l ❑ Street and Curb Requirements Ldsti4K-__.�- Driveway Width -I&o-^ ---_ ---• _ -No. of Parking Spacers__`-__`2 SEPARATE: PERMITS REQUIRED FOR SLWER AND PLUMBING SPECIAL INroMMATInN sThRIZD coNHTRU,7iom wiwwr YWJGT BUILD1tRI 1'isti Ix>UBLLU ADDRESS ASSIGNED-­­..llbOstw. 114th NLd1 FIELD CHECK BY /C DATE 5-9-73 ' PERMIT APPPUVEp N ✓• Y 1 :��!•� -� It is understood that all work will conform with applicable codes a d ordin'ance of the State of oregon and the City of Tigard, Ore,ion, and that the building wi not be occupied until a certificate of Occvpar :y h,3,; D40,n ,issued by the City of Tigard Building Inspector. qnature n" ApplL cant yr