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11760 SW 114TH PLACE o �► 11760 SW 114TH PLACE J EA Q - - *-i z O U cn + F El �. cr� U - � F rA d1 n r� ,3 1 4 f i City of Tigard i INSPECTION RE01JEST I for iNSPECTI'jN TIME :¢"O'''`� PERMIT i DATE: 3 3 DATE ISSUED:_2� OWNERS NAME : .._ ,i_„-,Li "` • I ADDRESS : ( CONTRACTOR :-.7 TEST”. Air Ll , Water F-1 , Visual �'J , pboratorY D IRESULT. Approvedo [)isupproved ❑ Pending [1 SKETCH: I i i i I ( I INSPECTOR DATE iE:W)TE Attach supplementoI teat dOn heret] 1 City of Tigard INSPECTION RE- QUEST for INSPECTION TIME: PERMIT NO. : 2--/ / DATE: DATE ISSUED OWNERS NAME ADDRESS: CON"RACTOR . -- TE;iT '. Air ❑ , Water[] , Visual [I , Latoratory p RESULT ' Approved ❑ Disapproved p , Pending [3 SKETCH: INSPECTOR DATE L07E : Attach supplemental teat data beret!] City of Tigard INSPECTION REQUEST for _._ ____ - A' �L t►<<c�.L L It c �' , -:� � �� JC u' cC�z.,,F INSPECTION TIME: -41-41D PERMIT NO. : 7-2-152 ' DATE: _ ;;2 &&Iv3 DATE ISSUED :-7 ,00/74. OWNERS NAME : — cc.E on. ADDRESS: '/' . _iia �Jf�c.c CONTRACTOR : TEST : Air ❑, Water[] , Visuul p , Laborotory p RESULT: Approved CG , Disapproved FJ Pending ❑ SKETCH: I? INSPECTOR DATE 1401E Attach supplemental test data heret] Address 117UO S.W. 114th Place Permit No. 4710 Permit charge owner Mr. Erickson Connection fee 42� Paid by Mr. Erickson Type of building Residence Date connected 12'5-72 Scrvio%; rate 3.00 Per month Inspection fee �5 _ Contractor Smithson Construction Paid by Mr. Erickson Date Size of connection 4" Assessment �,_ __ _, �_ Paid 1 I I I I City of Tigard INSPECTION REQUEST for � ,f INSPECTION TIME' PERMIT DATE ' i9/s / . DATE I SSIJED : 7 %;.?- OWNERS NAME : _ ADDF'FSS: CONTRAr,T O R : �- TEST ' A;r E.1, Water EJ , Visual [I , Laborntory [� RESULT: Approved FJ Disapproved O Pending p SKETCH. INSPECTOR DATE LNOTE. Attach supplemental test data hereto] Crryor TIGAMD, OREGON Permit No AII&A City 1W1 AWicstion Approved Buildhq Departimmmit Out of Ins Fee for Permk-L— Applicant shall fill in cost of installation only, Date 4;�_2 2 above this double line. Street Sewer Permit repair Plr umbing Pipes or Fixtures according to plans and apecificationo and Application is hereby made to alter Install description as given below: Location of bu;lding--Number and Street -Z Z_2_4e_C-_' Lot Block----- Addition-- Name and Address of Omrner__'��4 Name and Address of Plumber_ - V ?�=Jy Building (old or New)_LLL:' Height in Stories Occupied an SCHEDULE OF WORK vmw�_ I NUMBER NUMBER Now Move R'pl'eo More R-Pree FIXTURES FDETURES Now Water ClosetL— Fountains, Drinking_ Bath Shower— Fountains, Yard Bati, Tub-_ Fountains, Soda Basins Hot Water Tank Sinks, Ordinary Sinks, Bar Sinks, Dishwashing Sinks, Slop Automatic Dishwasher Drains, Laundry Trays_ ___, Drains, fee Box Drains, Floor _ __ Urinals Drains, Catch-Basins, Yard Rain Drains---_ Catch-Basins, Garage_ Catch-Begins, Sub Boll Automatic Washer— Water Permit No Bldg. Permit No. REMARKS imroRTANTI--Plumbing shall not be installed In any building, (eiilter now, altered,or repaired), except as shown or d*slg"#%Pd on the corresponding building plans as filed with, or r"ulred by, the Building Department In accordance with *he provisions of the Building Code and Ordinance 62.19 of the Cft of Tivord. __yM'"r I the plumbing system accorL It this description, plans and specifications ano the Plumbing Code of the I agree to -.—"'—t City of Tigs4 in,tall _Joe Plumbing Firm 6 mom FEWLN UNIFIED SEWERAGE AGENCY NO. 4710 _ WASHINGTON COUNTY DATE CITY OF -. -- -- -- - ----- - APPLICATION FOR SEWER CONNECTION PERMIT OWNER. -— Mr. !47= Bricks= -- -- --- - OWNER'S ADDRESS: _-_ 11595 S.N. L>>io"n STREET —�� — — -- -- ---- — CITY 8TATE - --- --- - � IP BUILDING SITE: LOT_- BL.CCK __—_____ .__.. ADDITION TAX LO'r N0. __._..__ __ TYPE OF OCCUPANCY -_ ADDRESS ---- DWELLING UNITSFIXTURE UNITS SURCHARGE IF APF!_ICABLE _...-------- _- -__ PERMIT FEE -- 425.W_. INSPECTION FEE --35.00 TOTAL DEPOSITED _-_W.W (NEW) (EXISTING) BUILDING SEWER SYSTEM Tlptd The Applicant agrees to comply with all rules and egulations of the Unified Sewerage Agern;v. APPLICANT vaky .__ SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE INSTALLER Mr' VAYM grid s RECEIVED BY- - -_ - 1,z-_ hGE Y OR ITS AGENT) COMMENTS- This OMMENTSThis Application and permit expires in ninety (90) clays. The amount paid will be forfeited should expiration occur. / 1(cOa V1.�I �, -l�eleelF /',e ry �_ -7,,;?-/5 / I I I # BUILDER �x4 Ls,,y�i,.,,�,�' VALUE FEE DATE LOCATION //7d- S�� i/-t�` _? OWNER J013 ' MAP �y� T # l YPE G. PL MBLR z - ' PE - //. FEE a SEWER I'FRMIT TECHANICAL ilERMIT DATFl BY DATE IlX EXCAVATION(FIILL AIR CONDTTION_ING . i FOOTINGS/FOUL DATIGN IVENTILATiON FORTIS SPRINKLER SYSTEM SLABS MASONRY FLUES REINFORCING STEEL FIRE DOORS EXITS _ -- STRUCTURAL STEEL GARAGE FLOOR ?-26 PLUMBIPJ;T R I _ ,� — r DRIVEWAY ROOF/FLASHING - : SEWER FRAME t STORM DRAIN LATH/WALLBOARD PARKING _ HEATING _ _ FENCE SCREEN -- WATER HEATER FINAL ec CITY OF TIGARD ,Mi0 a W. wry a dw TIOARO, ORSO M wily APPLICATION FOR BUILDING PERMIT New Construction Demolish Adeition Remodel Move ONING DATE ISSUED 74D•72 BUILDING PERMIT ATE RECEIVED— BUILDING FEE $ 77-00- PLAN CHECK $ _ VALUATION 19' **C - OTHER S RECEIPT No. x$02(0 TOTAL —TWO SETS OF PLANS AND PLOT PLANS MUST HE FURNISHED WITFI APPLICATION 11 LOT 1 MAP t 181 34D CENSUS TRACT V-19 _.__ .._ JOB - d Architect or Engineer --- --- - I Phone— Owne r ler. Phone 639-5797 Address Builder �xltheoa Oooet• __ __ -~ _Phone Address-_____ __---- BUILDING USE Single Res. 10 Multi Res. Comm. Industrial[] OCCUPANCY GROUP I No. of Stories 1 Total Height- 16!- Area of Lot_lggQ_ ­ 1- _ Type of Construction ��� -DtM V Floor Area fl- 2 _ Set: Backs: Front21 --- - Back L.Side--11 - R.Side 5 --- ----� Private Sewer Pipe Size- 4• Sewe r_U.-4I&.-TtazorPtic Tank Water Service Pipe Size 3/4* Storm Sewer © Ditch ❑ DryweI Ibd�tlas -- Street and Curb Requirements __ _ --------- --- -- Driveway Width 161 No. of Parking Spaces � SEPAR},T" PP:RMITS REQUIRED FUR SEWER AND PLUMBING SPECIAL INFORMATION 117(06.M. 114th ►Los _ ADDRESS ASSIGNED ___-__- ----- - - FIELD CHECK BY—_---_-_J-= _.-�-- --- ----------DATE 7-1p-711 PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordinances of the State of. Orecrn and the City of- igard, Oregon, and that the building will not be occupied until a Certificate of cupancy ha1� en issued by the City of Tigard Buildinq Inspector. ` - -_ A?natu a of pPlicant