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13745 SW 114TH AVENUE �1 13745 SW 114TH AVENUE >, a E�a � C). IK- rl c:7 � I � H U cr) W Lr 'r pp�Fb:�.1 ►1 � � �� EHI t ' 7 Fri H r � Ii) . Cy LJ � Ei O R: ,�; O � i OF Oc CiT"Y OF TIGARD OREGON Owner:... Columbia Custom Homes ..........permit No.l7 -.Y5 ......--.--•............. Building Address....... . ............ . ... .. ...................... i l'ertificate is hereby given t, is....?. tt_...day of.5sp.tLsmbmx.......... 19.....73. that said building may be occupied and that it complies with all requirements of the Building Code for the City of Tigard, as approved by the Tigard City Council. . . .... . ........... Bulldinq spcctor I i ' t i City of Tigard INSPECTION REQUEST for 'INSPECTION TIME : - PERMIT NO. . . + DATE: . '� : 7.3 'BATF' ISSUED'-L=--.1= I OWNERS NAME . - ADDRESS 'AME .ADDRESS : I CONTRACTOR :..____J . RESULT Nppr��ed �-�'✓Prorer+ 1 :i;d,n�� I SKETCH: o I / I I INSPECTOR T DATE E:N'JTE : Attach qupplemental fent .tu*ti heref] 1 w wilwa w_ w � �► 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME* _ PERMIT NO. :_. DATE : h _45J73 DATE ISSUED :— OWNERS SSUED :OWNERS NAME : _•---- ADDRESS-. --u�— Cc7,N'rRACT0R ,;;r Water[] , V:sual f7 , 1_a boratory I] wr s T , RESULT: Aporoved X, nisapproved ❑ , Pending ❑ SKETCH" 61L INSPECTOR DATE NOTE: Attach supplemental teat data heret] i I 4 City of Tigard INSPECTION REQUEST for ice IINSPECTION TIMEA0 3<' PERMIT NO.: DATE: e, Z? DATE ISSUED:_.LL I OWNERS NAME ! ADDRESS : ,' ,a Sw� //41 — CONTRACTOR I _ TEST , A r J, Water 0 , `�isccl�, La`' .rator-i [l RESULT: ApprovedDisapproved 1 , Pending Ll I I SKETCH' I I I i INSPECTOR DATE ICOTE: Attach supplemental test Juta heret] 1 > !jw ■ I City of Tigard INSPECTION REQUEST for INSPECTION TIME : _— PERMIT .JO. :_ DATE .' /� ? DATE ISSUED : i 1 OWNERS NAME : — ADDRESS: CON rRA('.TOR : ,q�t�E*✓ Cy �`'�' - E5T _- , ''Nater[] , V:sua1C' I_aboratory (J RESULT* Np.�roved :?iaapprovad G Pending SKETCH: INSPECTOR DATE NOTE : Attacn suppiementol teat data beret i City of ► i gard INSPECTION REQUEST for 1 INSPECTION TIME-* U _ PERMIT NO.: _.-- I DATE: 13YC73 DATE ISSUED: OWNERS NAME : r✓%--=--C — > ter►. I ADDRESS : CONTRACTOR --- TEST:Air D, Water [j , Visual [7 , Laboratory ❑ RESULT: Approved f) Disapproved Cl , Pending p SKETCH: 1 1 1 i I NSPECTOR DATE VOTE : Attach supplemental test date horst] OK �r t 1 I� I. �`.r,�./t• ecu chi `L4 r,C� Addre, 13745 -S.-W. _114th Ave. Permit 4 +25 Permit (-IaI'gE Owner Clay Jones Connection fee 425 F'sid by w Columbia Custom Hom©s Type of building o:t rlQ��p Date comected 6-1-73 ;.service rate 3.00 _ er month Inspection Pee 25.00 Contractorrtlgfn raid by —.._C.o.lumb.iH._ m Hnmsg _.._dame _.._.__._. Date Size of ;.orinectiox, 411 _ Assessment Paid EWIWIN I I City of Tigard i INSPECTION REQUEST i for { INSPECT;ON TIME : PERMIT NO. : . j DATE : DATE ISSUED* ..�L- 0 W":ERS NAME AD DR ESS : /1/S <, CONTRACTOR :---L4v TEST a r J, Water C7 , Visra{ 0 , La" ,rator j rt RESULT: Approved ' , Disapproved , P' ,nding J SKETCH: A) I INSPECTOR DATE COTE I Attach supplemental test data heret] TWLW Jug City of Tigard INSPECTION REQUEST for- , U INSPECTION TIME : PERMII" NO. : DATE : '2/2 3 DATE ISSUED :_!._.-'_- OWNERS NAME : � ''� •" °"r° �" ------ ADDRESS ' 44 CONTRACTOR ES T : ,' : , 'Nater p , V:sual•fi-,--r_a boratory f.j RESULT- : Approved E, ;-)iaappro�ed G �vidl is SKETCH.' INSPECTOR DATE NOTE Attach supplemental test data hereto PeeMdt'�INd_ __ Permit No._..[. Appo%*Im ,tlprproved ) � >rl?'t» of �..•J, . , A ic�i6ewa�b ,1�1,w.(ij, 1ia1 t11BaufAa a Foe for plerssit. ,... ; Applicant shall fill in cost of installation only, Date - __ - above this double line. Str"t Sewer Pennit._.:.....�. Application is hereby merle toPipes or Ftztures according to plana and specifications and install description as given below: ^ lAration of building-Number and Streetr-_A*A*MM_--_I:s � T,at _---__ _ Biods-__'__-.'__� i _ AddiUon - ---- ----- —-- Name and Address of Owner ^�'�"^"'�' --�'�� �"`- a ----- Name and Address of Plumber .01 —A�� t/ Sl�+��.�� �2•S -__. Building (Old or New) �'2 ~ _-_ _. Height in Stories___ ____ _ . _-_ occupied as__�_ SCHEDULE OF WORK NUMMIM _ NUlil M FIXTURES Now 1[ove R'plFee >o'urruRn r New Move R gee a Water Closets.______xf._ - Fountains, Drinking_. _ N Bath Shower- Fountains, Yom--- Bath Tub---. �_ Fountains, Soda_.__ — Basins _-- Ilot Water Tank _� — 0RECEIVED as,F Sinks Ordin I _ Sinks, Bar ___.-- APR Sinks, Dishwashing _—____ - Sinks, lop L— K' Drains, gerator ___L �� ` Automatic Dishwasher...- �I� _ _ CITY pF TIUARU Laundry Trays III Drains, Ice Boa- Drains, Floor.- Urinals I Drains, Area ._-_ _- - -►}I�W�_.. catch-Basins, Yard Rain Drains__..- 'IV Catch-Pasini, Garago �I Catch-Basins, Sub Soil Automatic Washer— Water asher— Water Permit No_ Bldg. Permit No.____T zr. 00 IMPOR 1 AN I I-Plumbing shall net be installed In any building, (either new, alter ad, or repaired), except as shown or doalgnsted on the corresponding building plans as filed wlt�i, or rsqulred by, the Building Department In accordance with tl+e provisions sof the Building Code and Ordinance 62.19 of the City of Tigard. I agree to a plumbing system according to this description, plans and specifications and the Plumhinq Code of the install C'ily94 Tigard, Plumbing Firm._ - i - Supervisor _ . UNIFIED SEWERAGE AGENCY NO. WASHINGTON COUNTY Y DArE 4-543 CITY OF------- APPLICATION F APPLICATION FOR SEWER CONNECTION PERMIT OWNER:__ Columblal Custom Bae1B OWNER'S ADDRESS:.- __ � JaffBlrson Tarsal_ STREET StA�4 - 21 - —"----- 1' CITY _ - �+ T BUILDING SITE: LOT-.Off JW- BLOCK-_ `_ ADDITION TAX LOT NO, TYPE OF OCCUPANCY_._.. IS— ADDRESS _L•1 -; l.c i r - "'�V. DWELLING UNITS-------1---------____.._ FIXTURE UNITS SURCHARGE IF APPLICABLE__5 �=L-daU - - ------ - --"" 00 PERMIT FEE - 5---- INSPECTION FFE .�5__ TOTAL DEPOSITED -----•--- (NEW) JJXISTING) BUILDING SEWER SYSTEM Tigard--------- ! The Applicant agrees to comply with all rules and regulations of the�Unified �Sewerage Agency. APPLICANT SEWER PERMIT j THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE . 41' oolumbla Custom - RECEIVED BYc�i`*'� -- IA Cv ITS OINTI lI COMMENTS I� �r,y IS Will f! IUflellpd I This Application and permit expires in ninety (90) days. The amount lraid w t should exlriration occur. I. CITY OF TIGARD 12420 S. W. Main Street TIGARD, ORIGON 972U APPLICATION FOR BUILDING PERMIT Demolish ❑ Addition ❑ Remode' ❑ Move New Construction ® ❑ ZONING a-1 DATE ISSUED 4_5_73_ 13UILDING PERMIT DATE RECEIVED 3-28-'(3 BUILDING FEE $ 4 - No. 7Z -)75 BY FS PLAN CHECK 37-00 VALUATION $ 19,580 OTHER $ TOTAL $ l„ 0 RLCEIPT No. S z3 TWO SETS OF PLANS AND PLOT PLANS MUST DE FURNISHED WITH APPLICATION LOT M 2g `� _ MAP A ani inn CENSUS TRACT W-ly _ JOB M Architect or T nyineer __��bis Cue om _. __ Address 1 _aie��43aon Terrace, LKe 08yegQ _'hune Address __.Phone Builder 6B Address _ Phone BUILDING USE Single Res. © Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP I No. of Stories,1 Total Height 181 Area of Lot 8308 Type of Construction V Floor Area B - 1_1,323_ 2_ Set Backs: Front 21 - BAck 1�q_ L.Side,_�_— R.Si.de—L— Private Sewer Pipe Size 4" Sewer. usa Tigard Septic Tank LJ Water Service Pipe Size, j/4" Storm Sewer 2 Ditch ❑ Drywel' � Street and Curb Requirements a,.4ai��_ —____,____Y!__________ Driveway Width_______ ._18' No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATInN ADDRESS ASSIGNED, �j6 u4tILAve•. FIELD CHECK BY.— =C DATE 4-4-73 PE'R141'r !'PPPnVEU HYD r►:,/l'ir It is understood that all work will conform with applicable codes and ordinances of '.he State of Oregon and the City of Tigard urcyan, and that the building will not be occupied until a Certificate of Occupancy !:;is been issued by the City of Tigard Building Inspector. r S gnature,of Ap icant /-