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13835 SW 114TH AVENUE 13835 -,W 114TH AVENUE 0 x c � I <� I _1 W U - Q r Ia U � � J ' \ -tit { � r � too 04 �Y o � 4 a J v f�J U • H D rn % H �✓ 1-� f NIn 0 � • Q s �� - • [Js� city of Tigard INSPECTION REOUEST ,for INSPECTION TIME : PERMIT NO.: -- DATE: O.: - ------ DATE: . 1-�7/--LZ DATE I S S U ED:---Z- OWNERS ADDRESS : -NA _— /i� 35 -- / Sys-- //?oo i, c. u CONTRACTOR :--- V auo! TEST*. Air O, water U Laboratory Cl , , RESULT: Approved , Dlaap )roved ❑ , Pend,ny SKETCH: I I I I I I I ' I INSPECTOR DATE ILNOTU Attarl! supplemental toot data herelu. �j City of Tigard INSPECTION BEQUEST for INSPECTION TIME: PERMIT NO. : 2t"',1/ DATE : =_ 7 DATE ISSUED : ! -LL4 OWNERS NAME : ADDRESS. CONTRACTOR '. _ ✓'�G"f�'� v% TEST : Air ❑, Water❑ , Visual/, ❑ RESULT : Approved Pisapproved ❑ , Pending [] SKETCH. INSPECTOR DATE NOTE Attach supplemental lost data hereto] I III 1 Address _jj8_3 S.W. 114th Ave. Permit Nb. 4761 Permit charge Owner E,jWnr•ri O,Arnm _ Connection fee 425 Paid by Columbia Custom H Ames T'pe of building _ Ftes;idQace Date connected .-. 1]-2772 Service rate j > > Inspection fee 25.cN) Contractor r-nIumb_ie Custom &L1jes Paid by _ same Date Size of connection 11 ��� Assessment Paid City of Tigard INSPECTION REQUEST for INSPECTION TIME: YiEL P1N' PERMIT NO. : DATE: LI-22/22 DATE IiSUED : /I a ' - OWNERS NAME '. . C� , ADDRESS- CONTRACTOR ' DDRESS:CONTRACTOR : ---- TEST : Air [I, Water E] , Visual D;Laboratory Cj RESULT : Approved CJ Disapproved U , Pending Cl SKETCH.* INSPECTOR DATE COTE Attach supplemental test data beret 0j Permit Issued CITY OF TIGA:RD. OR11:(3OM Permit No. _7.1 City Hall l Application Approved Build ng Department Coat of Installation..___._._._. /Oloallos �w /�sewr111, ��wuw[r/ �isdla�i�allOw By- J%/'yFee for Permit_ o. ..._.._._..._. .; Applicant shall fill in coat of installation only, /11a`2.;�___.- abthis double line Date- ov e r . Street Sewer p -- Application is hereby made to �� Piumbing Pipes or Fixtures according to plans and specifications and install description as given below: Location of building--Number and Street_—___L .Lot_ - _— Block___-- -- Addition_._..— ----. -.— -- �.y ti Name and Address of Owner - Name and Address of Plumber '��� � _ _ —..L�.�•S '- _mac'? .. Building (Old or New) Height in Stories Occupied as SCHEDULE OF WORK mom NUIMR _ _ NUMBER FIXTURES - - New Move R'pl'co FIXTURES New + More R'pl'ce -- -- - --I- �rz I Water Fountains, Drinking_ fi ; Bath Shower_—_._—__ __._. — Fountains, Yard___— �v Bath Tub ____._ __� —__ _ Fountains, Soda----- Basins oda___.______Basins Hot Water Tank—,- Sinks, ank -Sinks. Ordinary —..�I —_ Sinks, , SinksDishwashing __.__ _ _ __ �,�,__ Sinks, Slop_ Automatic Diahwashrr �__�__ _.__ Drains, of ge r I Laundry Trays_._____ Drains, Ice Box- Drains, ox_ _. ._ -- --_•--__--_. _ Urinals _^Drains, Floor . _ . _.I_ __.�_______.�_ti Drains, Area_.._ I i I Catch-Basins, Yard.____ y-- + Rain r17 Drains. . _ Catch-Basins, Garage. Automatic Washer_—_ _�--__--_��. Catch-Basins, Sub Wnter Permit No.� ' _ ___ Bldg. Permit No...__ ?j_ �'/ .._-- itEMARK.S. � • / cv! IMPORTnNII—Plumbing shall net be Installed IM any building, (either new, altered,or repaired), except as shown or desl�r on thr corresponding building plans as filed with, or required by, the Building Department In accordance w +As provisions of the Building Cede and Ordinance 64.19 of the City of Tigard. r the plumbing system according to this description, plain and specificslio s and the Plumbing Code of 0- install 1agree to City o gard. � - Plumbing Firm_ 8upetwieor I I UNIFIED SEWERAGE AGENCY NO. _____4761 WASHINGTON COUNTY DATE ll 7 _' CITY OF._ i APPLICATION FOR SEWER CONNECTION PERMIT OWNER: OWNER'S ADDRESS: STREET —� CITY STATE - ZIP BUILDING SITE: LOTS BLOCK ADDITION YA TAX LOT NO. _1 4* ___ TYPE OF OCCUPANCY ADDRESS 1344- ._L�4'?- --- --- ._ DWELLING UNITS_._L_---- - ---- ----- FIXTURE UNITS .L�___ -- SURCHARGE IF APPLICABLE PERMIT FEE'_¢.2s' INSPECTION FEE -7-4-7— TOTAL DEPOSITED (NEW) (EXI TNG) BUILDING SEWER SYSTEM The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT. SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO rHE SEWER SYSTEVi. LINE SIZE . _.__ INSTAL�ER RECEIVED B Y - ` ��---- (AGENCY OR ITS AGENT) COMMENTS: This Application and permit expires in ninety (90) days. The amount paid will be forfeited r/ i should expiration occur. 7C2�c�CA'a,tq /—•CI7r¢.l !!.!� 07// i I I I i mu �Y/P OBG'�PA�Cy �i BUILDER -� .,�;.- �_ �,, VALUE ;' FEE 11Z-13 DATE LOCATION OWNER a'64- JOB TYPE YL F, m y E .�-i 5 EE `- SEWS PE'?�M y7 ! MECHA:VICAL PERMIT DATE BY PATE _ _-- BY EXCAVATION FILL AIR CONDITIONING FOOTINGS FOUNDATION IVENTILATION FORMS SPRINKLER SYSTEM _ SLABS _ MASONR.YjFLDES REINFORCING STEEL FIRE DOORS EXITS _ STRUCTURAL STEEL GARAGE FLOOR PLUM�'NG R. I . — �, DRIVEWAY____ ROOF FLASHING _ SEWER FRAME STORM DRAIN _ LATH/WALLBOARD PARKING _ HEATING __ FENCE SCREEN _____ WATER HEATER FINAL 1 CITY OF TIGARD � f ♦�4ARQ oaReo" "210 �l APPLICATION FOR BUILDING PERMIT Nvw Construction Ix I Demolish ❑ Addition ❑ kemodel ❑ R�lil� '' WNING` R-7 DATE ISSUED_ 10-g772 BUILDING PERMIT DATE RECEIVED 10-17-72 BUILDING FSE --=MS .. No' 7tiuti11 H'f BE PL.M. CHECK --- '!'- OTHERg 10.00 VALUATION $�3pr TOTAL a'_ 11�_� RECEIPT No. - TWO SETS OF PLANS AND PIAT PLANS MUST BE FURNISHED WITH APPLICATIONI Lo7' i _ 34 MAP 1 2U 3W CENSUS TRACT W-19 — JOB Architect or Engineer pplia Cus?ss♦ RRo■sa___ _ ____„ Add re r�g Phone— Owner, — 001usbLa CU a HCs»s Address Phone Address _Phone_ + BUILDING USE Single Res. ® Multi Ras. ❑ -' Comm ❑ Industr OCCUPANCY GROUP-1 No. of Stories 2 Total Height Area of Lot Type of Construction XG0MVW1TTXV= V Floor Area BW__— 1 1973 2 904 Set Backs: Front-a}-- -_ back.—W­ L.Side__ R.Side_ 6'i Private Sewer Pipe Size _ 4' —!_— Sewer U.& A. TipNoptic Tank ❑ Mater Service Pipe Size� ks Storm Sewer © Ditch ❑ Drywell❑ Street and Curb Requirements Driveway width 17* No, of Parking Spaces—_ Z SEPARATE PERMITS REQUIRED MR SEWER AND PT.UMBING SPECIAL INFORMATION NO OCA'UtAWT UNM NNON RM IS LIT= ADDRESS ASSIGNED FIELD CHECK BY� DATE L0-3D-T2 PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordinan of the state of Oregon and the C).ty of Tigard. U egon, and that the building Ml not be occup:ad until a Certificate of p c a been issued by the City , Tigard Building Inspector. S� urs o App cant Y