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13890 SW 114TH AVENUE-1 -11", r 13890 SW 114TH AVENUE i. E-1 d. L7� T, rti rz, M It Oil FP r ! 1 IT :. I I City of Tigard INSPECTION REQUEST for I INSPECTION TIME : P'_RNAIT NO. . 7 :3"/ 7 f DATE : Z DAIC. ISSUED:_Z/aL� I OWNERS NAME : csx A D D R E S S : --- I CONTRACTOR r1--= C`1. ,M•� �-�c. TEST. Air O , Water ❑ , Visual 1T; Laboratory ❑ RESULT. Approved C3', Disapproved LJ , Pending L I r.� I SKETCH: I I I _ "r'y INSPECTOR DATE ENOTE : Attach supplemer.tul test data heret] I I t City of Tigard INSPECTION REQUEST I for INSPECTION TIME : 3C`' PERMIT DATE: SIS /2-$ DATE ISSUED:- OWNERS NAME . I ADDRESS : l2'S -_— I CONTRACTOR :— TEST . ONTRACTOR :_TEST. Air ❑, Water ❑ ,, Visual CJ; Laboratory p RESULT: Approved Er--,- L.sapproved ❑ , Pending ❑ I ISKETCH: cApe-4, woe- 'vot'v-_ e�c� •�iZ. I I I I INSPECTOR DATE NC I Attach supplemental test data hetet" 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME :. -j!re- PERMIT NO. :)3-/& DATE: /-/ 2 DATE ISSUED:_—Z--- )WNERS NAME ' - Lm 1c Patt i ADDRESS : --- ---- CONTRACTOR : ___ -- TEST' Air ❑, Water ❑ ,, Visual ❑ , l_aborctory ❑ RESULT: Approved 171-/, Disapproved ❑ , Pending ❑ SKETCH: INSPECTOR DATE LN0TE . Attach supplemental test dote horst] RE CITY OF TIQ" MECHANICAL PERMIT FEB ! G 1973 CITY OF TIGARD DATE 2-12-73 PERMIT NO. 07 °1' � REC.FIPT NO. BY FEE o j 1. Permit shall be obtained prior to commencement of installation. I 2. Permit shall be obtained for all appliances which are to become a fixture to the building. I '. Relocation, replacements, alterations, or changes to burners and duct work requl.re permits. 4. All work to be concealed must be inspected before cover up. Now Installation III Replacp ❑ Relocation ❑ Addition [e1 Alteration t_i CONTR. Suri at Nol k �_ OWNER Calwoia Gu tam =tiaae ADDRESS -.23L. s ° Q1d1,� MURK ADDRFS':i 13890 w "th APPL ICAN'r TF.LEI'HONE No. 233-6186 FURNACE - MANUFACT11RER Garrier TELEPHONE NO. HEAT Input gating ',istu Per Hour) 12Cf,cVent Size 6 F1of Slzp _ FUEL OI L U CAS ff] M.ECT L OTHER TOTAL S0. FT. Top Floor � Main Floor Basement C F.NERA L I''`m N(). FEE ITEM NO. FEE For Issuance of Per-.:l 1 —BoilersJver 50 D . ew - Under to r 11a-ndl.tnAE ewu r r ail']Ing Vy2r 1Q QOO CFM Qoor are Eve ora ve oo er a oor - us en a en an Install s • en s pm e a r - X00 in 4 _ flood Fo er Her mea ne neru or �- o ers .o I ,omm. Incinprar7r o er`s rt o _ M, Not 1,11to.,] �. INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED AY DATE Um,&L bol 1_ J. 9lgngt.ir• - f Alipltrnnt 4 1ermitl Issued_ :�_`7 `/. __-- C17Y OF TIGAIE D, fJRMN Permit No-_z;-_4 Y City Hall r Application Approved Building Department coat of Inataltation-__._ , Applk�alsaw P Plraead�l.�eg ?.i.lallal[ai+. DlA_tiu.� t Fee for Permit_ Applicant shall fill in cost of installation only, Date }_ above this double line. Street Sewer r Plumbing Piper or Fixtures according to plans and specifications and Appli,ation is hereby made to w: description as given below: install Location of building—Number and Street-- _ Lot. _- - .-____—_—__-- Block �. Addition — Name _� — -- Name ,r!;; Eiddress of G i-� Name and Address of Plumber_ Building (Old or New) Height in Stories Occupied as �'_ _--- SCHEDULE OF WORK I NUMBER I NUMBER__ FIXTURES New j MoveR'pl'ce -FIXTI)RES _ I Newlove R'p1'ee Water Closets___. —.- ` �__ Z—__ Fountains, Drinking_.—_I Bath Shower- - _ ..__..__I_ —) Fountains, Yard _ Bath Tub —_I__�_I_ J '` Fountains, Soda---- Basins oda--_Basins _.—_—_ __ ___ ( f ( i Nat Water Tank____--- -1 Sinks, Ordinr _ _. I ._._._ �� Einks, Bar —1_ Sinks, Dishwashing ___... . ._..i .. — 3inka �'lo Automatic Dishwasher I' I I .)"__ Dratns; I I Laundry Trays— I ___ —_ Drains, Ice Box I Drains, Floor_-_ a Urinals Drains, Area—_ 1 II __�I Catch-Basins, Yard. Rain Drains-__ __ I._.:'_. Catch-Basins, Garr.ge Automatic Washer _ _--__ Catch-Basins, SIA Soil Water Permit No.— __ _ Bldg. Permit No.___-__ REMARKS: IMPORTANTI—Plumbing shall not be Installed In any building, (either new, altered,or repaired), except as shown or designated on the corresponding building plans as filed with, or required by, the Building Department In accordance with the provisions of the Building Code and Ordinance 61.19 of the City of Tigard. rihr plumbing system according to this description, plans and specifications an( the Plumbing Code of the 1 agree to install I Cily fit• Tigard. , _/ Plumbing Firm _ + _ Supervisor i Address 138')0 S.U. 114th Rue. uermit No, �---:�Q=�-- Permit charge -- owner Columbia Custom fomes Connection fee �_�-92: •- - P a 1 d by Type of building res. Date connected 2-2-23_ - Service rate — 3. 00 per month Inspection feq - „a, Contractor Columbia f—ustom Homespaid by n . date Size of connection -4" Assessment Paid ---------- i I City of Tigard INSPECTION REQUEST for INSPECTION TIME : 2;0D __ PERMIT NO.: DATE: / DATE ISSUED:-1_J— OWNERS NAME: c�A7zTe)x-V I�TL5 -- ADDRESS : —" Y,�wr✓�w � ,Q rr CONTRACTOR : C�oj%PIZG ---- TEST. Air O, Water r VisualQ—,—Laboratory [] RESULT: Approved El Disapproved CJ Pending ❑ SKETCH: INSPECTOR DATE LNOTE Attoch %iipplementnl to-.; doto herot ( 1739'G UNIFIED SEWERAGE /AGENCY No. 4793 WASHINGTON COUNTY DATE _Feb. 2, 197,L_- CITY CITY OF-- --- - T18" APPLICATION FOR SEWER CONNECTION PERMIT OWNER: ._ Columbia Custom Home© v OWNER'S ADDRESS: 9 Rt! Jefferson Terrace STREET 'ITY ;TATE LIP BUILDING SITE: LOT__ ____._- BLOCK .______ _�___. _ ADDITION ___Y�ewmet TAX i-OT NO. __ TYPE OF OCCUPANCY Residence ADDRESS -a.w. 114th Ave. DWELLING UNITS. 1 - -____ _._ ____._. _ FIXTURE UNITS50 to SURCHARGE IF APPLICABLE ._ __ _ DerryDeU PERMIT FEE ---495_ _ ____ __ INSPECTION r-EE TOTAL DEPOSITED /(NEW) (EXISTING) BUILDING SEWER SYSTEM ..-..-____ T199rd____ The App!icant agrees to comply with all rules and requWtiolls of the Unified Sewerage Agency. APPLICANT SFWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE - ____ 411 _ INSTALLER CO2per r4j;* RECEIVED BY_ .eems�. �� IADENcv R ITS ADENTI 4 COMMENTS: This Application ,ind permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur, CITY OF= TICARD i1.TO S w. Main Streetlir,M), 0080014 V APPLICATION FOR BUILDING PERMIT •lew Construction a Demolish Addition Remodel Move 0 ING _g�Z _ DATE: ISSUED 2a'73 BUILDING PERMIT BUILDING FEE `��- No ' 17 17 F. RECEIVFD l.ly"7j - FS PLAN CHECK $ VALUATION 5 1:6.Mbt OTHER $ 10.00 - TOTAL $ 109.00 RECEIPT No._._?3!L TWO SETTS OF PLANS A14D PLOT PLANS MUST BE Fl1RNISHFD WITH APPLICAI'.'.ON 1 7 MAP t 4981 3D: CFN:?US TRACT -11-1� JOB 1 _ ,itect or Fnqineer CCIUL A Custom H -6 -- ess Phone_ r _ Columbia CuBtom BOMB esa_- Mt. Jeffero,on Tsl'P&O� _-- ---- --Phone____._ - Phone- DING�USf. Sir ale Res. Multi Res.` - Comm• Industrial! FANCY GROUP_I _ No. of Stories_ Total 1iPight_11___ Area of Loth V Floor Area p 1 1 2 of Construction �-- -- - - Hacks: Franc d, Back 15 L.Side_ � R.F+ide__ b (�_� - - 40 SewerU•S.A. TUAMSeptic Tank l-J a!o Sewer Pipe Site __--_ r Service Pipe Site, 4" Starm Sewer Ditch ❑ Drywe11❑ et and Curb Nequiremeirtg -txletic�_� _�__ ______--._- ----------- eway Width-rJ-�16 ___'____No. of Parking Spaces 4_ f;I.PARATE PERMITS REVUIRFU FOR SEWrR AND PI,UMIIIN(; SPECIAL INFOP•MATI(Il �;SS ASSIGNED 1389, h•m• 114th Ave. CHECK pY lsg _„ DATE- PE:F-411 Ai PPnVEU BY 11 • r ti understood that all work will conform with applicable codes and ordinances ne State of oregon and the City of Tigard, urh.++nt,eand (t�hat the theldinq itV oil ,e Occupied until a Certificate o[ P Y y rd Building Inspector. 5 swore nt{ Appcant