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13775 SW 116TH PLACE 13775 SW 116TH PLACE J , Q v Cry , Ei F 13 to z Al f� f PN h N �+ t A M � ' f G. fes, C rr) ll. fri � E4 C ri a u w as fn ' M ii City of Tigard INSPECTION REQUES T for INSPECTION T11..E : 1,;—,5-P P" PERMIT NO. : — DATE .' O. :DATE : //Z/ 7s DATE ISSUED : OWNERS NAME : — ADDRESS: ..r � — CCNTRACTnR i E ST : Air u , Water p , v:suai '] , i_aboratory RESULT: Ap-,roved :?i.supproved G Pending Ll SKETCH: INSPECTOR DATE NOTE : Attach suppiementai gest data beretQj ww • Tigard City of Tig rd INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : i DATE: 'a /11/ -7Z DATE ISSUED'. i OWNERS NAME: �w ADDRESS : 13-7.75 'z>r.�J I CONTRACTOR : " -- I TEST. Air ❑, Water ❑ , Visual ❑ , Laboratory j_j RESULT. Approved ❑ Disapproved ❑ Pending ❑ SKETCH: 0 i I I I INSPECTOR DATE IOTE : Attach supplemental lost data hefet:01 I ice (o -x5.73 Address 13775 S•W• 116th Place Permit No. _ �►70� Permit cbarge Owner was quadrant corp. Connection fee �.4,- 5 Paid by qusdiwit, corms._ .�.._ Type of buil.dirW residence Date connected Service rete ;.0(7 ��er month _. -- Inspectl.ov fee _ Contractor quadrant corp. Paid by Y,ame Dite Size of connection ��" — Assessment Paid G�'lr'Y Q� 3'T OIt4C1PT - _fir r,i a lkrmi! issued Ir_ /'' __— /� SR4��r�` Permit dpi . City Application Approved Building Depaartamt Coat ,.t ln,rtanatle�.�}HibM� By 'A<� Arm lO� � �la�dJcal sliie� Fee for Permit____ MCC_ Applicant shall fill in cost of installation only, Date—4F_� 7x above this double line. Street Sewer Per mit_._-. ... �1tbKr Plumbing Pipes or Fl.,rtures according to plans and specifications and Application is ereby made to t.escripUon as given below: install Location of building—Number and Street_---------._ _.-----___.__-__ __IBJ l T _— L t W_. - _ __ Biock Ad"on_ — - Name and Address of Owner ----- QDk UAANT OORP 1750 SW SKYLINE BLVD PORTLAND OREGON 97221 ---. -- Nsrne and Address of Plumber-_ IMPERIAL PLUMBING lr HEATING/INC. P O BOD( #06327 pORTLAND_971ft------_ Building (Old or New) _NEW____ $tdtbt in Stories. _- -__.ONE Occupied ru SCHEDULE OF WORK NUMBER NUMBLA FIXTURES New Move R'pl'ee rE[T[TRF.S New 1_Move R 'ce Water Closets __, 2 _ - rountains, Drinking_ $nth Shower 1 Fountains, Yard i< Bath Tub Fountains, Sods - Basins Hot Water Tank Y 1 Sinks, Ordinary.___ +.__L_la_r_ f__. Sinks. Bar Sinks, Dishwashing _ 1_ - II Sinks, Slop Automatic Dishwasher_,___1_. i Drains, Refrigerator _— laundry Trays-----I I I Drains, Ice Box Drains, Floor __I__. ___ _ Urinals Dreins, Area ___._+__—.—�_ Catch-Basins, Yard. Rain DrainsCatch-Basins, (;arrge 1 Catch-Basins, Sub Soil_ Automatic Wisher _; ^_, Water Permit No. Bid Permit No. 2 �l8 r _____ �_.__ _ _. `• REMARKS . i IMPORTANT I—Plernbing shall net be Installed In mW buiMl (eNhir new, offered,or Ired), exeep a shown or Me�e� P` on rhe corresponding building clans ria flier with, or r@q trod by, the Bull De"Pharit In accerdanoe� Mll11 fM provisions of the Building Code and Ordinaries 67.19 of the City of Tigard, rrr the plumbing systern according to chls Jeacripti lane aid opectfications and t�Plumbint Cede ed tits install I Agree to City of Tigard. �--__ --- -__1 I*lambing Firm IMPERIAL PUINJI Ei-'6 +fATfNR,MIC, _ __ -2iuperviser ,�._z-:_,�--_•---�.-�r�-. .._.._.ems__:-_--�-z----�,. UNIFIED SEWERAGE AGENCY NG -_-- ti 405 _ -- _-_- WASHII*-,!GT(JN COUNTY CITY OF _ ' -'- -- - APPLICATION FOR SEWER CONNECTION PERMIT OWNER:'— ----------- OWNER'S --OWNER'S ADDRESS: 1--- ...r- STREET CITU STATE - ZIP BUILDING SITE: LOT BLOCK ADDITION TAX LOT NO. TYPE OF OCCUPANCY ADDRESS ! _ /o ,- •'. DWELLING UNITS C _. - _. FIXTURE UNITS P SURCHARGE 11 APPLICABLE .j PERMIT FEE , INSPECTION FEE TOTAL DEPOSITED � Z + (NEW) ' (EXISTING) . BUILDING SEWER SYSTEM '. The Appllcam ,grow to comply with all rules and regulations of the U-ufied Sewerage Agency, APPLICANT SEWER PERMIT THIS PERMIT AUIHOR17_ES CONNECTION TO THE SEWER SYSTEM, LINE SIZE INS'T'ALLER RECEIVED B'r (AGENCY 0 4 ITS AUFNTI COMMENTS: This; Application ,uul Hermit expires in ninety (90) clays. The amount Il od well ho forfeited Should rrxpiration occur 1 v;. BUILDER VALUE FEE " DATE LOCATION 1,5�r�- y. �� E�. r c OwN R 4JO13 # =# -7"7 T2 LOTl TYPE PLUMBER PE 7- � r.E SEWER PERMI 7c rFEE. MECHAN CAL PEtA �MI_____�_ _ D.,^ E BY DATE _ �. BY— EXCAVATION/FILL AIR CONDITIONING FOOTINGS FOUNDATION VENTILATION __� FORMS ISPRINKLER SYSTEM SLABS MASONRY FLUES REINFORCING STEEL FIRE DOORS EXITS STRUCTURAL STEEL GARAGE FL00_R jrLUMBING R. I . DRIVEWAY ROOF FLASHING SEWER FRAME _ STORM DRAIN _ _ LATH WALLBOARD I JEARKING HEATING __. _ FENCE SCREEN ��_.._�.... ... .._.,.__ _._�. HEATER FINAL I CITY OF TIGARD 12420 S. W. Main $MM TIGARD, ORIIOON f ni APPLICATION FOR BUILDING PERMIT New Construction © Demolish F-1Addition �� Remodel ❑ loves❑ ZONING `7 _ _ DATE ISSUED 7410"A BUILDING PF.RMI''' DATE RECEIViED T-18-72 BUILDING FEE $ �"�— No. PLAN CHECK $ - BY - - OTHER $ 10.00 VALUATION $ —MDa5".00 TOTAL $' — - RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MUST DE FURNISHED WITH APPLICATION LOT #� 7 MAP # 281 CENSUS TRACT Y.,Lq JO© # Architect or Enaineer Jack Woodman i AssocUteo Address—_A1121ill a► Yue- .,-._-_ --- Owner- -`- Qftdraat _ Address 1750 8.W 8kiiaa Blvd. — Builder_ SaM ___ __��-------------_----- � -- Address �� _ _ _ -`Phone--- BUILDING USE Single Res. © Multi Res. ❑ Comm. ❑ Industrial D OCCUPANCY GROUP_I_ No. of Stcries 1 Total Height 16 Area of Lot-?DM— Type of Construction m im V Floor Area B- - 1_ 1355 _ 2- -» Set Barks: Front 26 _ Bar_ki10-_ - L.Side6__.__ R.Side,_6_ ((_'�� Private Sewer Pipe Size 4" sewer—U.S.A. TidpAibptic Tank L_i Water Service Pipe Size__ 3/4" - Storm Sewer lx--] Ditch ❑ Drywe11❑ Street and Curb Requirement Driveway Width_` lbs _ No. of Parkinq Spaces_ 2 _ al SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SFECIAL INFORMATION f ADDRESS ASSIGNED-p 13M •-M- I%U l3AGG FIELD CHLCK BY— Dll ----i_�,� _.�-__�---DATE`��� x PERMIT APPROVED BY it is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Uccu ancy has been issued by the City of Tigard Buildiny Inspector. SrgrXWjFe o Ap ca