12148 SW 125TH AVENUE 12148 SW 125TH AVENUE.
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Mair St.
Tigard,Oregon 97223
Phone: 639-4171
CType of Inspection —
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Date Fieauested �J _� Time A.M._----P.M.
Address �� -X, dar/ �-� ts( ;�?K
---fes_-- - - Permit #.-------_---�
Owner-- - -- --------- Lot #
Builder -
Yhe following Building Code deficiencies are required to be corrected:
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Presented to Approved
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Inspector G - ---
(. Disapproved
Date
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CALL FOR REINSPECTION
C] YES f ft NO
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City of T i guard
INSPECTION REOLJE `,T
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INSPECTION TIME :�• �G PERMIT NO. :
DATE: 6101-2 DATE ISSUED:_.1�
OWNERS NAME : - '7 - --'
ADDRESS :
CONTRACTOR
TEST. A r O, Water p,, VisuaCV', LaF ,ratory [I
RESULT. Approved Disapproved J Pending C f
SKETCH: 'D �p
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INSPECTOR DATE
IEIOTE ' Attnch supplemental test data herel:01
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CITY OF TIG.A RD
OREGON
Owner ate.B 48"r............ ......................... ...._.. Permit No73-W.... ........
Building Addrem..... .tlwlts..3, j h Aw......_....... ........
Certific^' is hereby given this .... ..day of..__...4"*'"�
that said building may be occupied and
that it compiles with all requirements of
t , j'� the Bulling Code for the City of Tigard,
as approved by the Tigard City Council.
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amity of Tigard
INSPECTION REQUEST
�. ,► f o r-
'.NSPECTION TIME. ..__-- PERMIT INC. .
DATE: ?ATE ISSUED ._ —
OWNERS NAME :
ADDRESS: _�. / �� -�•?S.. ._-._ — -
0 N T R A r.T n R :
EST ter0 , '_ab.►ctor;� rj
RESUL h,.-ed 1146 appr ,.,rd G '�idir�c; Ll
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SKETCH:
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ANSPECTOR DATE
[NOTE: Attach supe emental test uatc bar i4t03
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City of Tigard
INSPEQTiON REQUEST
for
INSPECT'ON TIME: PERMIT NO. : —
DATE : __L._L— DATE ISSUED :
OWNERS
ADDRESS: j '—lam
C 0 N T R A C T 0 R -. OeV o
TEST * Air [I , Water C] , visual ❑ Lpboratory �
foot , 001111. 1V4y )�,�
RESULT: Approved )1( , Disapproved Cl Pending []
SKETCH:
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INSPECTOR DATE
NOTE Attach Supplemental teet data bereto�
City of Tigard
INSPECTION REQUEST
Tor
INSPECTION TIME'. /y- �'a PERMIT N'j. : —
DATE ' -5-1,/,0/75 DATEIS°UED :�,!
OWNERS NAME �
ADDRESS'. _._.�� �*-'� �� 5 __ _
CONTRACTOR
, EST : ,', , , Wcter ❑ , V:suai*/l_aboretory rJ
RESULT '. hp. raved Disappro�ad G , !'endi cl u —w
SI(ETCH:
INSPECTOR DATE
NOTE: Attach supplemental teat data beret,)]
Addrebs !_ . I��u. �.�, Permit No.
Permit charge
Owner � nu ronnection fee
Paid by
Type of building ��' Date connocted
Service rate _ Inspection fee j
Contractor � y . Paid by Date
Sime of connection
Assessment Paid
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME '- PERMIT
+ DATE . 31irlZ5 DATE ISSUED'Y1-K41J�
OWNERS NAME . /—
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ADDRESS ' Z-214/
I CONTRACTOR :44 '16'
TEST r Lj, Wnter -1 , Visl,zl; l Lu', .rcfor,l n
RESULT; Approved, Disopproverl 1 r-nd,ng J
SKETCH:
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INSPECTOR DATE
IOTE : Attach supplemental fest Jato heret-10
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ��/ S� PERMIT NC.. :
DATE : J3 DATE ISSUED
OWNERS NAMEADDRESS.' /�i-A �_.
CONTRACTOR
V: :uai 1�1 , I_ab3ratory I]
RESULT: Aporoved :)iaapprovad C , bending p
SKETCH:
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IN;PEC1"OR DATE
NOTE . Attach suppiemental test data beret]
WUMMAK
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PLUMBING PERMIT APPLICATION
Jurisdiction of
No. Type �f Fixture Fee Permit Nc .
Permit fee
Water Closets Tcilets� Permit Issue-77
Bath Tubs -.. 'g Approved by �..
Lavatary_ wash asi.ri _,_:w Building Per _. .
Shower Receipt No.
In 3 . : shwal iri
Sinks, -Kitchen
Sinks rdinary Locatin of Budd i.r.g
Sinks,
S
inks.Slcc- --- - r- �— `-- ---------------
Autfamatic Di- was er
-- Deo s aT-- - _
Laundry Trams_ Name & Addresr�
Drains F1Ocr � --
razn i Area
Tor
Ra.r_�nra ins
Au ti.mat:c Washer Name & A.daress
Fountains, r n 1n9`
Fountains, oda
17 Hot Water Tank � _r:..►.�� __ " t ___,_._.
WatF•r Service
— Urines _ Buildin O'.d—r 1 _;A:iter, Repair :r —
_ C.r Sasins - Ya_'� ns_�a_ - ----�--- ----- _..
Lawn � :,r inter-swimming Pool -___ tFie�t ___• __- ------------- -----_
This permit be,�.ome, r III ind vo.td if work c:r constr:r-t1'-n n* t.
^ommenced within 60 1 ,, , . j-f constructicn or work
for a per .od of 1�0 dr-V , at any time after work i
All plumbing firms must be licensed by the City of Tigard and pest a $1 ,o00 bond"
I hereby ;.erti fy that I havp r1mad and examined this a and kncw the same
to be true and coirect. A;-1 provisions of laws and ::rdtnan . g^vera:.r,g this type
of work will. be compii-d wi f.h whether specified herein r r.- ' , ',hF, granting ::f a
permit dues n"'t pre wno tG give Ruthority to Viola r. r' an: - i the pr.--vi.-;i: n:
of any r. ther otatee .-r joclal law regulating construction ? the per-fc rmanc e ,. f
Const: ucti+. n.
Signai.111 7-77T'17...
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city of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME . � pry PERMIT NO.: Y3 80
DATE: 5 DATE ISSUED: -'
I OWNERS NAME : -
1 ADDRESS -
ICONTRACTOR * ---- ------ !
TEST. 'Air ❑ , Water L] , Visual 0Laboratory
I RESULT; Approved Disapproved ❑ , Pending
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SKETCH;
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I INSPECTOR DATE
CUTE : Attmch supplemental test data heretl
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>A ll• It S[ � t ® � � � i
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C' ! ty of Tigard
INSPECZ iON RE® UEST
for
INSPECTION TIME :lPERMIT NO. : 7-f
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DATE : ,72 DATE ISSUED::ZZa1Z3
OWNERS NAME : k
I ADDRESS
CONTRACTOR ' -
TEST. Air L7, Water L.J , VIsuul 8' Laboratcry C7
RESULT: Approved ff , Disapproved 0 Pending p
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INSPECTOR DATE
rNufF. Attnr.h �,rpplementnl test data hereat]
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UNIFIED SEWERAGE AGENCY No. 4832
WASHINGTON COUNTY DA-rE 4-aas _.
CITY OF--------
APPLICATION
F--- --APPLICATION FOR SEWER CONNECTION PERMIT
Geor Heusser
OWNER'S ADDRESS:.----- — �.._— �� ---------- ------
STREET
ZI►--
BUILDING SITE: LOT 3_29___ BLOCK ______ ADDITION
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TP X LOT NO. ._ —.— TYPE OF OCCUPANCY
ADDRESS ._-_ .__ 191LA n_y. 125th $AM.
DWELLING UNITS ._ ._ 1 __ FIXTURE UNITS .
SURCHARGE IF APPLICABLE----------- -____ _
PERMIT FEE INSPECTION FEE 21__— TOTAL DEPOSITED 450
n (NEW) (EXISTING) BUILDING SEWER SYSTEM TAMard
The Applicant at.jrees to comply with all rules and regulations t.' the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE 4"_ ___ INSTALLER 0111i_XgussW.__
RECEIVED BY - f. �,tL_ e 'v•I_f
IA NCV Olt a AOENTI
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COMMENTS ,�'1CrL r_ ill y lha /u'-
This
This Application and permit expires In ninety (90) days. The amount paid will be forfeited
should expiration occur.
INN
CITY OF TIGARD k
12420 S. W. Main 91 so!
TIGARD, OREGON 97727
APPLICATION FOR BUILDING PERMIT
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tew Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move U
yZONING R-7 DATE ISSUED 4-16-" BUILDING PERMIT
DATE R:CEIVED BUILDING FEE $�ij_00_ No. . v `�8;)
�3 PLAN CHECK $ 38.50
BY OTHER $ VALUATIOrbD 77 p.60 __:;
_ RECEIPT No.
TOTAL $ 11S•5n
�-l7-73
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT N29_. MAP k 251 4AA CENSUS TRACT - W-ly _-_ JOB 's�
Architect or Engineer. Eruinier Associates
Address 1304 S.W. Bertbe Blvd., Portland _ ____-Phone ._
Owner ____-1}eorge Hatieawr _ - ----- ---- -- _ _-- -
Address Fhone
Builder same
AddreE;
BUILDING USE Single Res. Multi Res. ❑ Comm. ❑ Industrial❑
OCCUPANCY GROUP I No. of Stories_1 Total Height 151_ Area of LOt8000
Type of Construction A)0ULtWX=)DOO= V Floor Area B - — 1 1402 2 -
Set Backs: Front-4q Back`__U_ L.Side 8 R.Side 8
Private Sewer Pipe Size 4" Sewer uss Ti acrd Septic Tank ❑
Water Service Pipe Size 3/4" Storm Sewer ❑X _.itch ❑ Drywell❑
Street and Curb Requirements srlptinQ
Driveway Width__ 17 ----No. of Parkinq Spaces,_,_
SEPARATE PERMITS REQUIRED FOR SEWER AND FLUMHING
SPECIAL INFORMATION
ADDRESS ASSIGNED 12148 B.M. 125th Ave. -- -`
FIELD CHECK BY-----NL------- UATE4-16-71
� PERMIT APPROVED BY (
It is understood that all work will conform with applicable codes and ordinances
of the State of. Oregon and t11e City of Tigard, Oregon, and that the building will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector,
S"ignaturc o Appl cant
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