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12188 SW 125TH AVENUE 12188 SW 125TH AVENUE _ w - �a E� n M Z3 � �Y ;s h rn Oar, J r i U rlr� V i tl � r � a CrrY OF TIGARD NC z Owner:.. . ...... ... ...Permit No.._23-5:i.......... Building Address.. ><26t.h .Aua............:............................._... Certificate is hereby given ttda_. Ith......a;y 19..?3... • that said building mfty he occupied and 4 thrt it complies with all requirements of i tete Building Code for the City of Tigard, as approved by the Tigard City Council. I r � .�.�l..... .. .......... ........ f, 4 Budding or I City of Tigard INSPEvTION REQUEST for , INSPECTION TIME: /_______— PERMIT NO. : —_--- DATE : 17_ 3DATE ISSUED '.--/' OWNERS NAME : ADDRESS : - - CONTRACTOR : — EST . dater D , V.sual Laboratory (] RESULT ". Ap,,roved :')Isapprm ad G , pendwa SKETCH.* Ice INSPECTOR DATE NOTE Attach supplemental test data herPtol W I< City of Tigard INSPECTION REQUEST for INSPECTION TIME : �3ERMrr NO. . . DATE: 'SATE ISSUED' Z / OWNERS NAME :"-D - 4DDRESS : 1- t &!? J � C SNI R A C T 0 R : ____r----------_-- TF:S'•I r '13 , W#1ter Lei rr, RESULT Appro ed L-1 :�i-rpprover+ SKETCH: ' ,,, 6�) •-6 ILI 7? I INSPECTOR DATE �M:OTE : Attach supplemerorl !n;! ; u•r• Beret] I I I 1 City of T i card INSPECTION REQUEST for I INSPECTION TIME ' . Oct PERMIT NO.. . DATE: 6 /7'1 73 DATE ISSUED' OWNERS NAME :NAME . - _ I ADDRESS I CONTRACTOR : --- I TEST A r J, Water [] , Nlisual La' ,rator� fi RESULT. Approved I , Disapproved 1 Ponding 3 I SKETCH. I INSPECTOR DAtE ICOTEAttach supplemental test doto heret- Ii 1 i WWLW W I City of Tigard INSPECTION REQUEST for IhISP�L1-.CTION TIME : - /0-'0C-2 PERMIT NO. : —_ DATE: -6-111Z.3 DATE ISSUED:__L_L OWNERS NAME : � 1� ✓. . ��z _ _`__ ADDRESS CONTRACTOR :— TEST. Ai► C, Water p , Vi:ual b , Laboratory [] RESULT: Approved I4 Discpproved p Pending ❑ SKETCH' _ 3 INSPECTOR DATE NOTE Attach supplemental test data heret] City of Tigard INSPECTION REQUEST for L�P� u rM 1,ti ,.• -- INSFECTION TIME: Q PERMIT NO. : .-._. DATE: = /—ZLca DATE ISSUED :_ I 1_ OWNERS NAME : __ZL� ✓_ ' - -- - -- CONTRACTOR : . ._ — -- TEST : Air (-1, Watery , Visual ❑ , Laboratory ❑ RESULT: Approved A , Disapproved O Pending ❑ SKETCH: i E -73 6 INSPECTOR DATE [OTE: Attach supplemental test data hereto, Urw Addresn",8 "_ 125th Ave. Permit M-,. 4817 Permit c-barge Connection fee 2 5 Paid by D. K. Ferry Type of building Residence Date connected 5-8-73 service rete -L DD aar month Invpection Pee 25.00 contractor D. K. Ferry Paid by same Dente Size of connection ,411 Assessment Paid (ev a I� I City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :-- DATE.' O.DATE: .5 /51_.12.3 DATE ISSUED :—.1— OWNERS NAME : ADDRESS: CONTRACTOR : _--A6—C ?-J�2!`Ak_4 ---- TEST : Air O, Water[] , Visuol,J/k, Laborotory p RESULT: Approv3d�, Disapproved p Pending p SKETCH: ` v ld INSPECTOR DATE TOTE Attach supplemental teat data hereto, w I , City of Tigard INSPECTION REQUEST for i J I INSPECTION TIME _ PERMIT NO.: I DATE: �� ZV/7-3 DATE ISSULD'._..LZ _ OWNERS NAME : ADDRESS : a3& � CONTRACTOR :— TEST ONTRACTOR :PEST A r J, Water � , lri;kucl , La' .rotor l rl RESULT.' Approved 0 , Disopproverl 1 i ti,ndmg J I SKETCH: I I I I INSPECTOR DATE IOTE : Attach supplemcnta' test J oto heret] I Vol i City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :?3 ' ' i DATE: `1 DATE ISSUED :_.-_L-L_ j OWNERS NAME ' --- A D D R E S S: CONTRACTOR TEST : Air F 4atorm--,-V,sual fT-,---Laboratory ❑ I RESULT: Approved UJ-' Disapproved ❑ , Pending L SKETCH: r INSPECTOR _ DATE COTE Attach supplemental teat data bereta� i i It 4 a Cit., of Tigard r INSPECTION RE© UEST for IINSPECTION TIME : Al,,PlkvE -tk PERMIT NO.: —L;. 3 DATE: DATE ISSUED: I OWNERS NAME : I ADDRESS : a2JPF l 4�t� -- -- CONTRACTOR : ----- -- --- TEST. Air O, Water p-;;Visual Laboratory ❑ RESULT. Approved EK, Disapproved Ll , Pending Q I I SKETCH: I I I I I INSPECTOR DATE CNOTE: Attach supplemental test data heref.10 1 ... .I. L /„/ �f-... moi, • �I f • * 71V 44 Jurladic;'Ion *f Type of Fixture _ Fee Permit leo. a, Permit fee .�..r�.. , wnta Closets Toilets 7 Permit Issue' _ aL, bs Approved by I1 Tava o>;� Bein +- 1h111dinE Perm _ 5hor Receipt No. ;�__ 77iDisFw717 ri Kitwht3 -MnIs. OrdinaryLocation of Mlilding i s. a :s So Il 0 AEtC Sshw_a-ber 0 a . .9 OAJ. _— �•� . � e s Name & Address of Owner Drains. F10or .r�r+�_ -_ - -••►�Y Drains, rea _- --------�.► Rain Drains '� Automatic aseta r Name & Address r Plumber Fountains. Soda - --- - o Wa _ � ns9ar L.(_dA_fl�gter _.., Repair or r=na a Buildin (Old cr New) AaC--Basins - ar Sprinkler System Switaming Pool F4181prinkler „_-,-r-- ^ � sem This permit beonmes null and void if work or couatruction authorized is not , oommenned within GO days, or i` construction or work is suspended or abandoned A for a period of 12.0 days at ally time after work is commenced. All plumbing firma must he licensed by the :;ity of Tigard and post a $1,00” band. I herebv cert. fy that ? have read and examined this application and know the same to be true and correct. All provisions of laws arid ordinances governing this tyre of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Signature of Appy! L w y Y r t k0. UNIFIED SEWERAGE AGENCY NO. 481" WASHINGTON yOU NTY DATE 3-23-73 _ CITY O F — Tid" APPLICATION FOR SEWER CONNECTION PERMIT OWNER: ---- K. D. Ferry_ - - OWNER'S ADDRESS: S.W. STREET Twlatiu ores= 9706a CITY STATE - ZIP BUILDING SI'E: LOT---U__.___ BLOCK _--. __._ ADDITION B;,W0%Y_ TAX LOT N0. TYPE OF OCCUPANCY _ aradenae__ ADDRESS - -- -- 12183 S.N. 125th CWELLING UNITS l __ _ ____ FIXTURE UNITS SURCHARGE IF APPLICAi3LE — ___-- PERMIT FEE 425 _. INSPECTION FEE 25-_ ._ ..._ TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM _____ Tigu m_ The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agenrv. APPLICANT __•,�` i.. .-1-- - �� �l/l SEWER PERMIT THIS PERMIT AUTHOR'ZES CONNECTION TO 1 HE SEWER SYSTEM. N LINE SIZE INSTALLER 19d Ferrel / ' RECEIVED BY 1rC:t, 15a. IAGEN ✓ ITS A •ri COMMENTS: _ a[.._ ,.ria k1,l a 5k C. r ( /5 This Application dnd pr-rmit expires in ninety (90) days. The mnouni n,lnl will he forfeited should expiration occur. 'r d� CITY OF TIGARD 14110 S. W. Main Mr"t TIGARD, OREGON 97217 APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ❑ Addition l__J Remodel ❑ Move❑ ZONING_ p.7 DATE ISSUED 2-11 S BUILDING PERMIT S � No. u�+ DATE RECEIVED+ BUILDING FEE �'+� _ .1 4jS3 PLAN CHECK $ 58.25 35,150 BY_' F8 OTHER $ VALUATION $ TOTAL $ RECEIPT NO._r1W80 ---- �- -a3 73 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # 31 MAP I--= = CENSUS TRACT _W-19 JOB Architect or Engineer__ Bruinier b Associates Address-----_-may g-�1�. n.rtl,.gLy>i,r yaad -- -----�. Phone-lk.ao Owner D. K. Ferry - - ---- ----- Address ,c,,r Phone 4o3 Y -7,24,ff 7 Builder Address -------Phone---- BUILDING PhoneBUILDING USE Single Res. ® Multi Res. ❑ Comm. l7 Industrial❑ OCCUPANCY GROUP I No. of stories Total Height— Area of Lot 8•0p Type of Cons':ruction V F.00r Area B Y 11127_ Set Backs: Front �� _ Back _ )t.Gide 3.4 R.Side J:• G Privatn Sewer Pipe size " _ Sewer---,,.-& l &_lY.ur tic Tank ❑ water Service Pipe Size_ Storm Sewer ❑ Ditch ❑ Drywell❑ Street and Curb Requirements AM R: i t 1,1 — Driveway Width 90 _- No. of Parking Spaces 2 SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED„ -=88 S.W. 125th —__— FIELD CHECK BY _�c �-_-. - _--- DATE_ ��� PERMIT APPROVED BY L,'- La It is understood that ,111 work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, orerlon, and that the building will not be occupied until a Curtiiicate of Ucc pan y/Aas been issued by the City of Tigard Building Inspector. gnature o Appllic t