12730 SW 128TH AVENUE 12730 SW 328TP AVENUE
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INSPECTION NOTICE
ity of Tigard Building Department
P.O. Box 2.,-197
Tigard, Orego^ 97223
Phone: 6Y, 4115
e of I n ii
Date Requested— w -a Ti
� �— me A.M. P.M.
Address 12 2.30 —/-T.c� Permit
Owner __ _ (/ /_� L/ott#
Builder ��7
The full ing Building Code deficiencies are required to be be
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Presented tApproved
Inspector Disapproved
Date
CAL.►. FOR REINSFtJCTION
['`]
Y E 1 0 NO
MEDANV�Al PEIRM11'
CITY OF TIGA RD rcw,—,0vtoARD PEPM.i. T NO. MEK891.606
ORIOON
COMMUNITY DEVELOPMENT DEPARTMENT DATE IS51[JED *7/22/849
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 PPIM. PMT .NO 891.606
%JOB ADDRESS r2730 SW 12FITH (-)Vl::-
'TAX MAIP/L.0*11' SUR LT 8K
LAND USE
L.101, SIZF :I:'TEM NO NO
W(:)Pl< CLASS : Pl:_::PAI:P 1:;1JANA(:,E* (100K A]'R IAANUI P <10
I,AiE T*Yl::,E: 1::*AM:I.l y FIJPNA(,E 100K+ AlP HANDI.-P 1.01<
CONST .TYPE: VN 1:1-001:4 I::'Ur4NA(:A:. F.:VAI:).COOLA:34
00'(:"*tJP. GPP . 143 HFATEA VIENT FAN
VENT VENT . SYSTEM
BI—p 0,(A)MIL, <3HF) 1-40011)
1140. STOPHES IRLW/UIMP 1WINIERATUR(DOM
OWE-LL .UNITS I HI...R/(:,(:)Ml:) 15 :301-try 1:NO,1:NE PATO 1-4 111 COM
FUEL. TYPE. WOOD HI.-P/(:1OMP PEPAIN UN1TS
MAX . INPUT 131-14/COMP .15 -"-Ir) E.,1:1 I.
DMPPSI? GAS r-l'.r.l:)J:N(*.-; OUTLETS
HIGPIA PP...SSI?
L.Ow VIPE-Lis,?
PF MARKS :
WOOD-4-AIRNING) STOVE
0 CANL PEAMIA
W
j,J IF-1730 SW 1.20TH OWL Pl. AN PE:1.11EW
1113API) OR 49'122'.*.1 1 1XTLJI:*:S 91'e1. 50
%TATE: TAX $ . 73
UTIAEP
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This permit is issued subject to the regulations contained in I 110 14 ....................................... .........
of the 'rIvic, stdi-4 of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done inaccordance with the plans and MLA.AAANCL. . 15Y5 T'KM
specifications and in compl.ance with all applicable codes and
ordinances The issuance rf this permit does not waive restrictiw
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void If work is not started within 180 dAy3,or if work is suspended or
abandoned for a period of IV koys any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requusted and approved
Permitt Signa
las,ed Uy
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
City of Tigard
13125p,SW. Han Blvd. MECHANICAL PERMIT `eceipt"
P.O. BOX 23397 Permit N1 _
Tigard, OR 97223 Description
639-4175 Tobte 3A MecthankaI Code QTY PRICE AMT
1) Permit Fee -0 --0j 10.00
Name of Dev,bpment 2) Supplemental Permit 300
Job Address — Furnace+to 100,000 BTU
Address 1) incl.ducts&vents -_ 6.00
Tax tam Map No—` 2 Fumace'100,000 BTU t
inti.ducts&vents 7'50
Lot ebck ^wbdivisbn
Name(or name or business)` Floor Fumace
3) ind.vent 6.00
I.larTirhg Address --- r there — 4) Suspend- 'heater,wall heater 6
Owner or floor rr. ,,ded heater
city/stale $ 5) Vent not Ind.in
appliance permit 3.00
Repair of heating,reit ig.,
6) Cooling,absorption i Init 6.00
� a q Address �/C K Boiler or comp to 31•P --
ptxxhe '-
/. 1 A site 7) absorp.snit to 100,0 m BTU 6.00
Occupant Oty/Stale zip a Boiler or comp to 3 H'-15 HP
absorp.unit to 500,000 BTU 11.00
y) Boiler or cr)mp/5-30 HP --- -
absorp,t nit 1h million 15.00
/1
Wailing Address Phone 10) Boiler(w comp to 30-50 HP — — - -
,h;orp.un t 1-1.75 million 22.50
Contractor Gt,�state — yp Boiler orc(-,mpto50HP
11) absorp.unit 1,750,000_ BTU 31.50
s me Registration No. Uty Bus.Tax No. Air handling unit to —
12) 10.000 CFM 4.50
I Air handling unit —
hereby acknowledge that I have read this apptication fur nes information gives;is 13) 10,000CFM + 7.50
OORed,that I am the'wXww Or sue"i:er1 agent of tMh ONTW,tial plans sutxrNted are in
oorrokmw with State laws,that I am registered with the Slate rkrildem*@nerd,that the Non portable
rwmber given is corned (e a mryH tium State(agistratk,please give reason Geluw) 14) @ValMfale COOIef 4.50
Vent tan connected
___-- -- -- -- 1 3.00
to a single duct
"- "-- Ventilation system not —
16) included in appliance permit 4.50
--. - _ Hood served by � --
17) mechanical exhaust 4
Signature(owner w agent) Date
Domestictype
Describe worts C] addition-ij alteration ❑ repair 18) incinerator 7.50.50
to bu done residential ( non-residential ❑ L immercial or industrial
Existing use of T 19) tyl incinerator 30.00
building or properly______ Ali ar i.e.,woodstove,water
Proposod use of Y 20) 01
solar,clothes dryers,etc. 4.50
twilling or property 21) Gas piping one to lour outlets 2.00
Type of fuel- oil ❑ natural gas ❑ LPG ❑ electric (
22) More than 4-per outlet
NOTI,�_E —
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON — SUB-TOTAL _,SO_
STRUCTION AUTHORIZED 1S NOT COMMENCED WITHIN 180 5% SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- --
WORK IS COMMENCED, TOTAL �T"23
Special Conditions
July 18, 1989 C17YOF TIIFARD
OREGON
Handel, Haoson and Jones
Attn: Nancy Gregg
15480 SW Boones Ferry Rd.
Lake Orwego, OR 9705
Re: 10910 SW Fairhaven St.
Dear Ms. Gregg,
In response to your inquiry regarding availabili*y of sewer to the above
referenced address, our, records indicate that, ag of this date, there is no
sewer available for connection. If we can oe of fur-.her assistance, please
call u,i at 639-4171.
^incerely,
Brad Roast
Building Official
jlh
13125 SW Hal'Blvd.,PO.Box 23397,Tigard,Oregon 97223 (503)639-4171 ----------
go-
503)639-4171 ------- --
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Address +.LZIC ��/c2 .•oma Permit No.
Permit ebarde
Owner Connection fee a
4
Paid by
Type of building Date connected n -73
U
Service rate ' ,� a Inspection fee � �� v -
Contractor � Paid by _ja,.t� _ Date
Size of connection `7' Assessment Paid
�, 7
��c'4oLGt�
ity of Tigard
a
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INwitGTION REQUEST
for
INSPECTION TIME . y- PERMIT NO. .' —
DATE.' DATE ISSUED*- Z
OWNERS NAME :
I ADDRESS : -1�`7 ��� --- -
CONTRACTOR :
I
TEST J , Water �] , ��is� ,;; La' .rctor; n
RESULT . Approved A , Disrpprove(i _I fiyndmg 3
I SKETCH:
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I INSPECTOR DATE
ILN0TE Attach supplemental teat f oto heret]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: eloll PERMIT NO. :
DATE1 72 DATE ISSUED : Z
OWNERS NAME : �m
ADDRESS: !-2Z.,�2 �
CONTRACTOR :
I
TEST : Air Ci, Wnter❑ , V;sualX, Laboratory ( I
RESULT: Approved Disapproved G Pending p
SKETCH. J� � C�1,rir=�G=lam �p`-
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INSPECTOR DA E
NOTE : Attach suppiemental test data hereto
i
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :_
DATE: C/ /99 DATE ISSUED :
OWNERS NAME : <<c ,,
ADDRESS: ��#7,fC _42c`/ 441
CONTRACTOR :
TEST : %,, ..- , 'Wcterp , V: ivai !J , I_aborctory f-j
RESULT ' lkp-�roved � , :);jappro`,ad G Fendi q p
SKETCH.
INSPECTOR DATE
NOTE' Attach supplemental teat data beret 01
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City of Tigard
I
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. . _ _
I DATE: s� 7.� DATE ISSUED ._—/-L
OWNERS NAME : ""– `
I ADDRESS :
C t)N T R A C T 0 R : -------_,--
TEST A r L3, Water ❑ , VirZlLo'- :refor! n
RESULT_Approved ❑ DincpprovelI , Poind,;,q
I SKETCH:
(v/�iE�Core• �ito.W�t Nc7 �'�6PQ'�L� SCrTIc-�
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INSPECTOR DATE
I [:N OTE Attach s
J pplemental fago hr.ref]
1
s 2 7�.T CITY OF TIGARD, OREGON Permit No 737e
Permit Lssued
City Hall
Application Approved Building Department Coat ^f lnatalla
/ '4V fax P—.K, P&-.AA"0^44 Wd"
By - `pec for Permit-_--- i
Applicant Shall fill in cost of installation only,
Date_ .S _3 3 above this double line, street Sewer Permit__.-.
ro it Plumbing Pipes or Fixtures according to plana and specifications and
Application Is hereby made W. � oacription as given
below; �ily,Y
Location of building--Number and StreoL lvj.��-- !- -�� _- - -------------
Loi---- - Biock_---..--- -/-J . Addition.-- ----— -(/- ... --------
Name and Address of Owner._ .�"
Name and Address of Plumber-
Building
lumber �� .tX1t T�il���`=•`� 14�S�lGt _-4� `."!'» f,� Y/'
Occupied al �'4'�5i�r
Building (Old or Ncw)-____1�,L�----- Height in Stories __ l_-_ --
SCHEDULE OF WORK
NUMBER Ij� NUNBI6R _
FIXTURES New Move I R'pl'ce FULTUMCS I Now j Mare AV.
W6- a. I II-JFountains, Drinking.___ �I
Bath Shower._ .. _Y___- Fountains, Yard-----
Bath
ard-.___Aeth Tub Fountains, Sods-
Basins _ __- _�!_--___I Hol Water Tank
, y
Sinks, Ordinary -- L-- � Sinks, Bar _-
Sinks,Dishwashing Sinks, Slop_
Automatic Dishwasher Drains, Retrige-stor
Laundry Trays--- yy Drains, Ice Box
-_- Urinals
_
4
—I �- -
Drains,Floor- _ _-- _ -
- I Catch-Basins,
Drains, Area-- _,,//_
Bain Drains. --- I'r. I' t'-t1'h-Sa8ina, Garage_-.'.r.._
Automatic WtehetI f..I aY Catch-Basins, Sub $olllj___
Water Permit No----- Bldg, Penult No.-
REMARKS.
o.REMARKS.
F-zkLCCEiVE6
1_-73_
_ — -- -- --- - _--- ----Tu-r1F N6RRD
IMPORTANII-plumbing shall not be Installed In any bulidlM, (either now, altered,or alred), .xcept as shown or daalOnoted
on the corresponding building plant as filed with, or required by, the Building Department In accordance with the
provisions of the Building Code and Ordinance 64.19 oft a City of Tigard.
re ■Ir the plumbing syatem according to this description, plena and epecllloatlona and the Plu tgefthr
t eRrer Cit of Tigard. �/"7
Plumbing Flrm / a'ss- ter/ td � mss! ' �' u�rviw
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City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME : _ PERMIT NO. -
DATE.' �',��D��j PATE ISSUED*_ _LL_
OWNERS NAME : --
I ADDRESS : 42-7
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CONTRACTOR :
TEST r Lj , Wnter
RESULT; Approved LT", Discpprovert 1 Poinding 3
I SKETCH. (war-�C, u(/c,
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INSPECTOR DATE
ICOTE Attach supplemental test Jata heret]
1
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City of Tigard `
I
INSPECTION REQUEST
for
INSPECTION TIME : _ PERMIT NO. .
N f/ 5"
.
I DATE: - ��_ DATE ISSUED'�1'�
OWNERS NAME :
I ADDRESS : _
I
CONTRACTOR :- 3-m-27 E«
ITEST A r J, Water �] , �i;11P.;;l La' .rotorr
RESULT, Approved Dk pproveH 1 Indm7 J
I SKETCH:
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INSPECTOR DATE '
I [NOTEAttach su
J PDiementol fest ,. o c, here}]
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City I
C y of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. : "73 s I
DATE : DATE ISSUED :_ ]/�7 & I
OWNERS NAME :
ADDRESS:
CONTRACTOR : --
TEST : Air El, Woter ❑ , Visual ® , Laboratory O I
RESULT: Approved ® Disapproved 0 , Pending U
SKETCH: I
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INSPECTOR DATE
LUTE . Attach supplemental teat data beret!] I
■
UNIFIED SEWERAGE AGENCY NO. - 4815
WASHINGTON COUNTY DATA _ 3-19-73
CITY O F -- ----- — -
APPLICAT ION FOR SEWER CONNECT ON PERMIT
OWNER:
1AI* )onstruction
� ---..- -------------------
O%IVNFR'S ADDRESS: 9185 B.W. oleum Mad ------
STREET
Portland Oreton - 97=3
---._._..
CITY—._._----.�-_..�- 6�A1E -_------._---- 21►
BUILDING S!TE: LOT--5_-.--- BLOCK . -___-- ADDITION n.»3owd
TAY. LOT NO. ---- --- TYPE OF OCCUPANCY 1Msidenae --
ADDRESS 1a73v a.W-128th Are. -. ----_. _--
DWELLING UNITS - - 1 -_- ----- FIXTURE UNITS —
SURCHA9GE If APPLICABLE -
PERMIT FEE- .- INSPECTION FEE -25. TOTAL DEPOSITED 450
INrVJA (EXISTING) BUILDING SEWER SYSTEM .___ _T16'Xd - - - - -
The Applicant agrees to comply with all rules and regulations of the unified Sewerage Agency.
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM,
LINE SIZE 4-".. _ -�- INSTALLER A.i R 00MU'uCtion..—���_-- -
0
RECEIVED BY-
4
CIE144. T6 QENTI
COMMENTS._ ,:�C tL_.tl _- ...Ccli.li
This Application and permit expires In ninety (90) days. The amount paid will he forfeited
should expiration ocr.ur.
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CITY OF TIGARD
11470 f. W. Mein flrwf
TIGARD, OREGON 9=1
APPLICATION FOR BUILDING PERMIT f
New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move
ZONING R-7 DATE ISSUED3-15-73 BUILDING PERMIT
BUILDING FEL'' $ 68.00 Now.
DATE RECEIVED 3-��73 � 5 �
BY FS PLAN CHECK $ 34.00 VALUATION $ 17,760
—� OTHER $ -
TOTAL $ 102.00 RECEIPT No 7(n
/S'-73
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT
5 MAP p 2S1 4AD CENSUS TRACT W-19 JOB M
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Architect or Engineer__! Knight 6 Pierey N �_ I
Address 2932 N.S. Broadway, Portland — --- Phone
Owner__ _ Dale Const. Co. —
Address _91Q5 5 W. 01.0 q-Q 34••_PorC1Wd --------Phone
Builder_ same - --- ----__-- -
Address _— _,_ __ Phone__,_
Br1LDING USE Single Ices. O Multi Res. ❑ Comm. 0 Industrial❑
OCCUPANCY GROUP No. of Stories-_I___-_ Total tieight___15 —_ Area of Loth
Type of Construction V Floor. Area B ... — 1I( _ 1..
Set Backs: Front`iQ -f Backer-_ -Sidej R.Side 7 __,
t'rivate Sewer Pipe Size 411 Sewer use Tie• Septic Tank ❑
water Setvice Pipe Size 3/4° Storm Sewer a Ditch ❑ Drywell❑
Street and ^urb Requirements— zxistillg _—
Driveway Width —161 - _,No. of. Parking Spaces 2 _
SL•'PARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED 14-w. I-Fth L�
FIELD CHECK BY _--_� _____�___ _,__ -_DATE. 3,a5_�a
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PLPM1T 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 unti ' a Certificate of Occupancy has beer. issued by the City of
Tigard Building Inspector.
8iynature o Applicant