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11595 SW FAIRVIEW LANE to k 1-4 r4 ILI Cit 6 0 4 , > Iri ITI W QJ En PT, ht 11595 SW FAIRVIEW LANE 3NV9 WIMIIM MS S6STT C] In >. [ _t ,7 L \ L4 i ,n r F fn h In m w rz 7 0 �. - - H Fc� o OL4 IN T ..... .....,M» �.r, p wun�:w l.. rya„7�V�MIMMM� ps��eA nr^Mwip+7Cy}IIIAf.M;rrw+ rµ.r ►NN�Yl'J wlKlrr•w,..rrwn�V Yr,. CITY OP N BUILDING PERMIT APPLICATION TIGARD PATE `° 0246 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK H'.REIN INDICATED OR AS cuOWN AND APPROVED IN THE iCCOMPANYINC PLANS AND SPECIFICATIONS, OWNER PHONE.--_ 1WNEF_ (1,Chia C l ,_ �, •Lr, c at.i-rvi.L.w �.b�nc ADDRESv BUILDER PHONE owner ENGINEER — 8�_DER 1I---�1 ARCHITECT _ DESIGNER STRUCTURE ❑NEW 0REMODEL OADDITION _ ❑REPAIR ❑RENE:"AL _❑FIRE DAMAGE ❑DE�40LITION ❑ RESIDENCE ❑COMM [EDUCATIONAL 060'1'T '_JRELIGIOUSUPATIO ❑CARPORT ❑GARAGE. ❑STORAGE❑SLAB []FENCE []BOND I,i,rUVING OCONDIIIONAL USF ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS QCCUPANCY__—__LANG USE ZONE=—BLUG.TYPE "� FIRE2 O.NE —PLAN CHECK BY WFC HEAT—_ construct triong#lar dock on re.-... dwelling acco ring to plons ---------- 4 x 6 poo! 2 x 5 :Erel).iny booms ” vc�_.� —. C LOAD! FLUOR LOAD -----HEIGHT _ NC.STORIES — AREA VALUE BUILG'NG DEPARTMENT _ SETBACKS FRON"r RE. ,1 LEF'r SIDE H161-11 SIDE Permit —� -- ---- — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TME 13UII,.DING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT -!HE WORK WILL BE DONE IN ACCORDANCL WITH THE PLANS AND SPECIFICATIONS AND JN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND OROINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS 1`M State LICENSE. SEPARATE PEHMIIS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By --'--- ---- APPLICANT OR AGENT Approved Receipt No. - —- — —_— .....:,:.- ., ,,:...,.....,,. .... .,,r:.�.,.., ADDRESS --- ilONr----,—�_._ DATE,"' INSP. TYPE INSPECTION REMARKS PLUMBING DATE 0K _`_ Contractor _ Permit No. Rough-in Fixture _ Final _ — -- - — -- - HEATING - r. Contractor -----------� �-- Permit No. � - --- ----J�^--_—`_—� Gas or Oil — -------___-__ — Rough-in -- ----- -- Final _ —.___- ------...---- SEWER --.w------ -- -� Final — DRIVEWAY — -------— Final _ -- --- --- -- ' Storm Drama e (Rain Drain) Final Sidewalk Curb P Street Final Approach BLDG.DEPT,FINAL —TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final i� i �a •dt f i� ( a it ��; O F O ^ C CITY OF TIGARD OREGON Owner:........... ....41uo.4lraf!t- C.901t..................... .......Permit No..7 -.1.47.. Building Addrem.........U5''5...$,�1�1,�_-.Fairuisw_.Lan� i Certificate is hereby riven this...Ott!......day of...MavAmber........., 1q....� . that said building may be occupied and that it complies with all requirements of I the Building Code for the City of Tigard, as approved by the Tigard City Council. ........ .... ..... r'- . Building Inspector i City of Tigard INSPECTION REOUEST ! for ! INSPECTION TIME : �v �"1 PERMIT NO. . . �_—. DATE . IZ Z61 7f DATE ISSUED'--L_ I �:)WNERS NAME . �y �"'�� .. ' '-I f A D D R E S S ' 4-42 C0N1 RA CT J R :—____ _ 1'E$ l hunter �J " ' Ln rr,, RESULT Npprov edX GisrNprovO 1 :n , j J I SKETCH: I I I I I INSPECTOR DATE COTE: Attach supplemental test Jots hereto I 1 :;ity of Tigard INSPECTION REQUEST tar NSPECTION TIME�j' /%°s" PERMIT INC. : DATE: DATE ISSUED OWNERS NAME : ADDRESS: lam_ 7- �z `-ON T'R►%(,TOR : — -- --- EST _ . Wrterc] , V: uoi �. _abcretor;' RESUL'i- : ,+p,-roved W, :);juppr3rad G , vidioq L SKETCH. INSPECTOR DATE COTE: Attach supplemental teat auta hereto S ,i i. i i I City of Tigard INSPECTION REQUEST for NSPECTION TIME :,2%'oc1_ _ PERMI r NO. —- DATE . DATE . 'SATE ISSUED'___L...1 OWNERS NAME: . . I ADDRESS ' I C-IN7 RACT0R RESULT d ; SKETCH'_.._. 1 I i INSPECTQR DATE 1 'JTE : Attach supplemental test Baty nereto CN0 kv 1, ( X73 Address_ c r _�i_l,lF"ai rt�icr I ana Permit No. r A-n r Permit charge Owner Connection fee Paid by Quadrant Corp. Type of building R—.—.a_'.rd"11CR pate connected Service rate _ 3_p[l nr�r Inspection fee Contractor j-WrjrnQt._.r.gr.p. Paid by date Size of connection „ Assessment � ___.. raid C) 3 �a� f T ' city v Tigard INSPECTION REQUEST for INSPECTION TIME : �'�� S PERMIT N�DATE.' /? ')ATF ISSUED'--,--j'- OWNERS NAME ' ADDRESS ' � u I (.,• )N'i RACTOR TESD , -_j , wnterx, RESULT Approved SKETCH: I I I i ix IINSPECTOR DATE IE:N:!TE : Attcch supplemental test ,lata heret- {) CITY OF TIGARD MECHANICAL PERMIT I DATE X , t 3 PERMIT NO. `7 - c ,n RECEIPT NO. (c,br' BY �1 c_�_. FEE 1. Permit shall be obtained prior to commencement of installation. 2. Permit shall be obtained for all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New Installation �,� Replace ❑ Relocation ❑ Addition ❑ ;,iteration ❑ CONTR. OLJA1)RANT G0gp0xAj,_,)N� OWNER ou.�l�ttarrr �� ADDRESS jtxa_i15o S W S�v11na Blvd, WORK ADDRESS 11595 S w Fairvi..rj 1,and Pu:tl•!..,d, Oregon 97221 APPLICANT Tmn,rial Plhu & JjLa- Inr TELEPHONE NO. 7 7 73801 cFURNACE -- MANUFACTURER S E TELEPHONE NO. M1f,1161 HEAT Input rating (Btu Per Hour) _lou.00o Vent Size Flue Size FUEL OIL r] GASLX ELECT C; OTHER TOTAL SQ. FT. Top F?oorMain Floor Basement GENERAL T TEM NO. FEE ITEM NO. FEE For Issuance of Permit .00 Boilers Over 0 H _ New - Under 100 000 Btu --k.00 Air Handliinn 11C, 000 CFM New - Ov100,er r andlin Over 10,000 Mor Furnace va ora ve oo er Wall - oor -- SuspenTe , en an Install "gent" Vent Sys em I -- eat oo. n 00 ----Rood Boilers n ermes is Incinerator Boilers o _ om.n:3n�"nera or . oers o p 0 Other o s ed Boilers o 50 H INSPECTOR'S COMMENTS APPROVED BY DATE a t : ISS D BY ATE 1-3 rlb & iii q. , Inc. S , lAtLlre or p11C p4rvigor, NWMRM City of Tigard INSPECTION REQUEST for iNsPECTION TIME :. —42 PERMIT NO. . .. DATE �- Z DATE ISSUED'---,--J— OWNERS NAME : ADDRESS : C-)NI RA CTO R 7 F S'l ovmter Lo rc, RESULT Approved 11 DkrWoveOl Kf SKETCH: D"r'— j<- LA-1 064L P1 /-00(c �tL /� _ -a-57 'Tf /t INSPECTOR DATE COTE: Attach supplemental test PLUMBING PLTUMIT APPLICATION Jurisdiction of TIGARO No. Type of Fixture Fee Permit No. h3 119 (' Permit feE ��.zk.y 2 Water Closets Toilets _ Permit Issued "Ll-I Bath Tubs Approved by _ - Lavato Wash Bash _ Building PArmi -' Shower__ �_ Receipt No. .Ua 3 Finks Di.shw� a i'ri Sinks, Kitchen I Sinks Ordinary Location of Building 11595 SW FAIRVIEW LANE n s Iar — Sinks Slop _ -- -Automatic Dishwasher -- � Lgundry Trays NamN & Add�Ast�N`�T CCIRPFr Drains. Floor `---_-"" Drains Area _ � - '-" Drains Re r igerator PORT AND OREGON 97221 Ramon Drains Automatic Waoher Name & Add:� Ii�{ �Lier � FA;1019,� Fountains, r n in�� Fountain�da _ P 0 MY 906377 I Hot Water Tank — 1 Water Service Size - Urinals r Building (Old or New) (Alter. Repair or Cat c. - assns - ar of s11 NEW Lawn Sprinkler System Swimming Pool air Sprinkler System This permit becomes nrjll and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have road and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein cr 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. IMPERIAL PLUMBING A HEATING, INC. Sigt ure of Appli--ant T1 City of Tigard INSPECTION REQUEST for INSPECTION TIME' PERMIT NO. : DATE : -7AW11 DATE ISSUED OWNERS NAME — A D D R E S S: —Atp 7-_A ------.-- CONTRACTORTEST : Air ❑, Water❑ , Visualo, I —rntory ❑ RESULT: Approvad;K , Disapproved L-s' , Pending L] SKETCH.' SPECTOR DOE [OTE: Attach supplemental t.jb! data here}] City of Tigard INSPECTION REQUEST for INSPECTION TIME : '' �'` PERMIT NO. : DATE' DATE ISSUED:..._.L-1 OWNERS NAME .- ADDRESS : —./— CONTRACTOR AME .- ADDRESS : ___.CONTRACTOR - ------TEST'. Air L:7, Water F1 , Visual ❑ , Laboratory ❑ RESULT: Approved , Disapproved L1 } Pending L] SKETCH' t I INSPECTOR DATE ILr4oTE : Attach supplemental test data heret:01 1 UNIFIED SEWERAGE AGENCY NO. 4�;E;7"__ WASHINGTON COUNTY DATE _June -49, 1973 CITY O F_ _- - - .-_ _ TiL,eird APPLICATION FOR SEWER CONNECTION PERMIT OWNER ._- i,uadrant corporation OWNER'S ADDRESS: _ - - 1j5Uyi•W_. ,.••,ire -d.z-------- --- STREET o*'tland Oregon CITY — – STAtE __ _ -- - --------- ZIP -- BUILDING SITE: LOT. 4_. BLOCK . A[WITION Hollytree TAX LOT NO. . _ .__ TYPE OF OCCIJPAN(Y .c.:idcc► __ ADDRESS 3.N. k'31rv4.ev lssr•r_ ._--- DWELLING UNITS 1 .. FIXTURE UNITS _ SURCHARGE IF APPLICABLE 50_t�o decry dell PERMIT FEE INSPECTION FEE �.. TOTAL DEPOSITED 4(;0 /(NEW) (EXISTING) BUILDING SEWER SYSTEM The Applicant ,Igloes to comply with all rules and reyul ons of the Unified Sewerap Agency, APPL I CANfi / `-frt •` / �l f ..'(•<r- 5_T `_ t . �'.f _ ` _ cam,. � ,` _�.6'.'-t�✓' � SEVV F PERMIT THIS PFRMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEIII. LINE SIZE Iii INSTALLER RECEIVED BY A� IdCYF2 ITS AGENT) COMMENTS: This Application and permit expires in ninety (BU) days. The .nnounl i,n(l will 1), f,,,fe,l1,l Should expiration occur, CITY OF TIGAR© 14440 S. W. INT St"o TIGARD, ORIOON ffM APPLICATION FOR BUILDING PERMIT New Construction l=J Denolish ❑ Addition ❑ Remodel ❑ Move C ZONING` -` DATE ISSUED u-20-'f3 BUILDING PERMIT DATE RECEIVED u-1.)-(j BUILDING FEE $_ _ No. ��� By Ei PLAN CHECK $ OTHER $ :0 VALUATION TOTAL $ RECEIPT No. Yom&) TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT M $ 4 _ MAP 0 2S1 3C - CENSUS TRACT 'n-1 JOB p Architect or Engineer. Jaer. W uuliau & Asuociaueu Address^ Phone Owner �4. �. .�„„•,.Ll.,�, _ Address lt ,,,• 13,,,LL _ --Phone— Builder Address _ _—Phone BUILDING USE Single Res. 12 Multi Res. ❑ Comm. ❑ Industrial OCCUPANCY GROUP 1 No. of Stories i _— Total Height =,�— Area of Lot Type of Construction 4EXXX0DD0DV3ODLtA1D= Floor Area B -- 1 Set Backs: Front_: Back-_j,, L.Side ( R.Side Private Sewer Pipe Size 4" Seweruj,,3 'L:gg u Septic 'tank ❑ Water Service Pipe Size_— 1,44' Storm Sewer ❑ Ditch ❑ Drywell❑ Street and Curb Requirements Driveway Width,,, -------No. of Parking Spaces`' r� SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED FIELD CHECK BY — — - — - - - DATE`_ PERMIT APPROVED BY i It is understood that all work will conform with applicable codes and ordinances of the State of Oreqcn and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occup ncy has been iss ed by the City of Tigard Building Inspector. ,� , S q atore of'Anplicar,t P