13730 SW FAIRVIEW COURT N
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BUILDING PERMIT APPLICATION TIGARD DATE____!'ay2-1! 409,
THE UNDE>ASIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICAT ED BUILDER PHONE 246-4730
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS,0"S•OWNEH PHONE
TOOT NO. 22UO 2SI-360 -
*OWNER Dow _IL Xaroq3�Mert®LL)BADDRESS 13730 S.W. Fairview Ct. 97223 Iat1_0_ t?Qi1�Trae
ARCHITECT
ENGINEER
BUILDER____
Bob satausis,oiarc. ADDRE5u 9795 S.W. l+hmn St. r—•DESIGNF.R �,tt>M11e
_
STRUC'rURE ❑ NEW REMODEL VADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[V IESIDENCE ❑ COMM Cl EDUCATIONAL 0 GOVT ❑ RELIGIOUS Cl PATIO i-I CARPORT ❑ GARAGE U STORAGE Ll SLAB❑ I-ENCE
OCCUPANCY lk'3 _ LAND USE ZONE �n7 BLDG.TYPE -IN—_FIRE ZONE_--.--.._PLAN CHECK BY _� HEAT
Consttrwt_ tad floor Hsdso= nddit.Lon, ata gar,Age, aony*zt szlst. garage - -----
to 7milp 10cuAll per plant & 0odal I bedroom
--- -- sea ac+rrswt.iaa� tit attach-d — �`'w'w W-"6' e.2-q-7106
a -- ----
SEWER PERMIT# Garage 440
OCC.LOAD —p FLOOR LOAD_ 40 HEIG_H f 19 NO,STORIES— 1 AREA 394 N0.BEDROOMS 1 VALUE 21,
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR - LEFT SIDE 5.5 RIGHT SIDE '-
Permit +�"•-D THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN3
— 95.23 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
24I 73 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
5.136 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND'1EATING.
267.�9 SDC-
Total _ _
PDC# APPLICANT OR ACIENT
By
pp Receipt No.
Approved aDDRESB � _ -------PHONE
DATEINSP. TYPE INSPECTION REMARKS PLUMBING DATE
S' 6 GQ,r"e contractor
Permit No.
Rough-in
196Mymxe/n�rtly.�o�rnY1_ �5_ YIpp 6U,1.Qr. Fixture
JG6 �Q�+lui2Cd- JGK .F't*NAf- Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb S Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning,Final
i;
JU
Address 13 3o S.W. Fairview ',ourt Permit No. 47+7 ---
Permit charge
ati+ner x,r ': Connection feed
Paid by
Type of building Residence Date connected
Service rate S.00 per month Inspection fee
Contractor yuudrant Cory Paid by .__ �.�. Date
Size of connection 4" Assessment .,_� � Paid
}}
P
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. :—
DATE : � DATE ISSUED :-- /%_..
OWNERS NAME : � ---
A D D R E S S: / 7 • o -� � '_� =1�
CON"TRACTOR
EST : ia r Li , Water[] , Visual f7 , Laboratory (]
RESULT_ Aporoved Disapproved G Pending p
SKETCH:
F SPECTOR DATE
NOTE : Attacn supplemental teat data hereta
i
City of Tigard
INSPECTION REQUEST
for
I
INSPEr-, iUN TIMEPERMIT NO. : _ .
I
DATE: —Z 421/ 2 DATE ISSUED:_L_,L
OWNERS NAME : - �'c�<x�L,�,r�
ADDRESS : -- JR11,1ri ;2u,
CONTRACTOR :—.
ITEST. Air ❑, Water L] , Visual E3 , Laboratory ❑
RESULT: Approved 0 ', Disapproved O Pending ❑
I SKETCH*.
I
0
IN-0PECTOR DATE
ICOTE : Attach supplementot test data hereto
I
1
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City of Tigard I
INSPECTION REQUEST
f
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e-Tc __---------- I
INSPECTION TIME: `I-'00 PERMIT NO. :�.___�
DATE: DATE ISSUED :--L-/-
OWNERS
SSUED :_-_L1OWNERS NAME .- � e,6 2-P _ ,
ADDRESS: -30 -tL111 E'w1fLVILW 1^At'- I
CONTRACTOR : OVALAl k)r% &QKP
TEST '. Air D, Watery , Visual L1 Laboratory p I
RESULT: Approved Q Disapproved 0 , Pending p
SKETCH: I
I
I
I
I
I
INSPECTOR GATE
_NOTE Attach supplemental !n+.t data heret�
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. : !a 12
DATE: DATE ISSUED : icL_L�'='
OWNERS NAME .
ADDRESS.' -
CONTRACTOR '.
DDRESS:CONTRACTOR
TEST' : Air L1, Water y1 , Visual ❑ , Laboratory ❑
RESULT: Approved 0 , Disapproved U Pending []
SKETCH:
INSPECTOR DATE
NOTE : Attach suppiementat test data bereta�
UNIFIED SEWERAGE AGENCY NO. _ 4747 _
WASHINGTON COUNTY DATE 10-1�•7� .___
CI FY OF
APPLICATION FOR SEWER CONNECT iON PERMIT
OWNER:
_._...Rtiadra::t Corp.
OWNER'S ADDRESS: ------1750 SAW-*-&Atm-DIV-d p_ --
STREET
1;0 CI-TU- ------
ZIP�-�-'
BUILDING SITE: LOT._ZO _ BLOCK ___ _._. ADDITION Hollytree
_. _..__, TYPE OF OCCUPANCY Residence t
TAX LOT NO. . _ ..
ADDRESS . 1.3750 S.W. Fairview Ct. '
DWELLING UNITS 1._._ FIXTURE: UNITS 14
SURCHARGE IF APPLICABLE ._ _ -50.00 to Derry Dell -
PERMIT FEE .425•00 INSPECTION FEE 21.00 . TOTAL DEPOSITED500o00
_
(NEW) (EXISTING) BUILDING SEWER SYSTEM _- Tigard
Thf- Applicant w 1wes to comply with all rules and regulations of the Umfled Sewerage Agency.
APPLICANT., �s'?
SEWER PERMIT
THIS PERMIT AUTHORIZE- CONNECTION TO THE SEWER SYSTEM
LINE SIZE V INSTALLER _ LL00 JU(UWN
RECEIVED BY
IAGFNCV Op ITS AGENT)
COMMENTS-
This Application Ind Kermit expims in ninety (90) days, The it, .tit !iald will !,.. f0111,010
should exoiration occur.
� L,r. Qe,C;C.��•Od"'tics"`
%' ' i'BUI LDER is ll:,_Jii.x f l tf a. VALUE FEE h'J�� DATE✓l
LOCATION OWNER
JO dU'1' � TYPE
PER14IT FEE
MWER PERMT 7L/ MECHANICAL i E
"'E BY DATE BY
EXCAVATION FILL AIR CONDITIONING
FOOT7.:tGS/FOUNDATION _ VENTILATION
FORMS SPRINKLER SYSTEM
SLABS MASONRY FLUES
REINFORCING STEEL FIRE DOORS EXITS
STRUCTURAL STEEL _ GARAGE FLOOR�_�
, v-7 PLUMBING R, I . DRIVEWAY
ROOF FLASHING SEWER
FRAME STORM DRAIN_
LATHNALLBU�,RD PARKING ._
HEATING _ FENCE .SCREEN . _ . n_ ._ _._._...
W;.TER HEATER FINAL
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CITY OF TICARD
11420 L W, M.In 81*W
TIGARD, ORYOON t'=
APPLICATION FOR BUILDING PERMIT
New Construction U Demolish Addition Remodel Move
ZONING R-7 DATE ISSUED 10-5-72 BUILDING PERMIT
DATE RECEIVED 1.0-4-72` 1UILDING FEE $ --7.0� N�2"g93
BY BH
PLAN CHECK $
VALUATION $
C'THER $_ 10.00 ON
TOTAL $-- gT,W RECEIPT No. oL
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT A 10 MAP M 281 3C — CENSUS TRACT W-19 - ,JOB 0
Architect or Engineer_ Jack MooCasn 6 Associates _-
Address Belvue, Washington Phone
Owner` _Quadrant 0arp.
Address )C ----_---.--------._--- _—Phone
Builder_.—`---Quadrwnt f3oxzk __—_ _---.-.-.__-- ---•
Address _--P.ione_ _
PUILDING USE Single Res. 1-- i Multi Res. Comm. n Industrial
OCCUPANCY GROUP I No. of Stories 1— Total Height-� 16+ Area of Lot
Type of Construction V Floor Area B�-- 1_-,S5_ 2
Set Backs: Front 23 _ Bach 20 L.Side 20 R.Side 20
Private Sewer Pipe Size 4" - Sewer U.S.A. Tip"eptic Tank
Water Service Pipe Size a/44" Storm Sewer a Ditch ❑ DryweII
Street and Curb Requirements_—
Driveway Width_ _1_?+ _No. of. Farking Spaces__ 2
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
—-- -- ND OCCUPANCY UNTIL MMMUM M LM-0
ADDRESS ASSIGNED---__ 13750 S.W. htrviet Co.
FIELD CHECK BY^ — -- �_ BH ___.--•--___—�__.DATE 3A•5-T2-
PERMIT ,-i>PROVED BY�-V_L,�C%�, 7I
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 Occupancy has been issued by the Citv of
Tigard Building Inspector.
Sig urLs of Applicants y
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M1,
PLUMBING T APPLICATION
Jurisdiction if T
o. Type of Fixture Fe•N Permit No. 7j /G c:/-e
Permit fee
2 Water, Closets Toiju t,s 1 Permit IssueE��_
Path Tubs Approved by IT
Lavatory Wash Basin Building Permft
t Shower Receipt No. �1/
Sin s Dishwas ;ing
Sinks, Itchen
Sinks- Ordinary _ _ Location of Building
In sBar__ 13730 SW FAIRYIFW tAE M
I_r k S So ff_
_ AtAu,n tic iD shwa_6'her_
I is osa
Laund�,, Trays Name & Address cif Owns-r
Drains, Floor QUADRANT CORP
Drains Area SW SKYLINE BLVD
gins r i erator 11LAW[) CEGON_97221
ain Drains t
Automatic Washer Name & Address )i 1'1 umt-r
Fountains , r n n _ IMPERIAL PL.UMBINC, & ttATING,I�
Fountains Soda 0�
Hot Water Tank
Water rvi -e SizeY
Ur Inals Buildin IdMMv New (Alter, Repair or
:jtr,�-7asins - rarer
Lawn S rin er S stem
0WIMMIl'IfT, P0. bier �.
ST, inkler ys em
'his hermit becomes null and void if work or construction authorized is not
.ommenred within 60 days, or if construction or work is suspended cr abandoned
.or a per, od of 120 days at any time after work is commenced.
►11 plumbing firms must be licensed by the City of Tigard and post a $1,000 bond.
hereby certify that I have r-ad and examined this application and know the same
;o be true and correct. All provisions of laws and ordinances governing this type
)f work will be complied with whether specified herein or not, the granting of a
)ermit does not presume to give authority to violate c,r cancel the provisions }
)f any other state or local law regulating construction or the performance of
:onstruction.
IMPERIAL PLUMBING t HEATING, INC.
S zture r ..
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