9525 SW FREWING STREET J
LIST OF LQUIPMEPJT
ITEM No. VEScktpTION ITEA4 No. DESCRIPTIOt-4
I PUMP
i I♦ I 4RA$RAIL 4 STEPS ----�.C[ r2-- - -- - _---
_ -- -
/ ILTLR.R I S HANDRAIL -
SA��T' -T'iz6n
PrLOWA&ZTER— 16
- --- LIF= R1NCI
4 .... - / GAS t.IEATCR_
"-^) e� UG'
'� NYPOGNI_ORINATOi? 16 VLPt50NAL. HYC.ENE RE4UL..
516N5
6 GR�OGiC trOR r-A4L'0RIwv-. SOL. 1' / UNUERwATeR uuNT—
SOLIDS vl4CPAR*rC:)k_._.— ZO WALL BRU3N
• �
8 � 1iK.INlML■R�
21 � t..tAF SICIMMlt:R ------- 01 '
f M�►1►•1 DRAIN - I I \
22 OPERATINGo M4►JUAt_5 � 1
l �
i
10 / HYCR 5-rA'?tG R?ELF VAt-ve 23
! i / GMILt)Rlhl« TEST ILlY 24 I •> RETURN INL>ET5
IE 1 VACUUM NEARcp
25
r9 ; LIFE LINE W/WLj0 TS Z6, ` _ - T
.AorAI! ,
,N 11 R�h
'� . 7'G U Mf3lIj'¢ Sri S.T EG? T'D A41 ` f� ,+k
� '�A�E ,Ry.5 U�f�'�J
4" cotes. >�� 1i1� r
V 1%' PM WC1101 AWAY n" w,a vftecAsT C.o�P11�i w�!<K w�9 �s r
rtrrro� W/SUL.,L1 0fia KANDIM1OLD <.37-4r-L fTi?l(A i- B r 0G' A o
� V-Oif xs Nof
1 ' L OR,03
if
4-08 Meb IN 1 _ e" I --+.. �Y wH IT7• � � �,.,
9040 AkM
ADDLSt2'C
b I
vwitT iu HAUNCH fn
T1420uawouT Pool_ _
SPQINe. LINK
WAa
41 W
EgAGN W^IY MAK 70-PIUS OD *wy ,&rTiON EQV4t..S --- -��a/'
THU DttO /N hSiy�. 1rf`CY.>CNGC w!�!'T'`.MSEN T17TAt.r �.`� t
VeI
TABLE OF HAUNCH TH ICIL-KkESSES
�Q IP UM-101'17H p THAT '3lGTiON 4ND -- `' - _ __ _------------ -- _ ---- -- ---- _--__
QTw
. l�.Lt,. DEPT►1 �
POOL DEPTH TH ICK- ►ESS
_ -6Lpu rs n
in
ah6,� En
C-CaA.Qse', CwW-^\,/PL OR r n n
VALVE GR.LJ5�1{!�i FrCscK 9_r_aL. _.
TYPICAL WALL SECTION
POOL D ATA
I/Z," _ 11--011
SU¢FACE AQEA -
PIEGUMST E1Z -
VC>LL IM1ir -
OATHEIL L OA'P, MAX. -
Tuxmc vuw- wR,Ovl1mp -
WATBm SUPPLY -
r�s_r>M 5AC-1LWASH D1SP05AL -
�— ��- ' ._ QSCIlrJLILATIOw *trl NG -
STRUCTURAL REQUIREMENTS
71A,��fREINPORCING TO 5E ASTM A-61S GR. 40, USE PREC-AST
_ - . S _._:�' M CONCRETE CU81`_ SPAC.eRS, TIl= BARS AT ALT"�RNATLx�'6w i►4CaCJNITE STRCNGTH 2500 FS.I, AT
I--ECIi�1"IUN 2a PAY5, PLACED W1TN 0 TO I WC.H SLUMP,
LafJtr SPItIW4 LINAAt;fy-,IIC�SSSMIN. S<vre, y4/PT• i � r� yf --
Ti? MAIND,I".,IN } l�U51NEyS t'I40 N e ROLLA B. BOUGHAN, Q. E.
/V- 6 72S-6 2 - L28' 9Ze
STs- �ol>D T OFta1C� STRUCTURAL ENGR.
. , ..., � may'ii/s►.�
BOX 8063; PORTLAND, ORLON 97207
i �SUla-D 12 PEg 074
CROSS SECTION
,� P 0 0 � 70WNE
1/4 - t - o LONGITUDINALECTIOlal o� �"r q ��� ���jc-
1�4 T- IZL's.'cT! 6 d 90,'->L-5 INC.
`+55,g6+t
5eAVEFETON , oeEcsoN 97005
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ell
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fill Iltill
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NOTE: IF THIS MICROFILMED - - 2 3 4 5 7 9 -
DRAWING IS LESS CLEAR THAN
THIS NOTI(ArIT IS DUE TO I
1HE QUALITY OF THE ORIGINAL
DRAWING. OE 6Z 92 LZ 92 SZ 1Z EZ ZZ I OZ 61 91 LI 91 SI III EI LI 11 01 6 9 t 9 5 f E
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9525 SW FREWING COURT
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CITY 0P
BUILDING PERMIT APPLICATION TIGARD DATE—� � � '12 0407
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN NDICATED �,.7 j
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIF;CATIONS. OWNER PHONE / '
OWNER ~� ����.i4�� •. ADDRESS �S � J � � //F'L (; BUILDER PHONE "3~ 7C,:i
ENGINEER
d�/UC ARCHITECT — DESIGNER
STRUCTURE _ MNEW ❑REMODEL^_ ❑AUDITION — ❑REPAIR _ [:]RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL. ❑GOV'1 ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
OwONDA _—❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS I c
OCCUPANCY—_--LAND USE ZONE _BLDG.TYPE.--FIRE ZONE-- PLAN CHECK BY HEAT
rQ
c'_-L.•,� lti1 G•�/v,�',E=�' — f t �t�s �= / v /l l F���• .f / C''�c1i�'��i�tlt:".c.
LOAD _ FLOOR LOAD HEIGHT _ _ NO.STORIES AREA _ � VALUE
BUILDING-D-EPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ' 1�U -- _ ---- -- — -------- _---- —
— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check '.J �� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WiLI BE DONE IN ACCORDANCE WITH THF.PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording "'�'� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 4L ` LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total , /
By
"- A PP I WANT OR AGENT
Approved Receipt No
AODM ss — �—
DATE INSP. TYPE INVECTION REMARKS PLUMBING DATE
rl i i Contractor
Permit No.
Rough-in
Fixture
Final_ _
HEATING
Contractor i/'L
Permit No
----.._._ -- --- Gas or Oil
Rough-in
Final _
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
_ _ Approach
13t OG DEPT FINAL TEMPORARY CERTIFICAI E OCCUPANCY —
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
f
January 23, 1975
Mr. & Mrs. Bryon Nylander
9525 S.W. Freeing Street
Tigard, Oregon 97223
Dear Mr. & Mrs. Nylanderi
This letter is in regards to the letter I sent you
on December 16, 1974, in which I -'equested your
cooperation in removing a tree 1L, sated in the corner
of your lot ('b'etter known as the triangle area) which
is blocking the view of traffic on O'mars Street when
approached from S.W. Frewing Street. Air inspection was
made on January 20, 1975 and it was noted that the above
mentioned condition still exist.
You may consider this letter a notice to remove the
tree from the triangle eras within ten (10) days of
the date of this letter.
If you have any questions concerning this matter, please
feel free to call me at 639-4,171.
Sincerely,
Russel Austin
Chief Ordinance Enforcement Officer
n'A/fa
Decembei 16, 1974
Hyron NylAnder
9525 S.W. Frewing St.
Tigard, Oregon 97223
Dear Mr. MyInnder;
?t has come to the sttentio n of this department that
a tree has been plentsd on r0 mara es approached from
Frewinfa Street.
Please find enclosed a copy of the ordinance covering
+hr• requirements of viefon clearance for a corner lot.
I Mould appreciate your taking care of this matter as
t•i avoid a serious accident.
TF you hniip Any questions conccarni ng this matter, feel
Free to call me at 639-41'71 ,
Sincerely,
Ruessl Austin
Chief Zonino Officsr
RA/Fs
Fnc!
I
City of Tigard
' INSPECTION REQUEST
i for
NSPECTION TIME : PERMIT NO. . . _
DATE ./I—'/LZ-;? DATE I SSUED'--i--J-
I OWNERS _-
QUDRESS : -- 5 � �-w. �K'8HJ„✓G-,____
CoN1 RACTIJR -- -- - _
i
.S1 J'�^ter �-j , ..�; � , l_di rr,,
RESULT Nppr�red GisrNprover” _1 -:rdin(; J
I SKETCH:
i
I
I
/INSPECTOR DATE
OTE : Attach supplemental trst ,sate+ heret]
1
of Tigard
INSPECTION REQUEST
for
N�;PECTION TIME .
-------- PERM -1 .NC
DATE: ._, 3 GATE ISSUED
OWNERS NAME '
AnDRESS.- - S c� -lee NJi&, � l
r,Iv r R Q e-r n R : - - -
EST _—
�Hr
yRESUi- :uPPI �-,A G
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I
INSPECTOR DATE
COTE: Attocn au
PPiementCl teat j;�,'� I ^} J 1
1
City of Tigard
INSPECTION REQUEST
for
����•
INSPECTION TIME: _ ' '4" . PERMIT NG. : �/ ���
DATE.- /y DATE ISSUED : -
OWNERS NAME :----;71,
ADDRESS:
CONTRACTOR : - - --
;-EST : • ,,
daterCJ , V: :uc, '- I-abratorY
RESULT ', kp.-roved LSV' :)!suppro�ad G , ;,endi iq ❑
SKETCH.'
INSPECTOR DATE
NOTE Attach supplemental test data hereto]
i
City of T i gard
INSPECTION REQUEST
for
INSPECTION TIME : �D.3b PERMIT NO. : ._ _-
DATE : 277 DATE ISSIJED- Z
OWNERS NAME .
I
ADDRESS :
Ci)NTRACTOR :-_- ---------- ---- ---
TEST + r � ; Water �1 , Vis�zl,3", La rct r;
RESULT; approved , Disr. pproved nding ,j
I SKETCH:
I
I
I l
I INSPECTOR DATE
i
COTE : Attach supplemental test foto heret]
1
I
of Tigard
and
City 9
INSPECTION REQUEST
I for
IINSPECTION TIME : PERMIT NO. : ---
DATE: DATE ISSUED ._1 —�—
OWNERS NAME * 9VI
ADDRESS : -
CONTRACTOR :—
TEST . Air
ONTRACTOR :-------
TEST. noir 0, eater ❑ , Visua�o , Laboratory D
RESULT: Approved
Disapproved U Pending ❑
SKETCH:
I �m
I w
I
INSPECTOR DATE
I [OTE : Attach supplemental test data heret01
1 i
I
IF
I �f
City of Tigard
I
INSPECTION REQUEST
I for
I INSPECTION TIME : PE
R M I T NO.
DATE: //�/�..� DATE ISSUED:_---,'__._/—
I OWNERS NAME : -
ADDRESS : 21ta
t .,
�CQ=-� __
CONTRACTOR
TEST' Air El, Water ❑ , visual B , Laboratory p
RESULT, Approved [ /Disapproved ❑ Pending
SKETCH:
I
I
I
I
I
i
INSPECTOR DATE
[NOTE : Attach supplemental test data heret.-I
I
I
Ii
7n
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME * /e'p r) .PERMIT NO. : Za-2/y
GATE : DATE ISSUED: �a
OWNERS NAME : . x•`= ----
ADDRESS ' � ---
r
CONTRACTOR :-_ -
TEST. Air C1 , Water [] , Visual F3; Laboratory L]
RESULT Approved �0 Disapproved LJ Pending
SKETCH:
I
I
I
INSPECTOR DATE
COTE : Attach supplemental test data hereto, j
1 1
i
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I
City of Tigard
INSPECTION REQUEST
fr
INSPECTION TIME :– PERMIT NO. : 1-�-.-?L
DATE '?L? DATE ISS, UED:��
OWNERS NAME : _ k ADDRESS . S�w
CONTRACTOR :-----
T EST
ONTRACTOR :_---- —
TEST. Air 0, Water [] , visual ❑ , Laboratory ❑
RESULT: Approved D , Disapproved L-1 , Pending U
SKETCH:
N ` N-)�► �'
INSPECTOR DATE
LNGTE . Atlach supplementnl test date heret�
V
City of Tigard
INSPECTION REQUEST
1
for
INSPECTION TIME: PERMIT NO. :,
DATE : ALL%r' DATE ISSUED : -1/Z7& I
OWNERS NAME ',
ADDRESS: _— :mss �4ti�v
CONTRACTOR :
TEST : Air ❑, Water❑ , Visual e--, Laboratory (❑
- I
RESULT: App-oved E]-��Disapproved ❑ Pending ❑
S KETC'.1: I
I
I
I
I
INSPECTOR DATE
FWOtZ : Attach supplementat test data beret] I
,,ity of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: 10100 PERMIT NO. : 7- ,,L °
DATE: Z DATE ISSUED ZZZ
OWNERS NAME : . DLZ9X
ADDRESS*
CONTRACTOR : _ � �iQ ✓✓ _
TEST : Air C1, Water[] , Visual �;"l_aboratory ❑
RESULT: Approved €3'; Disapproved ❑ , Pending 0
SKETCH:
I
i
INSPECTOR DATE
LNME: Attach supplemental test data berets
� 1
I
City g of Tigard
INSPECTION REQUEST I
for I
INSPECTION TIME:: PERMIT NO. : I
DATE: —_—L_1._ DATE ISSUED :_.—L-.,/ _ I
OWNERS NAME : —,
ADDRESS:
CONTRACTOP . _ __
TEST : Air Ll, Waterp , visual ,jborator I�
P'ESULT: Approved 'disapproved p
Pending C7
SKETCH: �� I
I
I
I
I
I
I
INSPECTOR DATE I
5OTE: Attach supplemental feet data beret] I
i
V
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME:
'S0 PERMIT NO. -,
DATE: _jYLq LZDATE ISSUED
OWNERS NAME :
ADDRESS'. �
CONTRACTOR
TEST : Air ❑, Water❑ , Visual ❑ , Laboratory ❑
RESULT: Approved ❑ , Disapproved � , Fending
SKETCH:
i
INSPECTOR DATE
F01E: Attach supplemental test data he•eta] E
.-.Jl1.a.V �/e gl�tGta. �... Cc-K� ". _c! c •, ..
Address— _ LI FrRi.jinIn `;l Permit N09 -_4777
Permit charge
owner -1—go Connection foe _._ 25
I
•- —. — - Paid by
Type of bdildinq residence pate connected 29 2-14-73
service rate — nn ncr mnn'- Impaction fee 25
Cant:-gator _ _ Paid by date
size of connection Assessment paid
I
i
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: = _ PERMIT N0. : % L .zi y
DATE: --A fi4 L2t DATE ISSUED :L�//-L/---'
OWNERS NAME '
ADDRESS: 5= s SSc�c �_:z.'cresrr�
CONTRACTOR :
TEST : Air ❑, Water❑ , Visual 12; Laboratory ❑
RESULT: Approved H , Disapproved L] , Pending ❑
SKETCH,
INSPECTOR DATE
[OTE: Attach supplemental to-at data beret a]
i
1
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: 0 ;c',L PERMIT NO. : V2212
DATE: .9- 12 DATE ISSUED :/--) ///;,
OWNERS NAME
ADDRESS:
CONTRACTOR :
TES'r : Air ❑, Watery, Visual IT', Laboratory p
RESULT: Approved Q , Disapproved ❑ , Pending p
SKETCH.
INSPECTOR DATE
COTE' Attach supplemental test data he►etc]
r,
CTTY OF TIGM MECHANICAL PERMIT
PERMIT NO. ''_';:.k:�.?"?L RECE.LPT NO. _ 7 3 -�L s'y
,r
MAY �/� 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 ever up.
New Install�tJ.o *NReplace El Relocation ❑ Additionration ❑
CONTR. OWNER s t;�
ADDRESS 6124 SM BEAVERTON HIGHWAY WORK ADDRESS 9520 SN FREW I NG
PORTLAND, OREGON 97225 APPLICANT IMPERIAL PLUMBING 3 HEATt*, ,
GENERAL ELECTRIC TELEPHONE NO. 777 380` -m+
FURNACE - MANUFACTURER TELEPHONE NO.
Inch
MAT Input rating (Btu Per Hour) 100.000 Vent Size 5 Flue Size 6 Irok
FUEL OIL ❑ GAS DXyELECT ❑ OTHER
s
TOTAL SQ. FT. Top Floor Main Floor 1432 Basement
GENERAL
ITEM NO. FEE TTEM NO. FEL
jLpr Issuance of Permit xx .00 Boilers Over 50 HD 12 K
wii - Under 100,0- Atu Air Hind inx 10.000 C
ME - er u it an n Over 10,W0 CFM
oor Furnace aorative Cooler
Floor - Suspend 4.00 rentan
jInstall Ven sem
Repa r - eat .oon00 Rood -
Firs Under 3 D 4,00 Domestic Incinerator
lers o 15 Hv 0 Comm, Incinerator
0 0 er o s e
r
rs o 50 HP
INSPECTOR'S COMMENTS
APPROVED BY 7zI)ATE fir ! ISSUED PY _ DAT ; > �
IMPER I ISL PL WI NG 3 NEETA1p .y, SRC
Signatgre of App l cent
BUILDER VALUE -- _FEE DATE l l-ib
LOCATION 'C"- c6 UWhpR
PLUMER PERMIT # PEE
SF,WE PERM '� EE MECHANICAL PEMIT
D "E BY DATE 3Y
EXCAVATION FILL AIR CONDITIONING
, . 41 FOOTINGS FOUNDATION VENTILATION
FOhl-1a SPRINKLER SYSTEM
SLABS MA SONRI FLUES
REIT?FORCIVG STEEL FIRE DOORS EXITS
STRUCTURAL STEEL GARAGE FLOOR
PLUMBING R. I , DRIVEWAY
ROOF FLASHING SEWER_
FRAME S"'ORM DRAIN_ +_..______ _f
LATH/WALLBOARD ..-,--..PARKING
^_ HEATI;uG _._. __.__.. __._ . FENCEI SCREEN _-.--
._ WATER HEATER ____FINAL
CITY OF TIGAR®
12470 & W. Able Rk o '
TIGARD, ORNO N WJW
APPLICATION FOR BUILDING PERMIT ,
New Construction Q Demolish Addition LJ Remodel Mow
ZONING R-7 DATE ISSUED I1-10' "2 BUILDING PERMIT
DATE RECEIVED 11-6-72 BUILDING FEE $ � No+72" 21,9
BY BH PLAN CHECK $
VALUATION $ 2] AOTHER $
TOTAL $ � RECEIPT No. 711W,
12'A
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT # 44 MAP N 2S1 2CA CENSUS TRACT w-8 JOB /
Architect or Engineer Brunier
Address Phone
,owner Jerry Bonn
Address Bucher Realtors Phone
Builder Jerry Bonn
Address_-_-- Bucher Realtors, B124 S.W. Besven. y. Phone
BUILDING USE Single Res. 51 Multi Res. 1:1 Comm. 11 Industril�
OCCUPANCY GROUP I No. of Storie9 1 - Total Height 16 Area of Lot
Type of Construction V Floor Area B_-_—v 1 141L 2
Set: Backs: Front 20 -_ Back 42 L.Side 12 R.Side�- 25
J Private Sewer Pipe Size_ 4" _ SewerU.S.,A. Ti Septic Tank (_J
Water Serv-fce Pipe Size 4" �^ Storm Sewer jl J Ditch DryweII
Street and Curb Requirements Mdsting
Driveway Width ,IZ__ ` No. of Parking Spaces__
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED_ -` �c X20 ! .W_Frsvi�n -FIELD CHECK BY BH DATE 11-10-72
PERMIT' APPROVED BY�
It is understood that all work will conform with applicable codes and ordinance&:
of the State of Oregon and the City of Tigard, Oregon, and that the building wil
not be occupied until a Certificate of Occupancy has been issued by the City O:
Tigard Building Inspector. /2
gnature of Applicant
yyf
' PLUMBING PERMIT
A' "JCATTCAI ;.
Jurisdiction of
Yo. Type of Fixture Fee Permit No. 7 3- i_,-p.^
Permit fee 0.00 :,;.
Water Closets Toilets Permit Issue 7-73 _
Bath Tubs � t Approved by
ava or^ Wash as n �z Buildin.g Perm �a-
Shower
�9 Receipt No.
.yin s Dishwas i n
Sinks, itc en
sinksr inary Locatio of. H�ildirt
n s Bar _ 952 13m) SMI FRE
. inks S o
u uma c s Ewas er t.
is 1AWWj!9
Loundry TauName Ac Address of Owner
Drains Floor JERRY BONN "" t
Drains. Area 8124 SV„_DyERTON @Ht"AY
h
rainse r era or _Mr�O OREGON 97225
Rain Drains ----
Au ;oma is asher �� Name & Address of Plumber
oun. a ns , r n n 1 RIAL PLUMBING 87""
ountains Soda
a P O X 0632 '
Hot .Vater an a�'� _ PORTLAND OREGQN
Water Service Size 3 tip•
ring s Buildin ar New or
a c t- as ns - Yardns a
awn Srin stem
Swimming Pool Other
rin era s en�
This permit becomes null and void if work or cons'-,ruction 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 ,
x,
.All plumbing firms must be licensed by the City of Tigard and post a $1,000 b *�
I hereby certify that I have road and examined this application and know the $ems
to be true and correct. All provisions of laws and ordinances governing this
(if_ work will be complied with whether specified herein or not, the granting of i
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.
E
IMPERIAL PLUMBING b HEATING, INC.
i
1
SiqB ure of Appl Lcant
A
P • `'.
t,f
UNIFIED SEWERAGE AGENCY NO. 4777,
WASHINGTON COUNTY DATE 11-30-72
CITY OF—.— Timkd--
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: G. N.—Do=,, Builder
OWNER'S ADDRESS: 102W S.W. Winter I&=
STREET
CITY STATE- ZIP
BUILDING SITE: L.OT.---A4- BLOCK ADDITION
Has donee
TAX LOT NO. TYPE OF OCCUPANCY
ADDRESS - - —1549404 Trew-ing-
DWELLING UNITS- FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE - 42525 45o
INSPECTIONFEE -------- TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM - -Tlssrd
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE V
I STALLER N. -Bom,, Builder
RECEIVED BY_ IANC AGENT)
COMMENTS:
I TALL
N&;0R0
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
01
PERMIT TO CO 'T
n
Tigard Sanitary District
PERMIT N° 982 DATE P7
PERM„ t9 GIVEN TO �1I �
OF
TO CONNECT A �
TO THE SYSTEM OF TIGARD SANITARY DISTRI
AT
THIS PERMIT MTIST BE POSTED ON THE ASCRIBED PREMISES UNTIL CON+
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COMA
PLETED.
PERMIT FEE PAID $..... ...2.....................TIGARD SANITARY DISTRICT
� r}�a B1
3
CONNECTION INSPECTED AND APPROVED
IJ Superintendent
Address?
Permit No.
Name of Occupant--------- Permit charge
Connection fee-
Paid by
Date connected
Type of Building
Inspection fee
Service Rate--.-- Paid by ---Date--
Contractor Assessment---.---Paid----
Size of connection
APPLICATION FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connection by the
Tigard Sanitary District, to abide by and comply with the ordinances, regulations and ruled of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from time to time when due and before such charges become delinquent.
I fully understand that all unpaid sewer service charges become a lien upon the
property served as stipulated in O. R. S. 224.220.
Connections to the District's system must be made by bonded contractors and/or
bonded and licensed plumbers.
Owner
APPROVED BY
----- —Superintendent -- - -
TIGARD SANITARY DISTRICT
8841 S. W. Commercial St.
Tigard, Oregon {
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