10985 SW MIRA COURT w w
10985 SW MlRA COURT
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. : --------
DATE :
O. :DATE : DATE ISSUED :�__
OWNERS NAME ' —ADDRESS.
—
Cr-NTRACTOR :
TEST : Alr O, Weter ❑ , visual ((, Laboratory
RESULT : Approved Disapproved D , Pending p
SKETCH'.
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?6Ef��6R DATE
NOTE : Attach supplewental test data here �j
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City ofTigard
INSPECTION REQUEST
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INSPECTION TIME . _ �'� c' -- PERMIT NO. :.
DATE'. DATE ISSUED : �� s
OWNERS NAME .
ADDRESS. ___LSI .
CONTRACTOR ' �
PEST . Air [), wot9r El , Vi BUG' Il;Laboratory I]
RESULT'. Approved L4 Disapproved El Pending []
S KETCh
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INSPEC �-OR DATE
j NOrF Wor,h supplemental teat data berets] {
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City of Tigard
INSPECTION REQUEST
for
Cam1v
INSPECTION TIME : =1_., Vc PERMIT NO. : 7--ZL3
DATE ' . //f/71- DATE ISSUED : 11AV�Z
OWNERS NAME .- __2241k /_ --
ADDRESS- , 295 5 w _ kc h.A_._
CONTRACTOR : (1
TEST . Air LI, Water❑ , Visual Er Laboratory C7
RESULT: Approved 0 , Disapproved ❑ , Pending
SKETCH.*
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INSPECTOR DATE
l NOTE ' Attach supplgmentai test data hereto,
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: '3 PERMIT NO. : 2.2-23y
DATE: 73 II DATE ISSUED :
O
SSUED :OWNERS NAME :
ADDRESS. , C-i
CONTRACTOR ' __--
TEST : Air ❑, Water❑ , Visual E]';'Laboratory ❑
RESULT: Approved El—, Disapproved O Pending []
SKETCH.
INSPECTOR DATE
CWO'TE : Attach supplemental test data beret a]
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Address 10985 S.W. Mira Ct. Permit Pio. 47 j2
Permit charge
Owner Chet Harrington Connection fee - 4�5
Paid by
Type of building Residence Date connected 2-16-73
Service rete 3,00 per month inspection fee — 25
Contractor Chet Harrington raid by sa!nF —_ Date
Size of connection V Assessment Paid
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City of Tigard
INSPECTION REQUEST
for-
,
INSPECTION TIME ' PERR41T NUJ. :__
DATE: _� Ak 7 DATE ISSUED : I Z
OWNERS NAME :
ADDRESS: 2,2 MCONTRACTOR :
TEST . Air I=1, Woter[I , Visual U , Laboratory p
RESULT: Approved El Disapproved 0 , Pending p
SKETCH:
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r. /J-Q Tnr
INSPECTOR DATE
ENOTE : At+�ch supplemental test data hereto]
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City of Tigard
gard
I Nc," `qu:CTION REQUEST
for
INSPECT!ON TIME: �,O PERMIT NO. : ` �_
DATE: ;*/& /Z-3 DATE ISSUED :—' z
(WINNERS NAME
ADDRESS' ..
CONTRACTOR : --- 4 ,-m
TEST : Air 0, Water [] , VisualLa;'rLaboratory El
RESULT: Approved Ur Disapproved D Pending O
SKETCH.'
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INSPECTOR DATE
ErTE: Attach supplemental test data beret a] 1
f`Mw . a y.MWly�I.WMM,yN,P' P'.• w'
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PLUNBINO PF'RMLT APPUCATIQN
Jurisdiction of
Permit Fees �Y
Mo. ` .r,,e of F'i•Xture Fee pp.?.Mi t NO. ...<.. ��
Permit fere
Water..... etip Iolf,t.s 'r, PermI t Issued •..l— I�..,, ,
13ett h -.Ube
_ A•ppro.wed t v lr..,.
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1'wr•mit
Receipt NO• ..�?�.�...�....._• i
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9viraQ_ ii - PWI. Qk,hur
ger vikl.e°r System
This f/et^ra.f t b�^ ,t)n.a t,+.l.l anti void it vork or construction s,tAthor i zeal is not mmu.nced within
60 days, or If rit'.r► .t,rm_-ticon or vurx is suEpended or jbsndc!nf�:t t'or a pet-iodof 120 days nt
any time &"t,r A)rk i s tx)mmnced.
All pl.urrt►ing fie•rrs must t,r ll'.,env-d by tf)e- City of, Iigovd hrid fKg4t a x,.1,000 bond.
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T hereby c°ertafy t.t*t 1 ry read and examined Wits apple &P.d know the some to be true ti
and corret.wt. Al t prov iinns of lawn etnd ordinances c. .Lois type of vork Will be r
complied w th vheth.r rl,r ,if ied herein o.r not, the grn,rrt ing ' a permit does not presume to
give autttar it:y to vt,,.4a•t,e or, cancel. the provisi.o. of any .•1 !.c t stat• or 1oc'sl law regulating
eons truct.i•,!i or the rk r f;fir;r.+tlCtr of t•onstAu tion.
9igr*turp of Applic.Ant. •
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME' 4wv7 PERMIT NO. : -
DATE: / I ZZ DATE ISSUED : /i
OWNERS NAME : —�Z�—ZZ=eIP.y!AJ(-' -"1n)
ADDRESS: , 10926 WI ZA
CONTRACTORTEST '.' Air 0, Water[] , Visual 0-, Laboratory Ei
RESULT: Approved 8 , l Disapproved ❑ , Pending p —
SKETCH:
INSPECTOR DATE
LNO?E: Attach suppiementrl test data bereto]
UNIFIED SEWERAGE AGENCY NO. __._ 4772 ____�r...
WASHINGTON COUNTY DATE '1-27-7`
..�..__s..._
CITY O F____..______-- Tigarrd
APPLICATION FOR SEWER CONNECTION PERMIT r
OWNER: _.. Chet Harrington_ --.--
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OWNER'S ADDRESS: ----_-_- 13605 N.E. Brazee Ct•
STREET
- - CITY -�--__. � nTATE ----------- ZI' �?
BUILDING SITE: BLOCK __._._ ADDITION Mira — -
TAX LOT N0. ____-- -_--_ Tresidence OF OCCUPANCY __ ___ —
ADDRESS
DWELLING UNITS---._ l FIXTURE UNITS _ ---- i
SURCHARGE IF APPLICABLE _____.---50.00 to Derry Dell— ---- -
425.00 5(X).00
PERMIT FEE __.---_-._------ INSPECTION FEE _�S��TOTAL DEPOSITED
'INEW1�(EXISTING) BUILDING SEWER SYSTEM
`�_..i
The Applicant agrees to comply with all rules and regu tions of the Unified Sewerage Agency.
APPLICANT _ -- -- ---
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
4It Somerset Plbg. & Htg.
LINE SIZE INSTALLEF. --
RECEIVED BY-__-. QT)
IAOZ C ITS
COMMENTS: ______
This Application and ,permit expires in ninety (90i days. The amount Haid will be forfeited
should expiration occur. �,r^
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101,
CITY OF' TIG ARD
i 14W L w 40" 4"W
TtGAOU
APPL,1CATtOp root sul1.01W; PERX17
New Con ptruction r)rAmc,I I a h D Add it Move
DATE IastmL. U454 DUIL014G PERMIT
2.1
FSUILDt" rri
DAT) RECEIVEDRYbFt PtAx CHECK AM
VALUATION S
OTHER RECEIPT so,
TOTAL $ M-—50
TWO SETS Or PLANS AND PLOT PLANS MUST DF WIT11 APPI-ICAT130
3 91- 1 v MAP 1__"' 30 CENSUS TRACT
Architect or Enqtnonr
Phone
(%rn4p r Libet Marringtm
Add r 0 a 0 Phone
Suilder—c2ot Harrinct".-
Address Phone
BUILDINGI)Sr Simqle Ron. multi ROD. a COW Industr
j ?10. of Stories _1� Area of Lot
OCCUPANCY GROUP-1- Total H*Jght -- Lot
j*- -*-pqN*WW v rloor Area 9
Type of Construction
got Racket Front-&W---- 9ack jb _ L.Side__ 40
Private Sower PiP* Sit* 14. SevereV-84,qOptic Tank
Water Service Pipe Size- 3/V - store Savor 2 Ditch Drywell
street and Curb PeIuir*"Its
17 No. of Pecking Spares a
r)rivqoway Width
SEPARATE P&PPITF, REQUtAKE) F-)P rjFWE1k AND PLVNHING
SPECIAL
ADDRESS ASSIGNED—
DATE 11-0-72
VIEW CHECK Ry-.--
PERMIT APPROVED BY
It is understood that 411 work will conform with applicable codes and ordinfM
of the szste of Oregon and the City of T19sri, Oregon, and that the huil4inq wk
IM be orcupiod until a Certificate Of OcCv*ane jhas been issued by the City 09
Tjq6rd Building Inspector. )
*- ur
a;BUILDER VALUE FEE
LOCATION OWINER �� r
10.8 # _ E
ALU? E > �r P�RI�I - EE
S WE PE_ ,,I7 r ��a S a MECH� CA PERMIT _--
DATE BY DATE 13Y
EXCAVATION FILL AIR CONDITIONING
FOOTINGS FOUNDATION VENTILATION
FORMS SPRINKLER SYSTEM
SLABS MASONRY FLUES
REINFORCING STEEL FIRE DOORS EXITS
STRUCTURAL STEEL GARAGE FLOOR �^
PLUMBING R. I . DRIVEWAY
ROQ FLASITING ~ - SEWER _ ._.... ___._..___...._. . —._,.
FRAME STORM DRAIN
LATH/WALLBOARD PARKING
HEATING —_ _ FENCE SCREEN--1
WATER HEATER FINAL
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