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11800 SW North Dakota Street (2) 11800 S.W. NORTH DAKOTA STREET 1 OF 1 i1o00 S W. ortt' Dakota Street DALE CONSTRUCTION! I • " 3UZLiER VALUE FEE ,DATE LDCATIO:N ' = . . _ OWER - * - '. JC3 if MAP iF • 'f• LO _ TYPE _ PL: �. '--'14,t,.. F T if - EEMER FaIMIT 5i I FEE ._ MECHANICAL NICAL PERMIT�4 r 03g 4 3Y r161E tY cn EXG^7's '1/FILLAIR COb DITIONL ..ocr:::n.:, IC''.. :I''...A :,.: ,t ,; 4, ,VE ITILATIoN z I 'SPRINKLER ER SYSTEM = :mss ,- « 14,4.30:71f/FLUESo AEZZEMCI:E :: l ' ^ FMK DOORs[EXITS Q D UUCTUBAL .=:::.-- �‘' , jf,RAGE FLOOR cc t -Xv.,,,,ct4t.L tait-23 LmTR--• / � V. Y /�{.c> C-r J �.�pcC U`) .--.1ROOF FZAZF.:C • 4 " SEWER cn -7:_ kj. ,sli_. 1-3 STORM DRAIN rri/�,rnL:.3c�axta17PARKING _ aEiTIX ' FENCE/SCREEN _ WATER HEATER - .re F.0 , 4. 1-‘0 4/ -/-:41elf4Z- '7eAliAZ•4", r I. u.-- - 1 u a -714) .i 7-/113 ' .„ :4 1 1 I 1 • • 1 CITY Of BUILDING PERMIT APPLICATION TIGARD DATE_ - ,9N°0054 _ THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED , OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL 4NS AND SPECIFICATIONS OWNER PHONE_ OWNER y— —_ __.— ADDRESS --_-,-- QUILUER PHONL — ENGIE't En $WLDER —_ _ — /�C'tiI __ __ _ DESIGNER__ STRUCTURE DNEW ❑REMODELk,]ADr,ITI rl ❑REPAIR ❑RENEWAL OF IRE II/WAGE UDEMOLITION 0 RESIDENCER� ❑COMM DEDUCATIONAL—DGOV'� E' "-I IGIQUSDPATIO DCAR POR1 ❑GARAGE DSTORAGE DSLAB DFcNCE —°BOND —°MOVING DCONDITIONAL USE DOESIGN REVIEW ❑COUNCIL APPROVED DSIGNS QCCUPANCY—____ LAND USE ZONE_____ __Bur,TYPE_ .. .—FIRE ZONE_ PLAN CHECK BY ___HEAT___ II/ r/ i A', i - - -- --- — 1 . OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE �' `` BUILDING DEPARTMENT HT BACKS FRONT . REAR LEFT SIDE RIGHT SIDE Pe,mit 1, i -- - -- - ---- - ----�� - THIS PERMIT IS ISSUED SUBJECT Tn THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan CheckRECUT ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE `---_. — VvORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 1 RESTRICTIVE COVENANTS CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State ..--..1" 1 LICENSE. SEPARATE PERMITS REOUIR,°D FOR SEWER, PLUMBING AND HEATING Total J , 1 • By , .t /- A 'PI.ICAN1 nn ADEN, App;oved t Receipt Nc --- TriFinrci f1 I4)N I DATE INSP. TYPE INSPECTION REMARKS PLUMBING DAT E 9-S- 24-- — g0� Contractor Permit No. (1.13.47—F—J14-41_12-.Le-_,CLn—.7 Rough in — Fixture Final HEATING Contractor . Permit No. 1 Gas or Oil --- —— — — — -- — - — Rough-in —�—_— Final SEWER Final -- — — ----, DRIVEWAY --- — -- --— — — -- — — Final — — Storm Drainer_— -- — — — -- (Rain Oran) Fine Sidewalk — — --- Sidewalk -- Curb b Street Final ` •Approach --- BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final 1 • • - - • -- . _... . a, , .... - Ilaiwir•-............... .......... _... r • t, 1 • ,/,. , . , I Ai, , . , 11 ,,, ,• . , . • . r / • , „ , -, . . . r . C(jp.eilvf, . .,, . , .. CC1C'Ll‘CCPbt. CITY OF T1GARI) OREGON ., 1 Owner: Oslo coemtilictkm . . Permit No. 73-102 Building Address 11800. 1.11.., .1....bakstia .. . , Certificate is hereby given this...2.2th...day of...Seateueber , 19 71. 4, that said building may he occupied and . . . .,,...41 . , It itotril('4. that it complies with all requirements of i Iii**,40 , the Building Code for the City of Tigard, as approved by the Tigard City Council. . , St,) ,... i144 Creffila.P.441/ , -; ,.:.:.trit#,I,•,.‘R ' '.,: '16(th t ,. , ..• Bulldin r '. •.trt.' , , . N i , . • •. City of Tigard INSPECTION REQUEST for NSPECTION TIME . _ ._ . PERMIT NC. . DATE ' 9 IX .73 )ATE ISSUED OWNERS NAME Direr' &el& • Ar)DRESS: 1/FDC _.4:4 y__ k-,).2_09- CN rRA "TnR : EST 8~ ter ❑ , v . ,.c 'J '►ct.)r,. rJ RESUL .. lived X .uppr ;, d SKETCH: 13 INSPECTOR DATE �NUTE Attain supplemental tilt ..tJ ram 1 4)1\( ‘111 mity of Tigard (INSPECTION REQUEST OV/ for NsPECTION TIME. D.c:71_ PERMIT .JC. . _____ DATE: . '7'7 DATE ISSUED .__L_ ,)WNE RS NAME : _ � L _ Dull Co ADDRESS: Lar'00 __NTN-_DAXQTi4 ;cN rRArir)R : _ -- - EST ti-- terD , `v'' s :c '? , .ab-.ratlry 0 RESUI_ q. iwwed ' .uppro.ed G � , erdi1rc�' SKETCH: �---- - e: Wt/,'G 8E Tit t ,47 . 1 0 ('-dE E tl`41 `moi/ �:LC 1( mil-frit 7r 6c INSPECTOR DATE [NOTE Attocn suppitmantol tett nota hareto] 1 1 ate (�4-s7- 1 g2/v4.1_ A--49,7- ICellee 1 Pn:a --;i) Le-AN/7 /4/s/2 C"%%C'1j (Gt 1?4'441-0 ) 1 ai i '#27#7- /4)1;7174 0 4 c;37Yre-7,eer/4" /,t%S Pe.r-7-'c.t /U,1Mr- y,opp, ,e-p--A--.c r?F /.----_--- 1 ______ 1 /2 77 ' ..* C-7 , q'/ I I/ if l`f`? d- /`oZ 6,_ I� City of Tigard INSPECTION REQUEST for Ef INSPECTION TIME : - PERMIT NO. : DATE: 7/ %T_ DATE ISSUED : i / OWNERS NAME : 12)R1-1_ LUPI . CO ADDRESS: 11802 S. pit T}f TA K[5T A CONTRACTOR ; EST : �a•� .._ , Woterp , V.suai '] , Laboratory Q RESULT : Ap•"roved II( , ).Japprotiad G , Pendiog p S KETCH: Nuc Rao .Jv12 1244 (e'n1GH 04 yxltil Alt I nl Ga,t 4cor (Do 7a Lw ie G v KNrr I A d v'9 NSPECTOR DATE NOTE Attaen supplemental test data he,etd 5�Cl tr- titc„Q.Jul.( 14� �ct. 1`13 Ad.dresg 11800 5.W. N. Dakota Permit No. 4848 _ —�_--- Permit ciwir.Se Owner Connection fee 425 Paid by Dale fan, .,i__._ Type of buildinek Residence Date connected 7-18-73 Service rate 00_ per ,month Inspection fire Contractor Oils Const. paid by swim. Date `— Size of conne •t 4" Assessment Paid �C)3 - ac City of Tigard INSPECTION REQUEST for Sr v.E f' c,j,2 C7lU _ INSPECTION TIME: PERMIT NO. : DATE: — /' . / DATE ISSUED :_____LL..1 OWNERS NAME ADDRESS: ____:_' ..___-__ _ .___-'_ ___ .4 . 8 - C O N T R A C T 0 R : _41 ____LsirL 2'1.5 E ST : Air ,:_-, , ~Vater 0 , V.suai f,el_aboratory 0 RESULT: Avrovecf , Disapproad G , Pendiog 0 SKETCH: 1?7' ,it�lv_eTi ��NXi,, ,gyp ,,C; I 1/too is 'eta?:—- /4-1 Zd-,'0.,11_,____ _2 L/172 _ I INSPECTOR DATE NOTE Attach supplemental test data hetet] City of Tigard INSPECTION REQUEST for INSPECTION TIME: _ PERMIT NO. : DATE: 7 ///12.1 DATE ISSUED : / / OWNERS NAME 1)'z"t' C-•�s% ADDRESS: _--- .--____-_ - S:cc' . .fRepi ~ 'it-i-)74 CONTRACTOR : i E ST : AI( u, Woterir; V:suai4 , I_aboretory r] RESULT : Ap,,roved ( 0isapproved G , Pendhig ❑ SKETCH: `�-= ----_ _ '173 INSPECTOR DATE NOTE Attoce supplemental test data her etd maismasormanammummmummumusi „.. 4,7-340 e_ _. A.,,,,,r si r 1 r , '-f.; c trr or TWD, oiuo®ox Zr. I.. breed_ l..�lr--�-�- want No. City MU ,14. Application Approved Building Department cat of lnstansuos __...,,,, /P . 3 _ ,, 4141mild4 tree for Permit... l Applicant shall fill in cost of installation only, .1 pet... �G G"?). above this double line. Street Sewer Peril-_________._. re it Plumbing pipes or Fixtures according to plans and specifications and Application is hereby made to description u given below. yam`, Lot stion of building-Number and Street. _11200.___..5....W___ etas - -�- __ Lot _ Block _ _._._ ''�Addiltion_ .__.. _-_ -- Nae_ and Address of Owner " d- l �"i __ - Name and Address of Plumberflt.♦vAtrAtd 1 IiL 1;2.3 1* iikt`, 'iv .L '" Building (Old or earl __,--____.___.- . BMkt in Stories / �_ Occupied aa- L) ill.A.14 I SCHEDULE OF WORK NUMBER .....,NUMBER — FIXTURES I New I Move I R'PPa ES FIXTURNewTlloee R'pree Water Closets -- Fountains, Drinking Bath Shower _I.___ __ _ Fountains, Yard - __ Bath Tub _�I-/ - _ Fountains, Soda Basins -_ __. __. a_ I_ Hot Water Tank _ _—L.—--— _ Sinks, Ordinary ._ _ _-- - ----h _ . Sinks, Bar s, lo Sinks, Dishwashing __.i___I_ - - Sir>k ----_- —I- Automatic Dishwasher _I_ p - 4 -- i.-- I! Laundry Trays_ _1�— .. Drains. Ice Box _--_-___.___ I Drains, Floor__ __ . _ Urinals Drains, Area__ __li _ Catch-Basins, Yard j __.____— — Catch-Basins, Garage Rain Drains .. --- Automatic Washer .L_ _ _ _ Catch-Basins, Sub Solt_(___ .___.__ --, _ ' Water Permit No.-__ —__ _,_ Bldg Permit No.. __.2. (i?i- ____ _____ mss.,... _ REMARKS IMPORTANII Ply nbing shell not be installed In any bullJing, (either now, altered, or repaired), except at *hewn or designated on the corresponding building plane as /11ed with, or required by, the Building Department In eccerdance with the provisions of the Building Cede and Ordinance 62-19 of the City el Tigard. I agree In re sir i the plumbing system according to this deacr do , plant and specifications and the Plumbing Code of the nits City of Tigard �/ 1, f Plumbin Firm 0 ts1 /3/91494 e 144111 fdt ... l 6 R«g� /Y, At, upervMr rte ,-_ I I�C l I City of Tigard INSPECTION REQUEST for xfz' - INSPECTION TIME. Al.e ' PERMIT NO. : DATE. —5- 7-5' DATE ISSUEr OWN ERS NAME : �_. :C.�/ "Lelty�—, ADDRESS: /1EV vEA.2.__7/ CONTRACTOR : EST , WatertQ , V:suai Pc, Laboratory 0 RESULT Wrovedg Liappros,ed Pei►diop 0 SKETCH: `INSPECTOR DATE NotE Attach supplemental test a at a hereta] + r City of Tigard INSPECTION REQUEST for INSPECTION TIME : ,e PERMIT NO : DATE . i /e:1073 DATE ISSUED'_-L-L- OWNERS NAME : ��—�— ADDRESS ' ' a•' /,46 CONTRACTOR :-- - — TEST \ r J, Water iJ , wierat O , La' .ratorl n RESULT. Approved 0 , Discpproved 1 , SKETCH: I l 7 gP ECTOR DATE IROTE Attach tupplementol teat data hereto, UNIFIED SEWERAGE AGENCY NO. 4848 WASHINGTON COUNTY DATE 5-23-73 CITY OF Tigard APPLICATION FOR SEWER CONNECTION PERMIT OWNER Dale Construction OWNER'S ADDRESS: .9a5 STREET P cortllfud s r 9# 3 BUILDING SITE: LOT a 9 BLOCK ADDITION Burlwood TAX LOT NO TYPE OF OCCUPANCY RnsiWuai ADDRESS 11800 S.W. North Dakota DWELLING UNITS 1 FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE 425 INSPECTION FEE 25 TOTAL DEPOSITED 45U INEZ) (EXISTING) BUILDING SEWER SYSTEM Tigard The Applicant au ' •ec to comply with .111 rules and regulations of the Unified Sewerage Agency, APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE lid 4x INSTALLER LL . RECEIVED BY x L IAOrNCV Vn ITS AOENTI COMMENTS Thus Application and permit expires in ninety (90) days The amount paid mil he forfeilio should expiration occur, ■ CITY OF TIGARD t,4% . w RLM Wow TiGARD. OS 0110118 A123 APPLICATION TOR HUILUIN(; PERMIT New Construction © Demolish ❑ Addition 0 Remodel ❑ Move II ZONING M- DATE ISSUED UMW 5-4343 BUILIWC PERMIT DATE RECEIVED 5-10-73 BUILDING FEE $ 9LSQ "13 .102 BY n PLAN CHECK $ 41,T, VALUATTOtI S —�SrSTS•• OTHER $ --_.--_---- TOTAL $ L. 2 2) RECEIPT TWO SETS OF PLANS AND PLOT PLANS MUST RE FURNISHED WITH APPLICATION 4 LOT I y-_-� KAP 11_1414xyl,ci& CENSUS TRACT M-�j` .10D Architect or I:nglnwer knight sad Florist Addres+tl7]} M.i._bmearsb P,rtLmi Orepo Phone (YwnerDeU Coast rue tUm. Oosrini ddtess jl �+ gJw. llLsaou yL. poct mmik Builder - -- _ --- —_ _- Address —__Phone_ nUILDIN(; USE Single Res. Cj Multi Pea. ❑ Comm. U Industrial( XCUPANCY GROUP' No. of Stories I Total Height 17 Area of Lot tl,l Type of Construction V Floor Area Set hacks: Front u! Back SSs L.S1deJL! R.Side J , Private Sewer Pipe Size k Sewer use Tleird Septic Tank ❑ Water Service Pipe Size- A/ Storm Sewet ❑ Ditch ❑ Drywall ❑ Street and Curb Requireaat'nts-__mK - Driveway Width__.___-_ LW __ _-• _-- -_No. of Parking Spaces_ . SEPARATE PERMITS REQUIRED FOP SF:WFP AND PLUMHING SPECIAL INFORMATION --_ ADDRESS ASSIGNED 1.180U 5.W. Porth I*Al tw .;treat FIELD CHECK NY .. DATK ,-43-73 PERM! : :OM. V},,? NY It is understood that all work will conform with apnlicai+le codes and ordinanf of the State of Oregon and the City of Tigard. •:r. ; n, and that the building i not be occupied until a Certificate of Occupancy has been issued by the City t Tigard Building Inspector. /�gnaTui� f At prir;i7t 1 ,t..�0 a w1 ...4..„, 4, CITY OF TIGARD i .i ‘.44--4..4ti- PROCESSING/TRANSMITTAL 4�il� / % r a hi-ori CHECK LIST X ./ JOB NAME: /1-(4° �" *TYPE: /cea .c Cocci - /N_ 5 c LOCATION: t �/ ` ke,t. Li ll-Lae- RECEIVED FROM: .A .CC RECIPIENT ____0 _ifff Date �/�O/73 i CHECK ITEMS RECEIVED CIRCLE ITEMS NEEDED Plot/Site Plan /Building Plan '..--4 Construction Plan Preliminary PlatFoundation Plan Sanitary Sewer Plan LFinal Flat 7 ienr Plan Storm Sewer Plan HLandscape Plan - Exterior Plan / / Street Level Plan Parking Plan 7-7 Mechanical Plan L2 Streetlight Plan Li Sign Detail Li Cabinet Detail / / Area Drainage Plan / Aerial Photo Stair Detail / / Water Utility Plan / / Location Map 4Truks Detail LI Gas Utility Plan Topography ,Fireplace Detail Phone Utility Plan bLand Survey i Building Specification L' Elect. Utility Plan / Building Elevations / / Street Sign Detail 7-7 Catch Basin Detail HCost Estimate T^ Manhole Detail Specification / / Sidewalk Detail L/ Material/Quantity List 1 Curb Detail Report/Legal Documents / / Driveway Detail Deposit/Fee L/ Other: 0 r COMMENTS: '_4 V.4 ` L1�c I (_ �it_1\.cy La'_ ( '.a1 u VL..) C 1o`C( y., ATTACHMENTS: Routed To (date / / ) : Planning Dept . /-1 Public Works Building Dept. Other / * Insert: L. I.U. Project; Subdv. Imprv. Project; Building Const. Project; Etc. Dale Construction Co. 9185 5.W. Oleson Road Portland, Oregon 97223 Phone 620.2234 L DT 9 B 4 w v d a( wtCS whv9Ta (o -,N77 0 Pc , h .40 CN 0 0. 1 iT 80, 0„ (A) N D 0-r Ai okil-3.504 ' RUIIOtR MIMIIR C M OW 77-S/ NOM !It')11)!R+ A«U(M11(1N O) .I!IROP"1tItAN PORtt til`