11660 SW ASHWOOD COURT-1 �o
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11660 SW ASHWOOD COURT �,�r
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City of Tigard
INSPECTION REQUES-l.
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INSPECTION TIME : r'.'.__ PERMIT MC'
DATE ' DATE !SSUEn
OWNERS NAME .' '
ADDRESS : .
GON1 RACTOR :Y1,-/0-6'Q.
TEST. Air ❑, Water U , Visua!,9�, L.ah0r(Itorti Li
RESULT: A roved Disapproved D undi�
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SKETCH!:
INSPECTOR DATE
sjPPIementu' test J oto h+rb t)
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CITY OF Apx �l �v '16 N0 0753
BUILDING PERMIT APPLICATION TIGARD DATE... --' 19
THE UNDERSIGNED HEREBY APPLIES F09 A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMP�,tYVVP44�(IS SND,§PfGFICATlQ#t.,,RXy; wafte R' � --`
OWNER Bob i,. Smith ADDRESS '1'1696 9",r,:,, �1ehvi lrt r RUILDERPHONE —
i)Wner ENGINEER
BUILDER _ ARCHITECT — --DESIGNER —
STRUCTURE _ ONEW O REMODEL GADDITION ❑REPAIR _ ❑RENEWAL ❑FIRE DAMAGE—❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB—OFENCE
MOND nI-AOVING ❑CONDITIONAL USE CI DESIGN REVIEW ❑COUNCIL.APPROVED ❑SIGNS
7 rre
OCCUPANCY—_=LAwO USE ZONE--—BLDG.TYPE_ J FIRE ZONE_ PLAN CHECK BY HEAT—
�-.on-,truvt 1196 sq. ft. frame dwelling with 4srag w with attached
yerage. No basement. Reissue #11375 Lakewood C . ---
bedroom
tiUrf
QCC.LOAD fi FLOOR LOAD -� HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR 1 LEFT SIDF i RIGHT SIDE
Permit 1 .1114/, . ('=f.' -
-- THIS PERMIT IS ISSUED SUBJECT TO THE ^.Fr.ULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RE iULATIONS AND All. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREHY AGREED THAT THE
—� WORK,WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. TILE ISSUANCE OF THIS PERMiT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT' Ci`Y RUSINESS
State LICENSE. SEPARATE PERMITS 9EOUIRED FOR SEWER, PLUMBING AND HFATING.
Total sits
8y —` -- - - -- --
----��— APPLICANT UH At3EMT
Approved Receipt No.
A0131RESS —.—
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DATE INSP. TYOE INSPECTION REMARKS PLUMBING DATE
J_ e
_ �' —� Contractor s V
Permit No.
Rough-in
— .
•7 �/ - Fixture — _—
_ Final --
HEATING
3'
Contractor �
�— --- --______ .-------__ Permit No.
---- — -- — _-- Gas or Oiler
--- — W_ -- — _ ---- -- -------
Rough-in --- -----
_ Final—
SEWER
Final _ _
_--______— ___ —_ .----- —_------ - ------ -- --- DRIVEWAY; 7(,
- --- -- —
Final
--- ---- - _ — ------ -------------— Storm Drainage
(Rain Drain) Final _
Sidewalk li,.g-7G
(
_ Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CFRTIFICATE OCCUPANCY
Landscaping
Lor.ing Final
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City of Tigard
INSPECTION REOUEG'' J'
for
INSPECTION TIME :W.._.____._._ PERMITDATE: �/ MCI Z&L DATE I SSU
OWNERS NAME :
GG'U
ADDRESS : -i1
CONTRACTOR : 407- /36 —
TEST' Air [], Water [i , Visual 7 , Laboratory
RESULT: Approve Disapproved O rrjnd ny
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I 3 TOFF DATE
rNo?F A'tach supp!s,11.6,440 test dela )o;—D
C �� (o v `� a PER11IT
A D D R E a S n r,n
PERMIT CHARGE
CONNECTION FEE -•.
OWNER
. _.. .__.
................... - -
"` DATE CONNECTED
TYPE OF 8l1 I l_D I N G _„ ,�--�_.i.�ra` �+C'--�- p U
INSPECTION FF1
5ERVICE RATE DATE
PAID BY
VoNTRACTOR _
~�_ A�iSESSI'IENT ....___. PAID . _ . ....._..
SIZE OF CONNECTION ------
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