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i City of Tigard
INSPECTION REOUES ,
for
iINSPECTION TIME :�� /' I PERMIT, NC. . ..aG�3_ >
DATE: L// /7L DATE ISSUED:��-'�� `7�
O W N E R S NAME .*
A D D R E S S : 1/Z 70
ONTRACTOR :
TEST. Air G, Water` �p , Visual p , Luhorato! •
RESULT: Approved �] Disapproved O Pei ,: iY
SKETCH: ��-✓�e� g��°
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INSPEC OR DATE
507E Attach supplements, left aato here12J
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City of Tigard
iNSPECT'iON REQUEST
for
IOPz:CTION TIME: PERMIT NO. :
DATE : �?—Jl DATE ISSUED -_LL_
QWN RS NAME :
ADDRESS: 2�i 71-- ./3S__
CONTRACTOR : ._._
TE.;T : Air ❑, Woter ❑ , Visual r-1 , laboratory p
RESOLT: Approved Disapproved 0 PY -nd�ng p
SKETCH.
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N __ _L.__
F UR DATE
NOTE. At+0Ch up *me.,
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City of Tigard
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INSPECTION REQUEST
for
I INSPECTION TIME :. 't �U��t,
..� PERMIT PV J. . _......_
l a r f DAVE: / hI DAT ISSUED:—.j
NAME : _ Q�b S►.�
ADDRE;S : __ I X70
CONTRACTOR
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I EST: Air C, Water 0 , visual V ► Laboratory L-1 i
�iaa ^roved 0RE3ULT: Approved 0 'e� . �nqr
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SXETCH:
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INSPECTOR SATE
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C pp a erfal �Ro, data hore�_J
.�t..�.�... 75 C)
ADDRESS_ `U PERMIT NO....__
PERMIT CHARGE _ none
OWNER /,.1e'� ,9r,��G,� CONNECTION FEE
PAID @ Y
TYPE OF BUILDING `��.� _�., �� � DATE CONNECTED
SERVICE RATE qINSPECTION FEES
CONTRACTOR _ ` t� ,`cam- - PAID BY DATE
SI7_E OF CONNECTION ASSESSMENT Y PA I0
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CITY Of 7W* 0613
BUILDING PERMIT APPLICATION T6GARD GATE l.�-'l� _,1B
1'HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATEL
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER ADDRESS J.167U :,.U• AsI1c/oud L .
-- --.-----. —BUILDER PHONE
ENGINEER
AUII aEl Own r,T _ _ AR HIT T_ DESIGNER
STRUCTURE _ E)NEW ❑REMODEL ❑_ADDITION _ 0REPAIR ❑RENEWIL ❑FIRE DAMAGE _❑_DEMrr ,,OLITION
Q ,ESIDFNCE ❑COMPO ❑EDUCATIONAL (jr-OV'T ❑RELIGIOUS❑PATIO []CARPORT ❑GARAGE ❑S700AGE❑ u
SLAB FENCF
_❑BOND DMOVING ❑CONDITION.L USE IJUESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-,,- —LAND USE ZONE —BLDG.TYPE FIRE ZONE- PLAN CHECK BY rfa HEAT
construct. 1593 sq, ft. frame t welling with attached garaww no ; imjument i
ra aeus IoL 32 A 44
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4 bedroom
QAC,LOAD _ FLOOR LOAD �'U lel _ HEIGHT NO.STORIES AREA 1493 VALUE
BUILDING DEPARTMENT SETBACKS FRONT 211 REAR C� LEFT SIDE R113HT SIDE 1 j
Permit 142-.UC)
THIS PERMIT IS ISSUED EVBJECT 7"0 THE REGULATIONS CONTAINED IN THE. BUILDING CODE, ZONING
Plan Check l0.00 REGI ILATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL HE DONE IN ACCORDANCE 111TH THE PLANS AND SPECIFICATION AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. T14F ISSUANCE OF THIS . RMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
176 State 4.26 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1AX
By i
—' - APPLICANT OR AGENT ---"------ -
Approved Receipt Ni
ADDRESS –' �— P14ONE -----------.
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DATC INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Fixture_,. ----- �_
IV
Final -- --- --
a.,(�� y +t, ►r-, HEATING
2 -30• _ �LContractor
Permit Nd�.
( - Gas or Oil _ �9
S� 6
Rough-in
Final
3-
2.'76 `IEWER/-/.5'76 d+��
_ Final _
DRIVEWAY 34274,
Final
Storm Drainage
(Rain Drain) sinal
Sidewalk
_
Curb&Street Final
Approach 3-134A
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final -_
J_ - Landscaping
`� 1 Zoning Final
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