10020 SW CENTURY OAK DRIVE I�
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10020 SW CENTUR ' OAK DRIVE
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City of Tigard
INSPECTION REQUE
for
I INSPECTION TIM'- :_ PERMI r NO. _?bZZ
DAII_-1L.__ DATE ISSUED:..._/°
OWNERS NAME : ._��
ADDRE,riS :/ S u'' C�'� ':�i✓,_�.l _f 4)n
GONTRACTO R
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TEST. Air ❑, Wats( Q , Visual [7 , Luborator.r L
#RESULT', Approved Disapproved 0 Psndmn �+
SKETCH:
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INSPEVTOR DATE
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City of Tigard
INSPECTION REQUEST '
for
INSPE;'TICN TINE: d .; ?ERMIT N0. :____�
DATE: DATE ISSUED :_.L_1_ I
OWNERS NAME : �' ioo�r cP �w� ,�,C
ADDRESS: % I
C0NTrRACTOR ; ) 1
TEST : Ai- L'-j , Wcte-L7 Vf3LO:)z , Li�oratory p
RESULT: Approved, Di3aPp,-oved 0 Pendin7
SKETCH: I
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F ,Cki 7
INSPECTOR DATE I
COTE: Attach sua;lemental test data hnv ,�
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :---t—', 01 PERMIT NO. ' �
DATE: _LL-RI—LL DATE ;SSJED:
OWNERS NAM:: : L I L �.
A D D R E S S : -Y0 --
DONTft,aCTOR . Z1�1�0
TEST: Air C, W,Jer 0 , visual C , Laboratory C
RE3ULT: Appry"aa " ' C
S'tEETW`H:
I ECTOR DATE
50TE: At'och vipplemental tit' data here'
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE ' r ,� 7IN2 0377
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
QYVNER Tualatin OId'1ltYilopment co.ADDRESS _00T_ 911ILDER PHONE
Aa�km ENGi'VEER
BUILDER ARCHITECT _ DESIGNER _
STRUCTURE ❑NEWrr--�� REMODEL ❑ADDITION ❑REPAIR _❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM L.JEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS -
OCCUPANCY LAND USE ZONE _BLDG.TYPE _ FIRE ZONE_ PLAN CHECK BY_, �'� Y HEAT„_
22 1 Ub eq. ft. Praire owelliny acLuLdirty tonapprimvwd
bedruoms
CC LOAD FLOOR LOAD HEIGHT NO.STORIES_ AREA 1207 VALUE 9
—
BUILDING DEPAR fMENT SET BACKS FRONT Z� 1�, REAR �, LEFT SIDE , RIGHT SIDE
Permit 104.00 —� -- -THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLILABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
WORK 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
_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS-NESS
1%State - 3,12 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 142,12 LBy
—'�_ APPLICANT OR AGEN1
Approved Receipt No.
ADDRESS --
P110NE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
• '! / C Permit No. 0/(v 7
y. / Q S� r{ou h-in
P « Fixture
Final
HEATING --
Contractor
,��jPermit No. /'/0 ,'7/7
Gas or Oil y
Rough-in
Final _
SEWER ��---
Final _
DRIVEWAY
Final
— Storm Drains e
(Rain Drain) Final
Sidewalk 4 k LT
Curb&Street Final
A roach L
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landsccping
Zoning Final