12238 SW CLYDESDALE COURT-1 M
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12238 SW CLYDESDALE COURT
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City of Tigard
I NZ:7- PECTION REQU E'( i
for
INSPECTION TIME: - PERMIT NO. :�-�-/
DATE/ DATE ISSUED . .. .,-/ '
OWNERS NAME : _5� - -z--
ADD RESS:
V . .D 'L�tl
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CONTRACTOR :
TE ST : Air [_. Wat-ir ❑ Vis;.inf ❑ 1 Labcroto.y C1
RESULT', Approve! Disapproved Q Pending C]
SKETCH.
^ 'S
SPrCTOR DATE
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i City of Tigard
I
INSPECTION PEOUEST
for
INSPECTION TIME * PERMIT NO. . —
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DATE: .7 Z/ij DATE ISSUED:...,
OWNERS NAMe : QNB+
ADDRESS : -/1232
I CONTRACTOR :-_ -.._
ITEST' Air [3, Waiter.�p , Visual 0 , Laboratory []
RESULT: Approvec�`id , Disapproved 0 Pending p
SKETCH'.
H.
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INSPECTOR DATE
[NOTE ' Attach sLpplementai teat data herat:01
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME' _ r. PERMIT NO. :
DATE: 7 &.j-,1'K DATE ISSUED .!_J /
OWNERS NAME :
A D D R E S S:CONTRACTOR :
I Laboratory
TEST : Air (] Water❑ Visual, Y ❑
RESULT: Approved Dieapp,oved ❑ Pending U
SKETCH.
INSPECTOR DATE
NOTE : Attach supplemental test data beret a]
City of Tigard
�
INSPECTION REQUEST
�f o r
LO C ! _
ISPECTION TIME: - PERMIT NO. :.----
DATE:
O. :.___.__DATE. DATE ISSUED :
I JNERS NAME :
ADDRESS: L 3 b _ �` C_(�t -1d
)NTRACTO R :
:'ST : Air 0, Water[] Visual, Laboratory ❑
cSULT: Approved Disapproved ❑ Pending ❑
(ETCH:
1
E INSPECTOR DATE
TE: Attach supplemental teat data bereta7
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City of Tigard
ms ,Z.:,(;+riON REQ(,J�:
for
INSPECTION TIME PERM-OT !n
n�►I E ' +12c?'2.3� HATE. i IS.,
TE
RESULT' AN `'isapi+rc'N L7
.S. FT, v56P /!
6 7Q-2S
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ADDRESS /.?,? : �' e1c�,� /��„moi, ,t PERMIT N0. s��5
PERMIT CHARGE none
OUNER CONNECTION FEE a5�`
PAID BY ;�1•�L1
TYPE OF BUILDING DATE CONNECTED 6,42
SERVICE RATE ,.J1c.raLz�, r INSPECTION FEE
CONTRACTOR M c�tl PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
UNIFIED SEWERAGE AGENCY NO. -_5065 _____
WASHINGTON COUNTY DAFT _ 3- 26-75
CITY OF
APPLICATION FOR SEINER CONNECTION PF13M1-r
OWN I_R: aP I.i a r - -
OWNLR'S ADDRESS:_ 3921 S.W. Dakota`
STREET
Portland --__--� QrQ - ---- 97221
CITY STATonZIP �-
BUILDING SITE: LOT 99 ---- BLOCK _ ADDITION ___Clydesdale Subdiyisior;
TAX LOT NO. --- — TYPE OF OCCUPANCY - __reaidenc —
ADDRESS -�223B_ S.W.- Cly.drjs-dale Ct. -- -
DWELLING UNITS--- 1 FIXFURE UNITS - -
SURCHARGE IF APPLICABLE - ---- -
�,2r, 550
PERMIT FEE ---- INSPECTION FEE 25 TOTAL DLPOSITED 5
(NEW) (EXISTING) BUILDING SEWER SYSTEMThe Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT_
SEWER PERMIT
THIS PERMI r AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE T-411-- -- __. ---- INSTALLER
RECEIVED BYtd�.� __ __ ---.------..___-- - -_ -- ------ -- -
T IAGENCY OR ITS AGENT)
COMMENTS: __ ___Lex—Qn Heights paid - building permit # 0221
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
CITY OF 0
BUILDING PERMIT APPLICATION TIGARD DATE, 19—__N- 0221
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWYftPHONE--_ -
OWNER _ ADDRESS BUILDER PHONE
ENGINEER
RUILDER vARCHITECT _ DESIGNER _
STRUCTURE ❑NEW_ ❑REMODEL ❑ADDITION C1 REPAIR ❑RENEW<,L OF IRE DAMAGE ❑DEMOLITION
❑ RESIDENCE OCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
_❑BOND ❑MOVING ❑CONDII IONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY.-_.Y--. LAND USE ZONE —-..-.--BLDG.TYPE— _FIRE ZONE_. PLAN CHECK BY, DHEAT.--_-__-
,.onstrur.t .153:) sq, ft . gems dwwlling with attachssd ysr,,:
no basement accurdiny to upprovod plans
QCC=_LOAD FLOOR LOAD 4101 1Lt HEIGHT NO.STORIES_ I AREA 2039 VALUES`p vii{j_
BUILDING DEPARTMENT23 2.4
SET BACKS FRONT REAR "• LEFT SIDE RIGHT SIDE
Permit 136.00 — — -- ---
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check V �8.OG REGULATIONS AND ALI APPLICABLE 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
- x RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT Cl"Y BUSINESS
I%State 1•• LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PI UMBING AND HEATING.
Total r-05. :36
r
By — - - -- ------- -- -
---- – -- APPLICANt OR AGENT
L"p—,oved Receipt No
_. --- --
ADD 55
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
12,4 0-40061v-
- Contractor I
Cidl 61v- - Permit No.
Rough-in _
7
Fixture
ly0z d•'i ..t.s�'i� Final
HEATING
led
cam!S /� _ �{— Contractor
Permit No.
� Gas or Oil-' o"// _
Rough-in -- -- -
y '� 4 Final �—
lD SEWEp&_;';O•A
oj
Final --
_ tktt DRIVEWAY -
��_ Final
=f= Storm Drainage
_ (Rain Drain) Final
Sidewalk N-5,z LC ok
_ Curb&StrPet Final
Approach LC 7-7-7
T SLOG.DEPT.FINAI„/ TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Jlandscaping
i
Zoning Final