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City of Tigard IX
INSPECTION REOUES '
for
INSPECTION TIM PERMIT
j DATE: DATE ISSUEG .,..�_.._.__
i OWNERS NAME :O�
l ADDRESS ://3-2/
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CONTRACTOR :-----------__. ._....__.....,
TEST:Air p, Water p , V-eual p , Laborotory
RESULT: A rove Disapproved pp , p , Pending
SKETCH:
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�OTi .Attach suvV,a,iiantung herb►f
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: y" DATE ISSUED :
OWNERS NAME :
ADDRESS:
CONTRACTOR : --
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TEST : Air C], Water[] VisualY, Laboratory [3
RESULT: Approved X Disapproved D Pending ❑
SKETCH. I
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INSPECTOR DATE I
5OTE: Attach supp1emsmtol test data bereto]
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City of Tigard �
INSPECTION REQUEST
for i
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SPECTION TIME : PERMIT NO. .---
DATE '
O. : _DATE: !�LIMZZ,-'�r DATE ISSUED :— I1._ i
HERS NAME '. rte.
ADDRESS;_ � 'I�- //34/
)NTRACTOR : _
:ST : Air U, Water[ , Visual El , Laboratory
-SULT. Approved Disapproved D , Pending C]
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FETCH. VclaV NSpCr_ ! (a d• 7 , ,
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INSPECTOR DATE
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ADDRESS I/ 3 i�_�� �"� C' PERMIT NO. SJOg��,,�_____�_I
PERMIT CHARGE non®
OUNER CONNECTION FEE
PAID BY
�E'. DATE CONNECTED Jf
TYPE OF BUILD?��G `
-.__--,-
SERUIf:E RATE �c� .� INSPECTION FEE
CONTRACTOR �- :.�-�� PAID BY DATE
SIZE OF CONNECTION � A55ESSMENT PAID _
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CITY OF �t
BUILDING PERMIT APPLICATION TIGARD DATE--- __ 19_— lag 0301
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THE UNDERSIGNED HEREBY APPLIES FOR A 'ERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE_ __
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OWNER ADDRESS �� r �G�xaWt3QC}
BUILDER PHONE
.Junp'r ENGINEER
=LDER —_ ARChiITECT —_ DESIGNER
STRUCTURE LJNEW ❑REMODEL ❑AUDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGEEISLAB ❑FENCE
❑BOND El MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS -
OCCUPANCY LAND USE ZONE R-7 BLDG.TYPE FIRE ZONE '1 PLAN CHECK BY HEAT �� a
,,jnstrl.t;t 1196 std. ft. from* dwaiiing - finished basement,
;&rags in tassmlent according to approved plans
--------- A 1] --._-1 2392 .024-57)—E) j
OCC. LOAD _. FLOOR LOAD HEIGHT_ _ NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR HiQ LEFT SIDE its RIGHT SIDE t �'
Permit
�— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 69*00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND OnOINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
• RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS x HAVE CURRENT CITY BUSINESS
1%State l«,.152 LICENSE. SEPARATE PERMITS REOU+REQ FOR SEWER, PLUMBING AND HEATING.
Total 206,36
By
-- APPLICANT OR AGENT
Approved Receipt No
AnoAEss
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE r
6 2-77S f Contractor �-
G-�Or7 Permit No,
Rough-in
4112E L2L Fixture
7' ,v Final
(rio c '#4 HEATING
'7 – Contracto \
Permit No. 74&o?
Gas or Oil
Rough-in
Final
SEWE .71D.
Final
DRIVEWAYp S-75 ate`
Final
Storm Drainage
(Rain Drain) Final
Sidewalk d1G g-5_�5
Curb&Street Final
Approach Ok `Uc
SLOG,DEPT, FINA TEMPORARY CERTIFICATE OCCUPANCY
-7 CERTIFICATE OCCUPANCY Final
Z ,
7,3 / qA I Landscaping
Zoning Final
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