11745 SW BURLCREST DRIVE .r
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INSPECTION RECUEEST
for
I .NSPECTiON TIME : PERMIT N ,). ' ._.
DATE: . ~/,�� DATE 0'0SSJE0:_.-j
OWNERS NAME :
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ADDRESS .
SON TR.VCTOR .
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NSPECTOR DATE
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CITY OP
BUILDING PERMIT APPLICATION TIGARDDATE19
N° 0439
--_—�--- ,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE Wi.►RK HEREIN INDICATED
OR AS SHOWN AND APPI3OVED IN THE ACCOMF,;NYING PLANS AND SPECIFICATIONS. OWNER
PRONE-
WNER lrv.n 9oyd ADDRESS 117445 «s.:• 8uricr*at Or
_ e1JILDER PHONE
Ra neon L• Tomo rano ENGINEER
BUILDERY _ ARCHITECT DESIGNER_
STRUCTURE ❑NEW ❑REMODEL-- ❑ADDITION ®REPAIR [:]RENEWAL OFIRE DAMAGE ❑DEMOL,TION
❑ RESIDENCE ❑COMM ❑EDLICATIONAL ❑GOV'T ❑RELIGIOUSEIPAT10 ❑CAR PORT ❑GARAGE [:1STORAGE❑SLAB ❑FENCE
❑BOND ❑MOV ING 000NDITIONAL USE —❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY _ : LAND USE ZONE_ il—7 BLDG.TYPE—5FIRE ZONE-A. PLAN CHECK BY-_ rhe HEAT
repair fire damage in garages and living roots r — --
OCC. LOAD_,^ FLOOR LOAD HEIGHT y NO.STORIES AREA VALUE ) _
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 28*00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES At!:: ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDAN';F WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ecording I .ALL APPLICABLE CODES AND ONDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—JRESTRIC'YIVE COVENANTS. CONTRACTOR ANO SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
ri,%State '94
I LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total ?g 910
By rt' ---
-- _— APPLICANT OR AGENT � —'"- —
Approved No
--- ASS-----— PHONE
f
r
ATE INSP TYPE YPE INSPECTION REAARKS PLUMBING DATE
Contractor
Permit Nu,
Rough-m
Fixture
Final
HEAIING
contractor
Permit No.
Gas or Oil
Rough-it.
Final
SEWER
Final
DRIVEWAY
Final
Sturm Drainage
(Rain Drain) Final
Sidewalk
Curb & Stree-t FinaL---
SLOG. DENT, FINAL— - Aroach
—'— TEMPORARY C ETI T--F I(,'A OCCUPANCY U—Ppp
CERTIFICATE OCCUPANCY JANCY I Final
Landscaping
Zoning Final
MIT
AJ/
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Address 0/1-f�3 ,[ its L_Ae Permit No.9
Name of Occupant! Permit charge.__
- Connection fee
---— — - ---- Paid by — --- — --
- - - - —— Date connected -
Type of Building __ ---_ Inspection fee
Service Rate Paid b
------------------_-------------- Y
Contractor-__—__ _ Assessment Raid
Size of connection
PERMIT TO CONNECT
Tigard Sanitary District 3 - i
PERMIT N9 930 DATL;
?ERMIT IS GIVEN TO
OF
TI, r,ONNLCT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PER.MI4 irkUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID a....... �; TIGARD SANITARY DIS7 'CT
Y
N-A.A�whhaAMM..�I�AA.A•\/r01A.I�n..\n.hti
CONNECTION INSPECTED AND APPROVED
- Date -- — w Superintendent