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11530 SW GLENWOOD COURT �. l`�;$l) 3b1 r�LLNInkY.�D CC)lJR`L' I .c E .O O m 1 N � O O v O O 3 C fU —4 Ul 3 (!7 O t'•) Ln r-1 w w w w City of Tigard INSPECTION REQUEST f o r INSPECTION tIME' PERMIT NO. :— DATE: DATE OWNERS NAME ( ONTRACTOR : TEST : Air 0, Watet Ej , Visual 0 , --oboratory RESULT' Aprroved W niso; puavpd P^riding n SKETCH. � i , .� - -_ _ _ J, INSPECTOR DATE OrLr , Aft :h lvpvl4rmeF'l'A lost to?a floret All i .. ,.,� _,.:: ;.zn.u. _.T- nn,.,nr.�.:.,.-�.,�,.,e.•rt. ,Rr „e�^•.voipr_.•s,,,: c.v--»G- -ax-„_... -.�., _......_. ...,. .,,..,-,.......,.,..,.-...,,..,..�j,,,e,,..,.,,�..s,.,.,., ... ,. :ao+.ww CITY OF April 36 760 BUILDING PERMIT APPLICATION TIGARD DATE —. 19—N- 0759 THE UNDERS'GNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED R E_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIPATR�§. V N PHO r. �1I QWNER '1Ob smith - ADDRESS _ a :,l anw uud tt• BI/ILDER PHONE ")41Cil1pT ENGINEER g�li ncR ARCHITECT DESIGNER SI tiUCTURE_ LJNEW_❑REMODEL CADDIT10N ❑REPAIR ❑RENEWAL! ❑FIRE DAMAGE ODEMOLITION O RESIDENCE ❑COMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUSCPATIO ❑CAR PORT -1 CGARAGE ❑STORAGE CISLAB ❑FENCE C (BOND — ❑MOV ING ❑_CONDITIONAL USE UDESIGN REVIEW EI000NCIL APPROVED — ❑SIGNS QCCUPANCY LAND USE ZONE-- , BLDG.TYPE _.FIRE ZONE_ PLAN CHECK BY 'IFAT--_ t:��nptruc:t I.I sq. ft.. frame dwcl n!.; with k3 . aO a garage. -- "n 1�asumgnt. e save 11390 3oWe Iz,ul;wouu OOP —_ 550 25 3 bedroom 40 1b OCC• LOAD.—._— FLOOR LOAD HEIGHT NO.STORIES AREA VALUE_�� BUILDING DEPARTMENT � , SET BACKS FRONT '� � REAR Q4 LEFT SIDE 1© RIGHT SIDE Permit A151,00 10000 � �� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check • REGULATIONS AND ALL API-LICABLE CODES AND OgU1NANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DON.`. IN ACCORDANCE WITH THE PL,4NS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 16 5 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 96 State LICENSE. 4EPARATE PERMITS REauinED FOR SEWER, PLUMBING AND HEATING. Total By —___ OR ACaF NI Approved Receipt No. / ADDRESS HONE �l DATE INSP. TYPE INSPECTION REMARKS^ PLUMBING DATE Permit No. 4 y0� Roubin Fixture Final HEATING Contractor 61. _ _ � .0 Permit No. Gas or Oil Ak _ Rough in _— — Final SEWER 'G Final _ DRIVEWAY,/-;7-;76; , – -- -- Final --- --- _ Storm Drainage _—, (Rain Drain) Final Sidewalk Curb&Street Final Approach C 6`7" 7 /° BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final T ! 3 City of Tigard INSPECTION REQUEST for INSPECTION TIME :_ -L=am PERMIT DATE: DATE ISSUED. OWNERS NAME : ADDRESS : //-"Yo CONTRACTOR : Y .---__- TEST: Air ❑, Water c , Visual El , Laboratory V RESULT; Approved , Disapproved ❑ , Pencim; SKETCH: i I 60 Q INS *OR DATE i [OTE : Attach supplementa! lett dc+te horetu i r ADORrSS nFRMIT PERMIT CHARGE none OWNER �` a CONNECTION FEE )AID E3Y TYPE OF Litill.0ING DATE CONNECTED INSPECTION FEE SERVICE RATE CONTRACTOR PAID BY DATE SIZE OF cONNEcrION ASSESSMENT PAID P a.e 1 1 lam. l �Y 1 � i N O //S3 Q__.S.N.1 . C�i..klV.41rJC?;7 ir7"