11550 SW GLENWOOD COURT 11550 SW GLENWOOD COURT
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BUILDING PERMIT APPLICATION! cUF TIC ARD DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APEHMIT FOR THE WORK HEREIN INDIU.TED BUILDERPHONr X159 1760
OR A;.' SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. (nlrrIERPHONI-
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OWNERMr• f"lr�i• Patti JOB ADDREiSS 1��l�JCI �A; Glenwood ri'I+CIMEADDRESS
ARCHITECT
ENGINEER
BUILDER
BUILDER — I°G t-i, i_' . :'. _ADDRESS DESIGNER —
STRUCTURE ❑NEW ❑REMOL EL GIADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
ORES'-,,ICE ❑C(1MM ❑EDUCATIOIIAL ❑GOV'T DRELIGIOUS❑PATIO ❑CARPORT ❑GARA:iE ❑STORAGE❑SLAB ❑FENCE
MOND ❑MOVING ❑ONDITIONAL USE ❑DESIGN^FVIEW ❑COUNCI!_APPROVED ❑SIGN.,
i,-.'f '.--FIRE
OCCUPANCI' I .LAND USE ZONE __BLDG.TYPE ' -FIRE ZONE__F�_',N CHECK BY_ HEAT__
(I "t. i1; ILUiuvs.sr fear wLtiii;h A(.i dri-tL1i(t6, — -�
14 X 24 p',r code requiremants
QCQ.LOAD _ FLOOR L0 AD___— HEIGHT _ __NQ_fiLQRIES _._SEA A.Q. 50ROQM>. VALVE___
BUILDING BUILDING DEPARTMENT SET HACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit :. 1(1 -- -- ----_--= ----THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIO?AS AND ALL APPI.ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREF.O THAT THE
"— — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
----^^t--- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICEN3E. SEPARATE PERMIT'S REQUTAEn FOR SEWER, PLUMBIN' AND HEATING.
Total ,,211
BV —...
-- APS" 'L ANT OR AJENT
Approved Receipt No.
hUFtESS - PHONE
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ADDRESS- SO J �• �.fr� L PERMIT NO.
PERMIT CHARGE none
OWNER - CONNECTION FEE
PAID BY 7s� �
�_ DATE. CONNECTED
TYPE O F B U 11.D I N G ��__ _ _ .. _...�._...—
SERVICE RATE 5r," �-« Q-��� INSPECTION FEE !�
CONTRACTOR PAID BY DATE
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ASSESSMENT PAID
SIZE OF CONNECTION
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City of Tigard
INSPECTION REQU ES -r
for
INSPECTION TIME: t � PERMIT NO. : "-63(
DATE: 3 DATE ISSUED .._./l/3/ 76
OWNERS NAME -----
ADDRESS: ' � <ti�
C O N T R A C TORTEST ' Air ❑, Water[] , Visuol p , Laboratory C
RESULT' Approved Disapproved �i Pending p
SKETCH.
3/ .
lNSt'F R DATE
10tE; Attach pmerfri a umre p�
City of Tigard
iNSPECTION REQUEST
f o r
INSPECTION TIME: PERMIT NO. :--
DA .'E : DATE I SSIJED
OW,",_RS NAIVE :
ADORESS: 7_1_�_WE� �Z
CONTRACTOR ' _,L '0
TEST : Air 113, Woter ci , ViSuOl 0 , Laboratory 0
RESULT: Approve MSOPProvad Panding rj
SKETCH.
6R -DATE
r__?OTF Attach sujrjjmto.rir I jslt .1(It j, he
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : _._.
DATE: DATE lMJED:---i
OWNERS NAME . L�-- �
i
ADDRESS : l /S- ..S v S,
iu 0 N T R A C i 0 R :
TES'l": Air C , '1Vaiar Viaual`e, Laboratory o
RESULT' Appr1ved ;2 Disapproved J Penling C
SKET11:
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I.-VS ECTOR DATE
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CITY OP
BUILD"G PERMIT APPLICATION TIGARD DATE 'a' 1� 'N° 0631
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 1HE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. QRPHONE
Smith *Ws Glenwood
QWNEFI _ ADDRESS BUILDER PHONE
ENGINEER
BUILDER — ARCHITECT _ _ DESIGNER _
�STRUCTURE (jNEW ❑REMODEL ❑ADDITION_ OREPAIR —❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
LJ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAc=C O STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVIP',, ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
OCCUPANCY___LAND USE ZONE, BLDG.TYPE_ FIRE ZONE_TPLAN CHECK BY _ HEAT_��
cunt3 1'UC — OPlit 1&V@I ir.s4.ma dWe i nii,, with attaohoij
garage
OCC. LOAD _FLOOR LOAD 41(;1 lb HEIGHT NO.STORIES i ARFA 1493 VALUE
BUILDING DEPARTMENT SET BACKS FRONT RLl1R 461 LEFT SIDE l fJ l RIGHT SIDE t
Permit i. «t — --_---- — --_—' - -- --
THIS PERMIT IS ISSUED SUBJECT TO T;-IE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE 'PITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording AL1. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOI WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
191 State bLICENSE. SEPARATE PERMITS RE.JUIFIED FOR SEWER, PLUMBING AND HEATING.
Total 156.` f, .%
By
APPLICAN'r Op AGENT
Approved Receipt No ADDRESS
DATE' INSP. TYPE INSPECTION ��--- REMARKS PLUMBING DATE
"/,f� , ,i _ _ Contractor
. -( �— — ��o
IlyPermit No. "1� Sr
Fixture —_
Final
HEATING
ContractorLl -t4 Kn -� 2�111-N
Permit No. 3
Cas or OilA4-40042—:2-3
Rough-in_—
i Final
----- W-- — —� SEWER. -� 1� —
_ Final
�s DRIVEWAY3-%2-74. /!,
Final
Storm Drainage
(Rain Drain) Final _
V— Sidewalk
Curb&Street Final
Approach -3-/Z 7(�
RL DG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final T
CERTIFICATE OCCUPANCY —
Landscaping
Zoning Final
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