11333 SW IRONWOOD LOOP-1 Ipw ■s ww as wi as
11333 S6d IRONWOOD LOOP
f�
City of Tigard
INSPECTION REQUEST
_ for
INSPECTION TIPI : .__PEPMiT NO. :
DATE ISSUED —.1 J
0'N N F RS N A to E /�Z,17
ADDRESS
C 0 N T R A CTO R
TEST ' Air [j, Water El ► Visual [1 , Loborotnry C
Disapproved 7 P�-ndinq
RESULT: Approved ,
SKETCH:
�ASPECTQR DATE
50T t t a ch W d a?
i
City of Tigard
I
For
_,r,'•fs,.,,L`YL G i 1,T. _. /l.P.%/�',�C 1-1 — tom_i 1J e:tc��1 L�
l`JaREyT1�J� T:LIE . 'IF.?'SAI T No. .
DATE: JAl"E ;SSIX 0 :_—l. Z
CW,NEr^,S NAME : I
a�.,CRESS. 'x'23
C O N"R A C TC R ' L)-l- 73
TEST : As• �, , "'+'�'9~ Yi��c�` '. �-�tory I
' u
RESULT: ,3p,t -ied)Z Pendill i7
5 K T:H:
I
1
I
iFCTOR DATE
`NITS: Alta-,4 1.j^lemenlal test data hsi r t.�
City .of Tigard
INSPECTION RECUEST
or
s..r�....E'.� 1.11,
INSPECTION 1IM17 : PERMIT N ,.). ' --
DATE: DATE aSSJED:-1
OWNERS NAME : _
A D D R E a S
Z.0.4 T. FtaCTDR :
TEST: Hir Cj , Ainterti, 'yisud(".:, , ���arata•y
RE-31J1.T:
S:tETCH:
A Van) 1w,VV o -
i, r'E^.40R DATE
I
`NOTE : Woch •-jAp;ementnl 1W djtn here'
i97� /
A D D R ESS i 1, p J `'��� PERMIT N 0..__,_._
PERMIT CHARGE. sono
OWNER
CONNECTION FEE
__..�._._.__._� .... --_
PAID BY
TYPE OF BUILDINGf�',� ___ DATE CONNECTED 9/517s�
SERVICE RATE _ �, � s �_ _._ INSPFCTION FFE 01-�;, o
C014TRACTOR �./ PAID BY _ _ _ DATE
SITE OF CONNECTION ______�'' _._�_� ASSESSMENT ___ � _ PAID _
.rr: -,,.. r,, :,,y+.,.,..... - ..;. .-.,.ew•n.,....N,arwr�yw«wa::.�«n.•.�.,�••, •w•+w•Nn�+�rrip�i}.ilk'�}�N�p1M►•ei,nc;Ww�11R�tl'M�ww«::r+ww.,..w.,u.,pn,,.
CITY 0' N° 0405
BUILDING PERMIT APPLICATION TIGARD DATE_. • 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER "HONE_
QWNEA —_ �'�,i�" .r � '�r` AUDRE5S ''' _BUILDER PHONE_ •—
rr, ENGINEER
��'' ARCHITECT DESIGNER — —�
�STRUCTURE [[eeJ
LNEW ❑_REMODEL ❑ADDITION C1 REPAIR ❑RENEWAL ❑FIRE DAMAGE rIDEMOLITION
L ( RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGEDSLAB ❑FENCE
❑BOND OMOVING _ ❑CONDITIONAL USE ❑DESIGN_REVIEW ❑COUNCIL At-PROVED DSIGNS
OCCUPANCY'`LAND USE ZONE,,:__._:_—__BLDG. TYPE_y FIRE_ ZONE— PLAN CHECK BY HEAT_'
4,1-
J41 ,r, r J , ar y
_ — ,+cx
CO C.LOAD 16 FLOOR LOAD �f' r HEIGHT NO.STORIES AREF. 1 VALUE _
BUILDING A +- }
EPRTMEN7 SET BACKS FRONT ROAR LET-I'SIDE = RIGH1 SIDE
Permit - • `_�' __� � _��
THIS PERMIT IS ISSUED SUBJECT TO THE 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 ACCORCIANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THPS PERMIT DOES NOT WAIVE
fw RESTRIrTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY ------- - ---
- APPLICANT OI', AGENT
Approved Receipt P o
ADDRESS ZION.
ri
DATE INSP. TYPE INSPECTIONJ� REMARKS PLUMBING DATE.
�' ' 7�� *-ars►�i �w`� __ _ Contract r �-,
LZ _ ^� Permit No. 19,7 /y
r
917-7 4� _ — R_ Rough-in _
-.,.o Fixture
Final
HEATING
ContractorOF
Permit N c�7 /01/ 717
Gas or Oil cago Abe
Rou n-in
Final _
– -- -- —-- p1c_ SEWER
Final _
` — �---_— ~DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final _
Sidewalk�1U-/-7f
Curb&Street Final _
roach_
BLDG.DEPT.FIDIAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
SLandscaping
Zoning F inaf
` t)
f j
f
ars aa! w ! eae
Permit Issued CITY OF TIGARD, OREGON Permit No.--_ _ ---.—
City Ball
Application Appr,ved Building Department Cost of Installation2100*410�
B)'-
/ra j n4vm"04 ,�,rrdfaua$l Fee for Permit-
Applicant
ermit-Applicant shall fill in cost of installation only,
Date_ __- - above this double line. Street Sewer Permit
Application is hereby made to repair Plumbing Pipes or Fixtures according tc plans and specifications and
install description as given below:
Location of building-Number and Street_ 11333 SIJ Ironwood Looms
Lot _ _ Bloch___---- Addition 1 Ll ; A[a o fes.--
Name and Address of Owner._ -
!Jayne Helliolisont 302 NE 18th Avenue Hillsboro, Uregon
—
`i�_I`Il.atin Valley Pltrribin & Htf,;. 81(5 14W 2 lsts Hillsbor 0r�
Name and Address of Plumber_-- ` ..---- -----�-- ---- -
Building (Old or New) _ t"�.___-_- 1 Home
__ Height in Stories___-_ Occupied as
SCHEDULE OF WORK
NUMBER NUMBER _
FIXTURES New I Move Wpl'ce FIXTURES New j.Move I R'pl'ce
-- —. _ _ _ I I inFle Family
Water Closets_._—�_ - Fountains, Drinking_—
1 RRth E,:ch 025,00Bath Shower_ — ____ _ Fountains, Yard— V_
Bath Tub._ _ __ _ Fountains, Soda--_ ___.—.__ Additional 3 a th $10,0
Basins ___^_—-__.. _ t _ Hot Water Tank-
Sinks,
ank-Sinks, Ordinary___ -_ _ _ I Sinks, Bar
Sinks, D,shwashing __--Lf_______ Sinks, Slop_
Automatic Dishwasher_ _ Drains, Refriget-car_
Laundry Trays Drains, Ice Box----
Drains,
ox __Drains, Floor__ ___I_..._�I_ Urinals
Drains, Area _ . I � Catch-Basins, Yard
Rain Drains— Catch-Basins, Garage
-
—I------ ---
- -
Automatic Washer I _ Catch-Basins, Sub Soil—I� _
-I— _ �___.___-
Water Permit No. _- ___-- — -- Bldg. Permit No.--,-
REMARKS:
o.— -REMARKS:
Permit $35.00_3%. State-.01•05 3360 ^--- - - --
IMPORTAN I! --Plumbing shall not be installed in any building, (either new, altered, or repaired), except as shown or designated
on the corresponding building plans as filed with, or required by, the Building Department i,,+ accordance with the
provisions of the Building Code and Ordinance 62.19 of the City of Tigard.
repair the plumbing system according to this description. plans and s fical s and tbe Plumbing Code of the
I nc' a to altelinstall City of 'Tigard. -
Plumbing FirP_�la_tifl Valles PlUrrlbirng Htg
Supery dor:
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