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.11357 SW IRONWOOD LOOP
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City of Tigard
INS^`CTIO U RECUEST
for
INSPECTION ^TI KIE : PER!A IT NO. '
DATE 27/ 24 DATE ISSUED:!:./i7/7S
OWNERS NAME : 'y e.4,-e- •,
ADDRESS :
DON i RAOTOR :
TEST: Air 0, water ❑ , Visual C , Laboratory p
RESULT. Approved , a?aapproved 0 Pending C
IX E TOH:
S
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I NSPE�TOR DATE
[NOTE: Atteoh tupplemente feet data here!]
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City of T i g G rd
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INSPECTION REQUEST
for
IINSPECTION TIME : PERMIT NO.: —
1 DATE'. • DATE ISSUED:—i
OWNERS NAME . 4 - L{lc k
ADDRESS : 7-
CONTRACTOR :CONTRACTOR :
TEST: Air ❑, Water Ci , Visual) , Laboratory [:I
RESULT: Approved Disapproved ❑ Pending, � , P p r 9 ❑
SKETCH:
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J INSPECTOR DATE
CN OTE; Attach supplemental ftot date hurat�
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ADORESS PERMIT NO.
PERMIT CHARGE none
OUNER _ '' _f �*� CONNECTION FEE
___ _ �'��11... Q f C 0►n PAID BY
TYPE OF BUILDING •� �— DATE CONNECTED /I 3 7 _
SFQVICE RATE INSPECTION FEF -2
UN; RACTOR �� el PAID BY DATE
SIZE OF CONNECTION ;�_ � _ w_ ASSESSMENT PAID
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City of Tigard
INSPECTION REQUEST �
for
MPECTION TIME: PERMIT h0. :
DATE: �1.� Z. - DATE ISSUED :.--L-Z.
OWNERS NAME: :
CONTRALTO R : -6
TEST : Air O,
Woterg, Vieual ,�, Laboratory E]RESULT: Approvsd�v , Disapproved ❑ Pending ❑
SKETCH:
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ss s ..n � wal qpr filA1
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CITY Of 10-17 7 '' N-�u 0531
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 AN.q,sPWYICTIP Sp eVy �D
-QWNER_ 14 Mayne Hellicksarl ADDRESS 11357 S*ws Tronwood Lion QVILDERPHONE
ENGINEER
BuILDEf3 .,�liilA _ARCHITECT i DESIGNER _
STRUCTURE QNLW ❑FlEMODEL ❑ADDITION LU REPAIR ❑RENEWAL r-IFIREDAMAGE ❑DEMOLITION
❑RESIDENCE ❑COMM ❑E.DUCATIONAL ❑GOVf EIRE LIGIOUS❑PATIO ❑CAH PORT OGAHAGE ❑STORAGE DSLAP [-]FENCE
E]BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY— LAND USE 70NE"__ BLDG.TYPE__-' FIRC,ZONE PLAN CHECK BY—� _ HEAT _
cora,*Aruct 146U sq. ft. PrMillu dwralling with attached gorego I1(a
b:sament according to upprovud plans
3 !jedruam»
C LOAD FLOOR LOAD _ HEIGHT NO.STORIES _AREA 1912_ VALUE 32 sou
BUILDING DEPARTMENT X11
- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ! :,6.
-- " THIS PERMI" IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check lq.L REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONF. IN ACCO,IOANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE ''IDES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES 1307 WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB ;ONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICF'JSE. SEPARATE PERMITS REQUIRED FOR SFVI'eR, PLUMBING AND HEATING.
Total
BY
-- APPLICANT OR AGLNI
Approved Recalpt Nn
ADDRESS — ------PHONE ---------------
;i
DATE INSP. TYPE INSPECTION REMAHKS PLUMBING DATE
Cr.ntractoyr _
//-�• 6
-7460 /,s _ Permit No.p it,
Ll/ Olk F ough-in _
Fixture
0O �Lg� Final
HEATING
C-T Contractor t4&• o / �`l�✓
^ 1fJa � �1�_—w� Permit No. .2,9
Gas or Oil
l/ LZ-75 Ole- '7v GpJt�72� _ Roughlin �— -- —__----
��"�S� Final_—_ ---
/L•2 '— — —- -- w ---� = ===—=---
SEWER//-3-'25'
Final _
DRIVEWAY/,�-'.
Final
Storm Drainage _
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach _
AI_DG.DEPT. FINAL. TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final —
(�_� �I Landscaping
Zoning Final
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