11395 SW IRONWOOD LOOP 11395 SW IRONWOOD LOOK _
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone- 6394171
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Type of Inspection
A-- i.� ,
!Date Requeaed__ T�� Time .�,- A.M. P.M.
3� _ e
i.4ddress _1 � ',^ � � rmit
Owner __— Lot # _
Builder
the following Building Code deficiencies are requireo to he corrected:
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Presented to / P Approved
Inspector _-_ ` a �_ � Disapproved
Date
CALL FOR REINSPECTION
YES +NO
Q Q Q Q Q Q Q ■ Q
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 6$9.4171
Type of Inspection
Date 4eyue/st'ed_ ///2-/69 /Time_ A.M. P.M.
Address �, _ �' Jy✓ ���l7CJi �(� r Permit # ,202
Owner__ t 1,111(l) s 1, Lot #
Builder _ �� C-�s --
I The following Building Code deficiencies are required to be corrected:
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Presented to
Approved
Inspector
❑ Disapproved
Date
CALL FOR REINSPECTION
f-1 YES [;ANO
CITY OF TI17ARD No. 037J
12755 S.W. ASH
P.O.BOX 23397 Date_'`
TIGARD,GR 972,I.3
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Name f (
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Adtire�c ,> `
Lot BlocklMapy Subdivision/Address
Permit ff's Bldg.p� / Plumb Cash Chock
Sewer Other — Other Rec. By
Lt
Acct. No. Description i Amount
i 10.432 Building Permit Fees
10.431.600 Plumbing Permit Fees _
10.431-601_ Mechanical Permit Fees
10.230.501 State Bldg. Tax —�
10.433 Plans Check Fee _
10-435 Other Licenses & Permits
30.443_ ! Sewer Connection
30.444 Sewer Inspection
24.448 Street Sysl. Dev.
i-5--449-61 0Parks I Syst. Dev. Charge
25.449.620 Parks II Syst. Dev. Charge
_31.450 i Storm Drainage Syst. Dev. Charge
10.430 Business Tax —
10.434 Alarm Permit
10-227 _ Ball _
10.455• ._ Fines • Traffic/Mlsd/Parking_
10.230- _ CPTA Traffic/Misd/Vic. Asst.
10.436 Indigent Defense
30.446.401 Sewer Service/USA
30.446.402 Sewer Service/City
31.447 Storm Drainage
40.475 Bancroft Prin. Pymt•
40.471 Bancroft Int. Pymt. _ _ 0
10.451 Other Charges for Services
DEPT.
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BUILDING PERMITAPP'_ICATION TIGARD DATE._�tn1iS- 16 ___,t9 _ 5061
THE LINDE9SIGNED HEREBY AI'QLIL:,f OR A PERMIT FOR I HE WORK HEREIN INDICATED BUILDER PHONE '
OR AS SHOWN AND APPROVED I,I TH:ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE __LW_—WJE—_
LOT NO.
OWNER dun i.Qen JOB ADDRESS__ 11395 SW_Iron aW Clay _—
LaO. ARCHITECT
ENGINEER
BUILDER
�She lbur ee Deve to ment ADDRESS 155 8 AwAua _ DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL EXADDITION ❑ REPAIR ❑ RENEWAL Q FIRE DAMAGE ❑ DEMOLITION
_j_RESIDENCE 11 COMM ❑ EDUCATIONAL U GOVT Cl RELIGIOUS ❑ PATIO ❑ CARPORT_❑ GARAGE ❑ STORAGE ❑ SLAB❑_ FENCE
OCCUPANCY _1 3_ LAND USE ZONE !t7—BLDG.TYPE _ 1�. FIRE ZONE----.PLAN CHECK BY EIV HEAT – Gaa
Construct addition to Unple family deeellin& all leer approved
_ Plane and COJe re uiq remonts. Add 1 bedroom 1 Bathroom
Plumbinb Permit R:yuirweci. Mechanical i ernit Rrquired.
SEWER PERMIT N
OCC.LOAD FLOOR LOAD HEIGHT _ NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT _ REAR — LEFT SIDE v RIGHT SIDE
Permit Iy3.W _ THIS PERMIT IS IGSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 125.45 WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 318.45 Y RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
7.72
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _
Total 326.17 SDC-
-
By PDC# 4PPLI N oR Adt 1
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Approved Erw
Receipt Jo. ADDRIEN PHONE
1
DATE INSI! TYPE INSPECTIONREMARKS
`
�Q R/EMANK8 PLUMBING 4J --- Cc.,tractor --rj
a Permit No.
iib - O�L�r� Rough-In GK✓
I-'►� - —G��-z.��— -- - ` Or' Fixture ---- - --
�a� Final
HEATING —
Contrac or
2`�-""
Permit No.
---
---- _ Get or Oil
----- -- - Rough-In -
_.--
- -- _--- SEWER -- -
DRIVEWAY -
___— Final
---- --- Storm Drainage
(Rein Drain)Final
- -- A� Sidewalk
--- Curb 8,Street Final --
BLDG DEPT.{'MAL - -__ Approach - -
TEIdI <,^ARY CERTIFICAI: OCC-LWANCY —
CERTIMCATE OCCUPANCY EL
Landcceping
_ --- ----_ Zoning Final
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City of Tigard
INSPEC
INO N REQUEST �S
for
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INSPECTION TIME : A /"?.' . PERMIT NO.:
DATE: _1-J2'"LZtr- DATE ISSUED:..
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OWNERS NAME : J , ------
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ADDRESS : L -7 ,21- I"" ,.tea. «
I CONTRACTOR :
TEST. Air ❑ , Water ❑ , visual ❑ , '_a boratory ❑
RESULT. Approved , E isapproved ❑ , Pending [1
SKETCH:
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ICNo7'E Attach supplemental t*st doto horst]
ADDRESS //. 9 �`+ �� PLHMIT N0.
PERMIT CHARGE non®
0WNER _ . CONNECTION FEE
PAID BY
TYPF: OF 131JII_DING _ � . DINE: CONNFIJI'D
SF.IIVICE RATE �.ttGc. INSPECTION FEE
CON i RAC TOR _ � cj/ yc�Cti PAID BY DATE
SIZE OF CONNECTION '' ASSESSMENT _ PAID
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(-Aty of Tigard
fir
INSPECTION REQUE,3T
MPECTION TIME: % PERMIT NO. :
DATE '. i/,?y: 7S DATE I S!-,I J E 1)
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OWPJr---RS NAMIL" ' "'L
ADDREST, '.
'
CONTRACTOR '.
T r. s T A i r f j , Wc t 6<4 Visna! Loboratory 0
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V` T'. A p p rov-1
Disc Pending Cl
SKE CHC/
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L4{' CITY Of
BUILDING PERMIT APPLICATION TIGARD GATE ��"�� _,19 �:�N 0526
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. {O jiff PjQNEgg� Zj
MNER kjob `dBi�tll ADDRESS d.�J i • 1 runwoutj LuuBIJILDER PH�N�
ENGINEER
Rill I rwg QUn&i — ARCHITECT11-1_– DESIGNER
STRUCTURE _ANEW ❑REMODEL- DADDITION DRErA1R ORENEWAL ❑FIRE DAMAGE ❑DENIOLITION
RESIDENCE 3COMM ❑EDUCATIONAL DGOV'T DRELIGIOUSDPATIO GCARPORT ❑GARAGE DSTORAGEDSLAB [:]FENCE
_MOND DMOVIN-, ❑CONDITIONAL USE ❑DESIGN REVIEW GCOUNCIL APPROVED ❑SIGNS
_OCCUPANCY t LAND USE ZONE ���•�BLDG.TYPE FIRE ZONE____ "PLAN CHECK BY_ TFQt HEAT J _
c onstruc:c. 1665' ati. , I,. Yrama) duelling with attached garage
no besemont reissue 11312 S.U. Ironwood Loop --- `-
---- 3 bedroom
0".1=OAD,_�� FLOOR LOAD 0 11) HEIGHT - NO.STORIES 1 AREA "'116 VALUE 330500
BUILDING DEPARTMENT_ SET BACKS FRONT REAR 68 LEFT SIDE 1 A RIGHT SIDE. 7
Permit 136,00 _ —.--
_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONIAINFD IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE, AND IT IS HEREBY AGREED THAITHE
WORK WILL BE DONE IN AC':ORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Ur- THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS T.) HAVE CURRENT CITY BUSINESS
1%State 4.013 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 15 0.V
BY _—�_ _�- -- - – – ----– -------— -
_.�_____�_ APPI WANI OR AGENT
Approved Ira Receipt No.
ADDRESS PVTcvir
DATE INSP. TYPE INSPECTION REMARKS Fe
LUMBING DATE
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t..,z- --- -- - _ 10
/31h s
/l-/p- o_ S
'7f J- _ Hough-in _
Fixture
_ Final
HEATINV
Contractor
-- -- — -- - -- Permit No.,
Gas or Oil" -z✓ /� - //-a
Hou h in
Final _
SEWER/1-375' OK-
Final —
DRIVEWAY/-7-74 � `--
Final
Storm Drainage
(Hain Drain) Final
Sidewalk
Curb&Street Final
Approach
F)LDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
l
Zoning Final
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