9280 SW INEZ STREET-2 9280 SW INEZ STREET
SWIM,
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ADDRESS
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ADDRESS „�', t� PERMIT NO.—
PERMIT CHARGE non__.___ _„_____
CONNECTION FEE
OWNER - --- /I
PAID BY
TYPE OF BUILDING nJ J�.ff,«C_- DATE CONNECTED
SERVICE RATE? moi ., INSPECTION FEE
PAID BY ��� .aY¢ ..L-t,DATE
CONTRACTOR �, PAID ^_
SI?E OF CONNECTION y'� AS ,ESSMENT _ __,_�
INSPECTION RECUEST
for
INSPECTION ''l IE ; "`� _ PEWV'
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TEST' air — , h-ter o , Viuc! . a��rV •y Z
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.. .•TOR DATE
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City of Tigard
INSPECTION REQUEST
for
INSPECTION PERMIT NO. :—
DATE: /
O. :DATE: ./2 ' DATE ,S S U E D :___L__L__
OWNERS NAME : . �4 w•r_ ---
ADURESS: to
C 0 N TRACTOR
TEST : Air `„ Weter�,3 , Visua � , L i -,oratory r-
RESULT: Approved Dista,)proved 7 , Pending
SKETCH:
INSPECTOR DATE
COTE : A!tach supplemental teat data hol , ill
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City of Tigard
INSPECTION REQUEST
for
Da
INSPECTION TIME: PERMIT NO. :__
DATE: ea /,4 /71' DATE ISSUED :--L-, —
OWNERS NAME :�,�: �a ••- as _
ADDRESS:
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CONTRACTOR : --
TE ST : Air 0, Water C' , Vteual p , Laboratory
RESULT: Approved El , Disapproved , Pending
S KETCH:
64
I
INSPECTOR DATE
CNOTF : Attach supplemental teat dai ,i iji—
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City of Tigard
INZ`3PECTION REQUEST
for
_ r."L
INSPECTION TIME : �� %'"? PERM!T NO. : -
DATE:
O. : _..._DATE: L: UATE ISSUED:...
OWNERS N,1ME : ..
ADDRESS :
CONTRACTOR :- -
TEST. Air p , Water p , Visual,9 , Laboratory p
RESULT: Approved 0 , Disorrroved , Pending p
SKETCH:
INSPECTOR DATE
`NOTE. Attach supplemental test data hsrelo�
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INSPEta"TIN REQUEST
�S 7 R t
for
DATE: c7 .'121 DAT. F ;SS EO :�LL_
OWNERS NAME ' Iwai-t _
CCN;'RACTOR : i L wr
TEST : Ai- C, qc's- Yta•:�� t ". L���-ntory ❑
RESULT: Apprc"ied� Pendin 7 O
Fin✓S�
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!9 CTAR DATE I
LNOTE: A!taah supplemental test data hnrein
"Vol"
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BUILDING PERMIT APPLICATION TIGARD DATE ��27 -?N° 0363
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND ADPROVED IN i HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER Pi�HOE� --
OWNER 13"' COOPS' _ADDRESS � 6 °�� ,11011 ILL lO BUILDER PHONE
ENGINEER
BUILDFR r!!1H�lC1C NAthaw*y ARCHITECT DESIGNER _
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE [--]DEMOLITION
❑ RFSIDFN CF []COMM ❑EDUCATIONAL_❑GOV'_T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE []STORAGE❑SLAB [:]FENCE
_❑BOND OMOVING ❑CONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-L� LAND USE ZONE_ 1-�BLDG.TYPE FIRE ZONE 1 PLAN CHECK BY Cfa HEA7___�
uk*atJ1i aow t.instrurt 1713 sq. ft, frame dwelling With attached
gorage - no basement yroordiny to approved plana --�
OCC. LOAD FLOOR LOAD 40 1b HEIGHT _ NO.STORIES AREA M VALUE
_ BUILDING DEPARTMENT SET BACKS FRONT _ REAF J. LEFT SIDE_ 11 RIGHT SIDE /
Permit 142,00 V
THIS PERMIT IS ISSUED SIIRJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check '11000 REGULATIONS AND ALL APP:ICABI_E CODES AND ORDIN-NCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCOROANCF WITH THE PLANS AN-1 SPEC171CATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND -RDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 1*41 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total i 14.47 -
rigpl.r 4.
B� APPLICANT OR AGF NT����� - _—•
Approved rf* Receipt No.
—' ADDRESS -- -- -- PHON
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
-
_ Cootractor _
Permit No.
Rough-in —_ —
r
.�. Fixture
Fi,,cl — __ - — ---
HEATING
f-2 7P ,eis Con+ractorA ..&1& .
Permit No. 91 7� ��
Gas or Oil
_ Rough-in
_ Final
_ ---- — -- - _SEWER
Final _
DRIVEWAY
Final
Storm Drains
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
SLOG.DEPT. FINAI TEMPORARY CERTIFICATE OCCUPANCY _
``� CERTIFICATE OCCUPANCY Final
—
/b d�7 ' J Landscaping
Zoning Final
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