13045 SW 107TH COURT-1 10345 SW 107TH COURT
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ADDRESS �� /D PERMIT NO.
PERMIT CHARGE none
OWNER )ZI • ��2�
CONNECTION FEE S.z
PAID BY
TYPE OF Pi.111_DIN''A C=c�-- DATE CONNECTED
SERVICE RATE c) INSPECtION FEE -Z
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CONTRACTOR PAID BY ._ DATE
SI7.1 OF CONNECTION S� '' _ ASSESS,4ENT PAID
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C I ty of Tigard
INSPECTION REOUES'7
for
INSPECTION TIME : PERMIT
DATE : DATE SSI�ECti,.6. 3
OWNERS NAME :
ADDRESS' /-3,-P
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rONTRACTOR : ______
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RESULT.' Approve , Disapproved ❑ , Pending
SKETCH:
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Coity of Tigard
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I S PECTI O N REQUEST
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MPECTI CN TWE:12-T' MI T N0. : I
DATE: /;'S" DA;'E ;SSLED
OWNERS NAME :
ADDRESS:
CONTRACTOR :
TEST . Ai- []„ ?rc'e-C , Visuc; L,�o-otory C
RESUL : Approved Z,isa�proved D Pendin7
S KETCH.
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INSPECTO DATE
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City of Tigard
r NSPECTI ON REQUEST
for
IN�PECTiON TIME:: � �P1ERMIT
NO. : _
DATE: //�/7S� DATE ISSUED :— / Z
OWNERS NAME :
A DD R E.S S:
CONTRACTOR : 9Gc In
TEST : Air G, WoterEl , Visual, Laboratory p
RESULT: Approved ;CY , Disapproved O , Pending p
SKETCH:
INSPECTOR DATE
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BUILDING PERMIT APPLICATION TIGARD DATE___ 19 N° 0 318
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOP THE WORK }IEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —_—.
QWNER '�'" i1�/Il)T7 ADDRESS 1�0� ���• 107th
BUILDER PHONE
EfdGINEER
B LDER Gama ARCHITECT DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑5TORAGE❑SLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-LAND USE ZONE � f BLDG. TY^E__ FIRE ZONE_ PLAN CHECK BY_ rf�6 HEAT one
construct zA 1-517 aqo ft. Trams dualling with dayliwht baewmant
------- attached garage according to approved places.
A bedrooms
QCC LOAD V1 FLOOR LOAD 40 1b HEIGHT NO.STORIES AREA 31328 VALUE 40p►700
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE I' RIGHT SIDE
Permit l:i8.all
_- -
THIS PERMIT IS ISSUED :UBJECT TO THE REGULATIONS CONTAINED IN TNF BUILDING CODE, ZONING
Plan Check ? ��� REGULATIONS AND ALL ,WPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CC VTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State ��"� LICENSE. SEPARATE PERMITS RECUIRED FOR SEWER, PLUMBING AND HEATING.
Total8.56
BY -- r f s
--- APPI ICANT OR AGENT
Approved Ret-mril Nn
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DATE INSP. TYPE INSPECTION REMARKS PLLUMM UG DnTE
Contractor I _,Qz,r _
Permit No. — �� 8
�O Rough-in _.
101—kFixture _
Final _
HEATING
Contractor )x.[
[p•3o•7s
0• D v�G?/ �► Permit No. 3 7 y
Gas or Oil,�ir, /Y2
�'.o �w� ln, /• �. �f/[/�/lw!� "[s /.' n. Final
J a� �.. �• i r SEWEF6-&-71' v�
F nal
DRIVEWAY
Final
Storm Drainage _
(Rain Drain) Final
Sidewalk 9— .7S PVT or
Curb&Street Final_
rFinal BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY17 ng
17 nal
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