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13085 S'vV 107TH COURT �.
v
lIODRESS J 7 PERMIT
__.._.
PERMIT CHARGE JEW, none
!ilJiJl.R CONNECTION FEE
_..__,.. PAID BY
TYPE OF BUILDING `j��--t--+���--�-•---� ._ DATE CONNECTED
SERVICE_ RATE _ y/ � �� INSPECTION FEE
CONTRACTOR _ 7 "''y PAID BY __—^-- OA T E
SITE OF CONNECTION `f � ASSESSMENT PAID
City of Tigard
INSPECTION REOUES.,,
for
INSPECTION TIME :-- A M, PERMIT NC. 9 a
DATE: --:7P2-JZ-(kDATE ISSUEp:—,rWZZLa.r
OWNERS NAME .* ��
ADDRESS : _13v�� 1 fv / 7� C
i
TEST' Air ❑, Water ❑ , Visual D , Laboratory
RESULT: Approved,,"�' , Disapproved ❑
I SKETCH: a } �1
t o A
INSP OR DATE
ICN01E Attach suppiementu' tett data her.,t',�i
City of T ; gcrd
INSPECTION RECUEST
for
INSPECTION TIME : �� �`''� ?E'R"AIT y'). ' —
DATE: ATE ,SSJE0:�
�'NNERS y :►NIZ : —
ADDRESS 13
:",NT. R a^70R
TEST. Air C-9 fi-ter ✓isual, ; a5a•a!�-y
al E TCOX
I
f
I
I
, ASPE, ./TVR DATE
`tet : At'.ach i iaC amental let' d ito here*]
I
City of Tigard
INSPECTION RECU EST
for
IINSPECTION TIME : //%0-CPERMIT NO. :
DATE: /.i �-�S� DATE ;SSJED:._..j
OWNERS NAME . .
I
ADDRESS :
TEST: Air C , Nater, Visual , LaboratoryC
RESULT: Approv4o r ';3:1pprored C Pending ;]
I
SKETCH:
I
INSPECTOR DATE
ILNOTE : Attach supplemental tot' data here']
w ! w t
caw-roar.x-x.•�,ri..".ww�'.ww►ytf�Y:-sina�,t., ... _,_-�.$?�'�'t�i`^"�' !�'I!!'�"R�r+'ti.;�d ,
CITY Of
BUILDING PERMIT APPLICATION TIGARD DATE — l ,9 7;;N° 0342
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
OWNER Per U, N»rgetrom ADDRESS 13085 `. oil;• 1117th r-+.
BUILDER PHONE
ENGINEER
BUILDER junFAZ ARCHITECT �lru',Lniar DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION El REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL_❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE _BLDG TYPE FIRE ZONE__ PLAN CHECK BY ___ HEAT
5Nly. lVVwj -liitgy with OtLat'EVAJii (Jura
according to try approver. plans
3 4 bedroome
�c:zr.: e7,Q0p
QCC. LOAD ___ FLOOR LOAD HEIGHT NO.STORIES � AREA J''" _ VALUE "
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE a RIGHT SIDE
Permit ;,200f? - —
THIS PERMIT IS ISSUEn SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 6,,(1 E1 REGUI_ATIui::; ..NO ALL APPLICABLE 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. TVE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
-total b-l''r
BV
-- APPLICANt OR AGEN - - - ---
Approved r�— Receipt No ----T
---- _
ADDRFSS - -. PHO
DATE INSP. TYPE: INSPECTION REMARKS PLUMBING DATE
sp
Contractor
Permit No. T 3 qs
Rough in
Fixture
lIL.,, Z1, �4 Final
HEATING
1-ew, -eorz Contractorgm., d"d
Permit No.
LAe- I Gds Or Oil
Rough in
6�-, Te---c Tw 6-,41- Final
SEWER f'lk-7f
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT. FI Al TEMPORARY CERTIFICATE OCCUPANCY
CERTIFI ;ATE OCCUPANCY Final
Landscaping
Zoning Final