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12445 SW 122ND AVENUE ww w JUIF=fflRWWMI� 12445 SW 122ND AVENUE _ w U I fit '-1 Q U G N N Ln 10 d Q N .-1 i City of Tigard 1 NSPE!.*0"'Tl0N REQUEST fo ' I , G✓ INSPECTION TIME . _ PERMIT NCi. ;._._ DATE : 11L, DATE ►SSLIED ,_-_1L 6 UINFRS NAME ' ADDRESS: _ G =_'' .'� ` CONTRACTOR TEST ' Air �D, Water 0 , 'disuo! Laboratory p f 9ES►.11_t' . Approvndx , Disappeoved ❑ Pending ` S KETC 1 1 i i i i INSPECTOR DATE CNOTE 'elf c,n: , 1 i 7,N� � W T''M1Vti /•1rK�J`�tl�� P �.ry �� 4Y1� � 4•�%� r;i� 'Si'; y,r;% ♦ �l,' e r .� ;"�.. r`i(�.��J��4u4 ����'' OF Y OF TIGARD �. OtZECON ,+ Owner:..D.W.Q.....Contractors.................... Permit No......0.1.38 ... K Building Address.........12445 S.I,i.. 122nd. Place......... ................................. 75 Certificate is hereby given this........23rd..day of...APril .. ......................... 19. . that said building may be occupied and j • that it complies with all requirements of ' the Building Code for the City of Tigard,gfi Y. as approved by the Tigard City •Council. Td � a;} Building Inspector �r /•,.A �utr+�:�y �.��� ��•Y �� '�.�!"��if�S,i�iY,l,��i-a��'6•^`•"�'�� fer�l O soe••�a �..,.r..r u� w w wo City of Tiga 1-!J INSPEL FION REQ ,� for fJ INSPECTION TIME : r)ATE: _!?L //­­ 7� DATE OWNERS NAME -. ZQ,&), D , - ADDRESS : — TEST*.Air D., Water U, visualk, LOnrelf, REIULT: Ar: rovrdK , Disapproved n SKETCH: I N S P V C T 0 R, �N07ff: Affoch ausplesn*00 teiii ADDRESS PERMIT N 0. 60 2 _ PERrIIT CHARGE ~` OWNER _ CONNECTION FEE PAID By TYPE OF BUILDING amu. DATE CONNECTED U-/ 7--1 SERVICE RATE JXgkjz6(- INSPECTION FEE �� s- CONTRACTOR PAID BY�_... _ DATE SIZE OF CONNECTION 9e" ASSESSMENT PAID 1 i i i City of Tigard 1 ?4jl,LW�L.(;,noN REQUL, for IN38PEC,rION J41 'E. ©WNF RS NAME : CONTkACTOR TE V ..ierU visuc, - RESULT' e-,- prr(. Cl v / �fi L �'' ►C� s7c o S CID 5 I Ne C�. � . ,•IQ4., . , rr , .� • ,� ,i �•� •,fir 1 ALL SPACES MUST BE EITMORNS'PI) PRIOR TO C"o BUTLD!1.-G PL*,,'-',IrilT i..--,.IiTNG DI'E'T. 'Dat DEPT. By U TTl)lNG DEPT. Ly 111to RURAT rate CITY TIGARD BY-- .-TI TLE------DATE---...-- FALWMWNJUNArwIw-�aWWRAm City of T " gal-U �e,, INSPIIXTION for 1:-)RIV9,LL,)A/Y A-VPRA, AcA.- I INSPECTION PERV:T Ft's PATE- .3JAILWDAT k: ADDRESS : k A C.' 0 R -JET TIF.*TAir Cl, Water visual� 1-0! 05rnfv $:(.E,rcm: z I N SP V.C T 0 F%. IVO INOTE: Alfech Ae*t dos's lhwr..� l w w w w w City of Tigard 0, , ti. INSPECTION RE0k,.lmSl f o,r INSPECTION TIME :&K��PERR?;T (-.6 DATE: ® DATE ►�5� : :: OWNERS NAME . �'`' � _._.._ ADDRESS : CONTRACTOR : TEST:Air 0, Water ❑ , Visual . Lai RESULT: Approved O Disapproved I' SKETCH: rtwe. S fns o7" 70 INSPk:CiO.* 0 [OTE: Attach tuaplimantal feat 40'9 br'. f wpYW".:'1916.'a'4T ir'au.....:.�.. .—.p......m .:n...,an +. _.... CITY 01c BUILDING PERMIT" APPLICATION TIGARD DATE a —rY_ 19 N-(1 0138 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE____ OW'VER 00WOUw Contractor& ADDRESS 11445 9U* 112 Placi - BUILDER PHONE ENGINEER BUILDER ®&ifl1t� ARCHITECT _ DESIGNER _ STRUCTURE _ ElNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ^r ❑DEMOLITION ® RESIDENCE_❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAN PORT ❑GARAGE ❑STORAGE IJSLAB ❑FENCF - ❑BONG ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE BLDG.TYPE r FIRE ZONE._ PLAN CHECK BY HEAT OCC. LOAD FLOOR LOAD_ HEIGHT ____ NO.STORIES AREA e? VALUE _ BUILDING DEPARTMENT SET BACKS FRONT 23 REAR 92 — LEFT SIDE ZC RIGHT SIDE 16 Permit X�� ��7. — — ---- INIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check $30 5n REGULATIONS AND ALL APPI(CABLE 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 riESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS tO HAVE CURRENT CITY BUSINESS 146 State 1.G7 - LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HFATING. Total 252.17 By R A _ APPLICANT OR AGENT ---_-- Approved � Receipt No. _ __.. - - ArnDRE55 0 INV -- DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor _ Permit No. E: ou�h•in — — 1�� ,,c—p�..�� o-/ Fixture s 7CS 7 Final CA — �Q ¢ol —.rc� e �a..��.✓' — --- — HEATINGSp...•�U .C°_�� Contractor f _ Permit No. — —/0->3 Gas or Oil _ Rough-in G Final oZ �5 75 i ctG rcrr• _ ° �ti ?'—�tt :u� -- SEWER Ir Final DRIVEWAYC 3-j.3•)S Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final -- — - A proach t, C 3-I.9-7.5� 6LOG.DEPT, FINAL TEMPORARY CERTIFI;ATE OCt •ANCY Final /. CERTIFICATE OCCUPANCY r' Z S _ �f'_ Landscaping �` , Zoning Final