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THF QUALITY OF THE ORIGINAL ---- --
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24
1992
� � 117
�► e� �m +�F SIF � !II � � �
12180 SW 126TH AVENUE
�. PERPIIT NO. 0 1 a '
ADDRESS 1 �i �- �-�..�. _ Sa. s,.� --_- 5�.
PERMIT CHARGE none
OWNER _� CONNECTION FEE ti
PAID BY
.TYPE OF BUILDING DATE CONNECTED
>ERUiil RATE / A-tleL �. �._ INSPECTION FEE 5
C O N T R A C T O R
PAID t� DATE
T E
Y ��.,�a��--_
`iIZE OF CONNECTION �'�` ASSES5MENT � , _ PAID _�_�_
It'
C +ty g cr� s
INSPECTION RECUEST
fir
INSPEDTION INME : ?ERM!IT yn-2`�1 `7
3ATE;iv ��i�� 7'A"E ,SSJED:....�
N N E R S N *4 hl E : 7—
A1)DRE33
� YTrZ a�' R
TEST' air L, , ,hater 0 , ui9v9l
i�- y-
1SrE TOR DATE
CatE: At"ach Supp;amental !*0 d y!9 here'33
City of Tigard
INSPEC T ION REQUEST
for
INSPECTION TIME : PERMIT NO, : —
DATE: WE ISSUED:
OWNERS NAME : y
ADDRESS : 9,0.__ AlAx"
CONTRACTOR :_
TEST: Air ❑, Water p , Visual p , Laboratory ❑
RESULT: Approved ❑ , Disapproved ❑ , Pending L
SKETCH: �cA-f j <-, y.t
Cut- ,,av
i
I
INSPECTOR DATE
NOTE: Attach supplemental test data heret]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: f-LZ17S DATE ISSUED
OWNERS NAME : x,-:r-7-
A D D R E S S:
CONTRACTOR
TE ST : Air ❑, Wate�, Vieuo)en , Laboratory ❑
RESULT . Approved , pier ,)r-.v c► Q P,pndinq ❑
SKETCH:
L._.__
� r
1000
+fi,I FCTt►: `DATE
_ � . .
-..+rw-.-..•►-�v—......-._-:i,,..... J�.+'c"M1�7��'.�,.P,.. ..,�r�w:..+..�..w.r�ln�i�A _. ., �*'MYr;S:��.ro{'R.:.. .�
CITY of
BUILDING PERMIT APPLICATION TIGARD DATE 3w28 -__, ,9 N° 0297
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 1HE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —.�
Mals Construction Co. 12180 SeWo 224th
OWNER ADDRESS BUILDER PHONE _
owner ARCHITECT
BUILDER— ARCHITECT DESIGNER
STRUC"PURE ONEW ❑REMODEL ❑ADDITION _ ❑REPAIR []RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO []CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCI—L-APPPR-OVED ❑SIGNS
OCCUPANCY LAND USE ZONE_— BLDG.TYPE FIRE ZONE _ PLAN CHECK BY
construct U54 sq. ft. Frame split, lwvai dwelling with
_._.
attached garequ according to appruved plana.
4 bedrooms
2208
10011
_OCC. LOAD FLOOR LOAD HEIGHT _ NO.STORIES ,____"____ .AREA VALUE 1,
BUILDING DEPARTMENT `'&�
SET BACKS FRONT �� REAR LEFT SIDE R13HT SIDE
Permit 114.00 � - - -- --- -- ---
THIS PcRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 62000 REGULATIONS AND 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 O,LL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 1.24 LICENSE. SEPARATE PERMIT; REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 187.1
By
— APPI ICAN1 l,n A.f N! _-- -
Approved Receipt No.
E)r)Ru%%APHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING OAT I
-- — .(� 7-7 7 S
�- 4'r' ,�% ♦ __ Contractor �- Cl)
/ Permit No.
_�� i ' Rough-in
/ L
D,. ,� �[ +� �.C/GR I /�:'%'N/i Fixture
7• 1 a^c c. �1: ,� .. Final ------
J� ad,
HEATING
�-D ., — --
Contractor 4—g
w r / 5t
t• !1 � r 4 .�..•-�r ..-. Permit No. 191.a. a,� 1'b
-�C�IC Gas or Oil —
Rough--in _
Final ------ --
SEWER
Final
DRIVEWAYr
b --
r FIa Final _
<If
Stor
m Drainagen Drain) Final
c> n! q .+� tc't ) Sidewalk -�
_ -/ + Curb 8�Street Final
A roach -
SLOG-DEPTJINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final _
Landscaping
Zoning Final
i