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11655 SW FAIR1?EW LANE
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City of Tigard
INSPECTION RE0UE,.' S1
for
iINSPECTION TIME ' Ir PERMIT (NU. `.-
DATEDATE IS§UZO
-OWNERS NAME : .s��.�
ADDRESS
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TF ST , Air 0 , Water C Visual ! , Laborat� Y� Lj
RESULT: Approved\, Disapproved 0 randlny
SKETCH: q/
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PECTO�t DA
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City of Tigard
INSPECTION REQUEST
for
INSPECTfON TIME: ZG _ PERMIT NO. :—
DATE ' _;z—,CL3_01 DATE ISSUED -. / /
OWNERS NAME :
ADDRESS: 1�(�5 `' 1�'L � ��'
CONTRACTOR :
TE ST : Air ❑, Woter [� , visual Vl Laboratory CJ
!iESULT: Appravnd , Dist )r :Y-d Pending Cl
SKETCH.
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ADDRESS PERMIT NO.___ 5, 7 7
PERMIT CHARGE none
OWNER CONNECTION FEE s sz
PAID 9Y Y�> ! _
TYPE OF OUILDING DATE CONNECTED
SERVICE RATE INSPEC'iION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION �� ASSESSMENT PAID ___
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City of Tigard
INSPECTION REQUE !�`w -�
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for
INSPECTION TIME : PERMI NCS. 6.=P.v _
DATE: 1L. DATE ISSUECI: _L.....
OWNERS NAME .- 4
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ADDRESS : ---�-1 G
CONTRACTOR :___
ITEST: Air ❑, Water ❑ , Visual 0 , Laborototy LJ
RESULT: Approved , Disapproved ❑ Fending ,F'
SKETCH:
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ItCTOR DATr:
COTS' . Attach eupplementu, test oat* hereto!
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City of Tigard
1 NSPE'TI oN REQUEST
for
INSPECTION TAME: PERMIT NO. :
_
DATE : S DATE 1SSLIED :-L_L_.
OWNERS NAME : 1J.w•�.
A DD R E F S: ✓5 5 ,SlGi /f�f�/L
CONTRACTOR : - - (/,
TEST : Air ,^., , Wcter-n , V19ua1 � , ;_,:l,)aratory
kcrdLT: Ar,)rovad ' Disapproved 7 Pending []
SKETCH:
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INSPECTOR DATE
COTE: Attach supplemental test data him]
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City of Tigard
INSPECTION REQUEST
I for
INSPECTION TIME : PERMIT NO. .
DATE:,"/ DATE ISSUED. .
OWNERS NAME : 0
ADDRESS : ,// S
CONTRACTOR : AR ?` 'r� � � t914 _..
TEST: Air D, Water p , Visual ❑ , Laborator,,oe
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I RESULT. Approve Disapproved 0 C'enG�ny
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ICOTE Attach suuplementul lost data horelu;
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CITY OF
BUILDING PERMIT APPLICATION! TIC ARD DATE.__.__-_ _ . 19 N2 0500
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLFNS ANG SPECIFICATIQNS. OWNER PHONE
--
OWNERADDRESS _ _ ____�.BUI . PHONE
ENGINEER
BUILDER __ �ARCrIITEC? _ _. _ �_ DESIGNER _
STRUCTURE _ ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL Elf-IRE DAMAGE 0DE'v�11LITION
❑ RESIDENCE ❑COMM OJEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑ 3'TORAGF❑SLAB ❑FEN_E
OBOND ❑MOVING ❑CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
OCCUPANCY— LAND USE ZONE--_--BLD(j.TYPE _FIRE ZONE____P,AN CHECK 8Y HEAT -
QCC.LOAD _FLUOR LOAD HEIGHT NO.STORIES AREA — VALUE
BUILDING DEPARTMENT' SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
-- —'— THIS PFHMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE HUILu1NG CODE, ZONIN
Plan Check REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HERI.BY 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 PFAMIT DOES NOT WAIVE.
— RESTRICTIVE )VENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%state LICENSE. SEP/-4ATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
APPLICANT OR AGENT
Approved Receipt No.
AD __
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DATE' INSP. TYPE INSPECTION REMARKS PLUMBING DATE
.�4• %'S � - ,fir*-,.���t.a Contractor
Permit No.
Rough-in
/p-137 13 — --- Fixture - ---
// Final
/�..s HEATING
'OdyContractor
Permit No. '77
Q ��44 /�1 1��_ Ch► Q Gas or Oil ¢ 2ef� -
��,lQ woe// 4SRough-in - -
�L_�pgsy. ,S w: 4)jdef Final
SEWER//•10x
_ Final _
DRllvrWAY -S'- P11L
—
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
_ Curb&Street Final
_ Approach
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY F ictal
-7-!�' landscaping
Zoning Final
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