11460 SW SPRINGWOOD DRIVE Win
11460 SW SPRIP.3WOOD DRIVE
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City of Tigard
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1 SPECTION REQUEST �a5
for
INSPECTION TIME: ,�._. . ,� PERMIT NO. :_�.'
DATE:�'L,".(.,�C � DATE !S S U E D :`LCL
OWNERS NAME : (Lo
ADDRESS:
CONTRACTOR : 1/476 F2
�7/CCA-
TE ST . Air ❑, Water❑ , Visual ❑ , Laboratory ❑
RESULT: Approve Disapproved Cl Pending ❑
SKETCH.
ntY DATE
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lN0?F. : Attach supp ememt4� t, -i In
City of Tigard
INSPECTION REQUEST
for
INSPECTION T'ME: PERMIT NO. :_•_______
DATE: R ") DATE !SSUED :____.1__L_
OWNERS NAME
ADDRESS' ./ .5.a). ,,.,
CONTRACTOR : —
,rEST : A '► D, Watery , visual9, Lahoratory []
RESUL, approved , Disapproved Cl , Pending
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INSPEC-OR DATE
COLE: Attach eupplernent01 tellt dotn he P+c,l
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City of Tigard
INSPECTION REQUEST
I
for
INSPECTION TIME' hU PERMIT NO. :
DATE : 4 DATE ISSUED :_--LL I
OWNERS NAME
ADDRESS: ^l,�l'�
CONTRACTO R 4W--.-----
T E ST : Air 0, Water 0 , Visual Cl , Laboratory p
RESI.ILT . Annr v,id` Misr �� n t —Pending ❑
SKETCH:
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I= DAVE
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE_ _— 1s_ N° 0309
THE UNDERSIGNED HEREBY APPLIES FOR .APERMIT FOR THE WORK F'.EREIN INDICATED
-)R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNER ?HONL__._—��______
OWNER '1syne Hollictkson ADDF,ESS
ENGINEER
PALILLIZER — ARCHITECT DESIGNER _rr,,!,
STRUCTURE ❑NE'W ❑REMODEL_ ❑ADDITION ❑REPAIR^^ ❑RENEWAL ❑FIRE DAMAGE EJDEMOLITION
❑ RESIDENCE. [:]COMM ❑EDUCATIONAL ❑GOV'T ORE LIGIOUS❑PATIO CICAR PORT C]GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND ❑MOVIN ; ❑CONDITIONAL USE LI REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_ LAND USE ZONE.21 BLDG.TYPE--V--FIRE ZONE. PLAN CHECK BY r� _v __ HEAT
1578 sq. ft* mama dwelliny wiLh stteczhsd iq%A,iga
no basement 3 bedroom
QCT. LOAD FLOOR LOAD �t'7 b HEIGHT NO.STORIES AREA l VALUE 32—s-500
BUILDING DEPARTMENT
SET BACKS FRONT 25 REAR `1 — LEFT SIDE RIGHT SIDE
Permit 135X V
THIS PFRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILCING CODE, ZONING
Plan Check 10.0P..EGUL.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 'r':c
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 NGt WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTPACTORS TO HAVE CURRENT CITY BUSINESS
1%State 6 LICENSE. SEPARATE PERMITS REOUIREO FOR SEWER, PLUMBING AND HEATING.
Total 147,36
By
APPLICANT OR AGENT
Approved Receipt No.'
-- ---- — ADORESS pi ,rn
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DAT
i613r 7S � ,, " _—_ — Contract
/� — Permit No.�/ __—
8��-75 ---1 ►�- ��C �{� G �/� '•/3r1PZ' Rou h in_ -- -
Fixture
.�J �� 1 'r' �I)CC• _ _ Final _
,o -c-e _ai!�%� J HEATING
Contract
Permit No. /JO_.._
Gas or Oil
Rough in
Final
SEWER 4•/1•71
Final _
DRIVEWAY
Final
(Rain Drain; Final _
—^__ ----- Sidewalk
_
Curb&Street Final
BLDG.DEPT. FINAL �T TEMPORARY CERTIFICATE OCCUPANCY
CERTIF':ATE OCCUPANCY Final _
Landscaping -- — — —
Zoning Fina
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1's,.����d� �4+,_,•. �'��� ! ;,`.;tyQ''`•ii1^��'. - ��':}G'�1:•ii,•i '.l , i� ,�tlt"!�'
PERMIT NO. 4, / (e 1
_ PERMIT CHARGE � none
OWNER HER~ ,._, � CONNECTION FEE
TYPE OF (3UIEDING „�t� �• r��, c,� _-- -- �.,TE CONNECTEDXT
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID 8Y ____- ____ DATE
SIZE OF CONNECTION ,_ � ASSESSMENT � PA10 __�
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