11725 SW SPRINGWOOD DRIVE ' 725 SW SPRINSWOOD DRIVE
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INSPECTION RE0UE4%"d
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iINSPECTION TIME :11 " -? PERMIT NO. : —.--
DATE:
O. ; _..._DATE: DATE I SSUF- r ... _'_.J`._
OWNERS NAME :
A D D R F S S . _11:2 .��_ __
CONTRACTOR '_-_ L,4 .,�L ._.�_. �._...._
TE ST' Air C7, Water [p Visuals, Laboratory
RESULT: �approved,
Disapproved J Pending !+—
SKETCH:
I
INSPECTOR DATE
COTE'. Attach suppl....ienfu' feet data iiot,;n
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City of Tigard
INSPECTION REQUEST
or
INSPECTION TIME: :_____7 PERMI'Y
DATc: ,/! / DATE IS;iIIE_�'
OWNERS NAME :
---------
CONTRACT( --- —
TEST: Air L; . Watero , Visua! f , Lahornta; u.
RESULT'. A^^;,wr ' Ad , Diss.,moved [I , Pali 1,
SKETCH".
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NSP'ECTOR DATE I
CNO1f. . Attach suuplenaentul test rate t►erety! '
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CITY OF 7
BUILDING PERMIT APPLICATION TIGARDi DATE April 20_'19_�° 0761
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPERFIf-IA;IqMglOWNE11UP80IF-_
ADDRESS — • • aJpringijo d Or BUILDER PHONE —
ENGINEER
BUILDER 1-� — ARCHITECT rr-', i DESIGNER
STRUCTURE ONEW l_J REMODEL _❑_ADDITION_ ED REPAIR ❑RFNEWAAL_ ❑FIRE DAMA,C []DEMOLITIONLJ RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'T ❑RELIGIOUS LIPATIO ❑CAR PORT CUGARAGE ❑STORAGE OSLAB ❑FENCE
❑BOND GMOVING 000NDITIONAI USE ❑DESIGN REVIEW ❑COUNCII_APPROVE) _ ❑SIGNS
OCCUP N 'YAND USE ZONE_ BLDG.TYPE.______ FIRE ZONE— PLAN CHECK BY HEAT--.___
.Onlu Lxuc %q* _TTi i1Wc�l -- — __ _ c is ynr>Iige,
SSd
.7s-. i rac
4U lb J 119UG —170,000
OCC.LOAD FLOOR LOAD HEIGHT NO. STORIES AREA VALUE
BUILDING DEPARTMENT
SET BACKS FRONT REAR LEFTSIDE RIGHT SIDE
Permit �yl .L117 �. _.
wQ.OQ THIS PER IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CODE, ZONING
Plan Check REGULATIONS AND AL1 APPLICABLE CODES AND ORDINANCES, AND IT IS HEPEBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECI. :CATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEWMIT DOES NOT WAIVE
RESTRICT IVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State 4. 11 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY
-+---- APPLICANT OR AGENT
Approved Receipt No.
AODR --
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DATE INSP. TYPE INSPECTION'— — REMARKS PLUMBING DATE
.?� QY!�: y'.�1 '`-- ----- —__VntractorNo. — t
Rough-in ——
76 Fixture _ -----
��.�r�- �— --_ -- Final — ----
J'� HEATING
Contractor
Permit
Gas or Oil
Rou -in
-- — ----
Final _ —
� SEWEFj(�-/L•I
_ Final_
----
DRIVEWAY�;1J( — -
- — Final
_ Sturm Drainage
— ,Rain Drain) :'inal -
-- ------_ — ----- Sidewalk C .
— Curb&Street Final
Approach _ L G �-G- •-
BLDG.DEPT.FINAL TEMPORARY !"RTIFICAVE OCCUPANCY -
- 7 Final
CFRI IFICATE OCCUPANCY —_
Landscaping
Zoning Final
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P F_R 1-11 T N a --
PERMIT CHARGE none
OWNER 22'7r, , y CONNECTION FEE
PAID BY .'222
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TYPE OF BUILDING ✓`�-x-�A—rl�i•c r✓L DATE C O N fJ E C T E D
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SERVICE RAZE _ ? _ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT _�_ ��w PAID
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