11775 SW SCHOLLWOOD COURT 11M SW SCHOLLWOOD COURT
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INSPECTION TIME : PERM' N( _
DATE: _L.[.MZ�_ DTE S;;UL, :.....LJ_
OWNERS NAME ,
ADDRESS :
CONTRACTOR :—_
TEST , Ah 0 , Water L; , Visl� i01%oWnto,-v
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I City of Tigard
INSPECTION REQUEST
for
INSPECTION TIV7 :,d92— _ PERMIT NO. :
DATE: 4 /f l.?�— DATE ISSUED:-.-j
OWNERS NAME : t*.
ADDRESS : A/ 22S � = � • :
CONTRACTOR : L Y J# -c1� �° —
TEST" Air 0 , Water [] , Visual A , Laboratory []
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RESULT: Approved ® , Disapproved p , Pending Q
SK'TCH:
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INSPECTOR DATE
COTE: Attach supplemental test data hereta�
City f Tigard
INSPECwriON REQUEST
for
II'l'SPECTION TIME : j 3C- PERMIT NO.: -.-
DATE:
O.: _._DATE; 61211Y DATE //I,$SUED:---j
OWNERS NAME . ,1 k
ADDRESS :
CONTRACTOR---
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TEST'. Air 0, Water~, Vieuo�6 , Laboratory []
RESULT: Approvedt , Disapproved I7 , Pending C
i SKETCH:
I
QPCTOR DATE
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(NOTE: Attach supplemental loft data haretol
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D � ClTY OP HA f 0 BUILDING PERMIT APPLICATION �'IG-ARD DATE—_— 19 N- 0786
THE UNDERSIGNED HEREBY APPLIES FOR APE4'AIT FOA THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN TH1= ACCO11 OX-jYING PLANS AND SPECIFICATIONS. OWNER PHONE _ r
< !, ��; t ;; 1.17? i�.i'. a4llullwtraci (.t.
OWNER bD1�FTE.+S,. — BUILDER PHONE 297-2715
ENGINFIFF.
aWLOEA DESIGNER
STRUCTURE ONEW 13 REMODEL ❑ADDITION _ Cl REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
Q RESIDENCE CCOMM ❑EDUCATIONAL_ -]GOV'T ❑REI_IGIOUSOPATIO OCAR PORT ❑GARAGE D STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING LJCOrar`ITIONAL USE E1DF.SIGN REVIEW ❑COUNC!L APPROVED sOSIGNS
OCCUPANCY LAND USE ZONE--.!--' BLDG TYPE_r FIRE ZONE_ PLAN CHECK BY^ HEAT-,
.scut 1195 sq. P- two story fry dwelling with attached &&rag*
reissue 11690 S.W. A.Mroad -
� '1 bed r oyer-� __--
_ ,c..
40 lb
2r.-C-1-082—,1 LOOK LOA:! ^ �—_ _ HEIGHT _ —`_NO.STORIES_ _ AREA VA
E
BUILDING DEPARTMENT SET BACKS FRONT REAR 76 LEFT SIDE fir? RIGHT SIDE 10
Permit 151.00 -_-...=- ---- --- -- ---
- THIS PERMIT IS ISSUED SUBJECT TC THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1000 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 ALt APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PF^ytlr DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HA% E CURRENTCITY BUSINESS
1%State 4.#3 LICENSE. SEPARATE PERMITS REQUIRED FuR SEWER, PLUMBING AND HF�.TING.
Total 165#3
6yrte ___- ___--_._._-___-- -------,----------_ --__.
— APPLICANT OR AGENT
[Approved _ Receipt M•.;.
ADDRESS Piu1NE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING _ DATE
Contractors a
Permit No. c�/i G 3.- -311-171-
/a
3 -171-
lJ.l_0' Rough
7`76 ��' - / Fixture --T-
. c Y, dj C ------ Final
-�J/�
yy w _ _ HEATING
4-' — i Contractor
---- -
---- -- ---- Permit No. �/ �,2 c ��i 71 7G
_—---- -------__ -- Gas or Oil
Rough-in
_— —- -----
Final --
- _—.—_ ----------- _ _ SEWER`-y.;?6
-
-- --.--- --� Final _
- -- --- -------- — —.-._—
DRIVEWAYS JJ- -----
--_ _ - -------- ---- ----_- Final
------ —� -- _-,— Storm Drainage - _— --
-- jApproach
Rain Drain) Final
- ---- --- -- idewalkurb&Street Final
_ _
BLDG.DEPT. FINAL — TEMPORARY CEI;TIFICAT E OCCUPANCY —
CERTIFICATE OC 'JPANCV Final --_1—
Landscaping
9;" Zoning Final
ADDRE55 „�� , PERMIT NO.�
PERMIT CHARGE none
OWNERD� � .��,u;�=�.. _ CONNECTION cEE
_r. PAID BY Vic„
TYPE OF BUILDING .l1�€,adR.��t��.� DAT` CONNECTED
SERVICE RATE _ _, INSPECTION FEE o?3
CONTRACTOR _ PAID BY , DATE
SIZE OF CONNECTION ASSESSMENT PAID
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