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11325 SW BASSWOOD COURT
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City of Tigard
INSPECTION REOUES .E
for
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INSPECTION TIME : PERMI " NO. _ __.
DATE: �L'/�L DATE ISSUED:Lo.A�.`i�
OWNERS NAME :
ADr)RESS : / xl Sk— -o1 C7.-
CONTRACTOR :
TCONTRACTOR :
TEST* Air 0, Water fj , Visual n , Luhoroto
RESULT. Approved Disapproved
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SKETCM.'
I SPE CR DATE
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City of Tigard
INSPECTION RECUES?'
for
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INSPECTION TIME :�______ PERMIT NO. ' _..
DATE:_� / _ DATE 1SSUE7:--j
OWNERS NAME : i
iADDRESS : ! / 2
CON TRACTOR : �Yrcct C6
TEST: Air �, Nater u , visual
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RESiJLT: Apar-,vad x I ?0;31P,roved p PenJing_ J
I SXETCH: P�x-rll�a j
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/ 7
INSPECTOR DATE
[NOTE . Attach PplementaI tor! data here!
City of Tigard
INSPECTION REQUES-
for
INSPECTION TIME : ;2_Prl
PE R M I NU. , _... _.._.._ .
DATE:ra '� L DATE ISSUED:._..��.. ....
OWNERS NAME:
ADDRESS :
CONTRACTOR :
TEST: Air p, WQ1ei+� Vi$up, , Luborotory [;
RESULT: A
pprovedr , Disapproved
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SKETCH:
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RR�emanfo feet duto heraloi
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ADDRESS //.3� �-*- PERMIT NO.
VRMIT CF'ARGE none
niCONNECTION FEE
PAID BY
TYPE OF BUILDING DATE CONNECTED
'ERVICE RATE INSPECTION FEE o� •�.
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
D
CITY OP VI-21 7' o r
BUILDING PERMIT APPLICATION TIGARD DATE___ tg _ N- O.)37
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANU SFjIgFIq/hTIONt�Ap�VNjDPHONE-
NEA J. L. Light 1125 5.1�. �BpB+id;.;tlq (4 t'
ADDRESS _ BOLDER PHONE
Owner ENGINEER
BUILDER _ ARCHI' ECT
DESIGNER_
STRUCTURE ONEW ❑REMODEL r� ❑ADDITION_ ❑REPAIR ❑RENEWAL OFIRE DAMAGE ❑DEMOLIT'ION
113 RESIDENCE ❑COMM ❑EDUCATIONAL E]GOV'T ❑HELIGIOUS❑PATIO ❑CAFIPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑AOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
CUPANCY LAND USE ZONE r BLDG.TYPE � FIRE ZONE_' PLAN CHECK BY Pa
cu(intruyt: 1:jdl 04. Ft. frame dwelling with attached garage.... HEAT__''no bsaamsnt according to epprovea plans - reisaum lot ®7 -
bolrouis--
d
p —d AI ——
,99&1OAD FLOOR LOAD HEIGHT NO.STORIES AREA A VALUE
BUILDING DEPARTMENT12
X6,9
SEt BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 136,00 —_ _ _
Plan CheckTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
RecordingWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
1%StateRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total By
ApprovedIrPo Receipt No, APPt ICANT OR AGENT `--' ----
Ab- Ess
DATE INSP,PSPECTION REMARKS PLUMBING DATE
-Contractor g�
0% —2 �� _ _ Rough-in
Fixture
Final
HE TING
Contracts
_ 1 Permit No. lkuL
GasorOil 043 fy •1�7 >!
Rou h•in
Final
SEWER/,-/S-71
Final
DRIVEWAY
Final
_ Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach 7(,
BI.DG.DEPT. FINAL. TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
3 - `/j landscaping
Zoning Final