11327 SW BASSWOOD COURT F-
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11317 SW BASSWOOD COURT
11
City of Tigard
INSPECTION REQUEST
for
INSPECTION l`IME : PERMIT N�
DAT
' ' ' �lJ�
r E: - /�'� DATE SSUWP
I OWNERS NAME :
ADDRESS '/�
CONTRACTOR '-
TEST'
ONTRACTOR :_TEST: Air 0, Water ❑ , Visual ❑ , Laboratory ❑
RESULT, Approved , Di33pproved O Pending
I S K E TCH:
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I $ S �
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TOR DATE
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OTE: Attach eupplementol toe' data here,]
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :..�
DATE: )I /) DATE ISSUED :- Z
OWNERS NAME :
ADDRESS: _11 .. _ Sw s0..,_4 , rQ
CONTRACTOR �,��r, ,�'�. - _ ttk(l_, .t
TEST : Air p, Woterp , Visuol fi , Laboratory p
RESULT: Approved ;,/ , Disapproved p Pending p
SKETCH.
INSPECTOR DATE
CN OTEAttach supplemental test data list i -1
INSPECTION REt; UEST
for
PERMIT
�A►TE:. i�S' LATE ;ESJEa:
A C J R E S a : /jam 7 ------
TE8T' air : h-1sr ,Zi ,jj.5u 7 :.a�a•3!,-y
�— L
'•� ���T�r� DATE
��� : Al aah t.,ap:ametul �t• d P-j he•*•]
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I
ADDRESS '7 .dam �, .( �-+� PERMIT NO._ 2 .2
PERMIT CHARGE none
OWNER J / -
u )' " CONNECTION FEE s s-D
0 -
PAIO BY
TYPE OF BUILDING - mac- -. DATE CONNECTED !11L-7
SERVICE RATE _ �c-R-�--. INSPECTION FEE .2S,
CONTRACTOR PAID BY DATE
SIZE OF CON14ECTION ASSESSMENT PAID
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CITY OF
BUILDING PERMIT APPLICATION TIG AR® DATE_-----, 19_ N2 0495
�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR "rHE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—
,4 v-r
HONE1v-r7&
WNER Monogram Homes ADDRESS11327 3.td. Halewood Ct. BUILDER PHONE ,
ENGINEER
9i1111?ER own811 — ARCHITECL DESIGNER t
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR _❑RE_NEWAL _❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SI.-ACi ❑FENCE
❑BOND 11 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY i LAND USE ZONE BLDG.TYPE `' FIRE ZONE 3 PLAN CHECK BY HEAT
crariratruc•.t 1476 sq. ft. frame dwelling attached gareye — no beviistaent
3 bedroom*
OCC, LOAD _ FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT S 38 !1 fa
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit kt7..90 —
THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.04 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERFHY AGREED THAT THE
WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State
_- ?�¢j]. LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING; AND HEATING.
Total
--' APPI.WANT O AGENT
Approved i±fs Receipt No.
ADDR[55 NtioNE
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contrac—to
,
Permit No.
Rough-in
0oN.CNr� /vQd /C 7r )'o'-tR Final
/101
HEATING
i
' � I
_ Contractor
Permit No. p __ 7 /ie
Gas or Oil
Rough-in
Final
�y SEWFR iV Aj-7C✓ _ d'C
Final __------- -
(' DRIVEWAY ®�
Final
Storm Drainage
(Rain Drain) Final _
Sidewalk
Curb &Street Final _
Approach—
BLDG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
T/ CERTIFICATE OCCUPANCY Final _
// / J
LandscaFina
Zoning Final
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