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ADDRESS _ ,i PERMIT NO.
P E R M I CHARGE none
OWNER L JUA- CINNECTION FEE
PAID BY
l t'
TYPE OF BUILDING ..�s.A� �� DATE CONNECTED
SERVICE RATE _�'�C:L , � INSPECTION FEE
CONTRACTOR _,21) 0)Zr �ct,�., _ PAID BY _ _ DATE
SIZE OF CONNECTION 'r�i ASSESSMENT PAID
� AIY,
City of Tigard
INSPECTION REQUEST _
for
`3 ���
INSPECTION TIME : PERMIT N;.
DATE: L4/°/Z"DATE I SUED:...d
OWNERS NAME : .,
ADDRESS . l/ - () Y- & �' pxt6toe0t a
CONTRACTOR :
TEST: Air [], Water p , Visual 0 , Laboratory p
RESULT: Apprcve Disapprover, Pending (]
SKETCH:
I SPECTOR DATE
COTE : Attach Supplemental test data heret]
r.
I
Y
i C ;r .of I iBard
IN,,3 ►T;0N RECUEST
for
1.4" nIECTION LIME : .S PERMIT N ,). ' —
CATE: 2, �ATE ,SSUED:.--J
OWNERS NAME :
ADDRESS : /✓, 7 —_,Z ' �u.� � ,Co� (� D% i.
TEST' air �, , �4'^.ter �13Uq; , ..c5a•a!�ry
RcS:JLT: ;par.vad; �'.a:?-�ovaW ?e In �
S'(M,%H:
i
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i:'� •,TDR DATE
[OTE: At'ach faap e^nental !W data here' )
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City of Tigard
INSPECTION
REOUES
S for
f INSPECTION TIME : PERMIT NO. : ..._.
DATE: 7 11481' DATE ISSUED:.._,
OWNERS NAME : M -
ADDRESS : 1&*ROgd /kO
I CONTRACTOR :r- T-A -
I TES'7. Air ❑, Water L1 , Visual [] , Laboratory []
RESULT. Approved , Disapproved ❑ Pending C
SKETCH:
I
INSPE, TOR DATE
CNQTEAttoch •upnlgmenf3l f*qf data h*16101
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CITY 01b 7 + N2 0320
BUILDING PERMIT APPLICATION T1GARD DATE_----- —•THE
y--
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE W03K HEREIN INDICATED O dt R PHONF.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. W' I
OWNER • 4ky 11>Iz xr� a _ ADDRESS _ __gUILDER PHONE
ENGINEER
fWI Ds R Mcnoi6rurli tames _ r 1 ARCHI Com --- DESIGNEFI r-� —
STRUCTURE_ ❑NEW _ ❑REMODEL IJ ADDITION __❑REPAIR C]RENEWAL -- [3
_❑FIRE DAMAGE DEMOLITION
0 RESIDENCE [:]COMM _❑EDUCATIONAL ❑GOVT DRELIGIOUSOPATIO ❑CAR PORT ❑GARAGE O STOF:AGE❑SLAB- []FENCE
❑BOND ❑MOVING IJCONGITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
r r'�" HEAT
OCCUPNCY-tet BLAND USE ZONE BLDG.TYPE FIRE ZONE PL AN CHECK BY ---
co!, a vuQt 1465 qq0 rt, from* dwetling With &ttatched garage - —
r�a besems"t according to approved plane -
- 3 bedroom
—
40 lb NO.STORIES � AREA
g.q AU FLCOR LOAD VALUE
LO — _—�
G__DEPAIIT'MENT �� F �'r� _ RIGHT SIDE
BUILDING, - 6SETBACKS FRONT �'" REAR LEFT SIDE
Permit :•27,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 63*50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE D JN' IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN r'OMPLIANCE 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
I%State l� r� LICENSE. SEPARATL' P0qMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
TotalBy 7 ' -
_ APPLICANT OR AGENT
Approved Remy! No _
--- --------- AOC)KESS a hHt7NE
m
DATE INSP. 'TYPE INSPECTION REMARKS FLUMBING DATE
Permit No. 165-1
)I
Hough-in
lo en Fixture
Final
HEATING
Contrac.
Permit No. 70-
Gas or Oil
Rough-in
Final
SEWER 16-7,5—
Fjnal
Off- DRIVEWAY1j'-9'-X 'P11-
Final
Storm Drainage
(Rain Drain) Final
Sidewalk q- 5' 7
Curb&Street Final
6prpah
B170-c;.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
m-x=-JF-2�' !ML—RNJL=AMM
70
q7
jos to
HOMES
jAY HARRIS 646-0988
1630 c,.';. W. PARKWOOD DPL
Por-ITL-AND, OHL-(jON 91225