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11:31 O SW I LONVubOD LOOP
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PERMIT NO. 5l k
ADDRESS „11,, ,L1�.�'l�'�.
PERMIT CHARGE Wane
____------� CONNECTION FEE
_. --
OWN E R n .---------
P A I D BY
DATE CONNECTED --
TYPE OF BUILOING
INSPECTION FEE
SERVICE RATE
PAID 9Y DATE
CONTRACTOR PAID
,�'i� ASSE55f�E.NT
SIZE OF CONNECTION
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C11 F TIGARD ACy
ORECON
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Owner:......... ............................ ..............Permit No.-1311.............
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11310 S.W. Ironwood Loo
Building Address......... P.............. . .._............
29th October 75,
Ccrtiflcate is hereby given this................day of.. ..... ......._.._.......-119 •
that said building inay be occupied and
that it complies with all requirements of. ; �
\ Is
the Building Code for the City of Tigard,
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r�'• 1, !, as approvod by ,he Tigard Pity Council. il'
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-
-� Building Inspector ,
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Clity of Tigard
INSPECTION REQUEST
for
I'VSPECTION TIME . PERMIT
DATE: LATE ,SSJED:_..j
O'NT,_RS NAMr : t "rp"L i
A D D R E S S : L/3/0 �f
'Co ON TRACT0R
TEST: Air C , 4V,:ter 0 , vi-iva! " , :.cborat.)ry Z]
rs`SilLT: ,apar.vad 3 , a:p.roved �
S`tETCH:
i; SPEtTOR r DATE
COTE: Attach supp;emental !eel data here•]
CITY of TIGARD MECHANICAL ; 1;'IMIT
aRECEI1,T NO. _ - ----- --- ---- —
DATE 0 1'Ey(MIT N0.
- - --- --- -- FEE _
--- „ommencement of installation.
1 Permit shall be obtained prior to +,o become
. Permit shell. be obtained for aln
.l appliances which are
2. f'ixi -,re to the building.
3.
Relocation, replacements, alterations, or r}-,anges to burners and
duct work require permits.
4. A1.1 work to be concealed must be tnsuected before cover up.
��- ion Addi+.ion Alteration
New Installation � Replace ReSocatOWNER � C._�.LS�s� -------
CON
OERSET PL�MB��&ME
--- -- -__---_---_. WORK ADDRESS
SM
ADDRESS _ . __— --
S:'.05 N. W. CORNELL RD. APPLICANT
BEAU-ERIOW;-OREGe? - -
TELEPHONE N0. _—-
FUR' 10E - DiAT;
City 0f Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: __Z�' L�� DATE ISSUED :--J—J--
OWNERS
SSUED :-- L.1_OWNERS
ADDRESS: /U _ —_ 2_Cc��'
C O N T R A C T O R : —&�!6— se!�—k) ' 7--e- --
TEST :
-- -�
TEST : Air ❑, Woter Cl , Vteucf,0( Laboratory ❑
RESULT: Approved , Disapproved ❑ Fending ❑
I
SKETCH:
i
INSPECTOR DATE
[NOTE: Attach supplemental test data bore;]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: `�� PERMIT NO. :
DATE: 2'a DATE ISSUED .- I
OWNERS NAME . u� !
ADDRESS:
CONTRACTOR' .
TEST : Air ❑, Water[I , Visual Laboratory p
RESULT: Approved P1, Disapproved ❑ , Pending p
SKETCH:
I
i
k
INSPECTOR DATE
[-
NOTE : Attach supplemental tee► data heretol
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.�,. �,. ... . n ca. w.0 m.'4p'-.t�r'r rs _w. r •..r. .-.. ..... ...
CITY Of
BUILDING PERMIT APPLICATION TIGARD DATE.--T� --_. 19__N2 0 311
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR .AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PF10NE—
OWNER m " _ '' ADDRESS lot $J4 krtr 1twood Sub* BOLDER PHONE --_-----
ENGINEER
BUILDER —t 0
ARCHITECT-- DESIGNER
STRUCTURE _QO
NEW QREMODEL ADDITION REPAIR ❑RENEWAL —GFIRE DAMAGE tt--��-JDEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑ EI
PATIO ❑CAR PORT ❑GARAGE ❑STORAGE LSLAB ❑FENCE
❑BOND ❑MOVING QCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.APPROVED ❑SIGNS
_OCCUPANCY_ LAND USE ZONE �T" 7 _B'-DG.TYPE FIRE ZONE— PLAN CHECK BY �`— HEAT
cunw6 uct 11436 *4* fls frame dwellinV with attached garage and no
basement accotding to approved plana OCC. LOAD LOAD_ FLOOR LOAD 4098 lb HEIGHT _ NO.STORIES AREA 2012 VALUES R
766
_ BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 20 LEFT SIDE b P.IGHT SIDE
Permit �� —
`— THIS PERM11 IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BU11 DING CODE, ZONI,.,
Plan Check �� 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
Recoding ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER11IT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI i + BUSINESS
I%State �` LICENSE. SEPARATE PERMITS REDUIREO FOR SEWER, PI.UMBING AND HCArING,
Total
BY M..
-- --- APPLICANT- OR AGENT
Approved Receipt No
ADDRE.S �---
I.
DATE INSP. TY?E INSPECTION REMARKS PLUMJING DATE
i
ContractorG �
Permit No.
#7.g Rough-in --
��s.. Fixture
Final -
7-�,- HEATING
_ Contracto .. d
-- — — -- - -- — Permit No' ! —_ T
Gas or Oil _
—__ _ ------ - _— — Final
SEWEf,� 7S C9
Final
__ ------------�_...- — ------- DRIVEWAY
- -- ----- Final
--- ,— — __— T_ - ----- Storm Drainage
(Rain Drain) Final
- Sidewalk
— Curb&Street Final
.Approach
BLDG,DEPT, FINAL TEMPORARY � CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY --- - -
., 7 Landscaping
OKI y-�
Zoning Final
--------------------
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INSPECTION REOUEST
for
INSPECTION TIME : PERMIT NO. : —
DATE:
O. : _._._.DATE: DATE ISSUED:---
OWNERS
SSUED:OWNERS NAME .
IADDRESS : --
CONTRACTOR :
DDRESS : SGCONTRACTOR : /7�!�• �� �L'-",.�:` • ---.__
TEST' Air O, Water (j , Visual r-", , Laboratory Q
RESULT. Approve , Disapproved) p , Pending [❑
SKETCH:
I
v
0 �
INSPg^TOR DATE
IUNOTEAtloch rupp!amental teat dote heist]
Construction Co.
15890 S.W. Colony Drive / Tigard, Oregon 97223 / Phone 639 8560
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