11314 SW IRONWOOD LOOP WIN
11314 SW IRONWADD LOOP
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3
ADPRESS�( _ t� x1�.� � ) PERMIT NO.
PERMIT CHARGE none
0W,14ER CONNECTION FEE
PAID BY -- 11,1-
'TYPE OF BUILDING, r),_i� �L. ��� DATE CONNECTED
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SERIIICE RATE ,- INSPECTION FEE
CONTRACTORpAID BY
S
DATE
SIZE OF CONNECT TON `(�' ASSE5511ENT PAID
City of Tigard I.C)
INSOPPECTION REQL; L-
f o r "n
INSPECTION TIME: r PERMIT
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DATE
OWNERS NAIAF
ADDRES'L)'.'
CONTRACTOR '. ____
TE o-T : Apt 0, Winfor DO Visual L" t u boratinry
,?ESULT: Apprcvojd n: approved 0 P,^ndinq r.,
SKETCH.
6R DATE
NOT;? , Attach 1AP, ilk$
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City Qf Tigard
._
INSPECTION F�ECUEST
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IINSPECTION TIME: PERMIT NO. ' _
I DATE: CAT E ;SSJED:-.-j
OWNERS NAME : 4 - 1
ADDRESS :
CONTRACTOR : —�
TEST. Air C, Nntor j , Visual,; , Laboratory 0
RESULT: Apprvvar t ;s-jp;roved . . Psnjing E]
SKETCH:
I
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1
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INSPECTOR DATE
I �N:O1'EI Attach eupp!emental too! data here!]
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City of Tigard
INSPECTION REQ14 EST
I
for
MPECTION
D AT E: -gw' Ls DATE , -
�dS ES�JE0 : __L_L—
---
OWNERS
C ON T R A CTI)R : .A.t ,AWn,"
iTES" Air �; , "Nctsr Vi sun � , L��M'atomL�
RESULT: Approved '�isa-�-aged � , ?endi,i7
SKETCH: I
II
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4JET
1i'S PECT R DATE
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ANO?E ; r,•toch supplemental v4st dailt'.m.'... +11._
City of Tigard
INSPECTION
REQUEST
for
INSPECTION TIME: ,'d' '4''" ._ PERMIT NO. : —
DATE:
O. : —DATE: l-'"/ DATE ISSUED :_.L_L_.
OWNERS NAME ' __.--
ADDRESS:
CONTRACTOR :
TEST : Air [], Woter[] , Visual, Laborotory 13
RESULT. Approved ❑ Disapproved Pending p
SKETCH.
I
INSPECTOR DATE
CMQTE' Attach supplemental test eato be►efol
C jTy OF T .GARD ML,7HANICAL PERMIT
DATE PERMIT N0. `- �M_ RECEIPT N0. ---
13Y __ __.__,_ FEE
Permit shall be obtained prior to commencement of installation:
1. Permit shall be obtained for all appliances which are to become
a' fixture to the building.
' 3. Relocation, replacements, alterations, or changes to burners and
duct work require permits,
4. All work to be concealed must be inspected before cover uP.
ivi
Alteration
New Installation Replace Rel-ocat.icn ❑ OW;Vc,Rti _-�
S
SOMERSET PLUMBING_& HiATING _ WORK ADDRESS
ADDRESS W, CORNELL RD. w
APPLYCANT. _--•-----_..__..._. �____
TELEPHONE N0.
FURNACE - MANUFACTURER - ��,��ri_�- TELEPHONE NO.
HEAT T»put rating (Btu Per hour) _A,nen Vent Size Flue Size------_ ---"�!
FUEL OIL [A GAS O ELECT OTHER
TOTAL SQ. "r. Top Floor Main Flcor Basements
GYNERAL
ITEM NO. FEE
ITEM NO. FEE
For Issui3nce of Permit, _ �( x.00 Boilers Over �
New - una_ 100,000 Stu 4.00 Al.r }Iandlin ]_C7,-.- CrM -3�0
New -Over 100,_000 Btu Air'-Ai Oder 10,000 CFM
--__L
ng-01
P�urn ca e_ .00 Evaporative Co 16'r
ed _Z .. C� Vent
T-T1— Vents .�7(' Ven _S m
" _ Hood
Re a�i.r - Neat Ec^Coo)_i.n - +�•� -
��.�. Y4.00 �Domest�c Inc .nex�or-' _� 5�i,
Ro..1ers Under 3 NP I ~comm. �"-�. lU.0
B� ers^3 to 15 Np 7.!�0 ��nciiierator
Y(5 ers 15- to 30 HE 7.0.00 0t er No ETL� t�c _ '�
INSPECTOR' S (:OMMENTS -
APPROVED BY ^_ -____ DATE _ - ISSUED BY _ DATE
Signature of Applicant
xavA.nY .. �,rKya•._;Yypyw.wy„i.rr'kpMMyMer.+wr..yrMqN•...wiv.p�+....wnw..+^w�+l�Mw+Mr++ww•nw�.w•wC.4.kyr++wtl�.tpl�lw�q^�n"raewewM�MiW,.,,..,.,..-,.,.M;,r,-,u,.,,�.�,yr,,.,..
CITY OF 6-9 f^N° 0332
BUILDING PERMIT APPLICATION TIGA,RD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 1HE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ��O �P
OWNER LuI.g �, t " • _ ADDRESS . run1�EC/od Loo UILDC-IlPHONE
ENGINEER
$WIJ„(2ER ARf HITECT a DESIGNER
S. RUCTURE ❑NEW 11❑REMODEL DADD11ION ❑REPAIR DRENE'AVAI ❑FIRE DAMAGE ❑DEMOLITION
0EI
EDUCATIONAL DCOMM LEDUCA'TIONAL DGOV'T DRELIGIOUSOPATIO ❑CARPORT DGARAGE DSTORAGE DSLAB ❑FENCE
DBOND El MOVING ❑CONDITIONAL_ USE DDESIGN REVIEW DCOUNCII-APPROVED DSIriV5
OCCUPANCY. __LAND USE ZONE "Z_BLDG.TYPE --4—FIRE ZONL._3 PLAN CHECK BY_,,,,j',L�
c;nnmtruct 1312 oqo fte from& dwelling with attached garnF,a
no blaaemsiit according to approved plans
3 bodruom _
Of&,LOAD II FLOOR LOAD 40 111 HEIGHT NO.STORIES 1 AREA 179(- VALU@7'9Y U00
BUILDING DEPARTMENT SET BACKS FRONT REAR .16 LEFT SIDE 2.3. RIGHT SIDE 6
Permit �2,%,ou -- e
LVIR THIS PERMIT IS ISSUED SUBJECT TO THE RERULATIONS CONTAINED IN THE BUIL DING CODE, 7.JNING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, IND IT IS HEREBY .GREED THAT THE
'— --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
tiecordinb ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONY'RAC'TORS TO HAVE CURRENT CITY BUSINESS
I .%State Is24 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 187*24
By ----
APPLICANT OR AOF.NT
.Approved _ �f� Receipt No.
ADORE.%%
..........
DATEINSP. TYOE INSPECTION REMARKS PLUMBING DAT(
17-/0- s C--
6-/�b',r5 Ong Contractor�j'�«
--- _- 75
QA�� 1 -- — ---- Permit No. �!G /G
y ItzJ !7r S it rwritd p n e��'�nJr C4,
�� s �- _�''�— ! _ Fixture - -- --
-Qs/ Iti��O '�7z/� -sr =� I�IIHT` Final —
�y HEATING —
/ •�. _
rC jon t r acto� ,ne<uf1=�G _
Permit No.
Gas or Oil
4a'4/dG
---- -- ----- Rough-in
Final
.--� _-_ -----__— - SEWER l? ce-
Final _
—..� `_..- ------ --- - _.- DRIVEWAY
Final
Storm Drainage
(Hain Drain) Final _
Sidewalk
Curb&Street Final
- --_ _
Approach
BLDG.DEPT,FINA TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —_�--
I - Landscaping
IZoning Final
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