11338 SW IRONWOOD LOOP-1 1133f, SW IRONWOOD LOOP _
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INSPECTION NOTICE
city of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection (�J �
Date Requested_��C'� Time A.M. P M
Address _-_'__.r_ s' 1 -' Permit
Lot #—_----------
Owner --
Builder -------_____�—_—�—
The following Building Code deficiencies are required to be corrected:
----------
Presented to _ - - Approved
Inspector -- ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
PFVFW�
P
i� v� TIGARD MI;'-*('J-lAN3(.-,AI... PEPMIT
E.PWLT NO. : MERE122177
IT<�O=FTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 61
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)6394175 I.-low i M Cilm,y, Nil Ark,�I;S-Z-Z
-108 ADDDE.SS : 11.336 SW IRONWOOD I-F`
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XTEM : NO: NO
WORK CA ASS : AI-11.44AIJON F't'PNA(:E 0.00K A.E (jo
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(:',(:)NS*Y . TYPE. VIN F*�,-001;1 F1.11--MACE, 1:.:VAI' . COOLEA
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VENT VENT . SYSTEM
LN 1.1/C.OMP <311P HOOD
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DWE'.A.A.—UNIA'St : 1. 1311-44M.CIMP 15-3011-41-"' I:NC INERATOP(COM
F'OliI.I., *T'Yl'-)F-.: w(:or) 1211.44/011.)MP "A 0-5()HP PEPA1'34 UNITS
MAX . 1NPITT 0L..P/f',OMP 504-1-11P OTHEA 1
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5 VATE�: TAX lli . 73
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This permit is issued s,"olect to the regulations contained in Title 14 miux i:r:,I' NO, t�
.................
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it Is hereby 11SISPECI JAMS
agreed that the work will be done in accordance with the plans and Fil..'1 I'll ALIF..
specifications and in compliance with all applicable codes and OTHER*
ordinances The issuance of this permit does not waive restrictive F—MAL.
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or it work Issuspended or
abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Sigrial.0
1NSEPT
Issued By: 1.W:j 11TIN ?7Z?--7T- 7!',---
SEPAR E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
L� PERMIT NO. Sv
ADDRESS
PERMIT CHARGE n o n 9
l_` F CONNECTION FEE
OWNER
PAID BY
TYPE OF BUILDING -� � "' "� - DATE CONNECTED —
_ ate
CE RATE S INSPECTION FEE
SERVICE .��
PAID BY _ DATE
CONTRACTOR -
' PAID
SIZE OF C(.. ,;�`' CTION A53ESSMENT-
) 1/2o - y
1.- 5 - 77 `�>:
j� 5 •.
.,.. ... .. ...•+•.•....�.:aw,J[r�r'Wi.4a--r.-r arlw wwavar..a•�'.�... -.rr......r..rr•uMMr.vY-wMuw.W*WYM•�..J.+►.rrMl{I.'l�i..L.v.�w_ru....a.0 wJru�..w+aaa.a.rr•..,.waa:wYi.�.:.r..�-.. wr,�.. �.._...,
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C�I Y OF TiG��R1� Cy
OREGON .
Monogram Homes . . ..................... ..........Permit No...1097
41,
Building Address...... .............L1338•-96!•.Ironwood••Loo
77 � `•
Ccrtificate is hereby given this................day of.............. ........ ......, 19....-
: - that said !wilding may be occupied and IL
ILI
that it complies with all requirements of `
the Building Code for the City of Tigard, '
( as approved by the Tigard City Council.
Buitd�ng Inspector �•���,�,'
A,;,y a,�y'• {f y. �2t 1 '.\rf'` p<`�i Will
Sl�''
L snr•.N L'TWO U U!•.
IW W W- mlANIMAN
I
City of Tigard
INSPECTION REQUEST
I
for
INSPECTION TIME' PERMIT NO. :--.,—
DATE:
O. :—DATE: _/Z DATE ISSUED :--LL.
OWNERS NAMEw��*►�•.
ADDRESS: -5" �ri�_w�v_�L_ .Cos
C 0 N T R A C TOR _________
TEST : Air L], Hater[] , Yisual X, Laboratory ❑ `
i
RESULT: Approved , msapproved C , Pending []
SKETCH:
I
41/
I
I
INSPECTOR DATE
ENOSE ' Attach supplemental tt,st data beretol
est
City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME : PERMIT NO. :
I DATE : /-4 ' DATE ISSUED:___LL
OWNERS NAME '
I
ADDRESS :
CONTRACTOR :- ��f ,_�__
i
TEST: Air 0, water p , Visual , Laborotor,y p
RESULT. Approved , Disapproved ❑ , Pending [:I
I
S KE"TCM: _
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INSPECTOR DATE
C:NOTE : Afto h supplemental feet data herel—
Oil
I
City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME : PERMIT NO. .' —
DAT E
O. ' —DATE: ZI I. 4TE I S1, UF0:
OWNERS NAME : 1
ADDRESS
CONTRACTOR :________--___-_____
TEST*. Air O, NVaier [� , Visual 0 , Laboratory O
RESULT: Approved Ib Disapproved ❑ , Pending ❑
SKETCH'
r
sr
INSPECTOR DATE
[NOTE : Attach supplemental test dote heret-10
UNIFIED SEWERAGE AG Er,',C`>( NO. - -10658
WASHINGTON COUNTY DATE __- September 29, 1976
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: ----- Monogram--Homes
OWNER'S ADDRESS: _- ----------- --- ------
STREET
CITU _ STATE-- ZIP
BUILDING SITE: LOT. 600_____ BI-OCK __. ADDITION
TAX LOT NO. 1S1-34AA --_ TYPE OF OCCUPANCY
ADDRESS 11338 Ironwood Lir .
DWELLING UNITS FIXTURE UNITS
SURCHARGE IF APPLICABLE -
575.00
PERMIT FEE1� �'�--- - INSPFCTION I-EE 25 .00 TOTAL DEPOSITED 600.00
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT 1
f V" M
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE INSTALLER —
R F C E I V E D BY
(AGENCY OR ITS AGENT)
COMMENTS: Building Permit #1097
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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BUILDING PERMIT APPLICATION COF TIGARD DATE B*Pt' 29 _ 1976
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNERPHONE__�
LOT NO.
OWNER 'UL)j UjLr&W JjQgle& J013 ADDRESS h i'i.o? IroI1wuoc/ �40HOME ADDRESS Li' l)-01.ic.
-� ARCHITECT
�yliLOA1� ENGINEER
BUILDER —ADDRESS ( DESIGNER
STRUCTURE 'ONEW ❑REMODEL _❑ADDITION C1 REPAIR ❑RENEWAL [IF IRE DAMAGE ^❑DEMOLITION
CJ RESIDENCE 000MM []EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS `
OCCUPANCY LAND USE ZONE --BLEJG.TYPE. -FIRE ZONE_ PLAN CHECK BY_____., HEAT_ a%lr%�.•
COR®t Single Faudly uwulliag w/attached garage
Tax May 181-34AA 3 Bedroom 3 Batts r----- ---- -----� --
Lot #300 Y —
480 eq — --- -----
OC�.LQ9R____�_EJ Q4Hl991J_----�_.11ElSttil_---
NO,STDRIES l Ah`Ali�SS8%0,�A.Fi44M5-__ __ YALUE •3 ''L�C�U
BUILDING DEPARTMENTSET BACKS FRONT i°1} , REAR 3 LEFT SIDE 6 , RIGHT SIDE
Permit 1.13.UU
THIS PERMIT IS ISSUED SUBJECT T13 THE REGULATIONS CONTAINED IN THE BUILDING CODE, Z')NING
Plan Check 643.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE£, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS.AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL. APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVF
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 5.08 LICENSE. SEPARATE PERMITS REQUIRED FOR EFWFR, PLUMBING AND HEATING.
Total 20E5.48
--- r, APPI ICANT OR AGENT
Approved — Receipt Not -� 'y "k
ApDR SSS— b,
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