11344 SW IRONWOOD LOOP-1 11344 SW IRONWOOD LOOP
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City of Tigard
���-MSPECTION REOU
EST
for
iINSPECTION T!ME : `; 'art' PERMIT NO.:
I DATE: // DATE ISSUED: Z
I OWNERS NAME :
ADDRESS : 11311V
C 0 N T R A C T 0 R :._ I
TEST' Air 0, Water p , Visua1*, Laboratory p
RESULT: Approved Disapproved p Pending [3
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SKETCH:
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INSPECTOR DATE
COTE: Attach supplemental tett data hereto
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City I
C Y of Tigard
INSPECTION REQUEST
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for
IMPECTION TIME: PERMIT NO. : _
DATE: 111-2�-' DATE ISSUEDZ l
OWN RS NAME : 4'Gr`t7— I
ADDRESS: IL'�`fw: rri�'u� G _
CONTRACTOR : - ---_`___
TEST : Air L), Water[] Visual* Laboratory p
w_RESULT' Approved O , Disapproved � Pending p
S KET�H:
INSPECTOR DATE
EOTE: Attach supplemental test dot berets,
i City of Tigard
INSPECTION REQUE5,3-.':
for
I4
?.. ;PECTION TIME PE:RINI`; NO. —_..—._..—
DATE: DATE:
O W N E RS N A M E : _
fADDRESS : rare irir01A 6A�
C0NTRACT0R
i
i TEST. Air 0 , Water [_} Visuai 0 , Laborato,-�
I RESULT: Approved Disapproved 0 Fer,J;nq
SKETCH:
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S4CTOR DINE
[NOTE . Attach Supptemfnful #,-s, a : 'a hark, `,
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UNIFIED SBNERAVE AGENCY NO. . _ __1Q643" //-
W,'\SH I NG I*vN COUNTY UArE -
CITY OF-
APPI-ICA ION FOR SEWER CONNECTION PERMIT
0VVNI R: J. L. Light Construction
0,NNER'S ADDRESS: 150th ---^--_ __- ---- —
STREET
Tigard _ _ _ Oregon — --97223 - - -,
CITY S1 A-,E i ZIP
BUILDING SITE: LOT 16 BLOCK _-_ ___ ADDITION —Enolewood Subd.
TAX LOT NO. _.____ TYPE OF OCCUPANCY -__Res.
ADDRESS _ 11344 S.W.. Ironwood Loop -----------.__ - _
DWELLING UNITS_-____ FIXTURE UNITS -
SURCHARGE IF APPLICABLE _
PERMIT FEEINSPECTION FEF iOTAI_ DEPOSITED 600
NFW1 (EXISTING) 3UIl_DING SEWER SYSTEM ---._Fanllo_Cra€k_ _
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT.. -' = _ --
z_-
SEWER PERMIT
THIS PERMIT AUTHORIZCS CONNECTION TO "THE SEWER SYSTEM.
'.INE SIZE 9.!! _____- J._._-.--- INSTALLER
(AGENCY OR ITS AGENT) C/
COMMr_NTS Building permit 1072
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
mw 401 mi—it, 111111RI111111 will I
BUILDING Pr_HMIT APPLICATION " TIGARD DATE Of" 19 ?r
639-6560
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PI Q" tt-tt
LOT NO. L1 l7 ,
OWNER—'• • t; j'JOB ADDREcSS � ! S I:. "1:.7, I :!.t i P HOME ADDRESS
ARCH]:ECT
BUILDER —_ ADRESS ENGINEERDESIGNER _
STRUCTURE CINEW O REMODEL Y-OADDITION OREPA,IR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE. OCOMM ❑EDUCATIONAL LJGOV'T GRELIGIIUSOPATIO ❑CARPORT ❑GARAGE L__ISTORAGE QSLAS OFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE DDESIGN REVIEW ❑COUNCIL APPROVED — OSIGNS _
- CCUPANCY—LAND USE ZONE +4 r -BLDG.TYPE FIRE ZONE PLAN CHECK BY_ HEAT `Ra
t« wa.ingle fii 'illy &_.!s11in4 U/ali:tltc.ttr.;r CI�slIFa'aI➢
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QS��L991Z--___-11.4QP1S7AP �.}I E1Stl�L_ _1NQ.STOB ES — AREA _Q,BEDRCOM5d__YALU_F�„
BUILDING DEPARTMENT r
--- SET BACKS FRONT �� REAR �� LEFT SIDE .+ RIGHT SIDE I
Permit 151900
� o Q� THIS PERMIT IS 19SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINti CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANn IT IS HEREBY AGREED THAT THE
- - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA[IONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
--' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax • LICENSE. SEP, RATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY -- aw
Y-- — --- Ar 'CANT CSR AGENT
Approved I Receipt No.
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Address _ /l-:?yV � ,,., �� � Permit No.
Permit charge 7; 0 i-2 �-
Owner JJ -�. _ � Connection fee .5,��-'
Paid by
Type of building , 1.ee Date connected
Service rate /�i Inspection fee <S 6u
Contractor paid by Date
Size of connection _ Assessmeiit paid