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City of Tigard
INSPECTION REQUE�5 ,1-
for
IN-8PECT10N T I M F: O I ", ''ERMIT 14 0.
DATE '. DATE ISSUED
m W N F RS N A M F :
ADDRESS: 1135._. _c �E�_ -��
CONTRACTOR
r FST '. Air [I, Water E) , Visual 0 , Laboratory C
RESULT: Approved lDisapproved 0 Pending ('j
SKETCH:
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I SPE CTOR DATE
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City of Tigard
INSPECTION, REQUES "l-
IN8,PECTION TIME: PERMIT
DATE-,: Z6 DATE ISSUED
OWNERS N A M F
ADURESS' ZZ,.j:E1
CONTRACTOR Z/---3-3S-
T F- ^i;p T Air [�, Water ( , VIsuol)'(;,4obo'—rafo—ryD,-tri��lttiT. --
Appeov"d Disapproved M-nding n
SKETCH.
11`4 SP, r-CTOR UATF
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME:2 -2- �L'�. ./�'�- PERMIT NO. :_
DATE. ll / i/�J� DATE ISSUED :- I
01h , i• tS NAME .-
ADDRESS: —/,/-?
AME :_ADDRESS: .—//-?.r/
CONTRACTOR : ____ )' / 'r
^rE ST : Air [] , Water[j , Visual ,, Laboratory p
RESULT: Approved Disapproved 3 Penoiny p
SKETCH,
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INSf'EC7()RDATE
CN OTE : Attach .upplemental test dot(i i
ADDRESS ' ., %� / - �* ot -�. �' PERMIT N0._
Pr-RMIT CHARGE _--- �._ none
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flWNER ` �'�'� v �� , _-- .._._..._ CONi!FCTION FEE _ 15.50.
PAID BY ,
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TYPE O F" BUILDING ��� .C�--� �.._ DATE CONNECTED
SERVICE RAM (�- �� INSPECTION FEF: -
CONTRACTOR PAID BY ►SATE
A;iSSSSPIEh'T
SIZE OF CONNECTION PAID
City of 11 igard
WSPECTION REQUE'lS -�
for
i�
INSPECTION TIME: -L PERM11 NO---
DATE*. A;pk-4161115- —J—Z
DATE ISSULD ..
OWNERS NAMF : - Vt
ADDPFSS: &J44
CONTRACTOR
TEST .' Air 0, Water 9:6 VisuaV,,O , Lubo,atory 0
RESULT' Approved Disupprovocl D , Pending 13
SKETCP.
IN @
�—�,OtF Attach %Vp"lerroji it I ioti 17!A Gera',G
PW44r Wrio a C^•,�2 ►K�a.a.yr•
CITY OP
BUILDING PERMIT APPLICATION TIGARD DATE 10-a 7� NP 0523
THE UNDERSIGNED HEREBY .APPLIES FOR A PERMIT FOR THE WORK IIF5EIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIJJ gATIONS. OWN ER PHONE__—__
NER _ --- --ADDRESS 113" S.W. I$OO'_rpClf� Lu . BUILDER PHONE "•?
ENGINEER
ARCIIITECT DESIGNEI, 1
STRUCTURE (]NEW ❑REMOLIEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑ FJ
FIRE DAMAGE DEMOLITION
❑ RESIDENCE ❑COMM ❑EDL 'ATIONAL L.IGOV'T ❑RELIGIOUS UPATIO []CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
_❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED CISIGNS ^
OCCUPANCY LAND USE ZONE _BLDG.TYPE_--FIRE ZONE PLAN CHECK BY_ IIEAT-_���
runstruct 1: 44 sqo rt. frame dwelling with attached garerje _ _
no basement according to approved plan v
3 bodrtaum
Q LOAD FLOOR LOAD HEIGHT NO.STOR_IE; _ _ AREA v— VALUE 300000
BUILDING DEPARTMENT �—
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 127.00 - -------=- - �_---�_..--���_._----_-- ---
�' T41S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREFD THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE COUF.S AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 3.81 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND 4EATING.
Total 14 .�-�—
By _ / ..
APPLICANT OA AOEN� -.�—
AF.,,oved Receipt No.
ADDRESS
Wow � a�
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DAT)EINSP ECTION REMARKS PLUMBING DATE
AO� - Contractor
Permit No. /_>^ 15173 -- Rou h-in Fixture
� �- — Final �—
HEATING
IA—
Permit No.,4
—�_ -- -- -- Rough-in
Final �T
-- --- --- — _SEWER/2-iS,fS--.
Final _
__ ----- -- _— -- — DRIVEWAY/1.7/.K
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Final
Storm Drainage _ —
_ (Rain Drain) Final
Sidewalk — 4 c-
Curb&Street Final
-- — A )'roach
BLDG.DEPT. FINAL TEMPORAF,Y CERTIFICATE OCCUPANCY Final
CERTIFICATE Or;CUPANCY _
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/(7q .7b Landscaping ---i
Zoning Final
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