11364 SW IRONWOOD LOOP 11364 SW IRONWOOD LOOP
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City of Tigard
INSPECTION REQUEST"'
for
INSPECTION TIME : PERMIT NO. :__/0
DATE: DATE ISSUED:_..
OWNERS NAME :
ADDRESS : �.
CONTRACTOR :
TEST: Air Cl, Water ❑ , Visual 0 , Laboratory ❑
RESULT: Approve , Disapproved Cl , Pending [�
SKETCH:
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ADDRESS f/���/ ..� � rjprz..____ PERMIT N D.. `) 6 ,
PERMIT CHARGE none �
OWNER _ CONNECTION FEE acs
PAID BY
TYPE OF BUILDING DATE CONNECTED
SFRVICE RATE �� INSPECTION FEE
CON ! RACTDR PAID BY .nZ _. DATE
SIZE OF CONNECTION ASSESSMENT PAID
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TI ME : AFa,t PERMIT N ,).'
DATE: /=' fes DATE ,SSUED:_.-d
D �I'VERS NAME :
ADDRESS : A67
TEST' air u , &-.ter' �-ch rato.y
RE-3JLT: scar:v3d �`.s:?;��wed i ?e���n� ']
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PE.;TOR DATE
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City of Tigard
INSPECTION REQUEST
for
--� T
IOPECTION TIME: PERMIT NO. :_..
DATE: ac/:,:_5 DATE ISSUED
OWNERS NAME : ------
ADDRESS 17!�,�& - , ,,�,/,�a
CONTRACTOR : --
TEST : Air 0, Wc,ter 0 Visual p , Laboratory ❑
RESULT: Approved , Disapproved [J , Pending ❑
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SKETCH:
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INS - C T nR DATE
rNOTF : Attech Supplemental teat data 4era13
iciiD
CITY or g»4 7r� N° 1,480
BUILDING PERMIT APPLICATION TIGARD BATE 19
TH- UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING P4ANS AND SPECIFI 'ITifOIfTT �j ONE���_
OWNER bi.Nu at ` iilT�.
i"I ADDRESS oJIYi11-Y44 ++� 5,t�l• IL':Jnwood 1_TJOpBUILDER PHONE
ENGINEE9
BUILDER _._ ARCHITEC( r-�DESIGNER
STRUCTURE EINEW ---11❑REMODEL ❑ADDITION ❑-�tREPAIiir-� ❑RENEWAL OFIRE DAMAGE DEMOLITION
EIRESIDENCE ❑COMM I,_,1EDUCATICNAL OGOV'T ORELIGIOUSOPATIO OCAR PORT ❑GARAGE OSTORA- .OSLAB ❑FENCE
OBOND OMOV NG OCONDITIONAL USE ODESIGN REVIEW O COUNCIL APPROVED ❑SIGNS
OCCUPANCY L LAND USE ZONE i�.. BLDG.TYPE_y;_—FIRE ZONE PLAN CHECK BY_ r f HEAT__
(:c°ietruct, 1455 ort, ft. f tome +fit, ic.I.lng with ,I tter..hud ;jmregs
k)nsement - oi;cu trdl�iq to sppr�,vlp.d piens
re-i0sue► ,lot and 20
--- — 3 bedroom
OCC.LOAD FLOOR LOAD 40 lb HEIGHT � NO.STORIES 1 _ AREA ^__` VALUE
BUILDING DEPARTMENT SE1 BACKS FRONT HEAR LEFT SIDE RIGHT SIDE
Permit 10 127 ------ -- --__—..__._._---_—
�— THIS PERMIT tZ ISSUi:D SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10•dl REGULATIONS AND PLL APPLICABLE CODES AND ORDINANCES, AND IT IS HFRERY AGREED THAT THE
—
—1- 7--' BE DONE III ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 011TH
Recording ALL APPLICABLE CODnS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT HOES NOT 1^1AIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TC HAVE CURRENT CITY BUSINESS
1%State .3*111 LICENSE. SEPARATE PERM'TS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 10161
By r — - -
-� —� APPLICANT OR AGENT
Approved r f e Receipt No.
--
AnDRE49 PIIONF -
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DATE INSP. TYi!c INSPECTION REMARKS PLUMBING DATE -
Contractor
Permit No. 0,71k
Fixture _
ef, Final ----
HEATING
7_7 Contractor
&o*+-k�++u t' Permit No.
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QAC-Cl�t.rJ ... ! Ceo Gas or Oil 6fs �L -ice 3�
D — —
Rough-in --
`� Final
Fi-lal
— - _. _— ----- -- - DRIVEWAY
,
Final
Storm Drainage --
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approac 30 �--------
BLDG.DEPT. FINAL TEMPORARY CFRTIFICAI E OCCUPANCY•
r CERTIFICATE OCCUPANCY Final
/ , Landscaping
Zoning Final
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