11392 SW IRONWOOD LOOP 11392 SW IRC,*MD LOOP
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City of Tigard
iNSPECTiON REQUEST"
for
INSPECTION TIME. PERMI" NC.: �"—°
DA TE: ?.s DATE ISSUED. - .�._.
OWNERS NAME '%--. -;--Ae-1
!!DURESS . , L3�'-;; _ .._.
! CONTRACTOR :—
TEST. Air 0, Water p , Visual0 , Laborator.
RESULT: Approved,v , Disapproved ❑ , Pendraq ;,_j
r SKETCH:
IN TO� DATE
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City of Tigard
INSPECTION REQUEST
for
INd�PECTIOIA TIME- PERMIT NO--
DATE '
O. ._____
DATE : _1J DATE ISSUED ; . _L_L
OWNERS NAME : /�� 3 "Z •+� '
ADDRESS:
CONTRACTOR :
TEST : Air rJ, :voter[] , VisualA*, Lat oratory ❑
RESULT' Approved $j , Dlaapproved [] Pending []
SKETCH I
1
INSPECTOR DATE I
NOTE. Attach supplemental feet data beret fl I
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ADDRESS ;a„. �`ki , ,,a- -- PLR 1IT N0._—
PER"!If CHARGE none
OWNER CONNECTION FEE
PAID BY
TYPE OF Pl ",DING �,a._c;_- „ DATE CONNECTED
SERVILE Rj. ; c / ��, INSPECTION FEE S
CONTRACTORr;�6 w —.,— PA ID BY _ DA'f F
SIZE OF CONNECTION .__. ASSESSMENT i PAID
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,qtr. Tigard
City of
INSPECTION REQUEST
I
for
SNECTION TIMEPERMIT
: I
DATE.' _1.^�-/ �5 DATE ISSUED ._.._L-Z -
4 N E RS NAME :
ADDRESSI�*-.. f
NTRACTOR '.
_ST :
Air ❑r 1Noter 11 ,
Visual L7 , Laboratory Q
Pendine
-,)ULT : Approved Disapproved 0 _ 9 L1
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�gPtCTOR DATE
TE Attach supplemental test data hereto]
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE_ 5-28 ' 0300
THF- UNDERSIGNED HLREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IP: THE ACCOMPANYING PLANS AND SPECIFICATInNS. OWNER PHONE--.-- _—__--_
Bob SrAt' Lot 12 Englruuou '//3 91.2- �'rn,�., w'd L"y„
y.yNER_ __ —_--ADDRESS BUILDER PHONE
same ENGINEER
BUILDER ..—_ARCHITECT _ DESIGNER
STRUCTURE ONEW ❑REMODEL ❑AC DITION ❑REPAIR PRENEWAL ❑FIRE DAMAGE ❑DEMOI_tTION
El �RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T C]RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SL.AB ❑FENt;E
LIBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED C,SIGNS
— PLAN CHI=CK BY f' HEAT___
UCC,JPANCY— LAND USE LONE BLDG.TYPE._ FIRE ZONE_
vaiiijiLri- ?-593 wq* ft. frame dualling — partial basement moo -
- attached garage 4 hadroome —�
OCC. LOAD FLOOR LOAD 40 1b HEIGHT _ 9 N0."TORIES 2733 AREA_ VALUE r);7 77 y
—BUILDING DEPARTMENT _ SFT BACKS FRONT HEAR GO LEFT SIDE 6 RIGHT FIDE U'
Permit .�..�--------- -------.- _— —._-- —= —_— -
--'– THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CON-AINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL.BE DONE IN ACCORDANCE WITH THE.PLANS AND SPECII ICATIONS AND IN COMPLIANCE WITH
Recording ALL APPL.ICABLF COD.S AND ORDINANCES, THE ISSUANCF OF THIS PERMIT DOES NOT WAIVE
---"-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1` State 1,4;4 LICENSE, SEPARATE PERMITS REQUIRED FO'F. SEWER, PLUMBING AND HEATING.
Total 7.1.4.4,.
By --------- -- -
- ---- - APPIJCAN f OR AGENT
Approved Receipt No
ADDRESS PHONE
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DATE INSP TYPE INSPECTION REMARKS PLUMBING DATF
Contractor
(�—�j•75' --__ - Permit No. loo _
( _ _-1 ----_ — — Rou `rin ---
Fixture
Final
HEATING
Contractor (
- t-z Permit No,
y(� Gas or Oil
Z_ Qis stwgleJry n Rough-in
$� '7� ' ,�_ i { ' � .'^�f't�c . - _ �•r'-- -fr• —f Final— -- --- - —
_ -- SEWER
iV Cid, .' C' ' r ra.r. �' final - —
•� �.�L � �L,� ...r _ , r` DRIVEWAY'/-7� �!r_
Final
Storm Drainage _ —
{'� � F-,� G•LIL.(, � !' (Rain Drain) Final---- -... _
Sidewalk _ —
��aPj Curb&Street Final —
_ �_—`-- A roach
W SLOG.DEPT.FINAY TEMPORARY —� CERTIFICATE OCCUPANCY final
/ CERTIFICATE OCCUPANCY
1 andscaping
Zoning Final
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