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11405 SW IRONWOOD LOOP
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City of Tigard
INSPECTION RE �
QUEST
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INSPECTION TIME' . �'` �' PERMIT NO. : I
DATE: LATE ISSUED :-- /
01ANERS NAME : _
ADDRESS: Z2fj
CONTRACTOR :
i EST : Air ❑, Wator [3 , visval)�, Laboratory [j
RESULT: Approved Disapproved O Pending p
SKETCH:
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INSPECTOR DATE
NOTE: Attach fupplementni feet faro 1, ,. • I
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City of Tigard
l r S IIIECTI O14 REQUEST
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IASPECTION TIME: PERMIT N0. ' j
DATE: ./ (1'_L DATE ISSUE[► :_.LL_
OWNERS NAMES
ADDRESS: 1t V-?O'>
CONTRACTOR :
TES i : 4ir p, WoterQ , Vie�ol 01 Laboratory
RESULT: Approved\- Disapproved 0 Pending [] I
SKETCH: ------ i
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IN ECTOR DATE
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CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE --- -- 0642
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND 4PPROVED IN THE ACCO�APANYING PLAN AND SPECIFICATIONS.
OWNEHPHONE.__—_
OWNER ,onol'r"mi 1 IQmoie —_ ADDRE:Ss —�. —__—_ *41LP.ER PHONE----_.
ENGINEER
T►E;2' <1, 11 DC7 DESIGNEh
B.LJI1.DIcR _ •• �y ------r-I--
STRUCTURE _��(3t1,1EWi ❑RE-MODEL—_�❑_ADDITION DREPAIR_ E38ENEWAL _❑_FIRE DAMAGE ❑DE-MOLITION
❑ RESIDENCE IJCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAF'PORT ❑GARAGE_ ❑STORAGE❑SLAB ❑FENCE
M ; )ND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
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OCCUPANCY__---LP'JD U. E ZONE "' � BLDG.TYPE---FIRE ZONE. PLAN CHECK BV'___ _ .___ I;EAJ
�r.►r>5 ;,ntc:L I'_ a(le ft. rx`�a,Ite 'i;JB .i�..`�� ;,, at nhd _—
basement acoamit , to apr,ar ived plans
QAC LLOAD _ FLOOR LOAD lb HEIGH I _ NO.STORIES } AREA 1741" VALUE 2t'j 0()0(-`
BUILDING DEPARTMENT 201 "' '' f"/t ,'C),
— SET BACKS FRONT _ REAR _— LEFT SIDE RIGHT SIDE
Pe—nit
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Ch9ck REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WI1'N TI,X PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AN'; ORDINAN:JS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— RESTRICTIVE COVENANTS. CONTRACTOR DMD SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%Stat` « LICENSE, SEPARATE PERMITS REQUIRED *OP SEWER, PLUMBING AND HEATING.
Total I
By rfa
APPLICANT OR AGE N1
Appiovid Receipt No,
ADDRESS PNON(
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. 037/
6 In vv,,. r� Hough-in
G '� O � � i _poo 'Ve`�!-f Lbs �l Fixture
'✓ /� 9 11ct,7� VAN/ +'W Final -
1" HEATING
Tw_`Iz2tiC y`T G �vGL —_ —_ Contractor
Permit Nc. z ( _ S1161;7 f.
Gas or Oil
Rough-in
SEN'ERJ -7A
Final _
DRIVEWAY -- ------
Final
Storm Drainage
(Bain Drain) Final
Sdewaik
tA
b&Street Final
BLDG.DFPT FINAL. TEMPORARY —� CERTIFICATE OCCUPANCYal
CERTIFICATE OCCUPANCY __—
_ [ Landscaping
Zoninit Final
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A DD R F 5 PERMIT NO
pEFifil T CHARGE ._. ... none
0
OWNER
CONNE uT I ON FEE -!5n
P A 10 B Y _ =" •�fir�,
TYPE OF BUILDING A -..-. .�s...._...______-..--. DATE CONNECTED
____------- - --
_ INSPECTION FEE
SERVICE RATE ,--
CONTRACTOR
PAM BY D�?1 E
SIZE OF CONNECTION AS515, j11ENT PAID
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MMOGRAM HOMES
JAY HARB13
646-0186
1-4-1125 S. W. ?rid
BFAKATO4. OR 97005