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9390 SN; INEZ STREET
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I City of Tigard
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INSPECTION BEQUEST
for
INSPECTION TIME : PERMIT NO. : .�f3
i DATE; -2-//lI�L DATE ;SSUED:---j
I OWNERS NAME : ter!/ ,,'r-,J. .. , f
AP DR E
p CONTRA:TOR
f TEST: Air C, Water C , Visual C , Laboratory C
I RESULT. Approved � Diaopproved ❑ , Pending C
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p IC .2 - / Z - 7
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INSPECTOR DATE
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COTE : Attach supplemental toot data here'J
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :.., ,0b,,_ PERMIT NO. : —
DATE: _V IJ717L DATE ISSUED:,
OWNERS NAME : 4..,00'dy �
ADDRESS : 2170 ,L 14- +
CONTRACTOR :__ a&1''"-���,�'�--
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TEST*. Air CI, Water Ei , Viauali, Laboratory ❑
RESULT: Approved P , Disapproved rl , Pending p
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SK(r."I'CH:
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INSPECTOR DATE
�10TF : Attach supplarnantol toot data harsh
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ADDRESS � _ �� yQ.� PERMIT NO. Soy 3
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PERMIT CHANGE none
CONNECTION FEE
OWNER
PAID BY
TYPE OF BUILDING ., �. -- -- DAT; CONNECTED
^�,�.+�,,_.._._____
SERVICE RATE INCacCTION FEE
PAID BY DATE
CONTRACTOR _ -
_
Sr7.E OF CONNECTION
,� ASSE5Sf�lEtiT -_ PAiD _. ._...._ __..
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City of Tigard
INSPECTION REQUEST
for
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INSPECTION TIME: PERMIT NO. :
DATE: ?/5 DATE f SSUED :.`L1
OWNERS NAME . -- G'r,
ADDRESS: __ 93'70 *,W, J.a --
CONTRACTOR
TEST : Air [3, Water 0 , Visuat 0 , Laboratory p
RESULT' Approved O Disopprol -jd [I Fending p
SKETCH: Z
rIN�� tC�u''S�C.d' l.!'GN�/-Ct fiKr 7^ 6. 1✓1S�a�-ION �4Zi35pW1 �� -. I
VP
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INSPECTOR DATE
[NOTE: Attach supplemental teat data beret] !
CITY OF
BUILDING PERMIT APPLICATION TIC AR® DATE _. 19 AC-N 0203
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 'THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHPNtj,1.,
QBNER +1 ADDRE S y � �sBUILUE13PHONE
___
�_,#jnr.;`• rinatt-tiction ENGINEER
BUILDER ^^II _ ARCHITEQ.T _ DESIGNER
STRUCTURE CJNEW ❑REMODEL �t ❑ADDITION ❑REPAIR ❑RENEYIAL ❑FIRE DAMAGE []DEMOLITION
O RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PA.TIO ❑CAR PORT ❑GARAGE ❑STOHAGE❑SLAB ❑FENCE
❑BOND El MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED USIGNS
}
OCCUPANCY LAND USE.ZONE R+7 BLDG.TYPE J FIRE ZON� PLAN CHECK 3Y re HEAT--.._�.�__-
construct 1245 sq• Pk• apil , llevol trams dw*11ing with
garage in basam-ont. according to 909 approved plans
IIn 1 a— i7644 total 5;f LIUILL41
OCC. LOAD FLOOR LOAD —_ !'EIGHT _ N_O_.STORIES —r_ A9EA� VALUE r
BUILDING-DEPARTMENT r+
SETBACKS FRUN - REAR LEFT SIDE RIGHT SIDE
Permit 1 31•00 ----
�" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 7n REGULATIONS AND ALL AFPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
--- WORK WILL.BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
HECCrd.ng ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State * R LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.
Total i�ia�J• �
By
--- -- -- ---- APPLICANT OR AGENT
Approved — Receipt No.
----- — ADDRESS - _—._... ------- PHONE: ---
DATE INSP. TY0E INSPECTION' REMARKSA PLUMBING GATE
Contractor/
Permit No.�11
„�Q�t� � Rou h-ii
Fixture -
a
Final
HEATING
Contractor g
Permit No.
G'I9S74or Oil
G- _ ��r,e��l✓ _�Zi(� Rough-in
Final
---- - —
� - SEWER
i/VF4Z _�?1IPRy✓�O AP7k7t1 rNSTaGGrrTL'L' 7-9--75-
i0 Final -
I o ��G O� i�� /�0►f DRIVEWAY i
Final __—
Storm Drainage
_ (Rain Drain) Final
Sidewalk D LC 7
Curb&Street Final
_ Approach � ,
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
rid � Landscaping
Zoning Final
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