9430 SW INEZ STREET 9430 SW INEZ STREET
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME '.---..-- PERMIT NO. : _ P.`V.4
DATE : DATE ISSUED,-,! !'21/ 7L
OWNERS NAME :
A D D R E S S ' ___._Z4:;K,2
'"FST. Air 0 , Water Cj , Visual Ci , l.aboretor� u
RESULT: Approved , `Disapproved 0 y {?end!=1�
SKETCH. 6 7
INSPECTOR VATS
[NOTEAttach supplementul test date her..,;-
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I City of Tigard
INSPECTION REaUEST
I for
YINSPECTION TIME : _7 PERMIT NO. : ----
DATE:
O. : __—_DATE: /y-- DATE ISSUED:-1__.
OWNERS NAME . N' �� - ---____ _
ADDRESS : i`
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CONTRACTOR :-_
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TEST' Air 0, Water (] , VieualK Labo►otor Lj
RESULT. Approved A, Disapproved O , Pending []
I SKETCH.
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I INSPECTUR ATE
ICOTE : Attach supplemental test date heretil
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A D R E 5 4 D PERMIT N U.,.-
PERMIT CHARGE none
OIJNER CONNECTION FEE
PAID BY
TY-'f OF BUILDING DATE CONNECTED
SERVICE RATE � i,��..._.�_.� � INSPECTION FEE ._ .�.._ o2Z-
PAID B Y �r �
ry r
DAT�
S 17.E OF CONNFCTI ON � � ASSESSMENT �. PAID
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CITY or
BUILDING PERMIT APPLICATION TIG BARD DAT F. ��� �i t9_ _ 06 FI
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
QA°NFR i?itl�'L laA ..uli_iL. :.tS• ADDRESS 44 (! • I It1Ni �T QUILDERPHONE
Marvin Penrose ENGINEER
V,L)ILUER ARCHITECF _ DESIGNER
STRUCTURE ANEW ❑REMODEL _ ❑ADDITION ❑REPAIR ❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ElSTORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING QCONDITIONAL USE QDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCC PANCY j LAND USE ZONE �M 7 BLDG.,.TYPE FIRE ZONE— PLAN CHECK BY rt a HEAT =_
construct 1243 sq. Pt, split levwl Prome dwelling with cjaraVa in
--- basement acrordiny to approved plans
---- ---- sdrauR- 32 0'
4 - -----i------ --_- --
40 lb
OC9. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENTt
SET BACKS FRONT 20 REAR A )ALEFT SIDE G� RIGHT SIDE 211
Permit 133.GU
- -"' THIS PERMIT IS ISSUED SUBJECT ' 'rHE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan check E)G.50 REGULATIONS AND ALL APPLIrABL CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
`- WORK WILL,BE DONF IN ACCORDANT C WI TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND OI:DtNANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA:JE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENt CITY BUSINESS
1%State fir. 1.ICE NSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 20 b*49
By rf'IB
--- - nPPt.,ICANT ON Ar3ENT
Approved Rec.nlit No
'^' ---- A0 0RESS --
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ Contractor
Permit No. 036/_
G 1 L n pc/ Rou h in
2� �ttl � G�a•-a-�o_ t IOD Fixture —
L I 6 `_ _ Final
^��•7G _ HEATING
7_1 P�J-�,44 e�� �_-- - Contractor
-nom
Permit No. 11-7
Gas or Oil / ' --
ll _
Rough-in
Final �—
_. SEWER
_ Final
L+RIVEWAY --
- Final
Storm Drainage,
- (Rain Drain) Final
- Sidewalk g-,G
Curb✓3r Street Final
Approach ,� L` oZ 9 7 G
BLDG.DEPT.FINAL TEMPORARY CERTIFICA'rE OCCUPANCY^ _
? CERTIFICATE OCCUPANCY Final I
Landscaping
Zoning Final
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