10965 SW PATHFINDER WAY 10965 SW PATHFINDER WAY -
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City of 'T!'gotk�
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iNSPEC I-ION REQUES "'I
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IN;PFCTION TIMEI PERMIT NO, - .—
DAT E .* DATE ISSUE(
01"NERS NAME :
A D D R E 9 S
CON TRACTOR
TE ST ' Air 0, Water[] , Visual �, Lab,)!Utm Y
OESULT ' Approved'O Disapproved ing 0
SKETCH,
IN sP E C T ;1R DATE
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City of T igord
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8 N -coPTCTION REQ L- ttl i
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fiPECTION TIME: PERMIT
DATE. DATE ISSIA:D ....._.I
OWNERS NAME : ` °_SO-
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ADDRESS: LAL���, -
CONTRACTOR
rE ST : Air 0, Woter 0 , Visual ❑ , Lfa►, ,
�'ESULT: Approved Disapproved [ X. a �
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p�e�r".".grryln,�/.��44'aMY'M'.'�'M,"�. •R..'451�ti�1
CITY Of
BUILDING PERMIT APPI_ICATIGN TIGARD DATE 19—W 0562
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN IIJDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE— —
!e d C auildNre Inc. to-r/1 10965 5•w. Pathfinder
QWNEH —� ADDRESS BUILDER PHONE
ENGINEER
BUILDER ARCHIIECT DESIGNER
IN
_
STRUCTURE I NEW ❑REMODI L ❑ADDITION C1 REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL.. ❑GOV"r ❑RELIGIOUS❑PATIO ❑CAFIPORT ❑GARAGE 0STORAGE❑SI.AB [:]FENCE
MOND OMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW EQCOUNCIL APPROVED EISIGrhs
QCUPANCY__1—LAND USE ZONE___( .BLDG.TYPE —FIRE ZONE_ PLAN CHECK BY fi 1 HEAT-.-_-
I;��n>str pct 1287 t�q. I't. t°r�Iraer L)II+ell#rt;; m joi.i..,go .in besemr
8,;cardinq to approved Nana — —
_ ISO
�-�-- -�'S - — ----- -
99C LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA — VALUE _
BUILDING DL-ARTMFNT b
�— SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1. . 01) -- - -�_- _ - _-- -_---
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODEL. AND OH0INAN%;ES, AND IT IS HEREBY AGREED THAT THE
- WORI' WILL BE DONE IN ACCORDANCE WITH I4E PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND uRDINANCE!'. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR ANI I SUB CONTRACTORS TO HAVE f.;URRENT CITY BUSINESS
1'16 State LICENSE. SEPARATf. PERMITS REQUIRED FOR ;EWER, PLUMBING AND HEATING.
Total
BY --
------ ------ ---- APPLICANT OR AGENT
Approved Receipt Ni)
-- -- ADDR:S
DAr IINSP. TYPE INSPECTION REMARKS PLUMBING DATE
dim 0 Contractor4- &lz" fs
19.7b
Permit No. 0 7_2_ is
q_77, Rin
11
lk, ough- 4
vs. Fixture
j 6)ej, Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drains t_
(Rain Drain) Final
--- Sidewalk
Curb&Street Final
A roach
BLDG.DEPT. FINAL -TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
I', ardscaping
7 ming Final
/�•�' (ham....+ / i�t' 9
ADDRESS Loy 6S 1�L, Q �`• lJ`L`7 PERMIT NO.
PERMIT CHARGE none
OWNER _ CONNECTION FEE
PAID BY
TYPE OF BUILDING � �,-�--•e � � DA.sE CONNECTED
rlCRVICE RATE INSPECTION FEE
COVTRACTOR �v C' `l '�'_' ,` P; 7D BY GATE
SHE OF CONNECTION _ ASSES5MLN T _ PAID
ADORE 5 S ,1 d i� (.� '�- PERMIT N O.
e
� P E f�r 1 I T CHARGE n°►�
OWNER l 2�Cr� ___., --_r.__._ .._..._ I.ONNECTION FFE
PAID BY
TYPE OF BUILDING
DATE CONNECTED
SERVICE RATE �,_„_ IN5PECTION FEES
C 0 N I R A C T O R - PAID Q Y �..__.....___..�.... DATE
SIZE OF CONNECTION _ �___ ._ A55F SSIIENT __ _ _� r)
SIZE
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