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City of Tigard
INSPECTION REOUE ."T'
for
INSPECTION '71 ME : PERMI';
DATE: G DATE ISSUEr.. _e ?�r
OWNERS NAME ' _— —17— c
i
ADDRESS . _ _
r----- _.
CONTRACTOR
TEST. Air 0, Water p , visual !=1 , Luborato+v
RESULT. Approved Disapproved 0 F E�r�IlK y
^SKETCH: '
of .
7_
I �
I SPECTOR PATE
car A`t_i,:t supj,
{
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ?ERMIT NO. :
i
DATE: DATE :SSUEA :._L Z
OWNERS NAME: :
ADDRESS: —LI- 1-
CONTRACTOR : -
TEST :
DDRESS: Ll CONTRACTOR :TEST : Air C , Wcter C , Visual�, Laboratory C I
RESUL .
' Ap^roved Disapproved C Pending C7
Iva y
INSPECTOR DATE
COTE : Attach fupplementul tsar data bitct'�
I
I
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO.: _._..
I
DATE: L Li h > _ DATE ISSUED:....j
OWNERS NAME . . ?f - 61
I ADDRESS :
I CONTRACTO R :.a6A
TEST: Air ❑, Water ❑ , Visual, Laboratory p
RESULT. Approved ❑ , Disapproved , Pandinq I]
SKETCH:
I
I
INSPECTOR DATE
[NOTE : Attach supplemental test data hsret]
we s w w w w w w w
City Tigard
of Ti `
INSPECTION REQUEST
for i
Zr w r r-
r
INSPECTION TIME: , PERMIT NO.
DATE: V I;AI7-)-" DATE ISSUED :-
OWNERS
SSUED :_OWNERS NAME :- _
ADDRESS: .:<'a 75 • .'S1h,/, T� ��� us M{[l,.�r/►
CONTr,A^TO R : _. C%•.s TEST : Air ❑, Woter Visual Labor
�i ,�, story ❑ �
RESULT: Approved 'c-, Disapproved ❑ Pending ❑
SKETCH. c -----
J
V
INSP - 1OR DATE
C )TE; Attach supplementnl test darn be, , 1
City of Tigard
INSPECTION REQUEST
for
I INSPECTION TIME : ,4• PERMIT NO.: _.....
+
DATE: _9/._912/1 ,-IJ - DATE ISSUED:
OWNERS NAME :
ADDRESS :A"JE-r-
'+
CONTRACTOR : J x,601 - ..
ITEST. Air O, Water p , Visual O , Laboratory [3
RESULT: Approved , Disapproved ❑ , Pending p
1
SKETCH:
I
I PECTOR DATE
ICN:OTE: Attach supplemental tett data hereto '
I
City of Tigard
INSPECTION REGUEST
for
INSPECTION TIME :_-J� r %- ` " ��
� RMIT NO.: _
DATE: 2 7-�/ DATE -SSJED:-..a
D'�YNERS NAME ; r�
ADDRESS :
:0N7RACT0R
TEST: Air C, dater (] , Visual C , Laboratory C
RESULT: ApprDv:d % Penjing J
S'CETCH:
1
1
_ -2111
i SRECTOR DATE
NOTE: Attach Iupp;ementaI !n#6 data here,]
I
CITY OP 1'N4 0465
BUILDING PERMIT APPLICATION TIGARD DATE — 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER 'I.•1Gl'atirt f)eU. is u f ADDRESS 1007." 5.w. Highland LJTivAJILDER PHONE
ENGINEER
Hj�ILDER F-880 ARCHITECT DESIGNER
STRUCTURE ®NEW ❑REMODEL ❑ADDITION ❑REPAIR DRENEWAL ❑FIRE DAMAGE []DEMOLITION
DRESIDENCE DCOMM []EDUCATIONAL DGOV'T DRELIGIOUSDPATIO ❑CARPORT ❑GARAGE (:1 STORAGE DSLAB ❑FENCE
D9OND 0MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
2GCUPANCY_1 —LAND USE ZONE P'"i1` BLDG.TYPE, a FIRE ZONE-3 PLAN CHECK BY t Irk _ HEAT " ^'
b203 2 bedrooms
- ------- ---�
OCC. LOAD FLOOR LOAD .�344_ HEIGHT NO.STORIES AREA_ VALUE 21,200
_ BUILDING DEPARTMENT SET BACKS FRONT REAR LFFT SIDE RIGHT SIDE
Permit 1CIt).i7tl
LQ.0THIS PERAIIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ob REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREDY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
3 �1I� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State " LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total L 13.01)
By
-._- APPLICANT OR AGENT
Apl roved Receipt No.
?,o f ss
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
o (L- Contractor_
Permit No �' .�-
/p gip."
r Nom' �,� Rough-in
/02 7 Fixture
f(_3'?s _ e���_ Final
:;EA ING
d4 Contractor
Permit No.
Gas or Oil 171kv.ety-4 /n 3i 0(C
__ ____ Rough•in
Final _
--- -- — SEWER/ ;V';I� G9C —
____ Final _
______ _ DRIVEWAY/o,io X
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
— _ Curb&Street Final
C G //•3 -
BLDG.DEPT, FINAL 'TEMPORARY CERTIFICATE OCCUPANCY Approach 75'
�n
CERTIFICATE OCCUPANCY Final
- V' Landscaping
Zoning Final
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