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CL 3 / f 2 § / d } § k NJ § ` § / { I Z B ¥ 2 / - « 8 # ) ■ ) o 2 2 t V 3 u f 7 - -j K x x } a � 2 a §wx It 2 ! . } .r .6 § § I z o 2 K k 7 t J f w g 'o / ® / ( k R 2 O a o < N - m ■ IL 0 &L, - ■ City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : DATE: 71-211-76 DATE ISSUED : I OWNERS NAME ,�L• P, C - ADDRESS: _"i CONTRACTOR : L�'R�s� TEST : Air ❑, Water[] , Visual),(, Laboratory p RESULT: Approved Dieapprt;ved O , Pending p SKETCH. j f / 7 INSPECTOR DATE II CNOTE : Attach supplemental test data hereto 1 I i City of T i g a rd I INSPECTION REQUEST for IINSPECTION TIME : PERMIT NO.: _,_, i DATE: DATE ISSUED: I OWNERS NAME . T �- I ADDRESS : ZQZ- ! 93 ICONTRACTOR : ° s 1-41 I-LL144a,-,2 uQ- ITEST: Air ❑, Water,41 Visuato , Laboratory ❑ RESULT. Approved Disapproved ❑ Pending ❑ I SKET ..It ^� ` tv1 C✓t rpkjr 1 � Tf] is A''HI N At V j r I I I I � � -- - J '---PI SPECTOR DATE f COTE: Attach supplemental toot data heret] I P,' ,..;,.Nps„-,:.,.y. v.. .,«..N...,w,.;nr+ds.n+' •rnr+,w.r.Mrwr...nn..,..�a«,nw,..rM»M„fs.. wv,,w....w_e:...+.,..•sx a rer�P:!v"""„yM",.K"^mf+7+aNn•r.- ttwp.Wp'ulWWI*"_,r. CITY OP BUILDING PERMIT APPLICATION TIG ARL DATEr` >,a 0832 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 "ualacin Deva1[Jj,mwnt CoADDRESS lSl1�3a �S.Ij. PlS i,}h1wf1�J t) � BUILDER PHONE 639-3101 Sema ENGINEER BUILDER AF GHITECT GES GNER _ STRUCTURE 1jNEW _ ❑REMODEL ❑ADDITION ❑REPAIR —CJRENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PAl,3 ❑CARPORT ❑ .>RAGE ❑STORAGE❑SLAB ❑FENCE. ❑BOND ]MOVING ❑CONDITIONAL USE ❑DES{GN REVIEW ❑COUNCIL APPROVED ❑SIGNS Ire OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY__ HEAT ,ciistruiA 145U sq. ft. frems dualliny with IBttaLhud Warage and basement, -- Aruordin.) to approved planer. QCC, LOAD FLOOR LOAD 40 1 b HEIGHT _ NO.STORIES AREA 1 VALUE TT_ BUILDING DEPARTMENT `'t l�—_� - — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF --- 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 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS IN,State LICENSE. SEPARATE PEPMITS REQUIREp FOR SEWER, PLUMBING AND HEATING. Tota! By _ - ______ APPLICANT OR AGENT Approved Receipt No. ADDRESS rsFTN"L�— DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE ContractorOOF _ �— _ 7 Permit No. Q -T-12- Rough-in T-/ZRou h•in -3,09 7b y. Fixture Final 7 7 �✓ �,✓ ��, L �r Z[ ¢t.� HEATING _ e� 49 C9�tJ Contractor �� _ [7�-c�_� � Permit No. 0� ✓? �� � r+.� Gas or Oil ad. a _ Rough-in _ Final — � -- -- --- V _ Final _ DRIVEWAY Final Storm Drainage (Rain Drain) Fina' Sidewalk _ [Landscaping b&Street Final E G 7 '�1'TrpBLDG.DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCYCERTIFICATE OCCUPANCY