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City of Tigard
I INSPECTION PEOW ES '
for
INSPECTIO14 TIME 'w.._..._�_�.-�— PERMI , NO. 7.
i
DATE : " Biu r_` DATE: I S ``
OWNERS NAME : . _.______ . __.___ ..--------IV _j____.. r,.,,j
f ADDRESS
CONTRACTOR :_ --- ---_-._
TEST' Air U, Water 0 , Visual 0 , Laborato►%. L]
RESULT: Approved , Disapproved 0 Pend;ng
--I K E TCH* �At�Pr..+�—�-'�
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t
INSPECTOR DATE
COTE : Attach supplemental test data hotel03
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City of Tigard
INSPECTION REQUEST
f or-
INSPECTION
r-INSPECTION TIME :_ PERMIT NO.: —
DATE: - Z I
O.: —
DATE: .x...1_.1---- DATE ISSUED:
OWNERS NAME : ..:k2l—
ADDRESS : "' 9
CONTRACTOR : err " �' r---
TEST'
'TEST: Air O, Water [j , Visual 0 , Laboratory 0
RESULT: Approved D Disapproved U , Pending p
SKETCH:
I
I INSPECTOR DATE
ILWOTE: Attach supplementoI test data here 1:111
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City of Tigard
INSPECTION REQUEST
for
IV
INSPECTION TORE: PERMIT NO. :
DATE:sL,0116, DATE ISSUED :
N
OWNERS NAME :
ADDRESS: f l 211CONTRACTOR : c/ -j rt s-t
TEST : Air 0, Water(] , VievaI Laboratory ❑
RESULT: Approved Disapproved El , Pending []
SKETCH.
INSPECTOR DATE
[Not6: Attach awlsmental t1st dni a 'If,
I
City of Tigard
INSPECTION REQUEST
I
or
INSPECTION TIME: PERMIT NO. :________
DATE: 1aZ317--, DATE ISSUED :____lam I
OWNERS NAME : Z P2 - `�-
ADDRS:SS: LLT
96 I
CONTRACTOR : °
TE ST : Air Cl, water 0 , Vi seal 0 , La boratory [3
r ved Disapproved 7 Pending I
RESULT. Apa o � , pp 9 p
SKETCH: I
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I OR DATE
50TF : Attooh SuPPInment"I ter► (101(1 I. o j
,..._. .y.•m,trNr+srts..•,�rry ..:. .-: _ .. ....... : .. ,,. .. ._,;-.ac.e q,N.,,wr' .�w;.rvrwcxnet7�w. -„vy�,.,.,,R,.•�+Ir.r.gr�..y�..s. .
CITY 01111
BUILDING PERMIT APPLICATION TIGARD DATE ,g 0577
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AtQtSPfq*ICArgONE
OWNER I xdBl ..r }1.tI :Ir,''ADDRESS 1;:, 14C :_`.U. Highland (A* BUILDER PHONE
ENGINEER
BUILDER ARCHITECT DESIGNER
STRUCTURE 15NEW _❑REMODEL_ ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
OBOND ❑MOVING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
V—D3 (j #&
QCCl1PANCY_ i _LAND USE ZONE.— BLDG.TYPE FIRE ZONE PLAN CHECK BY—— .
_ HEAT
Q,C,LOAD FLOOR LOAD �--_-- HEIGHT _ _ _ A NO.STORIES _______ AREA — VALUE
-- BUILDING DEPARTMENTSET BACKS FRONT REAR w I� LEFT SIDE (Y-6 RIGHT SIDE �"�
Permit 100.00THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10600 REGULATIONS AND ALL APPLICABLE 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
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRALTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 3,24 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 121.24 6;6'ou Cur :i VfLJer ; nsf:jec:tion
By --- ---—--
_�—_ APPLICANT OR AGENT
Approved Receipt No.
ADDRESS ---_v -----WHOM —
PLUMBING DATE
REMARK..
DATE INSP, TYPE INSPECTION — -_-
Contractor4 40
•� y�. �, Permit No.
Rov h-in
7b Fixture
�- Final 1
EATING ��
Contractor
Permit No. —
— � -yob
Gas or Oil -TA(o,�,.
Rou h-in
Final
_— —------ SEWERV-3'76'
r'
Final --
- DRIVEWAY
---- Final -
-- Storm Draina e
---`-- (Rain Drain) Final
Sidewalk -
- --- Curb&Street Final
--- e- ?-/3 -7G
Approach
BLDG.DEP--,FINAL TEMPORARY — CERTIFICATE OCCUPANCY Final —
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
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