11545 SW SPRINGWOOD DRIVE 11545 SW SPRINGWOOD DRIVE
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City of Tigord
INSPECTION REQUEST
for
INSPECTION TIME: �� ' PERMIT NO. :_
DATE: 6 /L7Ly7L. DATE ISSUED :— I
OWNERS NAME : . I Ll-CLLeLt±P1
ADDPESS: -1 ) 54-'5tlac -jC-1L J�
CONTRACT'# R :
TEST . Air p, WoterEl Vir�uoi t.aboratory p
RESULT Approved Disapproved iJ , Pending p
SKETCH:
-- INSPECTOR DATE
FrJF. Attach su;o ementnl Inst Aura her`10-1
MELM
XwLw "XwLw
City of Tigard
INSPECTION REOUE S`r
for
INSPECTION PERMIT
DATE: DATE I SSU EED.
OWNERS NAME '
ADDRESS :
CONTRACTOR :----.---
TEST' Air 0, Water 1 vi,.4ual Laboratory Li
RESULT: Approved !.,isopproved EJ rend,ng
SKETCH. _--
i " 7 • ,
I c.
TNtfvECTOR DATE
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CITY OF
BUILD1116 PERMIT APPLICATION TIGARD DATE March to 74 lY" 0 05
_.�—.—,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_ _--
'i6h tgram liomek-, s.us Springwood Dr Lot I 13
OWNER ADDDCSS BUILDER PHONE
Dada ENGINEER
BUILDER ,,�... ARCHI i ECT --DESIGNER _
In
dNEW 13 REMODEL ❑ADDITION ❑REPAIR ❑RCNEWAL ❑FIRE DAMAGE ❑DEMOLITION
t 1 FESIDENCE UCOMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE C1 STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING []CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCU"ANCY I LAND USE ZONE fi-7 BLDG.TYPE 5 __—FIRE ZONE 3 PLAN CHECK BY ria HEAT
Construct 1465 sq. ft. 'Frame r1w,311ing with attached garages No
Basements According to upprcaved p larim. Raissuy Lot 2
.�D. 3 t16 U roam
QQr,LOAD �j FLOOR LOAD 40 lb HEIGHT NO.STORIES_ 1 _AREA 1990 VALUE$33;noo
BUILDING DEPARTMENT1
SET BACKS FRONT Ln REAR 40F LEFT SIDE ��1 RIGHT SIDE IQ
Pei mi . •uu
13 In 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 THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND;N COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTFIACTORS TO HAVE CURRENT CITY BUSINESS
State LICENSE. SEPARATE PERMITS RE'11,11RED FCR SEWER, PLUMBING AND HEATING.
Total *38
By ----
-----• ----them APPLICAN ORAC3ENT
Approved Receipt No.
AOt7RF55 ��HONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
— Contracto
3'/77b i,' (LlCt.z Permit No. O` V,�
Hough-in
L�lq� k Fixture
Final _ --
HEA i ING
Contractor _
— -- --—— — —---
Permit No. 0 L— _ �z '�-7
Gas or Oil
Rough-in _N
Final — -
- -- — ------ —
SEWER
Final
DRIVEWAY -1/•7b
--- --------- -- Final------ I
Storm Drainage
(Rain Drain) Final
^-- -- -- -- -- ---
Sidewalk
_ Crb&Street Final
_—.---- — -- —' - — Approach L G S f-7L
RLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPP VCY
/ e Landscaping
l(Vn Zoning Final
i
i'
r
PFRMIT
PERMIT CHARGE none
C O N N E C 1"ION F E:E __
01-INER PAID By
TYPE OF E3111 I.D I N G
DATE CONNECTED _
0
�� INSPECTION FEE _ So_
�E:12VICE RATE .._.__..�_ - ----
��
f'A I D BY DATE..,.�....".._ ...r._..---
" ASESSMF.NT PAID _._.._
i I7.E OE- CONNECT I DN -- ._
JAY HARRIS
646-0186
12125 S. W. 2nd
BEA"-,-RTON. OR 97005
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31 y-
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