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City of 7 Igoud
! NSPFICTION REQUEZ"�J
for
TIME: . PERMIT NO. : --
,NSPECTION
DATE 7� DAV
OWNERS PAME '
A D D R E S S
CONTRACTOR
TEST' Air O , WaterVistia Laboratory L3
Ix t
RESULT. Approved Disapproved [I ':'end:ng
SKETCH'
INSPECTO.1 DATE
[NOTE ' Attach suppismentul test doic iist,,71
City of Tigard
f o r
!,,,`SPECTION TIME' PERMIT
DVE *. _, .!� DATIF !F3,SU'FD ._J _/_
OWNERS NAME : -----.--.
ADDRESS:
CONTRACTOR :
"EST ' Air J , Water rJ , Visual 0 , Lob r n V-1
roclopprovnd 1* Jny
PESULT: Approved
SKETCH-
p)q t A) tla 01 OL.) A) e oY A107
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TOR A V5
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City of Tigard
INSPECTION REQUEST
for
IP ,j '.CTION TIME : /,'vo PERMIT NO.:
DATE: 312c- In DATE ISSUED:.
OWNE.KS NAME : _.�.. -
r
ADDPESS : J13
CONTRACTOR :
TES1 - Air ❑, Water q , Visual ❑ , Laboratory 0
RESULT: Approved'L7 Disapproved C3 Pending p
SKETCH:
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A r:;OfE'�1 ental feet data h ret 10
`A W"
414
CITY OP
BUILDING PERMIT APPLICATION TIC ARD DATE ` mbr"�Ixy li 1e r` M° 0 74
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOR-, H[REIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND_WP CIFIJCAT��w00 PHONE_ _ —
I 1,1.373 S.t,l. Lakiewooti i'S►7-4S't 1.
ADDRESS BUILDER PHONE
ENGINEER isms Blame
9WLQF.8 ARCHITECT DESIGNER ,
STRUCTURE _ ❑NLW _ ❑REMODEL ❑ADDITION _ ❑Fill PAIR ❑RENEWAL ❑FIRI. DAMAGE ❑DEMOL.ITION
LJRESI[`ENCE ❑COMM ❑EDUCATIONAL ❑GOV'7 ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ]STORAGF❑SLAB [—]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG TYPE FIRE ZONE PLAN CHECK BY _ HEAT-------z
..obstruct 14;,'1' sq. Ft. from duelling with attached garages. no bal-gm&nt.
Cording tc approved plana. Reiaau• 1Aat 1:72
QS:Cj LOAD FLOOR LOAD_, HEIGHT NO.STORIES _ AREA VALUE V4 III CUT
BUILDING DEPARTMEIIT SET BACKS FRONT 20 ' REAR 23 LEFT SIDE 7t RIGHT SIDE 21
Permit 3l�Si.00 � ��
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 HFREBY AGREED THAT THE
WORK WILL BF. DONE IN ACCORDANCE W'IT'H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFHMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 9USINESS
IN,State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total a
By
--- -- --- APPLICANT OR AGFN1
Approvers T Receipt No
ADDRFS5 PNONF
WAS
DATE INSP. TYPE INSPEc,riON REMARKS PLUMBING DATE
-19 7 Coniractor
Permit No. css(,
f14
_Roogh+-
Fixture
Atj /24, ?fly"tie. 0 IC Final
HEATING
Contra
411 61�7 4
4/—/3--x woq Permit No. L7�1 0
Rou h-in
Final
SEWER
Final 3- 30:fzc-
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final A f--tandllapin
pproach
'") . �b('
--BLDG.DEPT. FINA'.---- TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Zoning Final
ADDRESS
toE(Z(1IT NO.
PERMIT CHARGE none
.._ CONP CTION FEE
D41NER _t—V+ 1--__i -9)
PALO BY r`
TYPE OF BUILDING cr"�,� d ; �i ..._ DATE CONNECTED
7/
SERVICE KATE INSPECTION FEE
� - -- _-_
CONTRACTOR -- PAID BY _ DATE
SIZE OF CONNECTION _C�'' ASSESSMENT PAID .- -
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