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DRAWING IS LESS CLEAR THAN —�
THIS NOTIC&;-IT IS DUE TO
IIiE QUALITY OF THE ORTr-TNAL
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MAY 7 1992
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City of Tigard
INSPECTION ''
CTI O N EQ U ES ��
for
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INSPECTION TIME: � � PERMIT Ivo. :—
DATE:
o. :—
DATE: -+ L�L%- DATE ISSUED :
OWNERS NAME : 7
ADDRESS:� ` .�18 � �i7a �s 1•i � , 1f . . !
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CONTRACTOR : Su ld i e CnH c
TEST : Air ❑, Waterp , vieval9, Laboratory ❑
9ESULT: Aporoved)< , Disapproved ❑ Pending 0 I
SKETCH: 3C) AP-14-5- -X,
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INSPECTOR DATE
NOTE: Attach supplemental test Jalu bar, J
City of Tigard
INSPECTION REOUES"i
for
INSPECTION TIM ___._..._ _ PERMIT NO.: AoA?�
DATE: -:5.y_..i5 DATE ISSUED. Tti1LI-r
OWNERS NAME ' ,
ADDRESS ' 4i�—),
CONTRACTOR :_ d ? � ._ -- - ------ -
TEST. Air D, Water [� , ViauQl El , Laboratory Lj
RESULT: Approve¢, Disapproved L] , Pend-ng
SKETCH-
INSPEC Ei DATE
L0TE AttW supptementutest duto her*.1,
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City of Tigard
INSPECTION RE®UEST
for
INSPECTION TIME :�r- PERMIT NO. :
DATE: 9 -L _. DATE ISSUED.'---A
OWNERS NAME .-
ADDRESS .'
AME .ADDRESS .
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CONTRACTOR :—
TEST .
ONTRACTOR :_._TEST. Air O, Water [j , Vieualx, laboratory ❑
RESULT. Approved.t , Disapproved ❑ Pending [3
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SKETCH:
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I INSPECTOR DATE
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r �N0TE Attach supplemental feet doto hweto
C'ty of Tigard
INSPECTION REQUEST
for
INSPECTION TIME' -� -��? PERMIT -------
DATE: DATE ISSUED :_L-L-
7
OWNERS NAME : �1 - ----777777--/'x
ADDRESS: L_� -
CONTRACTOR : _.__7-�.!)- -'__ _- -- --
TEST : Air O, Woter,bq , Visual V, Laboratory ❑
RESULT: Approved , Disapproved ❑ Pending []
SKETCH:
INSPECTOR DATE
CpYG : Attach suPPIAmantai tstt data beet]
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CITY OP 5 N°- .._ 0293
BUILDING PERMIT APPLICATION TIGARD DATE "' � Is "
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. Effflaw"IrF1,9111
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OWNED T11E1litin Clevelopment Co"ADDRESS 10295 S.u. Highland UrivStILDERPHONE 619+3101
591me ENGINEER
ALI D,ER _ ARCHITECT DESIGNER
SIRUCTURE EINEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGt❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY _LAND USE ZONE— D �BLDG.TYPE _FIRE ZONE- PLAN CHECK SY Tri HEAT gas
_ bodr00rn, 2 both
1209 70
OCC. LOAD FLOOR LOAD HEIGHT _ NO.STORIES _ AREA _ VALUE
k... —
BUILDING DEPARTMENT 16-6 r 3 SEl"BACKS FRONT REAR LEFT SIDE � s— RIGHT SIDE
Permit �C14•UIl � ..—
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 IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVC� COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State y LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
•
Total
BY Fe — APPLICANT OR AGENT
Approved Receipt No.
'- ADDRESS '^ _ PHONE
DATE15' d
TYPE INSPECTION REMARKS PLUMBING DATE
�- Z^7' Contractor
-3- Permit No. 0/,J9 40
Rough_in _
7 Fixture A
Final
HEATING
7. �iRS — Q k Contractor
Permit No
a Tor Oily —._
Rough-in
_ Final
SEWER
Final _ LCA �:/•75
DRIVEWAY
Final
__ ---1 Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final _
- — ----- _ ___ A roach
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
�r�fG landscaping
/ / Zoning Final
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b
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