10345 SW HIGHLAND DRIVE I
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MAY 7
1992
10345 SW HIGHUND DRIVE
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BUiLDING PERMITAPPLICATION TIGARD DAfE — t I - _- _ ,ts_g _.. 4089
TH[_UNDERSIGNED HERELIY APPI.IFS FOR A PERM I f FOR THE WORK HLREIN INOICATED BUILDER PHONE 255-0415 ,
OR AS SHOWN ANL)APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 634-9593
LOT NO. —
OWNFR Ralph Sewrsou JOBADDRESS 10345 S.W. highland Drive quwmrfi4Id 0 4
— -_ _-__--- —_--- ARCH.i FCT
ENGINEER
BUILDER J i D ILsimon<Tc�lipg Co. ADDRESS 16 X'�'' 82nd #vlt. Ptl.-DESIGNER T. SpraqW
S114UCTURE C] NEW [;REMODEL A ADDITION ❑ REPAIR_ ❑ RENEWAL U FIRE DAMAGE ❑ DEMOLITION
L;RESIDENCE ❑ COMM_❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R- LAND USE ZONE __BLDG.TYPE . SIa_FIRE ZONE PLAN CHECK-)YFIRHEAT_9 P
-
Constrict Stm_Rom addition to �g►,;.inq _Vngje _tamiXyfireIJIg, --
1►11 r Flans and code. See correetion sheet att:ac.ijcot._ —
SEWER PERMIT#
OCC.LOAD FLOOR LOAD 40 HEIGHT 10 NO.STORIES 1 AREA 144 NO.BEDROOMS - VALUE 4350.00
BUILDING DEPARTMENT— SET BACKS FRONT O REAR 1® LEFT SIDE 0 RIGHT SIDE 5
Permit )U•75U _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
32.L'3 REGULATIONS AND ALL APPLICABLE CODES ".Ac ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Chock WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
a3.33 WITH ALL APPLICABLE CODES AND ORDINA VCES. THE ISSUANCE OF THIS PERMIT L�OES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REGUIRED FOP SEWER,PLUMBING AND HEATING.
State Tax 3.90
Total 85.35 1 SDC—
PDC# APPLICANI ORAGFNT
By dmj1
Receipt No.
Approved - ADDRESS PHONE
tIt w � w w w w eo w w
DATE INSP, TYPE INSPECI,ON
REMARKS— PLUMBING DATE
�=" _ Contractor
/2 ��?J,- Permit No. —
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Ga►or Oi,
— _ Rough-in
Final �V
�—
SEWER
.v�,_ —
__ Final ---
--- _ DRIVEWAY
Final
-- _ — Storm Drainage —
— (Rain Drain)Final
Sidehalk
--._� — Curb&Street Final
BLpt - DEPT, FINAL CYApproach �—
TEMPORARY CERTIFICATE OCCUPAN
CERTIFICATE OCCUPANCY Final
Landscaping
_ Zoning Final
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City of Tigard
INSPECTION RE00ES. "
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INSPECTION TIME: L— 6� 'MIT
— ,��e -�Z7
DAT E : D AT FE F D
OWNERS NAME :
ADDRESS:
C,0NTRACT0R : A*Yr___w.tv
rF Sr : Air rJ, Water [1 , Visuol 'Ll ' U'.'QrY
PE�ULT: Approved 13 ing [D
SKETCH.
-tAd
DATE
I .,IOTF . 41toMi %uPillC11'r-Of'"' let'
City of Tigard
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INSPECTION REQUEST
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INSPECTICM TIME: PERMIT NC). :_ _____._
DATE: DATE ISSIJF-D .,. .. / Z_
OWNERS NAME :----
ADDRESS:Z2Z2
CONTRACTOR : --/
TE,^T ' I\ir 0, Water 0 , Visual [3 , Laboratory [D
RESULT Approve Diiapproved rl Pending E]
SKETCH.
11 P CTOR DATE
� C.
507F Attach oupnl Pmnr-tnl Issf In' i ho r o.t
City of Tigard
INSPECTION REQUEST
f or
INSPECTION TIME: PERMIT NO. :—
DATE: DATE ISSUED :— I I
OWNERS NAME : -/
ADDRESS: /-0 -/
CONTRACTOR : 103NS D12 .
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TEST: Air [3, Watet*, Vlsual�n , Laboratory (]
RESULT: Approved , Disapproved O Pending p
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SKET H:
doe
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PPECTOR DATE
FNOT6: Attach supplernental test data beret
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CITY OP 0617
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVES IN THE ACCOMPANYING PLANS mOWNER
OWNER Tualatin 1.lov. * Co""" ADDRESS .,,0345 "" I"Iighl8'ntl Or, BUILDERPHONE
ENGINEER
BIBLDER Barge ARCHITECT DESIGNER
STRUCTURE ONEW ❑REMUDEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
0RESIDFNCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CARPORT ❑GARAGE ❑S10RAGE❑SLAB ❑FENCE
❑BOND UMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY J LAND USE ZONE—.')L'' BLDG.TYPE_V FIRE ZONE PLAN CHECK BY P HEAT__
conl=struf,A dark Viii 1677 sq. fi . Pram& dwelling Wth eatte h4pd garago
no buseruint
OCC. LOAD ' FLOOR LOAD 40 lb _HEIGHT —__ NO.STORIES 1 —AREA 1h77 VALUE 3711OU
BUILDING DEPARTMENTSET BACKS FRONT 10 f REAR 27 f LEFT SIDE `1 3" RIGHT SIPIP
Permit • 6• ' — -- ---- - — – —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check " REGULATIONS AND ALI. 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. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 4.00 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 11501afj 625*0 sewer inspection
BY -- —
APPLICANT OR AGENT
.Approved �— Receipt No.
ADDRESS ......�, b. ... HO
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING
��•Z2'� _ r DATE
ntractor ._ _ y
Permit No. O 3 3 ��✓ 7L
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3q2
ell Rou h•in
J Fixture
� ec�✓ GDder Final
—� HEATING
— Contractor
Gas or Oil o�/�j V _7'&
Rough-in 1
— Final —
SEWE�Z-.�')fi
Final
DRIVEWAY3•/�jG
Final
Storm Drainage
(Rain Drain) Final F
_ Sidewalk
Curb&Street Final f
—L
Approach
BLDG.DEPT-FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
qq4_-16
Landscaping
Zoning Final
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