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10400 SW HIGHLAND DRIVE
I
City of Tigard
INSPECTION REO U "'.* ST
for
INSPECTION TIME . -- -- PERMIT N,,DX4;_7P--
c�
DATE : DATE "
OWNERS NAME :
ADDRESS :
CONTRACTOR '
TEST* Air 0, Water [I , ViSual 17 . Laboratory Lj
RESULT.* Approved Discporo�ed Ll , Pendin; i-,
SKETCH'
V
rG
2 -7
)NSPECTOR DATIL
VTF . AlAu.h 9-jpplemer,lu, �ssv data h*rol3
City of Tigard
INSPECTION REQUEST
for
ONSPECTION TIME: PERMIT NO. :
DATE: DATE ISSUED :_ Lam L .
OWNERS NAME : 7- p-(-�_ _
ADDRESS: -/,L;)7-
CONTRACTOR :
T CONTRACTOR :
TEST ' Ai► El, Woterw/, Visual j4 , Laboratory
RESULT: approved , Disapproved a , Pending []
S KE"04
INSPLCTOR bATE
[NOTE: Attach supplemental teff data bereta�
f ,
d '
f
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: — '7 _ PERMIT NO. :-�
DATE: - ATE ISSUED : I I
OWNERS NAME :' -----
ADDRESS:
AME :ADDRESS:
CONTRACTOR :
TEST : Air p, Water[Jr_-yi-sual �, Laborain;y p
RESULT. Approved X� , Disapproved 0 , Pending Ij
SKETCH:
I
INSPECTOR DATE i
5OTE' Attach supplemental test data hereta I
i
L `'� CITY OP 6-217 ,s75 Ns 0282
BUILDING PERMIT APPLICATION TIGIIARQ DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDIC, '•_D NER PHONE_ w3f
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SjWFIf I0L4SjjlIKK r�IJfll(I ere 18sld 5ubdeID
. vES
tlC ADDRS 14400 3.tJ, highlond C�><'1�WLpERPHOME
OWNER __._^.
ENGINEER
ARCHITECT DESIGNER
jaUiLDER
STRUCTURE UNEW _C�REMODEL ❑ADDITION ❑REPAIR _ ❑RENEW_AL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO LJCARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FSE
tJBOND ❑MOVING 000NDI riONAL USE ❑DESIGN'REVIEW ❑COUNCIL APPROVED ❑SIGNS
--_-- j " _ HEAT �_
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE= PLAN CHECK BY L Pi
d bade:ooms -- 2 troth
-- �--^---- --- HEIGHT NO.STORIES � _ AREA _ � � VALUE E R —
QCC LOAD FLOOR LOAD r� W
BUILDING DEPARTMENT SETBACI:S FRONT r REAR 10 LEFT S.DE RIGHT SIDE
__--�
PermitEk
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 2UNIN0
Plan CREGULAI IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORN WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
RecorALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOEF NOT WAIVE
RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT (IITY
1%StLICENSE. SEPARATE PERMITS REOUIRED FORSEWER, PLUMBING AMD HEATING.
TotalBY APPLICANT OR AGENT
ApproReceipt No.
HON
ADDRESS
,
�DAT3 INSP. TYPE I ECTION REMARKS PLUMBING ?DATE; r
r
22-7sVL
Contractor
$►Zj 7 Permit No. On
[I.ItJ
Rough-in
v
h/PD�
— G
Fixtu
re
_ Final
HEATING
Contractor
/Aahll 4k7,-
Permit No. 0 df Ise �175-
Gas or Oil
Rough-in
Final
SEWER
Final 6 L 17-235'
^i DRIVEWAY,4477f RA OJT
Final
Storm Drainage
(Rain Drain) Final
Sidewalk - W 1.r r �•� 1r�i
Curb&Street Final
Approach
_ BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final '
76 CERTIFICATE OCCUPANCY
Landscaping
Zoning Finel
i;
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13
1
4
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