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MAY 7 1992
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10633 SW HIGHLAND DRIVE
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City of Tigard
INSPECTION REQUEs,r
for
INSPECTION TIME : PERMF N G
DATE: DATE
OWNERS NAME : - Z-7,11
(?-
ADDRESS : - Ar3���ti" �-��'- i�._ J04
C 0 N T R A C T 0 R :.��`�•� "�`'___� . ___.._.____.___..r.. �__.
TEST' Air E), Water r,] , Visual 0 , Luboratwv
RESULT: Approve Dimapproved 0
SKETCH:
Et:70R DATE
5NOTF . t ,:r:h eupplementur feet data hereto
City of 'T i g a rd
I
INSPECTION REQUEST
for
I INSPEC°TION TIME : " '" PERMIT NO.: -
DATE: /' / --- DATE ISSUED:--a
OWNERS NAME :
ADDRESS : •:' ... .' /�/
CONTRACTOR :
TEST: Air ❑, Water ci , Visual Laboratory 0
I RESULT: Approved disapproved ❑ , Pending ❑
SKETCH:
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INSPECTOR DATE
If NOSE: Attach supplemental toil data hereto]
City of Tigard
INSPECTION REQUEST
for
w- ,
INSPECTION TIME : 14 PERMIT NO.: —
DATE: DATE ISSUED:..
OWNERS NAME : ;mss= �..
ADDRESS : "-
CONTRACTOR : —
TEST: Air 0, Water Q , Visuul d , Laboratory []
RESULT: Approved p , Disapproved 0 , 'Pending !]
�I SKETCH:
1
IJ�J
I INSPECTOR DATE
ICOTE : Attach supplemental test data heret'
_...,...,wr.M r-.r.+,,..T....m•�.v•wr9bwrtr...rwb++r.�,�►+�rYs�,wN,.a,r,..»...,,,,worry.w,�...rprby,�„n�,,.n,._...*wiryprr*+rgw'«t«+s�uw4M„�, �.., ...��
I CSTr OP lr._lg 70 0615
BUILDING PERMIT APP`ICATION TIGARD DATE ' 19
THE UNDERSIGNED HEREBY APPLIES FOR AOERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANSjVt.D £WIFICjpRNk.1,X1j ,1 PHIN d
OWNER t tfrll,•:s# in Okol'. 10C. ADDRESS 16"3; SO UO ('1ighlarel DR'•
BUILDER PHONE
ENGINEER
A"DER 'fpl ARCHITECT DESIGNER
STRUCTURE ANEW G
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❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIREDAMA_E_ ❑DEMOLITION
❑ RESIDENCE ❑COMM OEDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FEN;,E
-BOND UMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCII.APPROVED ❑SIGNS
OCCUPANCY-' LAND USE ZONE IJ^•�.r BLDG.TYPE FIRE ZONE 1 PLAN CHECK BY_ Z _ HEAT OZ-S .
�r'; 4ttu('.A 11117 sty. ft. frAmw duel l inq w-i trrt attached garage -- no basement
ba9dxC1019N
OCC. LOAD 14 FLOOR LOAD 40 lb HEIGHT _ _ NO.STORIES_ 1 AREA J1,55 VALUE21 pari
BUILDING DEPARTMENT �.Qi I3� 7=
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit IOo.Oo
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cv,eck 10100 REGULATIONS AUD AL1. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WhTH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOE, NOT WAIVE
"uu RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State LICENSE. SEPARATE PERMITS REOUIREL) FOR SEWER,PLUMBING AND HEATING.
Total 13. : $25.00 mawr inept.
Bv
APPLICANT OR AGENT
Approved t fro Receipt No.
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DATE' IN-P. TYPE INSPECTION REMARKS PLUMBING GATE
1 7 74 Contracto&II
Permit No. Q �,�S f 7F•
-/a•�h Rough-in
Fixture
Final
HEATING
(^f f Contractor
Permit No, -062
Gas or Oil, #? 2 ^
Rough-in
Final
SEWER/-IT-741
Final
DRIVEWAY j-/076
rinai
Storm Drainage
_ Rain Drain Final
Sidewalk L C. J
_ Curb 6 Street Final
_
Approach 3—i/-7G
BLDG.jiPT.FINAL T TEMPORARY CERTIFICATE OCCUPANCY Finel
CERTIFICATE OCCUPANCY
�+ Landscaping
Zoning Final
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