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OF
CITY OF TIGARD VC
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OREGON
�� x Owner:..Tualbtin..Qevelo_pmiARt.. n.-t..................Permit No......DIRI.........
Building Address......i0.005..S,.W.,.._Highland. .Drive.............................
Certificate is hereby given this.....29.Pi .day of ...MY................... 19._.75..
that said building may be occupied and
that it complies with n11 requirements of
the Building Code fcr the City of Tigard,
as approved by the Tigard City Council.
Building Inspector }(
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City of Tigard
INSPECTION REQUEST
for
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INSPECTION TIME: PERMIT NO. :
DATE: DATE ISSUED : Z -
OWNERS NAME : _..��""_
ADDRESS: /Jvr�S
CONTRACTOR : '�p7 ;:�'U -_
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TEST : Air ❑, Woter❑ , Visual ❑ , Laboratory p
RESULT: Approved Disapproved ❑ Pending p
SKETCH; i
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11141—
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IN CTOR DATE
NOTE: Attach sunplemental test data berets
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City of Tigard
INSPECTION ;BEQUEST
for
' INSPECTION TIME: V�!} PERMIT NO. :---
DATE:
O. :DATE: DATE ISSUED :--L—L—
OWNERS NAME :
ADDRESS: .�'1 4'
CONTRACTOR :
TEST : Air O, Woterp Visual , Laboratory p
❑
RESULT: Approved , Disapproved �p Pending
SKETCH:
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INSPECTOR DATE
LptFe: Attach SUPP;smsntal fast data bsrt'ta]
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•,;w•wYslpwivraint"wr�yelRxWi';4F'nM�MrMw�/�f�l�t �MO.9�"nibw' i'yY+��y1r"�Y'�{M+repwrtiw^.�wrq�w...wr.�wnsv.rw••+yr,Tww.w..sn�+ry�.•.^•.
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE '~ 7", H° 0191
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER ''IallIaLkir1 'Ukavve t.00 ADDRESS i"17lghlond r'r'BUILDER PHONE --
ENGINEER
1JU LDER ARCHITECT DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑C 'OLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
_ ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_'_LAND USE ZONE BLDG.TYPF_ FIRE ZONE— PLAN CHECK BY HEAT
ft. Z bedroom lattachad garago
OCC. LOAD FLOOR LOAD HEIGHT __— NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT S.1 REAR LEFT SIDE RIGHT SIDE
Permit 00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10$00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH TI4E 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 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
------- APPLICANT OR AGENT
Approved Receipt No.
�__.__
ADDRESS PHONE
i
_ --L, a — /o
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
j" G 7 c�'/� ,vr�n✓/0—v Contractor w, �
�- f Permit No. o �7-i9. -,7`��
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Rough-in
j Fixture
Final
1EATING
ContractorW/-exl
7•.1-3-/ � Permit No, �1
Gas or Oil
Rough-in
Final ^- _--
SEWER J .2
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach _
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
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7
--7 Landscaping
Zoning Final
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