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NOTE: IF THIS MICROFILMED - ( 2 3 4 5 6 7 8 8 X10 � ) 12
DRAWING IS LESS CLEAR -THAN
THIS NOTICE, "IT IS DUE TO
THF QUALITY OF THE ORIGINAL
DRAWING.
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MAY 7 1992
10145 SW HIGHLAND DRIVE
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OCC
Y
CI I Y OF TwJARDY
GOREGON )
leo
Al T .D.C. Permit Ni,- EKY Irl
...............
�..SW
Building Addre.cc10.14 Highland .Dr. . . Lot ,'198 . . ........ ....
Larch , 1��..77
Certificate is hereby given thiq.....2 ..... _dad of........ .... �.
t1lat said building may be occupied and
that it complies with d] requirements of -.
the Building Code for the City of Tigard, 1 ',';
as approved by the Tigard City Council.
�. Building Inspector
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City of Tigard
INSPECTION REOUEs'�'
for
i 'NSPECTION TIME : P/11 PERMIT NC. ....._. ._. ..
DATE: 6 "22J2 DATE I S S U F D:.`...i � ...
OWNERS NAME :
ADDRESS : f(�_
C O N T R A C T O R : ��ti c_�,s► � . . ._. ,...._ _.
TEST. Air ❑, Water p , Visua , Laborata-
RESULT: Approved G'
" , Disapproved ❑
SKETCH:
I
I N S P,t c'-o R DAT E.
NOTE Attach su
pp1lmenful test sato hei •s ;
i
SINS P,EI1CNgZDiPi�MBINr 3UILUING DLI'AIiTMLNl , _VlGAKD NO.
P 0, DIX 129 PLUMBING PER�v1IT
NIV ERG Dr n gm) _ holder of it valid I)iumhinq rontractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbinf] corse of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the tine the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. Z_0_/ 19P
i
— _ _ ptOwner K __ �v AzA _ � �_ � 1 � . 5
NUM11E11 OF 7 TOTAL PERMIT NO.'S
TYPE OF PERMIT _ ITEMS FEE ON EACH AMOUNT (Office Use Only)
►?�_S LRLN_;_lA..L.__.^� __,_.---1111-_--,. _.._�. _ __�_�___� _ 1111___.
Single Fomilyl bath—each
_Dopler.=Each 1 bath uni:`
_Additional both rooms—aach _ �'' 10.00
Mobile Home5�ace—each 113.00
INDIVIDUAL FIXTURE FEES
—1 to 50 Fixtures in I building—each 3.00
_51 to 100 Fixtures in 1 building-_each �— 2.50
_.1101 to 200 Fixtures In 1 building—each _2,00
201 or more Fixtures in 1 building—each 1.50 _
MISCELLANEOUS _
Building;ewer-1st 50 ft. „10.00 _
Sewer—each additional 100 ft. 10.00
Water Service to building 5.00
Private Water Systems—each 100 ft. 10.00
Other (Specify): _
_PERMIT 3 For Plumbing Inspection Phone 6394191
_�y% Slate Plumbing Contractor By
TOTAL73 RECEIPT NO. Issued Ey _
Rum 31
City of Tigard
INSPE(JI-ION REQiLT-ST
ff 0 r.
WAPF(CT"ON TIME* ---. PEPVIT NO.
DATE : D Al E I ISS U FD
OWNERS NAME :
ADDRESS'
N T R A T 0 R
'T A Water C1 , ViSUOI rl , LO" I C
Disapproved r. ink�:"SIJLT: Approved
KETC,Hk_
�4
4
Zoo
it)9 P E G 1;0' DATE
,.;py,,m•�'g'c"'nN"1•.%Mro"4.,�'*'N"f�MnPf�°' -��n,-....n,..,.. �, ,.,..._. .y,,,qy,,,.,_ .._,..,.,yawn.�r.var+nv..r•«....:....�,,.ty,...,...:..,1 ......,..,.. ,...,..____._.+".....,.....n...r..w•n...•
^ ciTr or
BUILDING PERMIT APPLICATION TIGARD DATE Mayto—
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WCRK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATL 1O. 1"NER PHONE _
MNER Tualatin Diat"GIIGIppent f.0 ADDRESS 1,"UC3 ` •` i• Highland �';riULDERPHONE f,39-•311-
y�6i0 r ENGINEER
BUILDER }}(( ARCHITECT DESIGNER
STRUCTURE bNEW ❑REMODEL. ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑SI.ORALE❑SLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
'l 3 Iris 6a
OCCUPANCY LAND USE ZONE Y 1• BLDG.TYPE FIRE ZONE— PLAN CHECK BY HEAT____,_h1 AZ
f-Orl struCt 1 , 360 eta. ft. f'rnmo dL, ea,ling with attached garage,
No bee,,,ment.
�. � hm�rrararlt
S1C�,LOAD, FLOOR LOAD _ HEIGHTNO.STORIES _ AREA a68 VALUE aF 900
` BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE O
Permit ). H.QU ---
-`-1 '—
Plan Check HCl.00 REGULATIONS
PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
pEGULATIONS 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
. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITYBUSINE88
�9E tate LICENSE.SEPARATE PERMITS RErlIU1RED FOR SEWER,PLUMBING AND HEATING.
To^al ��rW�l� 1n9r.��CtiUn '$ll,r.fifj
By _
-- --- / ,�/ APPLICANT OR AGENT
Approved Receipt No. J
ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ X36 oc
—7 1 _ Contractor
Permit No. �
Rough-in
Fixture
76 _
n _� Final
kor
EATING
_
SEWER
Final
DRIVEWAY
Final
Storm Drainage_
— (Rain Drain) Final
Sidewalk J N G-� -��
Curb&Street Final
BLDG.DEPTJINAL TEMPORARY CERTIFICATE OCCUPANCY Final
7 CERTIFICATE OCCUPANCY --
-/ Landscaping
Zoning Final