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10155 SW HIGHLAND DRIVE
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City of Tigard
INSPECTION R"EQUEST
for
10PECTION TWE: ?EI MIT NO. : �2 '
DATE: 21//LL DATE ISSUED :._I Z
OWNERS NAME :
ADDRESS: /nlss:
CONTRACTOR : ---. I
TE ST : Ai- '" , 'W019-: , V13,!0: 3 . "::)-atory
RESULT: Approved . Disa,)rraved 3 Pendia j p
SKETCH,
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IN fE OR DATE
LNOTE: A'tccti emental test dat6 h Ia�
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City of Tigard
INSPECTION
REO U E ST
for
I /
INSPECTION TIME : ' I PERMIT NO.: �
DATE: 7 ) . DATE ISSUED
OWNERS NAME : r�
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ADDRESS ' �_ 'ei
CONTRACTOR :
TEST: Air ❑, Water ❑ , Vieuale , Laboratory ❑
RESULT: Approved ,A , Disapproved ❑ Pending ❑
I SKETCH:
I
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l
I INSPECTOR —DATE
ICOTE. Attach supplemental t*et data hetet
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City of Tigard
INSPECTION REQUEST
for
IINSPECTION T!ME :.,L���— PERMIT NO. :
1 DATE' 2L4DATE ISSUED'.--.,
OWNERS NAME : ?A '
-—
I ADDRESS
` CONTRACTOR :___-_4�C --
I
iTEST'. Air 0, Water u , Visual d , Laboratory CJ
RESULT: Approved , Disapproved C3 , Pending [�
I SKETCH:
T �
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I
LT
A
I TNSPEECCTTOR DATE
ICOTE. Attach supplemental test doto here,]
I
I
City of Tigard
INSPECTION REQUEST
for
--T
INSPECTION TIME : PERMIT NO. :
i DATE: _J) DATE ISSUED:--.-,
OWNERS NAME : — �-
I
ADDRESS :
C O N T R A C T O R
I
TEST' Air ❑, Water ❑ , VisuolA(, Laboratory I]
iRESULT: Approved Disapproved ❑ Pending ❑
SKETCH:
I
I
I
I
I INSPECTOR DATE
ICOTE '. Attach supplemental tett dato heist]
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1.ran.ywagpl►.. y•a - ...,ap„yrilwN�'rr4PNOW110 Mot .s»wVr'F'�►'.y .,r,-.,, ri„gti", ..�,;.
CITY OR
BUILDING PERMIT APPLICATION TIG ARD DATE _, 1s 75 N° 0326
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. 0fjyjR j40Eg TttVj-jt-
OWNER il9Ai�.h1 �. it t"�31lQlfpglient' CO'ADDRESS 1fl1 S.U. HighlandOro
r BUILDER PHONE _
�F�i1tL�! ENGINEER
BUILDER ARCHIJECT DESIGNER
STRUCTURE 6NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL EIGOV'T ❑RELIGIOUS COPATIO ❑CARPORT ❑GARAGE ❑STORAGECOSLAB ❑FENCE
❑BOND 13MOVING ❑CONDITIONAL USE [:]DESIGN REVIEW C]COUNCIL APPROVED ❑SIGNS
OCCUPANCY I 1 LAND USE ZONE— BLDG. TYPE VFIRE ZONE - bra
PLAN CHECK SY HEAT B SD
OSI X construct frames dwelling with attechsd M ;; arapa
no basement accordin„ to approved mark Hli plans —
c bedrooms
OCC.LOAD FLOOR LOAD — HEIGHTy _ NO.STORIES _ AREA 1265 VALUE 220 70(3
BUILDING DEPARTMENT SETBACKS FRONT 10 REAR 13-4 LEFT SIDE 10 RIGHT SIDE 4
Perm4 104000
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANU 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 APID ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Lot)*
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By ~ rsP,
-- — APPLICANT OR AGENT
LApproved _ Receipt No.
r a...,.� ...... ADDRESS 1 ON
DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE
Contractors,1,!
�f7-1 Permit No. c7/
i
7'al" )S ���t<Q ��ll Hough-in J
G/S - C��,., �,, 13d1a,�, � Fixture
��Llatslcz.14L_ Ali _ Final _
7"75'I� HEATING
'7 N - ds- roti _ Con.-actorN
.tht Permit No.
Gas or Oil
_._ Rough-in
Final _
SEWER
Final
DRIVEWAY
Final
Storm Drainage
_ (Rain Drain) Final _
--- _--_^ Sidewalk QK LC 7 -,,f-7j
Curb&Street Final_
__ ---------- - -
Approach
81.-13G. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
12 - -7 Landscaping
Zoning Final