10355 SW HIGHLAND DRIVE 10355 SW HIGHLAND DRIVE
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City of Tigard
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INSPECTION REO U E ST
_ for
INSPECTION TIME : 6_— PERMIT NO. : _
DATE: lO1 ,7K- DATE ISSJED:__1_1_
OWNERS NAME : L'2- ,C ' ---
ADDRESS : 'u �� Ste ' el
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CONTRACTOR : C.
TEST. Air ❑, Water ❑ Vieual,��l , Laboratory [3
I RESULT: Approved , Disapproved ❑ Pending ❑
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INSPECTOR .!DATE
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CITY Of
BUILDING PERMIT fiPPLICATION TIGARD DATE 3"Y 30 19 744! 4 9"75
1 H UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 639-3101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN" AND SPECIFICATIONS. OWNER PHONE
QWNEH _ "— —�—�-- ADDRESS 10355 9W Highland Or. — BUILDER PHONE
ENGINEER
BUILDER _�►��,__-_ --Y ARCHITECT _ DESIGNER
STRUCTURE_- 04W -❑REMOIIEL —❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑_DEMOLITION
STry
LI OESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
OwOND 'OVING -]CONDITIONAL USE ❑DE;IGN R-VIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY. LAND USE ZONE----BLDG. TYPE FIhT_ZONE-!,PLAN CHECK_ BY E.Tu HEAT,_`'_
„QL. - 5178 .3.:,i bl ugoft, f1K"om% dwelling w/attaacha>ed g6rarrrg6o No basement
2 bedroom* 2 bathe --- -
QKL L-0 A:; FLOOR LOAD HEIGHT NO.STORIES�AI AREA VALUE 28111174.111A.
BUILDING DEPARTMENT3r
SET BACKS_ FRONT REAR LEFT SIDE RIGHT SIDE
Permit
�- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1 1) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABL: CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVF.NANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By -�
-- - -r - VPIT ANT OR AGENT `
Approved �. -"' Receipt No. !
---- PHONE. ---- ----- -
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DATE INSP. TIY INSPECTION REMAPKS PLUMBING DATE
Contractor
Permit No. scli
7 Rough-in
Fixture
Final
HEATING
:ontractor
Permit No.
Gas or Oil
Final
SEWER,/,24-;6
Final
DRIVEWAY
Final
Storm Diainage
(Rain Drain) Final
Sidewalk
Curb&Strret Final
"ac' L L
BLDG.DEPT. FINAL TEMPORARY CLR#.FICATl-OCCUPANCY Final
a rl
CER-.oFICATE OCCUPANCY
'7 Landscaping
Zoning Final