10365 SW HIGHLAND DRIVE 13365 SW HIGHLAND DRI1S
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CITY Y O.. TIGARD Ive
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Owner 1 e l i It o.............
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10365 5W highland Dr. Lot #177
BuildingAddress... _..._. .. ._. .....................................
Certificate is hereby given this...29.........day of...qu.ne.................... 19.77....
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that said building may be occupied and
f, EI that it cempiies w"i�h all requirements of
•, I the Building 'Code for the City of Tigard,
q� as approved by the Tigard City Council.
.................
•f Building Inspector
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City of Tigard
INSPECTION REOU
EST
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! INSPECTION TIME . PERMIT NO.:
I DATE. a DATE (,:SUED:
OWNERS NAME : —
I
ADDRESS : — --
I CONTRACTOR :
TEST: Air O, Water I] , Visual Laboratory O
RESULT: Approved , Disapproved O , Pending [7j
SKETCH:
INSPECTOR DATE
COTE. Attach supplemental test data hereto
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City of Tigard
INSPECTION REOUEST
for
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INSPECTION TIME PERMIT NO. : --.—
DATE :
O. : __._DATE : LJ DATE ISSUED:._L._L-_
OWNERS NAME
AD DRESS : _..r- Z�c ---
CONTRACTOR :__ — _ ----
TEST. Air O, Mater [) , V. Ual L-1 Laboratory Cl
RESULT: Approved . Disapproved 0 Pending J
SKETCH:
� i
� 14
i I SPECTOR DATE
[NOTE . Attach supplemental test data hereto]
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BUILDING PERMIT APPLI.3ATION "'y TIGARD DATE_ z 2-23-76 ,OF
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BIJILDER PHONE-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE----
LOT NO.-_._
i t�:3c:..; SG: HI.gP,1►iar�ri i.)z .
OWNER JOB ADDRESS _
l' t-��-•- h3ME ADDRESS� __ARCHITECT � � -- '-
ENGINEER
E
BUILDER __ ADDRESS _ __DESIGNERt�
STRUCTURE LJNfEW Ij R .MODEL 0_AD_DITION — ❑REPAIRJQRENEWAL _ OFIRE DAMAGE ❑DEMO_LITION
L, RESIDENCE ❑COMM D EDUCATIONAL. OGOV'T ORELIGIOUSOPATIO ❑CAR FORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF
`❑BOND �0MOVING UCONDITIONAL USE ❑DESIGN IEVIEW ❑COUNCIL APPROVED —]SIGNS
OCCUPANCY—-LAND USE ZONE BLDG.TYPE —FIRE WONE"� PLAN CHECK BY E .«Ij — HEAT_ "
Lot 117 14%XXII tie-66suep seine as 15634 3W Suomurf'leld Lwne
f're-mg Liue1; n at > ;hers ;,erage 2 bedroom. 2 beth — —
Q=-14AU_---.._.__�ELS2Q-ti._1oR� �fiEL3HI_- NQ_.�.T.4H1�: 1 _.YAREA NO.BEDROOMS Is
BUILDING DEPARTMENT SETBACKS FRONT 19 Mir) REAR LEFT SIDE 43j RIGHT SIDE.
Permit �.. .i'ri — — --- --- --- --_ ____.__—_
- - — THIS PERM'T IS ISSUED SUBJECT TO T1-4E REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1D.lJii REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCEI% AND IT IS HEREB`, AGREED THAT THE
WORK WILL BE DONE IN ACCGROANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOgS TO HAVE CURRENT CITY ROSINESS
State Tax .S•X96 LICENSE, SEPI►RATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 125566 'sr}'' pe 25. .
By
- ---'--- APD' ICAN'I OR AGENT
Approved Receipt No y �
AWORD --WZN
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DATE INSP. TYPE INSPECTION
REMARKS PLUMBING DATE
Contractor
5
Permit No, cel A
--- Rough-in
_L1
Fixture
Final
15
- HEATING
OO Contractor
A)2
Permit No.
40W e
e2 Gas or Oil
ouqt-in
al Final
(ell n. SEWER
Final
DRIVEWAY 7 7
Final
Storm Drainage _
(Rain Dain) Final
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idew
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lk9Cutb&S
tree
t Final _
A ruach --
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SLOG.DEPT.FINAL CERTIFICATE 0CCUPANCYFCERTIFICAI OCCUPANCY Final
Landsraping
Zoning F trial