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DRAWING IS LESS CLEAR THAN
THIS NOTICE; --IT IS DUE TO
THF QUALITY OF THE ORIGINAL
DRAWING. _----------
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10380 SW HIGHLAND DRIVE
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JEEK ML—K
City of Tigard
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ft'S* PEFICTION REQ'.L,*-, 'c
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INSPECTION TIME: PERMIT 0 .
DATE : DATE' 1'38 ED —
OWNERS NAME :
ADDRESS '.
C 0 N T R A C T 0 R
rE ^T ' Alr ',,j, WQt8r0 , LO)
ni,3opproved t-z -ing
PESULT: Applovedx, -
SKETCH.
ei
Fl!l,)T F At to c I suPrIl
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i City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : `Y, 3c.' PERMIT NO.: —
DATE: '
O.: _
DATE; `' DATE ISSUED:
OWNERS NAME : �
IADDRESS : 4,g:-'7- HCl onw c,?'ie-G-P
C 0 N T R A C T 0 R : 57VX,'P"S 4-r- /v 3's a </g-oL4-
TEST: Air O, Water C3 , Visual ', laboratory ❑
RESULT. Approved t Disapproved O Pending I]
I
SKETCH:
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I INSPECTOR DATE
IOTE: Attach supplemental test data hereto
I
City of Tigard
INSPECTION REQUES 'iA
ar
INSPECTION TIME -. ��?' ' PERMI' NO.: __.,.._.._.._.....
DATE: %%,�7��� DATE ISSUED:
OWNERS NAME : C
ADDRESS :
CONTRACTOR :
TEST: Air ❑, Water Visual Cl , Liboroto,, L
RESULT. Approved D , Disapproved ❑ , Pssfdmq
SKETCH:
1
+� IN3OECTOR DAVE.
"F,' Attach suet>!em9ntul islt dut4 hsr.=tai
CITY OF ,
BUILDING PERMIT APPLICATION TIGARD DAT°—l�'��� t9 �' H° 0539
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK;;F"iEIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIO*t Qt
S`#RE9HONfIEtdl' LI
Ji.141at.in dove. Co. 10380 S.W. highland Or.OWNER ADDRESS — —_ BUILDER PHONE
ytim0 ENGINEER
JUILDER ARCHITECT —_— DESIGNER
STRUCTURE ❑NEW —❑REMODEL ❑ADDITION OREPAIR ❑RENEWAL ❑FIRE DAMAGE [:]DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLkO []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY- LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY �f R HEAL"
c.unstruct 1215 sq* ft. r'reme dwelling with etta shad Ii g"rege no benement
---- ----; 2 bedroomn
------ - -- — -- -- 1 -— — 1215 2 2 7—(Ju
OCC LOAD FLOOR LOAD —_ HEIGHT NO.STORIES —�� AREA VALUE
1.2
BUILDING DEPARTMENT SET BACKS FRONT t r I REAR LEFT SIDE RIGHT SIDE J
Permit 104.UU — ---_ --- —
THIS PERMIT IS ISSUED SIIBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1 0•
no THIS
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 DCCa NOT WAIVE
— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE .^.URRCNT CITY BUSINESS
1%State — 3.12 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 117. 12 5;'. -UU fol sower ifispeN•ti.on
— APPLICANT OR AGENT
� =
Approved Receipt No.
ADDRESS ---PHONE
DATE INSP. TYPE INSPECTION ' REMARKS PLUMB114G 'DATE
Contractor
Ia. Permit No. 0 D-
Rough-in
4k 07 Fixture
• (� � Lt1 ��- -"_ Final
_BEATING
3--"17b A40 a ,,sAev- p Contractor
" - r2sr,,a��e,(� Permit No. (o
Gas or Oil TAG
Rough-in
Final _
SEWER/-277,6
Finel _
DRIVEWAY ! /-30- 7�
Final
_ Storm Drainage
_ (Rain Drain) Final
Sidewalk
Curb&Street Final
_
ApDroach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY lFinal
CERTI1 ICATE OCCUPANCY
/g' 7 Landscapi,iy
Zoning Final
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