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10465 SW HIGHLAND DRIVE
I
i
BUILDNIG. PERMIT APPLICATION 11TY TIGARD DAT5_101211
OF
THE UNDERSIGNED HEHLBY O&PI-ES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONL __
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER �:QWtjl.�
JOBADDRESS0465 SU HLghland 0r.HOMCARrIRES5
ARCHITECT
ENGINEER
RuiL.r-. -4LOOPA AWnjni,, ADDRESS 0C5IGNER
iRUCTURE ONEW C1 Fm mn[)EI. C1 ADDITION C1 REPAIR C]RENEWAL OFIRE DAMAGE 0DrMOLITION
RESIDENCE OCOMM OEDUCMIIONAL OGOV'T ORELIGIOUSE)PATIO 0,-AFIPORI 0GARAGE C]FTORAGEDSLAB OFENCE
DBONU [I MOVING OCONDITIONAL USE CIDESIGN REVIEW OCOUNrIL APPROVED [:]SIGNS
OCCLIVANCY.tr�_.LAND USE ZONE__L-_-1_BLDG.TYPE;' ZONE—! PLAN CHECK BY_ HEAT��
c)tIstructj;1 180 pstiu i3cver u/side pansle -_all por PlAnd
, ads !isquirumwiritc. if used for living quartetat tO miuet vIlilf"ItilOt"(1
z4,nd hqstipfRequirement
0 013 .tj!t El HI IOU 00
QC _LLA �',0l(;
tj 44 t)4 TQ_F1I1i_1 _AR A2� 2 VA
BUILDING DEPARTMENT SET BACKS FRONT REAR RIGHT SIDE
Permit 011 CONTAINED IN (HE BUILDING CODE, ZONING
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS
! 'an Check 0 0 REGLII ATIONS AND ALL APPLICABLE CODES AND I)RUINANCES, AND IT 19 HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE P1 ANS ANVsrECIFICATIONS AND IN COMPLIANCE WITH
Sub-total All- APPLICABLE CODES AND ORD!NANCES. THr. IStUApjrE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax... AFILICENSE. SEPARATE PERMITS REQUIRED FOR SEWFA, PLUMBING AND HEATING.
Total 136.96
By P1
APPiACAi�l 1)14 i�,It ri
Approved Weldon Rpceipt No. Ir
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough•in--
- Fixturo —!
Final
HEATING
Contractor i
Permit No.
Gas or Oil a
Rough-In _
Final —
..—.�_ �---�— - SEWER
v' Final —�^
DRIVEWAY
Final
StorM Drainage
_ — (Rain Drain)Final.
Sidewalk
Curb&Street Final
Approach _
BLDG.DEPT.FINAL Th`MPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _ — —
Landscaping
Zoni ig Final
i.
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r � ■w .` ess es e>A ew �
Tigard
City of Ti g
INSPECTION REQUEST
for
IINSPECTION TIME: PERMIT NO.: —
DATE:
O.: _._.
DATE: �� 5"�:' DATE ISSUED:--j
OWNERS NAME :
ADDRESS :CONTRACTOR :
I
TEST:Air ❑, Water [3 , Visual,, laboratory Q
IRESULT: Approved , Disapproved ❑ Pending ❑
I �
SKETCH:
I
I
I
I
I
If
-e At 3
I INSPECTOR DATE
ICOTE' Attach supplemental toot data heret-10
r ,'
City of Tigard
INSPECTION RECUEST 1
for
INSPECTION TIME : PER-4l T N). :
ATE:f /"'l ATE +SSJED:_..j
OWNERS NAME :
' A0DRE*S ' i6T
04 i,RA C T 0 R :
TEST* Air " , 'titer uilu41, ,
�
R� �`T. ,,ppr:v3d
I "a''tETCN:
i
I
C../TOR DATE
`OTE: Af'ach 9'aaP,eme'lfol '*e' dila here-]
CITY 0' N° 0489
BUILDING PERMIT APPLICATION TIGARD DATE— t9
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Tued eItk,i i.,Ove 1-10~ 1, I,rl"" ADURESS 0465 5.41• Highielnd `liriv%U1LDERPHONE
ENGINEER
BUILDER ARCHITECT DESIGNER
STRUCTURE 13NEW _❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑_FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAF PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [-]SIGNS
OCCUPANCY —LAND USE ZONE _BLDG.TYPE—V _FIRE ZONE PLAN CHECK L-Y___ HEAT� r
alarl; V11I 2 baldroam 2ibath
UGC, LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA 1677 VALUE 31 t IOU
BUILDING DEPARTMEN fIf
f}! 4 1, I n t t
— SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1-13.00 r_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGL"LATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY 4GREED 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 PC=RMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE ^.URRENT CITY BUSINESS
I%State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 140. Prar sewering inspection
Y
—`i r---- APPLICANT OR AGENT
Approved Receipt No.
D 4 —'--PHONE—
DATE;" INSP. TYPE INSPECTION REMARKS . PLUMBING ;BATE
`7-��,�� + Contractor +
i_�� Permit No. ,9,217 5
Rough-in _
Fixture _
Final _
—� HEATING
Contractor
Permit No. S
/ Gas or Oil
— — C�l1�r uC��.+P✓�T
Rou h-in
Final _
SEWER/0-2o07C_
— Fina!
DRIVEWAY
Final _
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
__
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
3 j 3� jii
;1 7+�
4 i
33
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