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Mff : IF THIS MICROFILMED b 1 2 3 4 5 6 7 8 9 ID 11 --_ 12,
DRAWING IS LESS CLEAR THAN
THIS NOTICE;--IT IS DUE TO
THF QUALITY OF THE ORIGINAL _ _ —
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MAY 7 19 92
10940 SW HIGHLAND DRIVE
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vvy 0 TIGAR Y
�I C� OREGON "<J
.... T rmit No. _ 858 ......
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Building Address.....10940 .SW .Hi.ghlands...09.:............. ............ .................... �
Certifl?ate is hereby given this......9........day of....A.eQ.e.mb.Q>c.......... 1.
tliat said building may be occupied and �f•
that it complies with all requirements of � *�
the Building Code for the City of Tigard..
as approved by the Tigard City Council.
............. ..... (
f Building Inspector .
NEIN V 3�.
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City of Tigard
I
INSPECTION REQUEST
for I
INSPECTION TIME: � T f:'r_t'�"PERMIT NO. :
DATE: 2115176 DATE ISSUED : I Z
OWNERS NAME ' _w 122, C
ADDRESS: ?:
I
CONTRACTOR :
,45 4/0 .�
TEST : Air D, Water❑ , Visual Laboratory p
RESULT: Approved Disapproved O Pending []
SKETCH:
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INSPECTOR DATE
I,NOTlt: Athah supplemental test date baret] --.-
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City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME : r��n� PERMIT NO,:
DATE: 64,601 ,7 DATE ISSUED:--L-j
I OWNERS NAME : •�
ADDRESS :
CONTRACTOR : 'u
ITEST: Air D, Water � , Visual [N, Laboratory p
RESULT. Approved Disapproved 0 Pending []
SKETCH:
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I INSPECTOR PATE
COTE: Attach supplemental test date heret]
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BUILDING PERMIT APPLICATION TIG ARD DATE June 1, is ' N° ��$
THE UNDERSIGNED HEREFJY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 639_3101
OR AS SHOWN .AND APPROVED IN THE ACCOMPANYING PLAWS AND SPECIFICATIONS, OWNER PHONE
109,40 SW High.lentl Or. 639-3101
Q;NER _—_ ADDRESS BUILDER PHONE
ENGINEER
BUILDER �-t ARCHITECT DESIGNER
STRUCTURE ONEW D REMODEL DADDITION ❑REPAIR_ ORENEWAL [:]FIRE DAMAGE 1 ❑DEMOLITION
EiRESIDENCE ❑COMM DEDUCATIONAL 0(3OV'T ORELIGIOUSEIPATIO OCAR PORT OGARAGE ❑STORAGEIr JSLAB []FENCEDBOND DMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW DCOUNCIL APPPOVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE 1l FIRE ZONE_ PLAN CHECK BY-- _ HEAT ��
..Tats j322 1368 sq rt frame w attcarhodgeraye
No basement
-- 'e' bedrooms 2 both. --
USC.LOAD FLOOR LOADHEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Psrm 1113.(l'1 —�_ r. — _
4 ”- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZnNING
Plan Check REGULATIONS AND ALL APPLICABLE C 3DES ANLP ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK VVML BE DONE IN ACCORDANCE WITH THE PLANS AND SPELi=1CATIONS AND IN COMPLIANCE WITH
Recording ALL APP: ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR:; TO HAVE CURRENT CITY BUSINESS
196 State .0 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 13.1.61'4 . ..
By
-- --- APPI-ICANr OR AGENT —� -- —'--�
Approved Receipt No.
-.• ,. , ADDRESS
0
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DACE INSP. TYPE INSPECTION REMARKS PLUMBING nATE '
Contractor _
Permit No. � ` 7 /l•6
Rou h-in
Fixture
Final
HEATING
Contractor /
Permit No.
Gas or Oil
Rou h in
Final __ _
— - ---- ---SEWER
— Final
DRIVEWAY L G 7-16-: 7G
__.. ------ � Final .�
Storm Drainage
_ (Rain Drain) Final
Sidewalk L L 7-Ar- �G
Cuib&Street Final
Aroach �. L 7-iS- 76
BLDG.DEPT.FINALTEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -
Landscaping
Zoning Final
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