15755 SW HIGHLAND COURT 25755 SNI HIGHLAND COURT MIR
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CITY TIGARD DATE_.. -77
BUILDING PERMIT APPLICATION OF
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUI -DER PHONET7 - �
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE— -- —
LOT NO.
OWNER Ii f �11116a JOB ADDRLSS f _1 Bibi Hiuhland '_k PPIE ADDRESS
ARCHI l"ECT
-- Partlano, ii ENGINEER
Al UEi®C'1@a( C(J• ADDRESS �___---------
BUILDER _ 1 SS r-7 l (3
FIRE
❑NEW ORE L-_1ADDITION LJREPAIR� LJFENEWAL L_1FI�R-lE DAMAGE ❑GEMOLITION
uFitSIDENCE ❑COMM ❑EDUCATIONAL _CIGOV'T ❑RELIGIOUSO] ATIO CARPORT ❑GARAGE LISTURAGECISLAB []FENCE
011OND OMOVING �Or'ONDITION.AL USE _[]DESIGN REVIEW LJ COUNCIL APPROVED ❑SIGN£
`_FIRE ZONE-3 PLAN CHECK BY__ ETtW _ HEAT
LAND _ —
OCCUPANCY � AND USE ZONE _ BLDG.TYPE I..UCj@
1n3tn11 metsl 1patio cuvrar 1311 par pja;'sa and por G.i.:y
REAR LEFT SIDE RIGHT SIDE —
BUILDING DEPARTMENT SET BACKS FRONT
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 4EREBY AGREED THAT THE
WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONIRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax •d4 LICENSE. SEPARATE PERMITS RL•OUIRED FOR SEWER, PLUMBING AND HEATING.
Total 6.24
By APP (CANT OR AGENT
ec
- -- \-A
Receipt No
Approved � t;W
AD q-SS
I�
DATE INSP.. TYPE INSPECTION RF MARKS PLUMBING DATE
Con trar-c lr_--
Permit No.
1!0—ulh in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough in
Final
SEWER
Final
DRIVEWAY
Final
(Rain Drain) Final
Sidewalk
Curb&Street Final
Contractor
Permit
I
Gas
or
Approach
BLDG DEPT. FINAL T(,t.,t'OFIARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
f
I4W
City of Tigurd
INSPECTION REQUEST
for
SECTION TIME,,. i PERMIT NO. :
DATE: =� 2-'ll . DATE ISSUED:�
OWNERS NAME :
I
ADDRESS : k;7' ' 14-
CONTRACTOR :
TEST' Air n , Water ❑ , Visual , Laboratory ❑
RESULT . Approved Z1. Disapproved Cl Fending ❑
I SKETCH:
I
74
INSPECTOR DATE
ICOTE : Attach eupplementol test data hereto]
City of Tigard
iNSPECTION REQUEST
for
INSPECTION TIME: ?,/" PERMIT NO. : -
DATE: __T 24 DATE ISSUED .—
OWNERS
SSUED ._OWNF_RS NAME : ---__--Z C.—.ADDRESS:
�_ �t=� -.I�•�--- _
CONTRACTOR :
TEST : Air U, WatsVisual , Loboratory C
RESIJLT: Approved`j�� ,'Disappr ved U _Pending [1 _
SKETCH.
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w
r.40
�+ 4*ei aF d vac ei�
_... _._L_1
NSPE IL DATE
-..•nam-d•ii.w,ru....�..,wy.r,�ko •. 'a:,iv.wr.. ..s.:w,snn.Nr..v JnNwr,u n�:�wwn.M�"'�*eIiMIMr!'rf.,. n,M+�P�,�*'�'ET'MR''�'n.°��'�'' ',,..'I�9M'"'ww�.'!� )'I .
CITY OF
TIC�ARD DATE t"ebru�r�► ��'1 ,tg 96 N° � 01370
.
BUILDING PERMIT APPLICATION ,
THE UNDERSIGNED HlEiiEBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 639-3101
OWNEFIPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANE AND SPECIFICATION.,
1 ua iF1t{n tjovu,L'opmont cc ADDRESS 157 ;5 Highland Ct, ----BULL` PHONE_
QWNER
ENGINEER
OENI _ —
BUILDEE', _ ARCHITECT ��--_11� 1 rr--1t
STRUCTURE _ ONEWO
0REMDEL _ADDITION — LJREPAIR ❑RENEWAL - _�JF�AE ?AMAGE— L.IDEMOI_ITION
0 RESIDENCE L7COMM GEDUCATIONAL ❑_GOV'l ORELIGIOUSOPATIO ❑CAR PORT ❑GP Ft_r: F.- �JJSTORAGE r3SL_ []FENCE:FENC
❑BOND ❑MOVINGLICONDITIONAL USE. ❑DESIGN REVIEW ❑COUNCIL APP'RO'VED -- LJSIGN.S
JOCt.TiL
-- _ _BLDG.TYPE U — FIRE ZONE 3 PLAN CHECK BY_____
ANC -
OCCUPY LAND USE ZONE
A, ft. frame dwelling alxch atteahrod Qat!"89*v- rao saest�lan�uit. —
ikt:G.., 'jing to approved p ans. r-- --- --_--
®sic roome
— 40 lb HEIGHT NO.STORIES 1 AREA' 1921 _ VALUE$21 r 200
Q9.C•LQAD FLOOR LOAD
BUILDING_DEPARTMENT SET BACKS FRONT lot REAR ��, LEFT SIDE�,VRIGHT SIDE �, _
►'erm't 117"g Lit" - -- --
-�-��— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, CONING
HEREBY AGREED THAT THE
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HE
WORK WILL BE DONE IN ACCORDANCE WITH't HC PLANS AND SPEiCIFICATIONS AND IN COMPLIANCE WITH
Recording ,%LL APPLICABLE CODES AND OREIINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-----+�. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
t%State LICENSE. SEPARATE PF.RMrTS REQUIRED FOR SEWER, PLUMBING AND HEATING.
TSI L.)•J�,1 ,. y i!(
Total
By APPLICANI OP AOF.NT - -- --
App RtTelpl No _...
DA-T7E INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. D.361 3S 33e/76
Rou h-in
_ Fixture
01a4 — — -- -- _ Final —
3 �3 77 ta-ft -- _ HEATING
. 74 — y _ _ Contractor
Permit No ---
Gas or Oil _-- — - ----
G�'------ --------_... - -- — Rough-in---- ------ ---
Final
----- --------------
-- --- ---- ---- - SEWER
------
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final _
--- -- -- ---- ---- —_=- Sidewalk
urb&Street Final v
_ Approach
BLDG.DEPr. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final__
Landscaping
Y77 A Zoning Final '
t
5
a
Y
Acdress Permit No,
Permit charge
r1uner � �_ ;onnect.ion fee
y -
_ Vaid by
Type of building �.. �� -��_ Date connected
7ervice rate 5; Inspection fee
,' intrector Paid by Date
ze of cor:-i-ct �.nn ;sscssment pair1 �'
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