15820 SW HIGHLAND COURT-1 15820 SW HIGHLAND COURT
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SERVICE RATE / �� _� IN15pECTION FEE .�.---•
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CONTRACTOR
A�5ISS(IENT PAID
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City of Tigard
INSPECTION REQUESU ,r
for
i INSPECTION TIME :�' � ' PERMIT NG. . o ,!r S '
' DATE:3 DATE ISSUED
OWNERS NAME : r,
ADDRESS : ISLE D m-A)- -C qo
EST. Air D, Water ❑ , Visuul ❑ , Luboratu.- y
RESULT: Approved , Disapproved 0 F'uii
SKETCH'.
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : , "• PERMIT NO.: __
DATE: .b".'. /Za. DATE ISSUED:
OWNERS NAME : =C-.
ADDRESS : mssit
CONTRACTOR :
TEST: Air O, Water ❑ , 'Visual [�1 , Laboratory ❑
_RESULT: Approvad [tl Disapproved ❑ Pending p
SKETCH:
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INSPECTOR DATE
50TE : Attach supplemental test data here t-
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: pERl i*r Nr). : —
DATE: t t ? DATE
OWNERS NAME : _ T:Dc .
ADDRESS :
CONTRACTOR :
TEST: Air ❑, Water ❑ , visual b , Laborafory []
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RULT: A
Y` pproved � , Disapproved ❑ , F'bndinq ❑
KETCH:
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INSPECTOR DATE
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City of T ,; and
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : -
DATE: L S DATE ISSUED:
OWNERS NAME .
! ADDRESS :
CONTRACTOR : 1416 .LLAeFp. ' C'/,
TEST: Air D, Water [3 , Visual ❑ , Laboratory ❑
RESULT. Approved 0 , Disapproved 0 , Pending ❑
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.30-1` CITY OF �.d��X 73�� 0555
BUILDING PERMIT APPLICATION TIGARD DATE19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC IFICAT.�ONS. ROW.V
Q1NN 9 PHONE _----
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Tl si tiro (,}ev,,lopfhent r 6DRESS 15820 5r1J. '1'f��' _Cs �ULDERPHONE-
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ENGINEER_
iE1111i3 l_�SIGNER
BUILDER •--- _ ARCIIIECT_ ---- --rr---1� ----
STRUCTURE_ -❑NEW ❑REMODEL - UADDITION — ❑REPAIRLURENEWAL - CIFIRE DAMAGE ❑7EMOLITION
❑ CI
COMM LCOMM ❑cDU::ATIC1i1,AL ❑GOWT []RELIGIOUS❑PATIO OCAR PORT OGARAGE LJ L'.ORAGE[1SLAB ❑FENCE
013OND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVICW ❑COUNCIL-APPROVED [:]SIGNS -- —
OCCUPANCY__--_ -LAND USE ZONE BLDG.TYPE---FIRE ZONE___ PLAN CHECK BY_--___-�_—_ HEATS
130+ b,ti iruume sin(Alco Ve�m.ily numv --- -
Q� 1� OAD FLOOR LO^,DHEIGHT _ NO.STORIES - AREA VALUE
_ i 1y'�_---... —
BUILDING DEPARTMENT SETBACKS FRONT HEAR _ _ LEFT SIDE - RIGHT SIDE- -
Permit IUL!. J.1
a.I�w� �� THIS PERMIT IS ISSUED ,UBJFCT TO Tk c 3EGULAI IONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE Co? C-.3 AND ORDINANCES. AND IT IS HFnEBY AGREED THAT THE
-- WORK WILL.BE DONE IH ACCORDANCE W111.1 THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENPNTS. CONTRACT(--F AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State .qq LICENSE. SEPARATE I ERMITS REOUIiREC 'O. SEWER, PLUMBING, AND HEATING.
Total 113.00 — •i3iJ fUa ;;!al rP4 1115PbGt1 UV
By I _-
APPI_I C_Af�'1 Cln AGFrJi
Approved II Recespi No
ADDRESS '-PHONE
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REMARKS PLUMBING DATE
DAIL INSP. TYPE INSPECTION
Contractor
Permit No. �5
ROU 'l-In /74
l - seri AllYJIY -S Y�
Fixture
Final
—=- 7- HEATING
Cont:actor-r" 1
Permit No. -
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Gas or ail
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SEWER//-/?/r C�rr-
-- - ---- -- -- -�- Final - --- .�
- --- -- DRIVEWAY -- r
_--.— - - ---
Final
_. --- - -- -- -- —
:,torm Drainage ---
-- ---- -�- --+- - (Rain Drain) Findl -
-- - — ---.- _-�__.__---- Sidewalk
T _ - Curb&Street Final _
BLDG.DEPT.FINAL -_ TEMPORARY CERW ICATE OCCUPANCY Final
� L CERTIFICATE OCCUPANCY -" W
T/ Landscaping
Zoning Final
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