11040 SW COTTONWOOD LANE-1�MRJLW--K
I
a
n
m
K
a
E
D
D ,
CL
r
w
co
0
11040 SW C0110MOOD LANE
ZNSPEc"!'�oN NQTICR
City of 'Tigard Building Departmant
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Lina 1(Rec-O-Phone)s 6?9,7d,175 Business Phone: 63914� 3;
Inspection:
Footing Plbg. Undo lab Nech. Rough-in Appr/3dwlk
Found. Plbg. Top Out ( Ges Lire FINALS
i
Post/Beam 3truct. San. Sewer Framing -Bldg.
I!r'st/Bea. 1c+c'•.. Rain Dr+,Ln insulation -Plumb.
Plbg. Underfloui Water Line Gyp. Bd. -Nech.
Data Requestedt _3 / F TLM L_AN _PN
Addrasss emit #r�
Builders ��vL
THE FOLLOWING OORRECTIONB Mi RIQUIP.RDs
M-1 2[iJ'i AG.
tnapeotors natal
JIPPROVleD DIfiAPPAOVP,U `'—'--1;VPROVF.0 9URJR('T TO ABOVE
—call For P insp.
/ ME�•CHAN I COL
TYOFTIFARDrPERMCi1f OF TiGARD
F:RM I T #. . . . . . . : h LC.eI 1 -!710,,'
CU ..,UNITY DEVELOPMENT DEPARTMENT OREGON
13125 SW Hall Blvd. P O.Box 2x997,Tigard,OraWn 97723(603)8394175 \ f:.D. 02133/01,1')l
Iu:;V;-;:)::>. , . . , l ti;ti 4.1 aw L,L; i 1 UivWUul_+ L.1.4 PARCEL.: 151 L%4AC-02.646
SUBDIVISION. . . •. . 1"NGL_hWOOD IVO. 2 ZONING: R-4,
Tal OCN,. . . . . . . . . . ; L.OT. . . . . . . . . ., . . . : 1
CLASS OF WORK. . !ADD FLOOR FURN. . . . a EVAP COOLERS:
T','F-,F OF USE. . . . :SF UN 11 HEPTERS. . : i FEINT FANS. . . :
OCCUPANCY GRP. . .-R3 VENTS W10 ADPL: VENT SYSTEMS:
STORIES. . . . . . . . . SOII._.ERS/(;OMPRESSORS HOODS. . . . . „ . .
FUEL TYF'! a--- -- -----_ 0-3 HP. . . . . DOMES I NC I N:
COMML_ . I NC I N
MAX I NPJ'T: BTU 15-30 HP. . . . : REPAIR UNITS:
IRE: DAMPERS''. . : 30-50 111='. . . . a WOODSTUVES. . :
(SAS PRESSURE. . . : 50+ !1f'. . . . : CLO DRYERS. . t
\)O. Ql- UhIITS---_ . _._._ . ..-- AIR HANE'!_ING UK.II1',3 OTHER LINIIS. :
URN < 100K BTU: <= 10000 efnl : GAS OUTLETS. : i
URN ) =100K 1311J: > 10000 rfm :
-emarks:, : NEW GAS F"IPLf,LAC:E:
UEner: --____.•. .._._._.....__....__._____._.___.____.._______ ____._....__...---.___ ___ FECES - •____..__._..._... ._. ....
LARRY SWEARIN,'r-N tVI)e amo'.111t bv datn re
11040 hW C;OTTONWUOD LIJ PAYM $ 1.8. 90 JL.H 03/0114I
PRMT $ 1 8. 00 /
-11CARD OR 97.:'2,3 `1F'CT $ +ll. 90
"''hone #:
n„t Farttorn
01414-.R/CONT RACTOR
F='1iarle #: 4 16. 90 TIJrOL_��W_____.___.__.
Req #. . .
REDU I RED INSPECTIONS
This pewit is issued subiect to the regulations contained in the h'i n A I 1 n nett i on
Tioard Municipal Cont, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 18@ days of issuance. or if work is suspended for sore
than 180 days.
!-'r?r•ni1 t. pp Sign, AVIV?
Call for inspec-t ion - 639-4175
VO
CITY OF TIGARD RECE- IPT ()F PPYMr--'NT REUIPT NO. - 41 -2101-09
CHECK AMOUNT 18. 90
NAME SWEARINGEN, LARRY CASH AMOUNT 171. 00
ADDRESS 1104.0 SW COTTONWOOD LN PAYMENT DATES N3f 01 ?'9 1
SURD I V I G f ON
TIGARD, OR 972:23--
PURPOcjE OF PAYMENJ AMOUNT PAID PURPOSE OF PAYMENT AMOIJNT PAID
MECHANICAL PE MEU91-0039 .18. vio ST. BUILD PER 0. 90
GAS F I REPT-ACF
I-OTAL AMOUNT FAIL' 18. 90
r,ddruas Permit ^!u
P a r x i t r h a v r,r a
Paid by .._....._.rZ� '� � �...._ ...
EYP �
of huilding crJnnc,cLorl
rv.l.ctj 1'o a
Cr)ntrE(c:t()r paid !:,y (I.-Ito
.- .. --
i7o of cnnnact:ian -- __.� _ A.rs�,.:;;nr:rt{ Paid
t
1
IA
w c r tu
m CL I I ! I
C: c, b
.y
rl � .0 V V Q `I • C
n
'tl O O c� p o_a o to c7
r
!� to to o m N r� ) o to v
F L f J N r r
41 t•t
a O ty CL
d y t1 .n
LU
o
0 U
Ll A
c
n 44 .— 0 z cJ
f0 tit �- O
p '3
u 'u
L.71 W 6! d d G
u.
0 4-
F D tnu n .�
n. b u c u r r c
' a W =
„ yx49
IP
n
u E a
tu In tJl
t > t
ref `
n
d- �.-77
SEWER PERMIT W 13425
U4
ffiedSeweageAgency Tigard DATE 6-21-'17
of Washington County CITY OF --
OWNER : J.L. Light _ _ PHONE : 639-8560
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
4IBUILDING SEWER ❑BUILDING SEWER AND SIDE SEWLR
TYPE OF OCCUPANCY:
PqNEW SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO —1-70 ) 0 MOLT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELi_ING UNITS 1 _
PERMIT CONDITIONS: THE APPLICAINT AGREES TO COMPLY WITH ALL RULES
AND REGULATIOP'S OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, Pk -ASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION
Cc9t'C:
ISSUEDAY
OTHER
T TAL $ 600.
A PL-1 T ATE
SEINER PERMIT M 13425
ADDRESS OF STRUCTURE _, 11040 SW CottonWand Lane _
TAX MAP TAX LOT SYSTEMf3nno creek
LOT 212 BLOCK OF_
�o - � .� - -7 7
APPROVED BY DATE IS ' ED BY DATE
REMARKS bldg* X1539
' 7' BUILDING PERMIT APPLICATION 11 Y TIGARD DATE_ 6-21-77 'R539
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE I39-8560
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANC SPECIFICATIONS, OwNERPHONE
J.L. Lilabt
OWNER JOB ADDRESS JAI, -':,I S;_ !.II,J'+' �.! F•IbMt: L07 NO.—_.
�kDDRESS
ARC1411 ECT
9"AmH ENGINEER
BUILDER _ _- ADDRESS — DESIGNER
STRUC'URE 'VNEW 1-1 REMODEL . ❑ADDITION El REPAIR _❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑(RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑gFLIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY__'____ I AND USE ZONE_—R-7 BLDG.TYPE____5N FIRE ZONE 3 PLAN CHECK BY__ Gtl'I HEAT�__'_.�.._
rsmAly liuslling w/attached varege A bedroom 3 aboth --
OCC,-LQAp.___ FLQQR LOAD _� HEIGHT 1yO.STORIES_ A IfA152 NO BtDROOM __�/ALUE�.� �OQ�
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 195000
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE RUII_DING CODE. ZONING
Plan Check S7*50 REGULATIONS AND ALL ArPLICARLE CODES AND ORDINANCES, AND IT 1'i HFREBY 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 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State TLA A•70 LICENSE. SEPARAIE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 301.228 `'yut,ern evc.0opment hrwargre -4400.CI40
By
—__. AP WCAN7 OR AO NT
Approved u Receipt No.
AD SS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
27Contractor
?'2 6. Permit No. O
-Zb ?I �� � Rough-in
9-2 8-77 �9 /J�✓GI Fixture _
- IS-17 'Tti _ Final
HEATING
$=1 ' Cont;actor /
Permit No. S72 7
-23 c,c c FL Gas or Oil
Rough-in
1
Final _
SEWER
_ Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
tFiin
&Street Final _
oach I pas
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICAT E OCCUPANCY caping
g Final
3
I
I
1
i
r�
W� oS � � oSC., $ � I I
I LL C v U') m C N Cl) a i r ri
CN
C o r i
o
z �
E
a
L• ,� N h
G. li
7
LL
♦ 2
L) C
N U Q r. � 1
N �- °
w ` S u I ro o ° l
! 48.
I
;t ❑ o hyo . cr = i
Q y C C C) 1.0
._ y V C
..� C ( �, 7 'U C w u C ° u I Gy
z O I ` 1 m - ri m E 4m+ m `n l
V _CL- z Cc < a- w
U �' O �
Q E J C I m
a >a - - -- a
rooaooaoc, 000 Q
UJ00000rno $ a
Q tr wri4uivvc•444r; ou'i Z
x
w -
U
C =
�+ ° z Q
w
b r cr
0 <
O
m
73 —4 U w
•• � iJ.l �
Lr ❑ 7 C)
NLU z° w
7a
cr
N a ❑ a `n w
m d ca Z cn
A N t CO f— c w Z
V�] m 0 E � o : o as v
LT p ° a
o a0 A w_ o o $ to 0 M O O V J
�y � y lA M IA M w m
�j V v ` Uro y 67 0 �O Z O
Q a J c C i E 0 cu = '" O O O to w z
.�.�I c 5 W G O 7 � O u :L > O M r M F > F
� -A f m Z J - .t w m O a
3 O e w 3I ; o _ .o .o m ! d a a } a w
i z a a a a ° '� N o �i p o m F- a w
CL S LL LL Z Z LL. CC m 03 aI m Z V m