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11220 SW COTTONWOOD LANE-1 1 H ti N N O N E n 0 cr cr 0 E O O CL r a D ID 11220 SW COTTONWOOD LANE aw ass � a• as ass aw 0 INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone 639-4171 Address _ •!�'-'`a ,�:� �'�. a; y_;,;.=,�r Permit # .. . Type of Inspection The following Building Code deficiencies arfi required to be corrected: Presented to.—__ _._-_.._._._.__� InspEctor 4-1. Date "-' CALL FOR RE1A/S'Et;TI0N ❑ VES ❑ �10 City of Tigard Mechanical Permit New Instal1vtion 0 Replace 1-1 Relocation[] Addition [] Alteration D DATE: HEATING OWN E R CONTRACTOR ---- ADDRESS JOB ADDRESS PHONE APPLICANT Host Input RatingJ811.1 per Hour) — Vent Size_--_ -- Flue Size----.-- FUEL OIL C] GAS 0 ELECT 0 OTHER IT NO. FEE ITEM Ei ii-IB:'EL'O'W—[-i�,:c:h Air Handling Unit or D S stem For Issuance of Pertni!._ �I!LA 7.50 Nej,v-u to kincl, 100,q00 BTU 6.00 Commercial Hood System 4.50 7.50 —6�i-ler EquipEjenL- Eac' 's k Nevv-L0-'?,-0Q9-9-U-T— 4.50 Woodburninq Stove 4.50 1 Tri Inspection WallFloorSuspended e.00 6.00 Air Condition��OMPLe.ssor up to&Incl.3 1 , - Vent S stem W/Fan 4.50 Air Condition Compressor 3.1 to 15.H,P incl.-4- 11.00 CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB.CCINTRAC70r.5 I VE R—M,T I iiU—AN,—C E 110.00 Common": FEES SUB-IQ-T-AL-- Issued By 25!,j_PLAlg CHECK REC. TOTAL of Applicant M o w w w w .' . . - •7jiM'yT. eAA 00 1 VW M VU r OF 1G P CUA CITY OF TIGARD JVC +C OREGON i Iona ram Homes _Permit No._1381 I �' ..._9.. Owner:....... . .. Building Address..11210...SW_ 0ttauwaoid-Lan.e.... ......... . .... . ...... F • November......._., 19 -..7.7. y that said building may be occupied and Certificate is hereby even this...1.4t<h.. da of.................. . � ! that it complied with all requirements of .:. the Building Code for the City of Tigard, as lipproved by the Tigard City Council. Building inspector 1 nn Address _ /,2? 0 �kA- ��� �mac . _ Permit No. Permit charge Owner 'hI C,.,_lLnl m�,iti Connection fee `''75_ U Paid by _ )� r cL _ �'`ti.r✓ �J ype of building / Date connected Service rate ti _ Inspection fee CO Contractor Paid by date Size of connection Assessment Paid _ � y os ti 0L a6 4Ln1 OC c1c c t o d to dr 4 1 r_ 3 0 !!! Ln °' I- r] 4- cr.2 �� AU .o •3 1 _ y d 4, .3 ti F O ,n a ,n I 61 ti W w T R V o C� r0 , ILL _ o cV I I I I 3 (� -3 Jj d ? _A N 'd tsLy o > 1� c•f � u V i� ' L i C•' yA n �t r0 4i r_ tj� 17 +3 -- i w Lu CAI IY7 ° to t ro .rc ,. I _ t1Al tj In 4J xo X ku N O u7 l a "' r r � � o f ,,, ., o �� to City of Tigard INSPECTION RE© UES T for INSPECTION TIME : PCRMIT NO. : — DATE : O. :DATE : 1 DAl E ISSUED.'--,L I OWNERS NAME .' _ ADDRESS : —/-..4_.7- .2:14) E C: %l T R A C T O R :✓/2..Z 0 Scot_- G� IDd.� _-. TEST: Air C7, Water [� , V' uat p , Laboratory p RESULT.' Approved Disapproved p Pending p SKETCH.' S OR DATE I COTE: Attach eupplementol feet data herel,01 I J-1 T N . 121 Unifi,-d Sewerap Agency of Washington County CITY OF__ Tigard DATE 4-7-77 OWNLR Monoqram Homss PHONE i64fi-0186 OWNER 'S ADDRESSt TYPE OF INSTALLATION: [KISUILDING SEWER 9UTLDING SEWER AND SIDE SEWER "PE OF OCCUPANCYt l[flNEW (fl SINGLE FAMILY [] COMMERCIAL []EXIST . (PRIOR TO 7-1-70 ) El MULT. E.F.S. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION, PLEASE REFER TO rHE 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 OTHER STA A L $ 600, L I"N APPi-ICANT DA T E SEWER PERMIT N? 12115 ADDRESS OF STRUCTURE 11220 SW Cottonwood Lan TAX MAPI AX LOT SYSTEmFenno Crrek LUT BLOCK APPROVED BY DATE I SSUED, by DATE REMARKS- BUILDING PERMIT APPLICATION of TIC ARD DATE !�-7-7F ' THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED EUILDER PHOM'Ry.._ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE-- 1j,in '.3 C LOT NO. OWNER L 01js 1'b e' M10 3nl JOB ADDRESS 1 .220 SU C0tt0nW0Ud IdOM'ADDRESS ARCHITECT ENGINEER BUILDER •',,4 171 ipp��y�� ADDRESS DESIGNER STRUCTURE "MEW ❑RE.MODEL ❑ADDITION ❑REPAIR ❑RENEWAL []FIRE DAMAGE. ❑DEMOLITION Q3_�SIDE.NCE ❑COMM ❑EDUCATIONAL ❑GOV'( ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE ❑BOND _ ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS ntW OCCUPANCY_, LAND USE ZONE_ BLDG.TYPE' _FIRE ZONE_= PLAN CHECK BY_-_—._ 'Unst. singel. fami$y cluelliny w/attached garage Lot ; 4iu 7, bedroom 2 sioth — garage 440 eq. ft. OCC.LOAD L___--FLQQP-LOAD ._�_ �LLt3F1L__—_—�lQ.5 ORI _____-A A1671 NO. gf)[j44M�3-----yPi�41F 3,, IB Qi BUILDING DEPARTMENT SFT BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 148900 -� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 11),00 REGULATIONS AND ALL APPLICABLE CODCS AND ORDINANCES, AND IT IS HEREBY 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 UOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 404 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 152.74 BY ---------— – -- -– --- ----- -- APJh.,ICANT OR AGENT Approved � Receipt No. ADDRESS ---- FiIlSN€ ......,.......,.w.».w..,...�wr.«.r..��.:..,.... ...,.. .__,._.__._r.w.i»..rrw.wr,.+.�......w,......, Y11 wr....,....x:r:,:..n;:.alYnlRu.�.raya+. UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor _� � / ti Permit No. C?`1'I (^¢� 7� Rough-in 6 /s 97 �s7�i�� Fixture _ -- Final _ 'Jn ircU� �iK Tr /Ur o� HEATING - 7 C y: �C-,Cf-v_ Contree?or Permit Ne. -- _ p ate' Gas or Oil - -L2 '�1 JB Goya _ qou ui j`0 SEWER Final -- — — -- DRIVEWAY — ------------ -•------__ �._.—..--__--- Final --_- -_ Storm Drainage (Rain Drain) Final Sidewalk Cu,b&Street Final A roach _ BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final — CERTIFICATE OCCUPANCY / ( Landscaping ` Zoning Final `. 1 4