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11510 SW TERRACE TRAILS DRIVE 11510 SW TERRACE TRAITS DRIVE U3 b u r a� m u u r 3 u� t Jill1111111 11111i 1111 BUILDING PERMIT APPLICATION TIGARD DArE-_-�t'y�''' r ��— 19__`+x! 4255 THE LINDERSIGNED HEREBY APPLIE=S FOR A PERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE G•Z�✓'`�lfa�2 Lor -- -------- OWNER 71 l.ee JOB ADDRESS 11510 S.J. Terrace Trailshve AiiCJHITECT ENGINEER BUILDER 14 b L Masonry ADDRESS 4535 SW Alsat•Tualatin DESIGNER STRUCTURE Pill I I REMODEL ',ADDITION ❑ REPAIR 11 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION A RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS f---] PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABCI FENCE OCCUPANCY — _.LAND USE ZONE -$-L-_BLDE-.TYPE __S --FIRE ZONE__ PLAN CHECK BY LIU HEAT — Construct !Iasonary chimney approassiwal lir ?.4' high,. .1wi ll_have wind and. braces 011 r--r code require+sent. Arse mixed ea carrp_aonillu ?atGO at 1500 lbs. :Per #<1• SEWER PERMITM OCC.LOAD FLOOR LOAD HEIGHT 24' N0.STORIE_S 2 AREA - NO.BEDROOMS VALUE WO,q() BUILDING DEPARTMENT SETBACKS FRONT REAR V LcF7 SIDE RIGHT SIDE Permit 14.50 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COM: LIAll 145 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE . Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARAI>_PERMITS rsEOUIRED FOR SEWER,PLJMBING AND HEATING. State Tex 4Z .58 Total 15.0+3 SDC-- — -- PDCO APPLICA-N�ORAJ By Receipt No. Approved F,�Y.1 ADDRESS I'MiNE s DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. - )'7 Rough-in Fixture Final i ^_ -- ---t- HEATING 7 � -4 Contractor Ow., Permit No. 2 76:3 1,i:oe 11-3o-vt/T Gas cr Oil Rough-in Final SEWER �. Final DRIVEWAY �"anal -- Strn tl Drainage (Rain 'train)Final Sidewalk ` Curb&Street Final pPProadt I M HLD(i. DEPT.FINf�. TEMPORARY CE4TIF'tCATE OCCUPANCY Final j+}� CERTIFICATE OCCIJPANCY Lendsceliing Znning Final A t i rjU!LUIIYV rcnivii I tAr r Chiu 1 Iul j OF , , ••• _ �1 �_? THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED DUILDE:F? or, AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEFTrHONl; LOT NO_ JOB A0ORE55 ARCY"•?TrrT _ ( s/ EN INEER d4 OORF.S, STRUCTURE _ IEW ❑FlEa1nDE _ �{ DTO'InON _ r, I�1 ClREPr.IR ❑REIfE-INA�L CIFIRE DA..MAGE 0DF.'.tOL1TI. raESIL`E"ICE ❑COM%l []EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO -CAR PORI uGARAGE Cl STORAGE OSLAB ❑FEN l C.CI P�t,•_v �_LAND USE ZONE��OLOG. TYPE��G_-FIRE ZONE C~'�I.AN CHECK BY vim" " HEgT„' C C_ cv 1 le SEWER !�'E�mTT 1 �;.9-LO-AL PLQ _B_DAD I H `�L- __I�O�STORIE5 AREA�� �4�F9� �I VALUE J�' - 5111LQING OEPAR fNIENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE �9err:•1It — j - �_ THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONI I I An Check REGULATIONS .AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY ArREEO THAT 1 r--"mal - 60RK WILL BE DONF_ IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CONIPLIA.NCE W I AL.L APPLICABLE CODES AND ORuINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSIPI �-.am Tax .] LICENSE. SEPARATE PERMITS RFOUIRED FCR SEWER, PLUMBING AND N[ATING. r ' Tutal suc - Poc# APPLICANT OR AGENT --- ----- ,Approved � Receipt No. A nnRFSS ►SONE SOC - SEWER CONNEr, N $ SEWER INSPECTION $ SEWER SURCIARGE $ Comment- : City of Tigard Mechanical Permit � ��' 7 3 New Installation [] he)iace o Relocatio,o Addition ❑ Alteration C7 DATE: HEAT;NC CONTRACTOR —_ .. _ r:,�i�+ ; "'� OWNER ADDRESS----... __ —^'.eM ,. ��_ ,_ j(,Ii ADDRESS," �:2 PHONE-------­,-­— APPLICANT——— I _ ­- L,1_W`` �.. -�',4) Heat Input Rr,ting(B'TU per Hour) `/ent Size _ Flue Size FUEL Oil_n GAS E] ELECT ❑ OTHER ITEM � NO. FEE � 17EM—� ,.--�.----- NO. FEE _ For Issuance of Permit _ SEE ii—LOW­--Each Air Handling Unito Duct S sy tem 7_50 Ne•a-� to & ir_', ivv,:;)0 BTU _ 8.00 Cnmmercial Hood S sy tem _ - __ 7.50_ New lU 0U0 BUT's & over_ 7.90 Other Eq-i�ment - Each4.60 Woodburni_nq Stove _— 4.60_ 1 T_rT Inspection i — _4,60 Wall-Floor Suspended 6.00 Air Condition Compressor - up to& incl.3 H.P. — 6.00 Vent System w/Fan —T_•___—__ _. _4.50 — Air Condition•Compressor-3.1 to 15.H.P.incl. Repair HeatCoolin�_�— 6.00 CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! PERMIT ISSUANCE 10.00 Comments: FEES .....___-__-__ 3013-TOTAL .— ---•_.________.. —_.—_a.._—. % STATE i Issued By._,,-...__+. 26')6 PLAN CHECK_ TC'r ._;�;�� � �, � �0 /' {•l -` —�� AL— REC. Signature of Applicant r City of Tigard INSPECTION REQUEST for INSPECTION TIME : Gi r7j PERMIT NO. : DATE: DATE ISSUED'.— / I OWNERS NAME : ADDRESS : _-_Z �-lo 9w d� 1nce.5� CONTRACTOR :_____.._____ ___ TEST' Air p, Water [] , Visual ® , Laboratory p RESULT. Approved 04 , Disapproved ❑ , Pzndinq J SKETCH: t -= 92_ 41- SPECTOR DATE [NOYE Attar.h supplemental test data heret- A M1 ADDRESS PERMIT N0._ PERMIT CHARGE eons OWNER CONNECTION FEE . o� PAID BY TYPE OF BUILDING � DATE CONNECTED SERVICE RATE / INSPECTION FEE CONTRACTOR PAID BY _._ DATE SIZE OF CONNECTION ASSESSrIENT PAID 3 -9 -7-7 30L - cS City of Tigard INSPECTION REQUEST for INSPECTION TIME' PERMIT NO. :.- DATE : O. :._DATE : DATE ISSUED :_" OWNERS NAME : .- ZZ-5/ 0 '7ocow-•vim, '/a ADDRESS: iz CONTRACTOR : ►y 1112 TEST : Air EJ, Wote► Q-,"laboratory p RESULT: Approved l9-!'pisapp roved C' Pending p SKETCH. Y I ?INSPEC OR DATE 50TE: Attach supplemental test Eota beret CITY OF p BUILDING PERMIT APPLICATION TIGARD DATE __' 19 N'o 0 8 R 1 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 639-2431 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER .giiti1��� E c M1idal�n ADDRESS CGU tea1.IaI PHONE �. . I _. .9�l1SZ€��— - -- app Humor ENGINEEn $.UJLDER — ____—• ARCHIIZ; ,T _ -- DESIGNEP _ STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE []STORAGE:❑SLAB ❑FENCE 0-BOND ❑MOVIP;(i _❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.APPROVED ❑SIGNS QCCUPANCY - LAND USE ZONE——BLDG.TYPE FIRE ZONE— PLAN CHECK BY— _ HEAL_—_ e. 1;;iPd.L.t. IN* litwQ1. kidisfiffiw11 4111`10 c.4GL�i ws.Lf) OCC. LOAD FLOOR LOAD HEIGHT NO.S'rORIES AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit —' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINt,NCES, AN►: 11 IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERNrI T DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BLlaaNESS, 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWt9R, PLUMBING AND HEATING, Total BY ------ -- — ---- --i ---------- APr 'ANT OR AGENT Approved Rvceihl No ADDRESS — --- PFION ------ - -- --- DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE Contractor-v._.._ G .%?)G ,�G....11ir �►�� - ---- --- Permit No. a _ ✓ -� t/ ,� ). - ,:14L,, RA"-. F;ou h in ^— Fixture Final HEATING �_ •I� // J Contractor _ 2 �t etAL _--2u1-t(�(9 t Permit No. Gas of Oil Rough-in NP12AILS Final SEWER Final DRIVEWAY — 1 -7—If—77 Final Storm Drainage (Rain Drain) Final -- --— --- Sidewalk Curb&Street Final -- ---- — -- Approach BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping CZoning Final ai f UNIFIED SEWERAGE AGENCY NO. _ 9571 ____ WAS-H I NGTON COUNTY DATE Dune 17. 1976 CITY O F;—_ ___ -_ T i_ a r d ___ _-_ ------. ---- APPLICATION FOR SEWER CONNECTION PERMIT OWNER: --Ronald Mad erg__- --- - ---- - - - OWNER'S ADDRESS: __ •` _ - 1S--JL '-� STREET - -- - CITYTaX a 251 ZIP _33CcAp BUILDING SITE: LOT-----.-.-_ ... _ BLOCK _______-_-- ADDITION TAX LOT NO. . 5100 _ TYPE OF OCCUPANCY --- ADDRESS CCUPANCY ____ADDRFSS IL���C�_ � n�/ �.l C�t�1,�-c•� C c -- - ._ _._.------- DWELLING UNITS FIXTURE UNITS _ — --- SURCHARGE IF APPLICABLE - PERMIT PPLICABLE _PERMIT FEE 55-0.•QD -- INSPECTION FEE _. 25.010TOTAL DEPOSITED __ 5.25,_ O- —.. (NEW1 (EXISTING) BUILDING SEWER SYSTEM -F-anno_r k.------- The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. A P P L I C A N T ____.__ � i. t ,/�!<< '�•-�-� — SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE ____ INSTALLER _.. RECEIVED BY. _. _ _ -------- -._-- (AGENCY OR ITS AGENT) COMMENTS: _ _. Bldg, perrni t ;,'0881 - - - This Application and permit expires in ninety (90) days. The amount said will he f)rfeited should expiration occur. CITY OF BUILD114G PERMIT APPLICATION 11G/"RD DATE�-- �2 _, ,9.2,�N2 0 ktir r THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHO AND APPROVED IN THE ACCO M PANYING PLANS AND SPECIFICATIONS. owNER PI+oNE 3 _ y_S-� �dj ry� ILDER �3 �Y'3OADDRESS i- _ - 7 0ENGINE '"� � 1gCDESIGNER911LUF � L. r� { STRUCTURE E4 0 REMODEL ❑ADDITION ❑REPAIR... RE NEWAL �fIHE DAMAGE —UDEMOL1710N r'� f E-SIDENCE ❑COMM QEDUCATIONAL 0GOV'T ❑RELIGIOUSCIPATIO ❑CARPORT ❑GARAGE [:]STORAGE OSLAB [:]FENCE —ODOND CIMOVING- -- ( CONDITIONAL USE — ❑DESIGN REVIEW _—_❑_C_OUNCIL APPROVED _—DS;GNS QCCUPANCY—LLA—N—D-U7�SE ZONE BLDG.TYPE_ ____..FIRE ZONEPLANCHECK BY..� HEAT a p - __ sg �1 �1 QCiC!1_OAQ_ J _FLOOR LOAD_��J HEIGHT — NO.STORIEAREA S_ VAI HF V BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check �, S21 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE —'- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ' -- --_ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- - -rp — RESTRICTIVE COVENANTS, CONTRACTOR AND SUBCONTRACTORS TO HAVE CURRENT CITY BUSH';=SS State - J / LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMF31NG AND HEATING. Total By --_ APPLICANT OR AGENT �— — ------- --- -- Approved Receipt No. S 7 5 �-