11565 SW TERRACE TRAILS DRIVE M31
11565 SW TERRACE TRAILS DRI`JE
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INSPECTION NOTICE n
City of Tigard Building Department
12420 S.W. Main St. ,' 3 Up't"
Tigard,Oregon 97223
Phone: 639-4171
1
Type of Inspection
Date Requested_ J / O 1-22 Time Al V1.' P.M.
Address - ✓G</ I. �. v �7 e.e Permit # -: r
Owner, Lot #
f Builder
The following Building Code deficiencies are required to be corrected:
I
i
Presented to _— Approved
Inspector Disapproved
Date _._ /�✓- z .3
CALL FOR RFINSPECTION
❑ YES Z'NO j
W W W W w W FW wv W W
INSPECTION NOTICE
City of Tigard Building Department
1242.0 S.W. Main St.
Tigard,Oregon 97223
Phune: 639-4171
Type of Inspection _ .--c C. —`''C�=�`--•'� _
Date Requested —L 1 11me _A.M. P-M.
Address ���'_: _��✓�—� ' • ��• ermit #
Owner Lot # _
Builder -
The following Building Code deficiencies are required to be corrected:
Cp C.L
e�-IN
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Presented to _ Approved
Inspector — ❑ Disapproved
Date
CALL FOR RFINSSPPFCTION
0 YES F 1 NO {
M W W air rlw WM11
W rmw�
a BUTLDING RECEI:P1 a
NAME: — _�/_— Z DATE: _ V
ACCT. N DESCRIPTION AMOUNT
10-432 Building Permit Fees s ��• 5y _+
10-431--600 Plumbing Permit Fees s
10--431-601 Mechanical Permit Fees s _
10-230-501 State Building Tax
10-433 Plans Check Fee - 25.0.3 _
30-443 Sewer Connection (20X)
30-202 Sewer Connection (80%) s
30---444 Sewer Inspection
51-448 Street System Dev. Charge (SDC) s __
52-449-610 Parks I System Dev. Charge (PDC) S _
52-449--620 Parks II System Dev. Charge (PDC) $ _
31-450 Storm Drainage System Dev. Chrg (SSDC)
10-230-505 TRFD (95%)
10-478 TRFD (5X)
10-230-506 Washington County Fire M1 (95X)
IG--4','8 Washington County Fire N1 (5%) $
10-27.0 Amart/Wedgewood � _ �_.-------__-_--
TOTAL
;br/1214P)
BUILDING PERMIT APPLICATION TIGARD DAT '�.Y- 2-?
53911
E--
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUiLCER PHONE _ ---- .__
OR AS SHOWN AND 4WPROVED ,l rLiF ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE S224-ta(U._.--.-
LOT NO.__35 OU
OWNER _ l:r _htattr,�xlf JOBADDREss 11565 SW Terrace Trail _ � _ --_-_ 29_1-3CA
-.--- - -- -- - ARCHITECT __
ENGINEER
BUILDERDESIGNER Si0.t�1¢ ADDRESS ----------�
STRUCTURE ❑ NEW ❑ REMODEL J ADDITION _❑ REPAIR ❑ RENEWAL 0 FIRE DAMAGE ❑ DEMOLITION
(IRESIDENCE CI COMM O EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE C] STORAGE ❑ SLAB❑ FENCE
Y�R-4.5 BLDG.TYPE _ ZONE--- N Cit OCCUPANCY _R"1 LAND USE ZONE 511 _FIRE _ PLAN CHECK BY---_ HEAT --
Construct "coed Story additiOU to exiatinl; single fMily dwelling.
SEWER PERMIT# --- - —
OCC.LOAD FLOOR LOAD U -HEIGHT
19' NO.STORIES 2, AREA 275 NO.BEDROOMS VALUE-1,500.
BUILDING bEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 35+50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
--
REGULATIONS AND ALL APPLICABLE CODES AND ORDIMANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 25.03 `�:'!RK WILL Bc DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 63.53 __- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stat 3 Tax 1•S4
Toted 65.07 1 SDC- 1 ;' - +
--
jPDC# nnPUCANTORAttNT
By CZ _
----- Receipt^1 o. .Jl ..� AODRE98131ioiaF
Approved ,� BC[
01",rE INSP.tYPE rC INSPfiON REMARKS PLUMBING DATE
_C
C;_n,"ac I or
fz;k
Permit No.
Flauql�-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or 001
Rough-im
Final
SEWER
Final
DRIVEWky
Final
Storm Dicirage
(Asim Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPI. P''^':- ORARY T_E14_TihCATV OCCiPANCY
WIC AvF OCCUPANCY incl
F. caping
Final
BUILDING PERMIT APPLICATION TIGARD
DATE
R PHONE
THE UNDERSIGNED HERESY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED �t'E`R HONE
OR AS SHOWN AND APPROVED IN THE ACCOL4PANYING PLANS AND SPECIFICATIONS. LOT NO.. aT' _C
JOB ADDRESS
ov�NER �2 ARCHITECT
ENGINEER
� DESIGNER
SUILDERC't.m_(� AOORESS __
STRUCTURE ❑ NEW_ ❑ REMODEL '�,A�OITION ❑ REI'AIR_,_O RENEWAL C FIREOHMAGE ❑ DE►AOl
AT ❑ GARAGE G STORAGE ❑ SLAB❑ F
M RES[OFNCE ❑ COMM (7 LOUCATIONAL C] GOV'T C1 gEL.IGIOUS (I PATIO ❑ CAR?O
HEAT
FIRE AL cam_ FIRE ZONE PLAN CHECK BY
O�.iiir�AN(:/ _. __.—LANG USE ZONE — -
OC — -- _
✓' -�/may, -z-- /r ...x •.�
SCWIJiPERMIT I
-- - , NO.STORIES AREA ':'.• '` NO.BEDROOMS UE
OCC.LOAO FLOOR LOAD ' ` HEIGHT ---
----- REAR LEFT SIDE RIGHT SIDE
BUILDING DEPARTMENT SET BACKS FRONT
PINTnIt _ TNIS PEl;mrr IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE [UIIDING CODE,Z
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HERFRY AGREED TV-ALA
�Is�CMck WORK WILL HE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COIAPIU
WITH ALL APPUCAB E CODES AND ORDINANCES TIDE ISSUANCE OF THIS PERMIT DOES NOT
I NTRACTOR AND SUIS CONTRACTORS TO HAVE CURRENT CITY BUS
sub—total RESTRICTIYS COVENANTS.CO
r--� — LICENSE_SEPARATE PERMITS REOUIFIEO FOR SEWER,PLUTAgIIIG AND I-EATING.
Stats Tax
—--- ---- ----_ SOC _ _ _._ ----_----
Tax-
Total AP�HT 00R AGENT
PDCJ
Ly —
Recolpt No. ��--
-------------
SOC
POC. --
SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE S _
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���' d iOCC oN ST : i6' g� day Sgzn-z69-NQS : 131 d8OJ SW31SAS d3lgOd )JI
LFC POWER SYSTEMS CORP TEL : 503-697-0288 Sep 26 ,91 7 : 18 No .001 P .02
• ,. .. .. . . �w+.- .. ,. . . . . •, •-wry--e*�..
City of Tigard Mechanical Permit125 I rmit—
New Installation 5 Replace ❑ Relocation ❑ Addition ❑ Alteration State
TOTAL�..���.-__•__
CONTRACTOR _ _ _ OWN ERG
ADDRESST i —4-A'rlr
e 1NO R K ADDRESS
_Lb
PHONE APPLICANT__
Heat Input Rating (BTU Per Hour)___ _ Vent Size Flue Size j
_- -
FUEL OIL ❑ OAS ❑ ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE '
For Issuance of—Permit — _ 3.00 _A_ir Condition Compressor 1S to 30 HP 10,00
w
e1�-Under 100,000 BTU 4.00 Air Handling 10,000 CFM 3,00
-New-'100BTU a over 5.00 Air Handling Over 10,000 FM
Floor Fur ace 4.00 Evaporative Cooler
Well • Floor•Suspended 4.00 _Range Vent Fan w Z.00
Install Vents Only 2.00 Vent System — - 3.00
Repair - Heat&Cooling _ _ _ 4.00 Hood Commercial 3.00
Air Condition Compressor Under 3 HP —4.670—
Duct System 10.00
Air Condition Compressor 3 to 15 HP - 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED DATE
,c _ -�,' 16SUEU BY; _�._ DATERECEIPT NO.• c, _
t7• ''
�._ _ Signature 6f Applicant �
O O R t:a 5 S G S 'J '`'`'' n E r i 1 I T N 0. b f�
A _.11 _ . _.
PERMIT CHARGE none
OWNER M _. CONNECTION FEE
_ PAID BY
TYPE OF BUILDING DATE CONNECTED '� z 7/-7 L
SERVICE RATE 9 ��.-�=G.-� � __, INSPECTION FEE
CONTRACTORPAID BY DATE
SIZE OF CONNFC IDN � ASSESSMENT _ PAID
�1
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City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME : PERMIT N,.
DATE: `113°/ 1K DATE I SSU 1= '
OWNERS NAME ' �'y'e �✓___ _
ADDRESS .
TEST, Air 0, Water �y, Visual 1-1 , 1-aboratorn
RESULT: Approved Disapproved ❑
SKETCH:
647 4- 30- 74
INSPECTOR DATE
COTE ; Attach supplemental reef di,to heraID,
City of T-igord
INSPECTION REQUEST
for `
MPECTION TIME: PERMIT NO. —
',oo . ,._..._.____,
DATE: �/r-+/`_ � DA�TE� ISSUED ._.. / /
0'V`FRS NAME : �' H
ADDRESS: -/ w
CC?'v TRACTOR :
TE. -�Y . Air U, Woter [-j, Visual , Laboratory p
RESULT: Approved Disopproued 0 Pending C)
SKETCH:
INSPECTOR DATE
I
(City of Tigard
NSPECTION REQUEST
f o r
MPLCTION TIME: PERMIT NO. : _ _. I
DATE : ;Q;U'174 D ATE I S S U E D
OWNERS NAME :
ADDRESS'.
CONTRACTOR :
TE.ST Air Ej, Water , Visual 0 Laboratory ❑
F{ESi;L.T' Approved Disapproved 0 Pending 13
S J:TCH.
__ _..� �,
A-A
1?--s R DATL I`
CT E I1 0
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CITY OF jelluenr '10 16 W 0673
BUILDING PERMIT APPLICATION TIGARD DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER #Oerry Cohen ADDRL3S �` ��
--- BUILDER PHONE
(Mier ENGINEER
BUILDER ��.yy _ ARCHITECT ryryDESIGNER
STRUCTURE LJNEW ❑REMODEL ❑ADDITION --_Q REPAIR ❑RENEW�-A1L OFIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT L_uARAGE ❑STORAGE❑SLAB ❑FENCE.
� IROND_ _ ❑MOVING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QCCUPANCY LAND USE ZONE-.BLDG.TYPE FIRE ZONE— PLAN CHECK BYHEAT-
''Lit
EAP,'Lit
i4— ..Yement rotcco r ng, t4 apprry"-`'i. pltw; --- -- ------ --
OCC,LOAD. FLOOR LOAD HEIGHTNO.STORIES " AREA _ VALUE J00
BUILDING DEPARTMENT 1 —
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
-------- -----
Permit 20
Plan ChpCk • THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONING
REGULATIONS AND ALL APPLICABLE CUDES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE n1 ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. ISSUANCE OF THIS PERMIT DOES NOT WAIVE
'- RESTRICTIVE COVENANTS. CONTRACTOR AND . . CONTRACTORS TO HAVE CURRENT CITY BUSINESS
IIX.State ° LICENSE. SEPARATE PERMITS REQUIRED FOR SEI -A, PLUMBING AND HEATING.
Total Y
By
APPI 17,INT QX GT 4F r
Approved — - Receipt No '?�'i � �. ' r, �.•4*7 / 7.1
..•t 1,,� 1
ADDRESS PHOP
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor ,
�.s" � Permit No. a 4z "
_
Rough-in
3' 7C �y �* c c- �it L : Fixture
Final -
2 � C� E HEATING �—
t t-%'� ,,��2�t-E'-- Ce,2l ���_._ Contractor -�
Permit No. _ 31114
Gas or Oil N 3 3 3'i '76
Dough-in -
I
10- _ 3 Final _ - -
��" SEWER
Final
_ DRIVEWAY -1})b
Final
Storm Drainage
(Rain Drain) Final
r._ Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
3 7V Landscaping
Zoning Final
I