11580 SW TERRACE TRAILS DRIVE 11580 SW TERRACE TRAILS DRIVE
I
cn
m
N
P--
a)
U
N
N
e
C!7
O
co
m
Oc
\A1 Y 01_. T ICDA D IJV ,
y
A
O��ner� F�. G�)) •y I'.')•nit ,:,. �-'./_;' .�'`�
Building Address_....115.60...SU. Ter-race-Trails
Certificate is hetc 1y :iv(-n this.. 11..... ..day of .F.ebruary. .---...... 19......77
,.
that said building inay be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
_ as approved by the Tigad City Cat�neil,
rtl wj y,
FluOdine tnspeclor it
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: _ a PERMIT NO. :
DATE: LJDATE ISSUED :- Z
OWNERS NAME : _—_ -4) ��tisF
ADDRESS: 8'0- -4J.
CONTRACTOR : r�U-4.)c4e—
TEST : Air [3, Water[] , Visual *', Laboratory ❑
RESULT: Approved Disapproved ❑ Pending ❑
SKETCH.
INSPECTOR DATE
[NOTE: Attach supplemental test dwa barr. l�
ww
C+ fy of Tigard
INSPECTION RE: U
Q QST
for 0
sr t�
INSPECTION TIME: �� PERMIT NO. :
DATE: --" ! ' /.r'c_ CAT E ISSUED :__.1___L._
OWNERS NAME: : ,sCc� a s t '
ADCF'ESS: 11590 r"., A.1 f
CONTRACTOR : Z_.1 ���trL
TEST : Air 0 , Wctwrn , VisucrY3 , Laboratory C
RESULT: Approved Disapproved El Pending 0
SKETCH. I
i
f
I
111>1 i
hN E �'!7R MATE
C )TF: Attach supplemental test
... . ,.«. ..;Vn,.....mwv^Y'.'re.'M�".arr.w,e�gr��..,.,ty,�r.r.nar.rM'.ar,... ....,.. ...r,.awu•+vws:a.v'Y6'''�y"w"r' �-:,7iMeN^'*"""'"PwM"'+r...rrq�`..41'^i.�hE'r°y""'.,"'.._.;...,
ciTr OP
BUILDING PERMIT APPLICATION TIGARD UATE N° d 614
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATgNS. OWNER PHONE -_
QWNER G +aa.U: ' ADDRESS 40 SQL4 Tox'? T;, BUILDER PHONE
����� ENGINEER
BUILDER f^1 ARCHITEt T DESIGNER
[I RESIDENCE
"NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEtddUTION
U RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
OCCUPANCY --LAND USE ZONE BLDG. TYPE —FIRE ZONE— PLAN CHECK BY_ HEAT__---_,
cunstruct 2088 sq. f't, f realty pplit lc.Val dwelling w.i ,,.r► - -
------ --- had garage refeaue parmit 11383 — -
40 Ib
370,
QCC.LOAD FLOOR LOAD -_— HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENTri
— SET RACKS FRONT REAR LEFT SIDE RIGHT SIDE
----
Permit — - --- -- --- ---- - - — — -
-�-— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RFGUI ATIONS 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
41-77
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON IRACTORS TO HAVE CURRENT CITY BUSINESS
1%State — -- -- LICENSE. SEPARATE. PERMITS REOUIRED FOR SEWER PLUMBING AND HEATING.
Total .
By --- -—----—- -- -----
--- ----------------- APPLICANT OR AGENT
Approved Fteceipt No.
_— ADDRESS--- --- - uHONE
I,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING
_ DATE
Contractor
Permit No. L'l X3.3 1171
r. Rough in
Fixture
.4 Final
�:, .•elf, HEATING --
' .. Contractor cts-. l
4liR.ti �'t �a• 4� r t i z��i� ,t;-! ay.LyJ Permit No.
+'✓ Gas or Oil C
�— ` E Rou h-in
t44)Anom. �-s;-►'► �7, Final
',#) SEWERo7-Y-Z
Final
DRIVEWAY
�� Final
1- 3o.-It i l C�i F - -- -
_ - Storm Drainage
A, (Rain Drain) Final - —
Sidewalk / C• _y_i�'_
Curb&Street Final
BLDG.DEPT.FINAL __ A roach
TEMPORARY CERTIFICATE OCCUPANCY --
r� CERTIFICATE OCCUPANCY Final
ctl Landscaping
Zoning Final
�„'^ Sib s. . , �-s•�= PERMIT NO.
ADDRESS
PERMIT CHARGE. µ nane�._�__
CONNECTION FEE
OWNER
PAID BY
TYPE OF 8l)ILDINGDATE CONNECTED
SERVICE RATE
INSPECTION FEE '�� ----
___7[ ---� _
,� � �� PAID B Y _____r__ ___..___._ DATE,
I ,-
CONTRACTOR ,_ CLQ - -------
SIZE OF CONNECTION r. ASSESSMENT PAID
1
i
4
10
i
e 71 �0D
s"i
t� //�� r► 77 fi 1