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11585 SW TERRACE TRAILS DRIVE 11585 SW TERRACE TRAILS DRIVE c-� r� cU N LJ 7 r .H N n U) ro N h- U cu c, m un LF) CO Ln 1 City of Tigard INSPECTION REQUEST for r Ca INSPECTION TIME: _A-) U-) _ PERMIT NO. DATE: "1 /� �/ , 1 DATE ISSUED :____LL_ OWNERS NAME :— ADDRESS: AME :—ADDRESS: i.Err�« �t�a; lc ON TRACTOR : _— ' EST : Air C], Water 0 , Visual [J , t_aborotory p '4ESULT: Approved , Disapproved C Pending [j SKt:TCM. w•.d1�1� c G�.on'L m•o` . V 0R DATE COTe : Attach supplemental test data beret!, City of Tigard Mechanical Perimit N; SA 0 Permit _$1.00 New h.qtallation Replan, Fee Relocation Addition Alteration LJ TOTAL CONTRACTOP OWNER ADDRESS_LLWORK ADDRESS// PHONE A NT Heat Input Rating (BTU Per Hour) Si7v' Flue FUEL OIL 0 GAS,L] ELECT 0 OTHER ITEM NO. FEEITEM NO. .. FEE For Issuance of Permit 3.001 Boilers Over 50 HP 25.00 Now - Under 100,000 B 'U 4.00 F_ Air Handli m__1Q,00Q CFM _ 3.00 Now - Over 100,- 0 BTU 5.00 Over 10,0W CFM 5.00 Floor Furnace—__ 4.00 Eyp --- --- 3.00 Wall - Floor - Suspended 4.00 Vent Fan Install Vents 2.00 Vent System_ 3.00 Repair - Heat kCopqng ._ 4.00_ Hood 3.00 Boilers Under 3 HP 4.00 Domestic Incinerator Boilers 3 to 15 HP 7.50 Comm. Incinerator 5.00 20.00 Boilers 15 to 30 HP 10-00 Other Not Listed 3.00 Boilers 30 to 50 HP 15.00 INSPECTOR'S COMMENTS CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY DATE ISSUED BY -- DATE RECEIPT NO. 774 Signature of Applicant J g I �� f c 1-dATE: ..51-2ATE ,SS"Eo:� EFS X vM,;�. wtc ry A0�FLE � TES;" ��r h-t�r 'i��:i ( , �c��►�!�-v 71 'r �CTn ell DA-1 E f I I City of r i gars► INSPECTION REQUES" ° , for I 4 INSPECTION TIME-' - __ PERMIT N:*; DATE : . - LLQ DATE l SSUF F) -. ". Z- 1 �f n W N E RS NAME : �:__.._...._.._... .... A D D R E S S : ('ONTRACTOR :-_ ,-__-- TEST'. Air 0, Water , Viaruol��'1 , Laboratrr, . ; RESULT: Approved Disapprov©d U °' n SKETCH: n , INS ECTOR DATE COTF . Attach supplementur test data 1►etatO CITY OR I',prtl Ab O i 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 PLA14S AND SPECI:FICATIQNS" NEf PHO E �7 utf7j. - — QYVNER Fef;, 7uls Jr. ADDRESS 11b8b 3*«• Terrace Trsail _ 6UI�QER PHONE rlWT1kl,C ENGINEER BUILDER _ARCHITECT _ DESIGNER STRUCTURE []NEW r REMODEL ❑ADDITION —❑REPAIR ❑RENEWAL ❑FIRE DAMAGE _❑DEMOLITION ❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE C1 SLAB []FENCE —❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS QC(_UPANCY , LAND USE ZONE---BLDG.TYPE----,FIRE ZONE— PLAN CHECK BY ri HEAT )I,st ru.- t: 14?;", oq. I t;. I xsm6 dWtaitin.� Wit.o Bull 04eleI wil. and 6;uiai,iu .liments a cGurding to approved plans -- OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE - 9 �,ti BUILDING DEPARTMENT -- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 164.00 _ ----- -_— ---- - —_ THIS PERMIT IS ISSUED SUBJECT TO THE RF-GkIt ATIONS CONTAINED IN THe BUILDING CODE, ZONING Plan Check 9REGULATIONS 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 CODESAND ORDINANCES. THE ISSUANCF OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State k> LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total r.84, e By ------ APPLICANT OR GEN1 Approved Receipt No. ADDRESS PNC'iNE DATE INSP. TYPE INSPECTION REMARKS FRoh LUMBING DATE 74 ,Q -o0 'rc_ or A2 �� — - _ o. �/o Y//9 -7n C y �— -- ------ - Final. -- ---- - HEATING - __ 77-7 — ----------------------- Conti actor 4�-�4 Permit No.�1/33 Gas or Oil Rough-in Final S E W E R Final _ DRIVEWAY ,!G b'-?-7 Final Storm Drai.Ia e iRain Drain) Final Sidewalk L G `Lr - -- -- - - Curb 8�Street Final A roach BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPAN(:Y CERTIFICATE OCCUPANCY Final Landscaping Zoning Final n— 5 .L•�1.< tiu � �-- PERNIT ND• �`'r_� ADDRESS _ w_RMIT CHARGE none CONNECT IaN FEE 0 W N E R PAID BY DATE CONNECTED TYPE OF BUILDING INSPECTION FE-E SERVICE RATE — CONTRACTOR __,�_.._._. — PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID-- 33tro - 3.3 ALL SPAM VUST BN FbDOT, ISSUANCE OF HI)TT,Dl)+, PLANNING DEPT. ny PUBLIC WORKS DEPT. % BUILDING DEPT. TTTALATTII RORAL }•I - PERMIT # ADDS2 tlf -TI' i l)I v GRIFRAL CONT TORS filiST II' DflWAX P&L GFVA 149 I ANO ALL HEC', TO PERfORhllfl ' .Q OrD•�n 4-14.0 a I t ►'; trly ' I � 1 II � iiii Ifs err re Tr-A, DY' APPIZOVE0 FOR C00,1:; CITY OF 11(.3A1-- PERMIT'NO._0-' ._ SITE ADDRF 3S 8Y, � —.TITLE. ► YA ...1��"(�