11640 SW TERRACE TRAILS DRIVE 11640 SW TERRACE TRAILS DRIVE:
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City of Tigard
INSPECTION REQUEST
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INSPECTION TIME ::;,,'' PERMIT NO.: ---
DATE: - 741,212 "
O.: _—DATE: —T41,212r DATE ISSUED:--Z�
' OWNERS NAME :
ADDRESS :
CONTRACTOR :—
I TEST: Ai►G, c,;G, [] , Visual,, Laboratory [a
RESULT: Approved W Disc pp roved-At, Pending []
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INSPECTOR DATE
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City of Tigard
NSPECTION REQUEST
t0for
PERMIT NO. :
DATIATE:1 17CI DATE. ISSUED .
CPubrd1WACTO R
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: r�'' ' PERMIT NO. :— _
DATE _S / //mac; DATE ISSUED :_ I_L_
OWNERS NAME . Sr1M�nrcl,{!
ADDRESS: //6zcle -„ Tsr 7f•t �lS
CONTRACTOR : i-4 9��r L _
TEST : Air p, WoterEl , Visual ff, Laboratory p
RESULT. Approved , Disapproved Q Pending Ij
SKETCH:
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INSPECTOR DATE
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CITY OF April 76 (vol 0776
BUILDING PERMIT APPLICATION TIGA►RD DATE _
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN ANF) APPROVIED !N THE ACCOMPANYING PLANS AND NER_____ SPECIFICATIONS. OWNER PHONE-----
Q� _ ijt- I�«We 1I
_ _- ADDRESS 4U Tre _— BUILDER PHONE
ENGINEER .Irn!rl f I4r
BUILDER ARCHITECT DESIGNER _ __—
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE [:]DEMOLITION
❑ RESIDENCF ❑LOMM ❑EDUCATIONAL ❑GOV'T ❑REI_IGIOUS❑PAT10 ❑CAR PORT ❑GARAGE []STORAGE QSLAB L'FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY _LAND USE ZONE--BLDG.TYPE _.FIRE ZONE_ PLAN CHECK BY._—_--_____.— HEAT__-.-
,FJ tj1.: 1 !1 Full )asomen
---_�— attechmu yerage eccoy t my to appr,a'. oil p sn". -
'r `�I S 3 S' --- -
-�. �.1✓. ) a room)
40 lb
9CC. LOAD FLOUR LOAD_ HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT 't REAR a LEFT SIDE �#f RIGHT SIDE r a
Permit X161. - -- — --------
901150 THIS PERMIT IS ISSUED SLI13JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check • 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
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB 1'ONTRACTORS TO HAVE CURRENT CITY BUSINESS
1'4 State LICENSE SEPARATE PERMITS RETIUIRFO FOR SEWER, PLUMBING AND HEATING.
Tata)
By
- - - - -- -
APPLICANT OR AGENT
Approved Receipt NJ-
-�— --.
ADDRESS --- ----- - ----PHONE- - ---
w t NW �Ii CF
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
41> Conti-act
-A d Perm tNo.
-Z- rdd Rough-in
Fixture
Final
HEATING
Contractor
Permit No. Ilk-,y 2 412117,6
.*40r Gas o, Oil
Rouqh-in
6--r- eftnst-74n� Final
SEWER
Final
DRIVEWAY
Final 'OF
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Appir oajh
BLDG DEPT FINAL TEMPORARY CEHI I FICA TE OCCUPANCY
CFF;1 IFICATE OCCUPANCY Final
Landscaping
Zoning Final
vo
PERMIT CHARGE
OWNER - ^,Q�•_�,� CONNECTION FEE
PAID BY .�- �_ . -6 �z •;••.
TYPE OF BUILDING _ /C_ecZ, i DATE CONNECTED
SERVICE RATE � INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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