11705 SW 134TH TERRACE r
11705 SW 134TH TERRACE --.
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INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone 639-41775
Type of Inspection Fes-72� 'W
Date Requested ime
- A.M. P.M.
dd,ess vAur
Permit
Owner - -- - -- -- r _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _.
-_ --- pproved
Inspector --__ -
_ ❑ Disapproved
Late
CALL FOR REINSPECTION
�I ❑ YES f--1 NO
I i
CITY OF TIGARD, MECHANICAL PERMIT Receipt#_-
Permit#
Description
Table 3A Mechanical Code _ 12TY PRICE AMT
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU 6.00
incl.ducts&vents
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
r- Name of DevelopmentFloor Furnace
3) incl.vent 6.00
Job Address 4) Suspended heater,wall heat3r 6.00
Address or floor mounted heater
Tax Lot Map No. Vent not incl.In
Lot Block Subdivision 5) appliance permit 3.00
Name(or name of business) 6) Repair of heating,refr ig., 6.00
cooling,absorption unit _
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp,unit to 100,000 BTU_
City State zipBoiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15-30 HP 15.00
absorp,unit 112-1 million
Marling Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City State — Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU _
Slate Regi;traUon No — City Bus Tax Nn 12) Air handling unit to 4.50
0,000 CFM
unit _
I hereby acknowledge that I have read this application that the information given s 13) Air handling 7,50
correct,that I am the owner or authorized agent of the owner,that plans submitted are',
10,000 CFM
compliance with State laws,that I am registered with the State Builders Board,that the 1 a Non portable
number given is correct.(If exempt from State registration please give reason below) ) evaporate cooler 4.50
15 Vent fan connected 3.00
-_-- - to a single duct _
--,-- - -- - ---- 16 Ventilation syste,n not 4.50
included in app',ance permit
--._.��--------_.- __-_ 17) Hood served by 4.50
mechanical exhaust
i 3rgnature(owner or agent) Date t 8) Domestic type 7.50
Describe work P addition ❑ alteration F, repair incinerator
to be done residential ❑ non-residential ❑ _ 19) Commercial or industrial
type incinerator 30.00
Existing use of ,
building or properly _ 20) Other i.e.,woodstove,water 4.50
Proposed use of
heater,solar,clothes drvers.etc.
- - --
building or property -_ - -- 21) Gas piping one to four outlets 200
Type of fuel- oil Cl natural gas LPC+ electric Ct
2.2) More than 4-per outlet
NOTIC_E
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — -- - -
i i RUCTION AUTHORIZED ;S NOT COMMENCED WITHIN 180 4%SURCHARGE
tAYS. OR IF C7NSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUBTOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ------ —
WORK IS COMMENCED. TOTAL
Special Conditions
____ Date issued -__ by_
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INSPECTION NOTICE i
City of Tigard Building Department
12420 S.W. Main St.
Ti rd,Oregon 97223
kr j' hone: 639-4171
I Type of Inspection LL
Date Requested wel
Ti A.M. P.M.
Address � Permit # � �
Owner
Builder
The following Building Code deficiencies are required to be corrected:
"mo-le
Presented to Approved
Inspector
— [] Disapproved
Date
CALL FOR REINSSP CT10A1
YEI L�� NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-.;171
Type of Inspection
Date Requbsted�y_— - f Time A.M.—_
Address ! C_ u I /, - �' Permit #
` Owner 1 r 1 ^ l Lot #
Builder ---- —The following Building Code deficiencies are required to corrected: /
t
• _���a:
of
Presented to _ _ ❑ Approved
i Inspector L _ Disapproved
r
Date
CALL FOR REINSPECTION
YES C❑ NO
^ i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St,
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
f Date Requested Time A.M. P.M.
Address �D �y(/�13 �t Permit # p
Owner `'
^� Lot #_
Builder —
The following Building Code deficiencies are required to be corrected;
Presented to
F1 Approved
Inspector ��� f Di4aoproved
Det' _
CALL FOR REINSPECTION i
CZJ YES [:] No
i
i
s
i
BUILDING PERMIT APPLICATION TIGARD DATE February 213 19 5228
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 020=7416
OR AS SHOWN AND APPROVED IN 1 HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.y
OWNER Tom Puller JOBADDRESS 11705 5M 134th Terrace Wintetlake
ARCHITECT
SNS: W270 SW Boons Ferry ENGINEER
BUILDER ADDRESS iiyardo OR 97228 DESIGNER___,
STRUCTURE SINEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ,❑ RENEWAL ❑ FIRE DAMAGE G DEMOLITION
WESIDENCE 0 COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CAH PORT ❑ GARAGE ❑ STORAGE ❑ I;LAB❑ FENCE
OCCUPANCY R--3 LAND USE ZONE &-7p0 BLDG.TYPE 514FIRE ZONE PLA,j CHECK BY �'r HEAT._Cass
Construct single family dwelling w/attached phage _
3 Bathrooms 3 Bedrooms Garage 4408
_
Subject 11-% Q.rbl $360.00 !smart Wedgewood c $150.00 Laron Hei0its Surcharge for 9mwer
SEWER PERMIT# 2.6341
OCC.LOADFLOOR LOAD j HEIGHT_ 2U# NO,STC_RIFs 2 AREA 12113 NO.BEDROOMS 3 _VALUE 459000
BUILDING DEPARTMENT SET BACK$ FRONT 2U_ REAR 25 LEFT SIDE_ 5 _ RIGHT SIDE 20
Permit 264)ZO THIS PERMIT 18 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CHIDE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 169.33 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCL
WITH ALL APPLICABLE corcS AND ORDINANCES rHE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 429.83 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
IU.42 �ICE�VSE.SF,�PA
State Tax 4%� v!JSE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total1 11
440.25 SDC— 50U.UU wi 1 i(.�' �,a _
POC# 1 150.U0 A L CANT OR A E T
By
Receipt No. -
Approved PLT/ETWibjs ADDRE99 SNE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
3� GZ-*iel
C ntractor ti
Perrvi;l No.
y if- G �� _ Rough-in —
rixture
--
/ _SL.— _ (.(� -------------- - HEATING
/ ldl — Contractor
� �i� Q[� Permit No. �16,
J
— - ',r' / -014'
Gas or Oil _
7A
Rough-in
Final
SEWER
Final
— ------- ---
----- DRIVEWAY
Final
Sturm Drainage
Main Drain)Final
— — - -- - -- Sidewalk
Curb&Street Final
Approach --�
NLCG.DBPT.RINA6--r- TEMPORARY IFVIFICATE OCC!.IPANCY
^.ERTIPICATE OCCUPANCY -
Landvaping
Zoning Final
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BUILDING PERMIT PPUCAI"ION T(GAHD DAT 19
47
1G
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HcREIN lNUICATEO GUILDER PHON �
OR A. SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE l
LOT NO.
JOB ADDRESS
ARCM rECT
O'llNE
i- , ENGINEER
BU'liiEfl
�T�rVI. �//r /]l�j/� ADDRESS DESIGNER
ST'RUCTUHE NEW —_❑ REMODEL C3 ADDITION ❑_ REPAIR El RENEWAL C3 FIRE DAMAGE ❑ DEMOLITIC'
Q RESIOENCE ❑ COMM ❑ EDUCATIONAL L7 GOVT ❑ RELIGIOUS C1 PATIO C] CARPORT ❑ GARAGE G STORAGE; ❑ SLA P.iJ FENG�
v"-' PLAN CHECK BY
�'T �BLOG.TYPE .`�:�--.r
Ch'CLjj,ANCY ' -�� LANOUSEZONE _� ---
SEWER PERMIT M
pCr. �pqO FLOOR LOAD "� .1EIGHT .
7 ' NO.STORIES � AREA /e2S,� NO.BEDRQObIS VF.l.Uc4S.�u,
` BUILDING DEPARTMENT SET BACAS FRONT J �J REAR „7 S LEFT SICE RIGHT SIDE
Permtt I THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 20N'!r
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HEREBY AGREED TY.AT T
P: Ian Check ' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COfAPLlA1r '
I WITH ALL APPLICABLE CODES AND ORDINANCES. Ti'E ISSUANCE OF THIS PERMIT DOES NOT WAI
FSub-total 8 RESTRICnVS COVENANTS.CONTRACTOR AND SUB CONTRACT01S TO HAVE CURRENT CITY BUSINE
r LICENSE.SEPARATE PERMITS REOUIRcD FOR SEWER,PLUMBING AND HEATING.
:hate Tax 1_�. v .�•
SDC—
Total PDCJI APPLICANT OR AGENT
By
Receipt No. ADDRESS PHONE
Approved
50C t.
SEWER CONNECTION 5 T ✓
G✓ µSI i /, I
SEWER INSPECTION S�_._ __
+ S
SEWER SURCHARGE
comTents: j&o.
MIUMMUM
Building Permit No. 5228
Location 11705 SW 134th Terrace
Date February 28, 1985
Certification of Registration
With the Builders Board
fO4 doing business as (dba) ,
am registered under the provisions
of 0 S Chapter 70 Oregon Homebuilders Law).
My Builders Board Registration Number is
h(y registration is in full force and effect and expires on
v A <� ,
ignatur