11710 SW 134TH TERRACE �. 117i') SW 134TH TERRACE
I
l
v
u
co
w
r H
u
c�1
M;
0
r�
1
Iwf IIIA' � i � � � 1■►
•.r.fT�__ _ _ ...... ...__. _ ' 1. '� 7 rihF'.RCOxF:�vcn"fiFr,.^.^.^^7.00t7^A•C?7AA. .1
,r
� sy
00
Lr) WJ
4-'� M MVS to
cl
I r � yy04 U `
d
v
(vim B H N p � �� U I! •
e u o o ►a a I ,
0
44
N 00
.-� � •o a � � 1
to
cd
1
maw-
o '
I r.
I'
I
INSPECTION NOTICE r
City of Tigard Building Department TIM
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection'
Date Requested_/_ 1ime _ A.M. P.M.
Address Permit
Owncr Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
_ t
Presented to _ ❑ Approved
Inspector — `�. .�� Disapproved
Date
' I CALL FOR REINSPECTION
! ,I YES ❑ NO i
i
. s
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
1 Type of Inspection
*� — -
Date Requested._ Time— A.M. _ -M-
Address 1 r - -'x
� Permit # �.7---!
Owner__—_LIQ ,LCL'— Lot #—
',
Builder —The following Budding Code deficiencies are required to be corrected:
I - -
Presented to /' [p� Approved
Inspector rd�"` 1J Disapproved
�Date r
__. ._
TT
CALL FOR REINSPECTION
[21 YES I—, NO
I
CITYOF TIOARD No. 0736
12755 S.W. ASH /J [�
P.O.BOX 23397 Date-//- �.
TIGARD,OR 97223
Name
Address �J"CLA d
Lot Block/Map 3ubdlvlslon/Address i
�a2 ll7 !U s 311 ncu I
Permit N's Bldg. Plumb Cash Che '
Sewer Other Other Rec,ilkv
Acct. No. Description Amount
10.432 Building Permit Fees
10.431.600 Plumbing Permit Fees
10.431.601 Mechanical Permit Fees
10.230-501 State Bldg. Tax
10.433 Plans Check Fee
10.435 Other Licen ies A Permits _
30.443 Sower Conni action
30.444 Sewer Ina r.ction --
24.448 Street S .t. Dev. Charge ,
25.449.610 Parks I Syst. Dev. Charge' _ z'f;",),
25-449-620 Parks II Syst. Dev. Charge
31.450 Storm Drainage Syst. Dev, Charge
10.430 Business Tax
10-434 _ Alarm Permit
10•227 Ball � —�----
10.455- Fines • Traffic1MlsdlParking
10.230• _ CPTA 1'rafficlMisdlVic. Asst.
10.456 Indigent Defense
30.448.401 Sewer Service/USA
30.448.402 Sewer ServiceiCity _
31.447 Storm Drainage
40.475 Bancroft Prin. Pymt. _
40.471 Bancroft Int, Pymt.
10.451 Other Charges for S Ice _
TOTAL
DIPT.
m�
BUILDING PERMIT APPLICATION TIGARD DATE uctolvr II.-__,19 �_-- 5047
rHE UNDERSIGNED HEREBY APPLIES FOR A DERMI IT FOR-i HL WORK HEREIN INDICATED BUILDER PHONC
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER41;, JAL _ ----.JOB ADDRESS 11710 SW 134tu Terr4ce __— Winterl:uQ_—__
ARCHITECT
ENGINEER
BUILDER _ Same -_ _ _ ADDRESS 16270 SW 11oones Ferry _ DESIGNER
STRUCTURE L$NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE [-1 DEMOLITION
C1XFIESIDENCE ❑ COMM ❑_EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO CARPORT ❑ GARAGE C_, STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _-UnI-LAND USE ZONE B--ZMLDG.TYPE --3k—FIRE ZONE `PLAN CHECK BY b(_ _HEAT
----- - --- Cmstruct sia&letf=tilPdweIlia& a7attac gA Ra:4,Le.---
3 Bathrcwtu 3 BedrQow
SEWER PERMIT# 27977 Garage 420
OCC.LOAD FLOOR LOAD 40 HEIGHT 2U+ NO.ST.IHI}S 2 AREA 16U2 NO BEDROOMS S VALUE 54,jUij'
BUILDING DEPARTMENT SETBACKS FRONT 2,_ �0 REAR LEFT SIDE jam; RIGHT SIDE -2,41
Permit 295-0() -. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
1REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 191.75 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 486.75 RESTRICTIVE COvENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATI!PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax t 1•`:..
- - -- SDC— ;jUll.l,•„i
Total 498.5 .i 150.00 `- -- --— - --
-.—� — rt
PDC 'APPLICANT OR A EN?
By _ 0z SSIX 250.00
Receipt No. p
Approved �- ADDRESS , y ?j PHONE
-- _ .. JCC
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contrict
PeirnifNo
Rough-in
Fixture
Final
HEATiAG
k"tractor(YA.
Permit No..
-A 1 33 Z/
Gas or Oil
.1 1:iit— AA4 Rough-in
Final
SEWER
DRIVEWAY
Final
^iorm Drainage
Rain 0—in)Final
Sidewalk
Curb&Street Final
TEMPORARY ApproAch
OLM. DEPT. CERTIFICATE OCCUPANCY
,CERTIFICATE OCCUPANCY FiII nnI
Landscaping
Zonjnj
Zoninq=inal
Building Permit No. -5 r'
Location
Date
Certification of Registration
With the Builders Board
I, fidoing business as (dba) ,
�Ul� r am registered under the provisions
of ORS Chapter 101 Oregon Homebuilders Law) .
My Builders Board Registration Number is
I
My registration is in full force and effect and expires on
ignatu
THE UNCIERSIGNEU H:HEUY APPLIES Wti APE HNII I '(-)It I ILL 0.Ulln IILItII-- I •�� � •� Lu �,'�p CI' �•'" •�-�-��_
EF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ..NO SPECIFICATIONS. LOTCL4 :PF FI
Lor No
91*4
?2'.VfJEF9 !< .09 ADDRESS i� /�i"�-"�11, L ''�'
`�y-�,ti AF/,CHITECT
ENGINEER
/, ADORES.,I7vi ��'/ k1. OESIGn£R \
STIII UZTLIREOYFN/ ❑FlkkIfIOEL DADOITIOv OFlcPAIFl ❑RENE'.'faL LJFIREOA!AAGE IOE:.IOLI
4 RCSIOENCE OCOMM DEOUCATION.L OGOV'T ORELIGI(.USOPAT10 fjCAR PORT ❑GARAGE O STORAGE OSLAB '0- FI
yrCI;PAL.;Y.��—;,ANO USE ZOf�_LJ.1-01.OG. TYPE _ r-- _ PLAN'CHECK BY�— HEAT
CQNST,9QQT SINGLE jpUjU_DW t(F 1 lK1(; W/1ATACHE❑ GARAGE, ---,_—
BATHROOM 3 BEDROOM
7 f Garage
ZU F
SEAR�'ERI1I t -7r 'L 7
L)4 D FLOOR 1"040 �C J HEIGHT 21*+6 NO STORIES y AREik 6 ZNO.BEDROQ�9 VAIMD�
I SUILOIN•G OEPARrMENT SETBACKS FRONT U REAR 2Z LEFT SIDE i RIGHT SIDE
12 !u
1— THIS PER-AIT IS ISSUED SU3'ECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. Z
I%:An C"%Kk / `/ �+ FEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED TNA
L_L_l� ViQRK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGAIPLI6.NGE
�:IyWtJI ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT
i— —� FIESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUS
�
'3:ate Tax I �� LICENSE. SEPARATE PERMITS REOUIRED FCR SEWER. PLUMBING AND HEATING.sor.
Tutsi �F
117 tr
APPLICANT OR AGENT
I p I Receipt No.
r1rRFS5 HON
Sd)C (Storm)
soc
P o C •- 's
SEVER CONNECTION S
SEWER INSPECTION S
SCI.IER SURCHARGE S
Cor"lments : T e4k /JZ`
I
l
7
.57 �'