11520 SW Glenwood Court 11520 S.W. GLENWOOD COURT 1 OF 1
-11111
11`10 SW GLENWOOD COURT
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' , C�� e 1 TIGaRD Air, � :: �.:.: :` 0. �� Cl hY O� }
' C OREGON v.z..�,
e.,,,..,0,, monogram Homes permit No.
{ - t. MI Building Address_ 11526 SW Glenwood Ct• , .3.
•, i Certificate is hereby ,v n this. 3.. ... day of January lu 77 4
p� that said building may he occupied and i. x,, f,
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that it complies with all requirements of 04,
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the Building Code for the City of Tigard, et
( as approved by the Tigard City Council. ti..
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1161!er6114;') )
Building lncpector k LL C
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City Dr Tigard
INSPECTION REQUEST
for
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:ATE: '.Z. :ATE .SSJED:�
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City of Tigard
FJJNSPECTION REQUEST
for
/
INSPECTION TIME: 3:le PERMIT NO. :
DATE: 7 D7r1- DATE ISSUED :
OWNERS NAME : 4c-s-`e'‘,e.►-n�
ADDRESS: //520 . W, 640A-44100D 67:
CONTRACTOR : C '` �S-
TEST : Air ❑, Wats►❑ , Visual Laboratory 0
RESULT: Approved , Disapproved 0 , Pending 0
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SKETCH:
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,� ,7/ 24
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INSPECTOR DATE
NOt� A11och luprIem*entol tett date beret]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NC. .
DATE : i / DATE ISSUED.__.•'
OWNERS NAME
ADDRESS :
CONTRACTOR :__ _ _ _.• i___
TEST: Air 0, Water Q•, Visual 0 , Laborotor
RESULT: Approved rY, Disapproved 0 , Pend:ny
SKETCHafaiffropier
1111'T' v\%i
INSPOR OR DATE
CNOTF Atleoh •uppiementuI tee? deg' Nets I(;1
CITY OP
BUILDING PERMIT APPLICATION TIGARD DATE 19_ N" 0 7 6 S
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICNIONS11:4wu:}HONE
J.toQWNER "w�[iI>t Holl,-:1 ADDRESS • I•:a 'JUG+ �•J I1OERPHQNE
3Nnaf ENGINEER
$UiLDER _ ARCHITECT DESIGNER _
STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL OF IRE DAMAGE ❑DEMOLITION
❑ RESIDENCE 0 COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ['GARAGE 0 STORAGE❑SLAB OFENCE
❑BOND ❑MOVING OCON7DITIONAL USE _❑DESIGN REVIEW OCOUNCIL APPROVED SIGNS ,
_ —
OCCUPANCY LAND USE ZQNE BLDG.TYPE FIRE ZONE PLAN CHECK BY_ HEAT��
Lonstruct 1316 sq. ft. fraal ling with uciubie rjaracs II Saasmnnt
and double attached garage.
see..-.. 044.4"..... 1 9sj /
SSZI. .2..r. 3 bedroom
4 40 lb I 3094 total $3'.; ,onh
QCC.LOAD FLOOR LOAD _ HEIGHT _ _ NO.STORIES _ AREA _ VALUE
NT
20 4%) 20 In
BUILDING DEPARTMENT Z7.TQ SET_BAC_K$ FRONT REAR _ _ LEFT SIDE___ RIGHT SIDE
Permit
117/111.--- THIS PERMIT IS ISSUED SUBJECT TO THE REGUlP.TIONS 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
-
V.39 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total r $215+.19
By _
--—7TS APP` ii ANT oft AGENT
Approved Receipt No
—� iTDCTp E SS -PHONE
DATE INSP. TYPE'INSPECTION REMARKS PLUMBING DATE
11111 — - _ Contractoral.i-tr-re
Permit No. O Vb L v‘ 3c* #1/7 i
14 -el"--.e.--ter' ill -. ....•et -, ______
•
Rough-in
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ri _ Fixture —.-
,---5°'
_
-�'A :Wal!l]] _ _ Final 1
2'/, WO f. ,`. HEATING
/0 Illr C a r% - os, - i )r---- ) Contractor _
-� _� 4/ 9 7,2/ 6h 7/76
�4� ,��-� _- , n��. _`:� �-�et�1 Permit No. _
r� . th 5 ./ Oil J 4 4, . Gas or Oil ,
i�n�� 71..E .<�g . ,
— �� J C I ��� f .w�t , Rough-in
�1:. -r. a t f ��` -'c,/ / Final
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%' T;-7-f. -:r:. • ,--: ._
Je. SEWE p 76/ I...._ _....r.j...".... �. ' ' Final• .- - DRIVEWAYvi om-,. J ti - ,-ren �--
-
F i nal __-__r__-_-
Storm Drainage _ .,
(Rain Drain) Final
-- — . 1Sidewalk _ 2. C 7-7-7 ,,
Curb&Street Final
Approach_ 04. G 7-7. 7,"
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
1-14 Landscaping
/) / •Zoning Final
I
.---____ ----
ADORE 3S .3 PERMIT N O. 9.
PERMIT CHARGE none _____�
�� -- %---- � �_! CONNECTION FEE r.."-,4-2+ el-5'
_____
PAID B Y � ��` �
� D A 1 E CONNECTED --------- -�
TYPE OF BUILDING _ ;�--��s-------
SERV ICE RATE / _ INSPECTION FEE . ,2251°'
PAID BY _ ___J DATE ___ _.
CONT PACTOR ^._— .- ___-.___.___--.- PAID
SIZE OF CONNECTION __ _____ ASSESSMENT —_----
?II - (
City of Tigard Mechanical Permit L.V. Perrmt $3.00
E Fee •
New Installation
Q Replace u Reloatiori � Addition �,� Alteration
TOTAL ,. 1
CONTRACTOR v- OWNER
ADDRESS 1'17' ', - •, 1r"7 WORK ADDRESS 11520 S. 'd. 11enwr»r'
PHONEAPPLICANT 1 "-ace 6 Air Coed. Inc.
Heat Input Rating (BTU Per Hour) Vent Size Flue Size
FUEL OIL GAS ELECT a OTHER
ITEM NO) FEE ITEM NO. FEE
For Issuance of Permit li 1 100 + Boilers Over 50 HP 25.00
New - Under 100,000 BTU / 4.00 I Air Handling 10000 CFM It 3.00
New - Over 100,000 BTL' 5.00 l Air Handling Over 10,000 CFM 5.00
Floor Furnace 4.00 ! Evaporative Cooler 3.00
Wall - Floor - Suspended 4.00 Vent Fan 2.00
Install Vents 2.00 Vent System 3.00
Repair - Heat & Cooling 4.00 Hood 3.00
Boilers finder 3 HP 4.00 Domestic Incinerator 5.00
Boners 3 to 15 HP 7.50 1 Comm. Incinerator 20.00
Boilers 15 to 30 Ho10.00 Other Not Lasted 3.00
Boilers 30 to 50 HP 1 15.00 il
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
I APPROVED BY DATE ISSUED BY DATE
RECEIPT NO. '711/" / _q
n• Signatt re of Applicant
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