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11075 sw CCYI" 01MOOD LANE
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�f�y��(c'IIOn NOTICE
City of Tigard suil.linq Department
131.25 SPS Ndl.l. Blvd. Tigard, CVvmym 97223
Tnepecti.on Line (Rec•-O-Phone): 639-4175 Buwineee Phone: 639-4171
Irkepection: _. _- _- -..►
Footing Plbg. underelab h. Rough�n Appr/sdwlk
Found. Plbq. Top Out. Gar Line FINALr
Poet/Beam Struct. San. Sewer Framing -Bldg.
Po.:t/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. IN. -Hoch.
Data ReWasted: - / Times wk=AH _��PH
Addressr_,' �s �7�� �[almit f� _i �,a.
Builders �
THE 1PAJANING CORRECTIONS ARE REQUIRED:
�PO1t.Lfi ticr �i'3f�T�/t� � J�iZA�1Lr�./__[�!l^.t//1Ccs
�✓ Oar c lJ.� /�07ir�T.�,{ �e51ff- 1w —fir-
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Inspsctore � star
APPROVED DIPIpPROVED Li_ APPROVED EUBMT TO AMM
_Call Por Rainsp.
'7Y® G�FTIRD ME'�HANICAL
c PER1,111
COMMUNrTY DEVELOPMENT DEPARTMENT 0014*vj PERMI'f #. . . . . . . .. MEC9 1—0 122
13126 BW HWI Blvd. P.O.B=23397,TOW,Or"m grrr (603)039-4175
11075 SW COTTONWOOD PARCEL: IS134AC-OE634
'3UBI7 I V 1 S,T ON. ENGLEWOOD NO. 3 ZC;NING: R-4. 5
i
O('K. . . . . . . . . . LOT. . . . . . . . . . . . . .. 191
L.1-HbH OF 1,JURK. . ADD FLOOR FURN. . . . t EVAP COOLERS:
I'YPE OF IJ!iE. . . . SF I JN I T HEATERS. . dENT FANS. . . :
OCZUVIANCY GRP. . R3 VERY W/0 APPL: VENT SYSTEMS:
STORIES. . ., . . . . . BO 1 I..ERS,'compwssons 140ODS . . . . . . .
FUEL 0-3 HP. . . . I DOMES. INCINi
: /ELL31--15 HP. . . . r0MML.. INCIN.
MAX I NPUT STU 1 5-30 HP. . . . t REPAIR UNITS:
F I RL is" .1 0-50 HP. . . . . WOOD5TnVES. . :
uw:i wREbSURE. . . t 5w+ HP. . . . - CLO DRYERS. . -.
NO. OF AIR HPINDLING (±N I T9 OTHER UNITS. -
FURN 1. 100K BTU.- 10000 cfmt GAS OUTLETS).
TURN ) x--10(?.IK STU: 10000 c f m :
Remar-k,; : 5 TON AIR CONDITIONER
Ow iari FEES
0k.NNIS TRUNE t y;1e amount by date V'ecr)t
1101tj SW COTTONWOOD PRI11 $ 16. 00 JLH OYIII191 —
15pc f $ 0. 60 K.H 10// 11 /141 —
) Jolof',L) nli
BEL.L. HEW ING INC
1531.0 BE i.*)IPZZA AVE'
CLACKMW, OR 97015
0-i-:no 4 4:3-11114 IE- CIO TOTAL
447
RLUUIRE-D I NSPEL. I I ONS
this pqrpit is issued sub)ect to the regulations c.-ntained in 0n. Final. Inspec-t2on
Tigard Municipal Code, State ol Dre, Specialty Codes and all othof-
appl,evie laws. All work will be done it accordance with
approvec plans. This pervit will empire if work is not s%arted
within It* days of issuance, or if work is su;aended for we
',har. 189 lays.
ro41S i qn at ut-P
Ci:111 for inspection 639-417::1
ciry of T'lCARD ... RECEIPT OF' PAYMENT RECEIPT NO. .9 1 5296
CHECK AMOUNT 33. 60
NAME' » BELL HEATING CASH AMOUNT 1,14. 00
ADDRESS » 13550 BE PIAllA AVE PAYMENT DATE a 07/ 11/91
SUBDIVISION
CLACRAMA9, OR 9-7015-,
PURPOSE OF PAYMENT AM01 JNT PPI 1) f-4JRPOBE OF F,AYMENT AMOUNT PAID
MEC:HAN 1 CAI.. PE 16. 00 ST. BUILD PER 0. 80
MECHANICAL. PE 16. 00 5*T. BUILD PER 0. 80
11075) SW COTTONWOOD
8454 SW ASHFORD+
TOTAL AMOUNT PAID 60
I
> �n �=• n , nam+ ca��� n- - n � n .d -n �:. +10k, n +=+ 0 -. n - . c�� , n �
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1�, P c��,
. : � CITY OF Tlrf�D 'VC'
. . G�
OREGON
Trademark Homes ] syr,
Ov�7►er:..._............... .............................................._......_F ermlt No..
,I .. -
t $D
Building Address.-11075 5W Cottonwood Lane r
....... .... . . .. . .......
r; Certificate is hereby given this.. ..35.......day af..... ..June.... . . 19 77 g�
that said building may be OCCUl►ied and
that it complies with all requirements of I;
'.� . the Building Code for the City of Tigard,
as approved by the Tigard City Council. F�
Building Inspector
(✓! �"«+ (T '�' C) �,^,a �J =:.• !; 4 �� a,:�► Ua�o (�., `, �N. `) ,-gra
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,--N N
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : _
DATE: -- /-J— DATE ISSUED:--.LL._
OWNERS NAME :
ADDRESS :
CONTRACTOR
TEST: Air p, Water p , Visual C] , Lciborotory p
RESULT: Approved 0 Disapproved t-J Pending r�
SKETCH*
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I I N Sig E C TO R
I DATE
COTE Attach supplemental tr,at data hereto?
UNIFIED SEWERAGE AGENCY NO. ..,--A,1650
WASHINGTON COUNTY DATE __ _22-9-77 �----.---_---^
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: __.—__ Trademark Homes
OWNER'S ADDRESS:
STREET
- ---- --- -------- _._._-___. _-_.-------------------
CITY STATE ZIP
BUILDING SITE: LOT-191—.._..___ BLOCK ____--- ADDITION
TAX LOT NO. ____ _ __. TYPE OF OCCUPANCY i,e i dce_ _
ADDRESS __11075 5Ij_ o t t..o_w zQ.d_._L LL._._-___
DWELLING UNITS-___ 1 ____._ - FIXI"UFiF UtJITS
SURCHARGE IF APPLICABLE
PERMIT FEE _5.75'�______ INSPECTION FEE z5 TOTAL. DEPOSI '
"TED 600
(NEW) (EXISTING) BUILDING SEWER SYSTEM nntt-_.GrBaJ- -. __--
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZf S CONNECTION TO THE SEWER SYSTEM.
LINE SIZE _—_ INSTALLER
RECEIVED BY--
(AGENCY OR ITS AGENT) J J
COMMENTS:___81 dg'- #1.296
-This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
BUILDING PERMIT APPLICATION coy TIGARD DATE 2-9-77
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INVICATED BUILDERPHONE
i4�r0��l
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE-
OWNER
X101; lilall,k HL rH)4.ii 11.07:, .,IJ LuLtanwudd HOMq
LOT NO.
OWNER JOB ADDRESS E ADDRESS _
ARCHITECT
.tCimP ENGINEER
BUILDER ��-yy ADDRESS DESIGNER
STRUCTURE MEW ❑REMODEL 1:1 ADDITION C1 REPAIR ❑RENEWAL ❑FIRE DAMAGE_ ❑DEMOLITION
D RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS[-]PATIO ❑CAR PORT ❑GARAGE ❑STORAGE[:]SLAB [:]FENCE
❑BOND ❑MOV INC, ❑CONDITIONAL_ USE []DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS 'M
0CqUPANCy
� LAND USE ZONE R-l BLDG.TYPE ' _FIRE ZONE_ PLAN CHECK BY ®tW HEAT___,_'-_-
const. :Il;,lu rtmily dWt.11.} Il.a W/rlt'tpche,d goiri,�,-- bodroom ? beth Lot ; IV1
gerage 4171li elq, ft.
40 1 1 1bL(i 36, Z)00,
OCC IQAD__u_ F�QQRj,QgQ HEIGHL_ _ NO. TQF1IES AREA NO.BEDROCIMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR JG LEFT SIDE t RIGHT SIDE 1 '
Permit 148,09 —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 74,IT REGULATIONS AND ALL APPLICGIRLF CODES AND ORDINANCES, AND I T IS HEREBY AGREED THAT THE
�- -'— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—' —�'-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 11 66 LICENSE. SEPARATE PERMITS REGUIRED FOR SEWER, PLUMBING AND HEATING.
Total 228.66
By
----- 1 ----- Ar CANT UR AGENT ----------- -----
Approved Receipt No-
AntTRf 55 —.'------�-- --vrinNF -
-- ----
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1
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
• � �- ''l, Contractor
Permit No. C)�
'' -- Fixture
1717 ' Q Final
�1� — i _ HEATING
7 _ Contractor
Permit No. 7 ?-IV-7)
Gas or Oil
-Rough-in
_ Final
SEWER
Final
DRIVEWAY
Final
f
m Drainage
n Drain) Final
walk
b&Street Final
roach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPAN -4CERTIFICATE OCCUPANCY l
dscaping
ing Final �-
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ADDRESS PERMIT NO.
PERMIT CHARGE: none
OWNER CONNECTION FCC
PAID BY
TYPE OF BUILDING _ DATE CONNECTED
SERVICE RATE - _ INSPECTION I' EE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID _
ADDRESS PERMIT NO.
PERMIT CHARGE none_�____�
OWNER _ CONNECTION FEE
PAID BY
TYPE OF BUILDING _ DATE CONNECTED
SERVICE RATE. INSPECTION FEE
CONTRACTOR PATD BY _ DATE _
SIZE OF CONNECTION w _ ASSESSMENT PAID
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