11145 SW COTTONWOOD LANE 1
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11145 SW COTTONWOOD LANE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
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Type of Inspeatfan
Date Requested _ Time _ P.M.
Address — � _ Permit #
Owner— �CL�(. .
Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ( T ApprOV90
Inspector
_. Disapproved
Date
CALL FOR REINSPECT,"ON
O YES ❑ NO
CITY OF TIGARD 639.4171 Yur ins�e�tiuns c ! t,�-•�.l, 5788
BUILDING PERIV'IT DATE --..L„u.,uar .1L -19_-dtL—
TAXMAP1S1-'JV1i,",—LOTNO. _18_SUBDIVIS10110"glewou`'
OWNER F.e1 t a.LIC1g�tL --��-
JOB ADDRESS 11145 SW Cottonvevtl Lane
BUILDER t;:.y Aug
STATE REG.NO. __ j:, a.�� EXP.DATE.. lll.".�+/.ki:fi
BUILDER'S PHONE iAfs-9+ii,.i
ARCHITECT t'iV—t0Vrrt .. Y.>✓; PHONE _ OTHER
STRUCTURE F1 NEW ._l PEMODEL ❑ ADDITION 4 REPAIR MOVE OTHER 1 DEMOLITION
f RESIDENCE COMM F I EDUCATION r-. IND RELIGIOUS ACCESSORY [I GAr'AGE 1 OTHER ❑ FENCE
OCCUPANCY 1 LAND USE ZONE _ BLDG.TYPE. L, FIRE ZONE_—PLAN CHECK BY HEAT
SEWER PERMIT#
OCC.LOAD FLOOR LOAD _HEIGHT NO STORIES AREA NO,BEDROOMS VALUE s
BUILDING DEPARTMENT SETBACKS FRONT exi fit in;; REAR" LEFT SIDF RIGHT SIDE
.Permit _ 74 a 5b THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PIP Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPEC:FSCATIONS AND IN COMt LIANCE
—�s�►f WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TWI, PERMIT DOE:; NOS' WAIVE
PI.Ck_.Flre__ _ _ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CUHRE►IT C"IY BUSINESS
_ TAX PERMITS.SEPARATF PERMITS REQUIRED FOR SEWER.PLUMBING AND HEALING.
State Tax
SDC-- ,�
Total_ �l$„y1 0 ICANTOAXGEN�
PDC#
Bal.Due
Receipt No ADS+—- PHONE
�r`i�'
Issued By Approved By __
DATE INSF. TYFE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No
Rough on
Fixture
f ina,
HEATING
Contractor
P,.,,r,,it No.
Gas of Oil
R,)uqh in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICArE OCCUPANCY
Landscaping
Zoning Final
415 `t�, �"•�/� � zN�, F'�y,, tifa�u r��� , �.� ��a�, �� ,.s,• !l��w� 1/.� F ��d ��� � „,
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J. M I CITY OF TIOARD C}, '
�y OREGON
ON�ner:.�ob Smith.............................................. ........Permit. No., 1.34.2
N 11145 SW Cottonwood...La .... .. . ........ ..................
Address..... ".._"........ ....... . .. ...
Certificate is hereby given this.... ..........day of... S p.t;.em.bsr........ 19._.77.. �a
that said building may be occupied and
��;• ? that it complies with all requirements of
the Building Code for the City of Tigard,
- 1 as approved by the Tigard City Council.
" ? `
........... Inspect�� .......-.
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,h,'��r' R��.'• ''W6•r^4 "4 �T;tl�"' �".�•� � `'':t�„�' ",�; � "'L�� .��'1 -�'w�"1 ;�xfi..'%.,,�'F,�H"�'',,���`;�,h`/.��"��
A D D R E S S--��L =-- {7��'��` 15 - P E R M I T N 0. __ y
PERMIT CHARGE none
OWNER CONNECTION FEE
PAID BY
TYPE OF BUILDING • DATE CONNECTED _
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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City of i i ar
Y g d
i NSPECTION REQUEST �
for
C4 I
INSPECTION TIME: «L-217 __ PERMIT NO. : I
DATE: //3/%7 DATE ISSUED :_._1_L
OWNERS NAME ;— %j-, 6
ADDRESS.
CONTRACTOR : -
TEST :
ONTRACTOR :TEST : Air [], Woter❑ , Visuald , Labor I
ofory �
RESULT: Approved Il , Dis4pproved C , Pending
SKETCH:
Cm
Gf
IrIOPECTOFf DATE
EOTE: Attach luPOOMOntal tett data berets] I
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City of Tigard I
INSPECTION REQUEST
for
INS' PECTION TIME: PERMIT NO. : I
DATE: 3 y7 DATE ISSUED :._1—Z_
OWNERS NAME :
ADDRESS: igy- 12U
CONTRACTOR
TEST : Air p, Water[] , Vieuai p Laboratory
p
RESULT: Approved [$;"Disapproved C
Pending
SKETCH.
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INS4P, C-T IOR DATE I
NOTE : Attach suoplenmental test dot;a bereto� I
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UNIFIED SE!A1.1-7. RAGE AGENCY NO. 1.1689_
WASHINGTON COUNTY DATE 3-14-77 --
CITY OF. Tigard - - —
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Bob Smith
OWNER'S ADDRESS: —_-_
STRELT -- -
CITY -- --__-_-.
STATE -- ZIP
BUILDING SITE: LOT ___. BLOCK ____ ADDITION
TAX LOT NO. — -- __— TYPE OF OCCUPANCY reeil.dsncE _
ADDRESS 11145 SW Cottonwood Lane
DWELLING UNITS_____.___1- _- FIXTURE UNITS .
SURCHARGE IF APPLICABLE
PERMIT FEE _ 5759 INSPECTION FEE _15_•.__ TOTAL DEPOSITED 600.
(NE1n1) (EXISTING) BUILDING SEWER SYSTEM __Fenno Creek
The Applicart agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT(_
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECT ION TO THE SEWER SYSTEM.
LINE SIZE -- ---- - _ INSTALLER ----------- - ---- - ---- r
RECEIVED B„� / �'--
---
(AGENCY
COMMENTS:--.Bldg. #1342_ _ C
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 3"'�4 _
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED DUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
y ` LOT
OWNER _ _��, y i'1 - JOB ADDRESS 11145 SW Cglrk.tinuoL)(J HIQMb ADDRESS
ARCHITECT --"--"
BUILDER (I, ADDRESS ENGINEER
— t�--•�, _ DN
ESIGER tt--II
STRUCTURE _t311EW—Lj REMODEL_ ❑ADDITION _ OIJ
REPAIR ❑RENEWAL DFIRE DAMAGE DEMOLITIOt
❑ R_S;,)EPJCE ❑(OMM ❑EDUCATIONAL ❑G0V'T ORFLIGI0I1SCIP.A110 ❑CAR PORT ❑GARAGE DSTIIRAGE OSLAB [FENCE
DBONU ❑MOVING ❑CONDITIONAL USE _ DDESIGN REVIEW ❑COJ14CIL APPROVED ❑SIGNS
OCCUPANCY Z---LAND USE LONE PLUG.TYPE� ' I:+tL,l
FIRE ZONE;'_ PLAN CHICK BY�` HEATT_-_
sisl6la family dWeOttinq u/a ttrichad ya rave i 3 bedruom 3 Muth
split. level 904ays 440 •q* ft. bassment 145.E ---
ocC 40 2 14 4
FLOS'rH_�_� HEIGHT — N0.STORK$ AR " •� �
-- ---
BUILDING DEPARTMENT SET BABEJZROUMS_ --—VAL�1�---
BACKS FRONT Qpx REAR :� LEFT FIGHT SIDE
Permit_ 166,00 -- - --- _
Plan Check 93,00 THIS PFRMIT 19 ISSUED SUBJECT TO THE AEGUL411ONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES ANC ORDItJANCE6, AND I' IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH TIJF FLANS AND SPECI FICA,IONS AND IN COMPLIANCE WITH
Subtotal 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 _- 7,47 LICENSE SEPARATE ^ERMITS REQUIRED FOR SEWER. PLUMBING AND HE4TING.
Total ib6,47
BV —
APPL1(-AN1 OR
Approved Recei�—
ADDRESS
-`^�.�I.u�lYwi,yJ{.Y..i��,yy..::ocw.ir.4x,..J11.1wr.♦
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tr::E INSP. TYPE INSPECTION REMARKS PLUMBING DATE
'.� Contractor
/— Permit No. 0
Rough-in _
.3 T Fixtuna
_7 Final
HEATING
—•2 s- 11 3 _ Contractor
'g- CS 6 7 �Permit No. -2S'7 r
Gas or Oil
Rough-in
Final
SEWER
_ Final
— -- - DRIVEWAY 'c 7_ :;.- •7'7
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final _
A roach
BLDG r�EPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
( L,-,iscap-r.y
L—rig Final
t