11525 SW TERRACE TRAILS DRIVE-1 N t
1.1.525 SW TERRACE TRAILS DRIVE
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BUII.UINn PERMIT APPLICATION -TIGARD DATE_ _ 1s _ � 4090
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDER PHONE GQJ=t 55 —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. XA
OWNEF Roti rt Stbaler _ JOB ADDRESS 1157.5, SW Terrace Trailo ft. --- f
ARCHITECT yY�J
— ENGINEER —
�:d G:���>�is 1�+F;3`, +►+' 1°ticd DESIGNER
BUILDER ADDRESS
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION V REPAIR ❑ RENEWAL CI FIRE DAMAGE i I DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RcLIGI0U3 ❑ PATIO ❑ CAP,PORT ❑ GARAGE ❑ STORAGE ❑ SLABF1 FENCE '
OCCUPANCY L-1—LAND USE ZONE —_I''_ BLDG.TYPE . 5 _FIRE ZONE PLAN CHECK BY !L t _HEAT_—_ —
— krd'Xave existing Replace with (Am lana ' e�dar._ A�1 �cr ylt�nn and code. - `--`--
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SEWER PERMIT M
OCC.LOAD FLOOR LOAD C,00c. HEIGHT_ _ _NO.STORIES _ _ AREA NO.BEDROOMS VALUE:_
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE. RIGHT SIDE
Permi, 1 •�� THIS PERMIT IS ISSUEC, SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCE, AND IT IS HEREBY AGREF'0 THAT THE
Plan Check _ WORK WILL BE DONE 'N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLL CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE ^.OVENR.NTS. CONTRACTOR AND SUB CONTRACTORS r0 HAVE CURRENT C1,1"Y BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax �` • �`
Total 1 e•_�. i a I
PDC# APPLICANT OR AGENTBy N
---- --- Receipt No.
Approved dwrh ADDRE88 -�— P 0 —
I
Y
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
—
Rough-in ------ �._
Fixture
Final -.�— -- -------..
HEATING--- ---a^_A--
Contractor
Permit No.
Gas or Oil
Rough-in _---
Final
SEWER -- -- -----
Final
DRIVEWAY
FinalT �-- —
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG.DEPT.FINAL tEMPORARY �! CERTIFICATE OCCUPANCY ~
CERTIFICATE OCCUPANCti Final
Landscaping
...___ uning Final '^—
® ! iTM #I w
BUILDING PERMIT APPLICATION TIGA-R DATE_ s
THE UNDERSIGNED HEREBY APPLIES FON A PERM FOR THE WORK HE,RLIN INDICATED BUILDER PHONEu3%43lJ-
An
OR AS SHOWN AND APPROVED IN THt:ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE :-L �
ApL
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OWNER (17 3� �AP��" JOS ADDRESS Ll7 .,c2 !`IA'I�I����1s LOT NO.
—� ARCHITECT
ENGINEER
BUILDER EJ 6e- ADDRESS I We J.J- S 40-1 DESIGNER
STRUCTURE ❑ NEW ❑_REMODEL _❑ ADDITION ❑ :4EPAIR G RENEWAL ❑ FIRE DAMAGE Cl DEMOLITION
❑ RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Cl PATIO Cl CARPORT C GARAGE Cl STOH ❑ SLAB❑ FEN
Ch:i:�PANCY �. LAND USE ZONE K r BLDG.TYP_ �__._ IRE ZONE-- —PLAN CHECK BY HEAT,= -
a yd -_y � -� - -------
13EV IER PERMIT B —
OCf:.LOAI? _ FLOOR LOAD _ . HEIGH-i N0.STORIES �'^- AREA _ NO.BEDROOA4S '►ALUE70l)
BUILDING DEPARTMENT ^ SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit • b � TH PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!'V3
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE
Ptan CheckMoe WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
i _
I i1 WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
I
Sub-total 4/ RESTRICTIVE COVENANTS. CONTRACTCR AND SUB CONTRACTORS TO HAVE irURRENT CITY E16SINESS
f LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
IEitate Tax • SDC_
PDCN APPUCAN f OR AGENT
By
Receipt No.
Apprcue•f
ADDRESS - - - . ._PHONE
- _
SDC
PDC - S
SEWER CONNECTION _$
SEWER INSPEC'f?0N $
SEWER SURCHARGE
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CITY OF TIGARD AIC
OREGON
...........Gause.................. ...........................Permit No.........1269......
';C r� 11525 SW Terrace Tr6ils
Builuing Address...................... ...I
. Certificate is hereby given this.......29... .day of.....June .............. 19....?.'7...
that said building may be occupied and i
. .'. � that it complies with all requirements of
the Building Code for the City of Tigard,
A y: T .
as approved by the Tigard City Council. a
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Building lnspectc�r
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4` \/� ��� C`� .. `w� \1I V/' � K � _. Y �V ,�. �Ir' � �r fi�SII -0 �{-•w ..� `,.(//)
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.._,._ .+w.....�... .•-n...y«--,--+.--w.+.-....-•-.^any,Mw,n,,.'�M'w:M'IMF4Ml�"w+M/VAS►rR"� ' 'n+IRY�W �-raw""`-.,t,w-•n�pr....-.�.�r+�nr.+n.mFw trnwv..,.
CITY TIG ARD DATt 4-13 .77 __, ���--
u BUILDING PERMIT APPLICATION OF
Llo b38--448q
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVE) !N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE -
y LOT NO._
!*.imlps lb2a Sw Terrace T86AI&OE ADDRESS
OWNER JOLT ADDRESS
_ ARCHITECT
ENGIDESIGNER
NEER
BLIILGER
i:rawn Guni>to Pocil,, ADDRESS Rahge Dou hen
Ip�4
STRUCT_•.IiE_ Cf1�lEyy AEODE L r, ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
DRL'SIDENCE ❑COMM ❑EDUCATIONALA C,GOV'T ❑RELIGIOUS❑PATIO [:]CARPORT OGARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPHOVED ❑SIGNS
OCCUPANCY_—.--LAND USE ZONE--_ ^_BLDG.TYPE_ —FIRE ZONE__ PI AN CHECK BY eL6) _ HEA l
swim pool per drewinjis as dp(s..j —_'q by f2: 9aughan, gel:
Riusiasdwms1lrsx*r'
nuCet all fencesp ystos p �-.ilumbinu to be clxamplotwu ariur t- asksai arisiir►nu. ---
Q"_ F(OUP LOAD HEIGHT NO,S Qfj _ AREA �O.BE BDVAU VALUE ii-an
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 32,00
--- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COLE, 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
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT OG_8 NOT W '
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 1'0 HAVE CURRENT CITY BUSINESS
State Tax 0 t LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Tut:: Y 32*Sib
B1' --
--- ----- APPLSANT OR AGENT
Approved itu Receipt Nc•
ELM"
DATE INSP. TYPF INSPECTION REMARKS PLUMBING DATE
i i
Contactor
Permit No.
Rough-in
Fixture
_ Final
HEATING
-------- - -- - --- --- Contractor _-- --
Permit No.
Gas or Oil
Rough•in __---___--- _
Final
SEWER
F anal
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final —
Landscaping
CZoning Fina 1.
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME . PERMIT NO. :--
DATE DATE ISSUED —
OWNERS NAME *.
ADDRESS:
CONTRACTOR :
rF. ST ' Air 0, Water U , Visualw, Lobnrotory 0
c?FSULT: Approved Disapproved C" , Pending L-1
S KETCH.
INSPECTOR DATE
NOTE Attach supplemental test data hereto
City of Tigard
INSPECTION REQUEST
r
INSPECTION TIME : PERMIT NO.
DATE : DATE ISSUED .—
OWNERS NAME
ADDRESS
�*OlYrRACTOR .' .
r IE ST : Air 0, Waterb, VisuallP , i-aborcitory o
`?ESULT: Approved Disapproved C Pending L)
SKETCH.
-1 J
DATE
I—N I-)I F Attach suFrlemmntnl lest dodo beret
r
BUILDING PERMIT APPLICATION COF TI'S ARD LATE_ .1"`� "' _, 19__—_ r
THE UNDERSIGNED HFRERY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND A!'-'„LVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_
LOT NO.—
1 !
OWNER -cI JOB ADDRESS
— -. ...___�_ _ HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ^D ADDRESS �— DESIGNERS—�
STRUCTURE `CINEW REMODEL ❑ADDITION DREPAIR ❑RENEWAL OFiRE DAMP._,3E_ ❑DEMOLITION
❑RESIDENCE ❑COMM [:]EDUCATIONAL OGOV'T URELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE D STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING OCONDITIONAL l'a ❑DESIGN PEVIEW OCOUNCIL APPROVED ❑SIGNS-
CUPANCY '__LAND USE ZONE BLDG.TYPE- FIRE ZONE `, PLAN CHECK BY_' HEAT
I.:iJout. uLu,ry 81i11ole frimily euu.,-ling w/attact,od garage* 3 k:edruuma v Usth pox
ritsvi-I�_---41mr.,M(-L� A41 Bci, ft- _hsr.lami-Int_._ 2 ;Aq.
ft-
31 1,450 3
OC(r,LOAQ _-ELO +R-L AD HEIf�yL.__----_ NO.STORIESS ____ RE-A------ NO.BEDRCI IVIS_�LALUE 3v600.
BUILDING DEPARTMENT SET BACKS FRONT '' REAP "I�i LEFT SIDE 1CI RIGF+; SIDE{
Permit 17 - __--- ----_ —THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFD IN THF. BUILDING CODE, ZONING
Plan Cheek j(]�L!;j REGUI.ATIONS 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
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 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total _ 167.4t,
By
-- nr Pt ICANT OR AGENT
Approved Recmw No
-FHON
.._......,......... ........:......das...........,....r....,._..,... -._... ,,._ ....«...,wu...na.�.trw.wrrw....:..........im.�..,...._......«�.r..w,..w..._,......._. ._......_�_...,,.m...�.:.....i..._..._.......,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
7 7 •-r-> .•?�1 ___ Contractor _
Permit No. O.� % 3.a_ 77
7 _v
Rough-in
_ Fixture
inti _ Final —
HEATING
Contractor
Permit No. " 7/1 2 � j"/!-�7
• h4 Ga-,or Oil _
Rough-in " ,jq 7J
.�� A. Final
SEWER
V
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEFT. FINAL 'IEMPORARYT CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY final
Landscaping
Zoning Final
UNIFIED SEWERAGE AGLNCY NO.
WASIA I NG--t-ON COUNTY DATE _-
CITY OF_ Tigard
APPI-ICATION FOR SEWER CONNECTION PERMIT
OWNER:
O\Ift.R'S ADDRESS: -- - -- ---
STREET
CITY STATE ZIP
BUILDING SITE: LOT_ _ BLOCK _____.. _ ADDI I-ION
TAX LOT N0. . ____ _ _ _ TYPE OF OCCUPANCY _ residence__--�_____
ADDRESS _ i 1.525^Terrace Trails_
DWELLING UNITS .. ___________.___�, _ FIXTURE UNITS
SURCHARGE IF AFPI_ICABLE .-_--._______—_-____--_ -----_-----.�_ --- _
PERMIT FEE _ _575.._ _ - INSPECTION FEE 25.-- --- TOTAL DEPOSITED
(N U (EXISTING) RUII.DING SEWER SYSTEM
The Applicant agrees to comply with all rules and regulatio► of the Unified Sewerage Agency,
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE . - - _ .. _ INSTALLER
RECEIVED BY-- - C'4-
(AGENCY OR I�rAGENT) (/
COMMENTS: _ Bldg. #1269
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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ADDRESS �;' � ? -,���.< . �T_� t' PERMIT NO.,
PERMIT CHARGE none
OWNER CONNECTION FEE
�^
PAID By
TYPE OF BUILDINGc _ _ DATE CONNECTED _
SERVICE RATE ( _ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID