11600 SW TERRACE TRAILS DRIVE 11600 SW TERRACE TRAILS DRIVE
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1
INSPECTION NOTICE
r'i'y ()t Tigard Building Department )1�
12420 S.W. Mair; St. /
Tigard,Oregon 91223
Phone: 639.4171
Type of Inspection ___---30
(tL'
3 _
/ Time
I
Date Requested_1� _ '
ace 1� d 5 --- Permit # —
Address . —
Owner
Builder — -- -- —
The following Building Code deficiencies are required to be corrected:
i —
i
/ EREINSPECTION
L_ Approved i
Presented to 1
InspectorDisapproved
bate
YES LJ NO
BUILDING DEPARTMENT, TIGARD 'O
PLUMBING PERMIT "" s
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and s.rb-Contractors. lob
_ --- Addresses Date---
Owner
atOwner
NUMBER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Slrtgle Famlly-t bath-each - 25.00 -•-- --
Duplex--Each 1 bath unit _- - -- 25.00
_ 10'00
Additiunal bathrooms_oach �-- -- - -- _
_M_ubile Home Space-each 15'00 -
INDIVIDUAL FIXTUREeICOMMERCIA —._ ---- --
_ 3.001 to GO Fixtures in 1 building-each -- —
_51 to loo Fixtures in.-I building each _ �__ __ 2.50 r --
~_ 101 to 200 Fixtures in 1 bullding-each —?'� — -- -
`201 or more Fixtures in 1 buildingeach _ _ -_ 1.50 ------
MISCELLANEOUS
Sewer-each additional 100 ft. - -__ 10.00 -
Water Service tc building 5.00
Other S �
PERMIT For Plumbing Inspection Phone 639-4171 r
- Plumbing Contractor By— 0"
4�tate
TOTAL RECEIPT NO. Issued By
�J ■
hddi ess //l^DD-�' °.1�.2��;� `fo,•�r^ Permit No. 5 y
Permit charge
Owner A±�Z (�.� �-� Connection fee
7
Paid by
Type of Date connected
Service rate _ Inspection fee ' s_
Contractor Paid by _ date
Size of connection Assessment P2_d
3 -9 - 77
Citgo of Tigard
INSPECTION RJQUEST
for
INSPECTION TIME' ���"�`_ PERMIT NO. .---
DATE:
O. ._-_DATE: DATE ISSUED .---LJ--
OWNERS
SSUED .__._.(_-_OWNERS NAME
ADDRESS: 1,41A,a4 S '•�'�'
C O N T R A C TOR : �______..1�T—t—--
TEST :
_TEST : Air [3, Woter [1 , Visual C+(, Laboratory ❑
RESULT: Approvod Disapproved C Pending p
SKETCH.
9 '
INSPECTO DATE
[MCTE : Attach supplemental lett dote baretc]
1
I
City of Tigard
iNSPF.CoTION REQUEST
I
fr
!W',PEC70N TIME: .____ PERMIT No7. '.__�_
DATE : DATE ISSUED ,-.--/
OWNFRS NAME :^_A
ADDRESS.
CONTRACTOR : _ _
I
rEST : Air ()* Woter Visuo L
PESULT: Approved Disapproved r re �
S KETCH: I
I I
15' i 1
sr1 �
It�aPECTOR DATE:
I ►JOTF. Attach lot
:r. ,�,. „.- ,a.n .�k :-,^M, •..... w,.•!Ot,j'�5!^�rlyM'' Me,a _pRM
CITY OF �t�ry1° 7 19 76N-° 0869
BUILDING PERMIT APPLICATION TIGARD DATE,
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPcCIFICATIONS. OWNER PHONE
:tarry Cohen l600n!errrjcre Trails Ux .
OWNER V ADDRESS _ ALDER PHONE
ENGINEER
BUILDER ARCHITE9T _ _. __ ESIGNER 'J(t41t1lZ Cdr ��.
STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR DRENEWAL _❑FIRE. DAMAGE []DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT CIGARAGE ❑STORAGE❑SLAB ❑FENCE
BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—LAND USE ZONE _BLDG.TYPE �FIRE ZONE __ PLAN CHECK BY HEAT
31, ;_u t, 440ki 3 u :druuit _; ._ii3 L _
Con,-: L Usylight E3aalertent, Storage bldy., w gal,���__:___�
Pei t;Ddcq & pilon ►aqquiramenta.
—7732 3r�
OCC.LOAD FLOOR LOAD _ �'f�° HEIGHT NO.STORIES 1f AREA VALUE J j
BUILDING DEPAR'T"ENT -?rj t — t ;1 —6
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit j
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BI,)ILnING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE W17'H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—' -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State A LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By "'Yr
___-- --____
Approved Receipt No WP P4 )11 AGENT
ADOPT , --- -- HON -- --
REMARKS PLUMBING DATE
DATE INSP. TYPE INSPECTION -------
G. Contractor /
V �q 1 35, f `� 5�
Permit No. Y —
7(,
Rough-in
Fixture -
�� , Final _
HEATING
6 — Contractor /
Permit No. Y b 61X/ 7C
Gas or Oil
Rough-in
Final --
SEWER �l1;
Final
DRIVEWAY t 9-1•-7G
Final
Storm Drainage
(Rain Drain) Final
Sidewalk ��t
!^ Curb&Street Final
Aporoach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final _
CEHTIFICATE OCCUPANCY —
Landscapinb
r Zoning Final
5 ` cy
110.
th
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