11635 SW TERRACE TRAILS DRIVE 11635 SW TERRACE TRAILS DRIVE
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INSPECTION-NN T E
City of Tigard Building Departuent
13125 B11 Ha]-1 Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone): 639-4175 BusLness Phone: 639-4171
Inspection:--_-- ------- -------- —_ _ _
Footing PlUg. 7nderel.ab Mech. Rough-in Appr/Sdwl.k
Found. !ILV. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Mech. �RRaain Drain Insulation -Plumb.
Plbg. Underfloor C. ater Lin Gyp. Bd. -Mecn.
Date Requested: Time: __—AM
Address: Permit t!!s
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inapect.oc : ( Date:1�'
�`t — -------
APPROV)LD _-- DISAPPROVED —� APPROVED BOW CT TO ABOVE
----..Call For Reinop.
CIWOFTIFAPDv.
(arYOFTWAND
COMMUNITY DEVELOPMENT DEPARTMENT ortEoca
13126 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon W223(SM)M4175 PL.L)1114 1 N 6 R IYH
(, 3` .--4 J.?J. DATE 'ISSUED: 1.1/01/90
()1)l)RI-'.*SS— . 1 .1.635 SW TI.-H-.RROCE. TRA ILS DR I----0I;XEL- i25103CD-04600
SUBDIVISION. . . . TERRRACE TRC)II-S 701q1N(3- R-4. 5
BLOCK- - . . .. . . . LOT 4
...........
C I ASS (IF WORK. . -.ALT CIARBAGI-I.. DISI-1033ALS. ., MOBILE IAONF-.'
T'YPE OF7 :SF*
W AS I-I I N G MACH- - -- FJ 0( K FL 0 W PR E V NT R S.
0 C C U I"(--)III(,Y 6 -.R"3 FL..C7OR DRAINS. . . . . . .. 7. MAPS— .
S)T C1 RI E S. . . . . . . . .. WATER HEATERS., BASINS. . . . . . .
I F)IJ III D R Y T'R A Y G. SF RAIN 1)R A I N S.
GINKS. URINALS. GRFASF TROPS
LAVATORIES. . . . . . 074-11--:8 FIXT(.RP-3. . . . . r,
11)F.+/S3 H 0 W ER S,. SEWE*R LINE
M)TER (1-OSITS. WATER 1-.INF.-:
DISHWASI-11C.RS. R014 DRAIN (ft)
Rcani;vrk.s,-, -repl.,ac-r� w zA t e-r .1.i r)L--
J M U R IL L 0 type Anicit,iiit by dot(- rrapt
:1.16 3 ri (s w 'r I:.:rt r;A u E T R A i I...s DR P R 11 T $ 25. 00
5 F,CT $ 1. 25)
TIGPIRD OR 97023 PAYM $ 26. 215 B(. R It/01/90
.... ......
F,Al X CLAU SONNLN
(.,H R I ST I A N PI UVIDING INC.
)19 SW STAFFORD RD
H.b'41_.AIIIN OR 97062-0000
P11 C)I I(- "a 503 638-823 1 $ 26. 2 5 T'O T A L
It. 112671
RE OUIRED INSPECTIONS
This permit is -ssued subject to the regulations contained in the Witter Lj.iie Jrltip
Tigard Municipal Code, State of Ore. Specialty Codes and all other Firi'Al irl!.,Pectioll
applic,.He laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
withit, 180 days of issuance, or if wo0, is suspended for PiOTP
than 180 days.
........ ...... ............ ............
c;s%.i e d Dy .......
........... ..........
Cr.11 fo-r illspecticirt 639--41.75
TYOFTIFARD
�CRYOF TWARD
RTMENT ON
h3s i�TWW(503)"-4175
------- GON
PLUMPING PERMIT
PERMIT b. . . . . . . a PLM` 0--0202
DATE* ISSUED:
SITE ADDRESS. . . ; 11635) SW TERRACE, TRAILS DR PARCELv 2S1.0,31:,D-04600
SUBDIVISION. . . . s IERRRACE TRAILS ZONINGi R-4. �)
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . a 14
............
CLASS OP WURK. . 1ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. v
TYPE OF' USE. . . . oSF WASHING MACH. . . . . . . # BACKFLOW PREVNTRS. . s
OCCUPANCY GRP. . vR3 FLOOR DRAINS. . . . . . . a TRAVIS. . . . . . . . . . . . . .
STORIES. . . . . . . . WATER HEATERS. . . . . . : CATCH BASINS. . . . . . .
F I LAUNDRY TRAYS. . . . . . . SF RAIN DRAINS. . . . . g
SINKS. . . . . . . . . . a URINALS. . . . . . . . . . .. GREASE TRAPS. . g
LAVATORIES. . . . . v OTHER FIXTURES. . . . . a
*YUB/SHUWLRS. . . . i SEWER LINE (ft) . . . . :
WATER CLOSETS. . i WATER LINE (ft) . . . . : 100
DISHWASHERS. . . . *. RAIN DRATM (ft) . . . . s
R e m a r k s-. replace water line
OWNER-.-
Ij MURILLO 1.':IRMT $ 25.00
116,35 SW IFRRACE TRAILS DR 5FICT $ 1. 25
PAYM $ 2 6.25) PCR
TIGARD OR 97223
Phone 0 C
P11-mbing
Name-214 A
Addressc
City '
7ipp
Reg Ha
REOUIRED INSPECTIONS
This Permit is issued %L1bjCmrt to the reg-
ulations contained in the Tigard Municipal Water Line InSp
Code, State of Ore. Speu,ialty Codes And Al I Fin;.Al 11-1spect,jon
other app,licable laws. All work will be done
in Accordance with approved plans., This
permit will expire it work is not started
within 180 days of issuanre, or if wort, is
Tiuspended for more than 180 days.
Authorized PlLkftlbil-)q Cont-t-actor Signati.tre
Cont-ractor Notes: Call for inspection 639--4175
...............-....................
—ITY OF ]"IBARD RECEIPT OF PAYMENT RECEI PT PILI. 206,494
UMCK AMOUNT : C).(1)()
NAME a CASH AMOUNT % 26 25
ADDRESS PAYMENT DATE' c .1. 1/01 /90
SUIM)I V 113 1 ON
FIMPOSE OF PAYMENT AMOUNT PAID FIURI::)O9L OF PAYMENT AMOUNT PATO
PLUMBING PERM FILM90-0202 45; 00 ST. BUTI.J.) PER 1 . 25
4MOUNT FATO
rw �i
Address `/6 35 -t" Permit No,
permit charge � ,�7
Owner .,. ;t ���.. Connectiun fee
Paid by
Type of building �t�..
Date co,inected
Service rate Inspe6tion fee
Contractor _ Paid by date.
Size of connection Assessm=ent Paid
3 -9--77 J-1vU - 5- 3
rrr�rr
a
Clfy of Tigard
INSPECT104N REQUEST
for
r
Iq INSPECTION TIME : ' PERMIT NO. :
DATE: DATE ISSUED:--,'—L
I OWNERS NAME '.
I —
ADDRESS : ��..
I CONTRACTOR C-/B---,'�
TEST. Air O, Watir ❑ , v lau 11,*, Laboratory ❑
RESULT: Approved , Dieap�lr:++Ad U Fending iJ
SKETCH:
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INSPECTOR DATE
OTE : Attach supplementol tett doto heret-
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City of Tigard
INSPECTION i
N REG?UEST
_,for
INSPECTION TIME: PERMIT NO. : _.___. I
DATE' . D kTE I VISUED :__1_�:, I
OWNERS NAME :
ADDRESS:
CONTRACTOR :
TE ST . Air 0, Wot•r C1,""Viau01 L],-L-etr6ratory p
RESULT: Approved P i-bisapproved C r Pending p I
SKETCH.
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ISIS C OR DATE
OTE: Attach supplemental feet data beret a]
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BUILDING PERMIT APPLICATION 11T TIGARD DATE Auguat .17 19"17 tOF
_-_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 45-3645
OR AS SHOWN AND APPROVED IN THE ACCOIIAP.ANYING PLANS AND SPECIFICATIONS OWNERPHONE—
LOT NO._
OWNERLarry kwiley _ JOB AODREssL1635 SW Terrace Tr*IACWtE ADDRESS
Lot #14 ARCHITECT —`
ENGINEER
Sul LDER �jQl"is r� ADDRESS DESIGNER
y
STRUCTURE 'L' NEW 0REMODEL []ADDITION ❑REPAIR ❑REIJEWAL _❑_FIRE DAMAGE _❑_DEMOLiTION
S RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS PATIO CCAR PORT EIGARAGE ❑STORAGE CSLAR [:]FENCE
❑BOND ❑MOVING CCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY LAND'JSF ZONE '�—� _-BLDG TYPE 5 FIRE ZONE� PLAN CHECK BY ET�p FIEAT��1�
+.ranste 2 story ziuleklin4y w/attached gave!; 4 bodroom 3 bath
Tax Shap 231 3CD Tex Lot 4600
P, 40 2 7423 4 ._
QCC LQAD_ HELrIHS_ NO.STl:9 ��_ _A _,__.d_tJ.- UOM_S �[ALQ __
BUILDING DEPARTMENT 49�
---- SET BACKS FRONT REA:� LEFT SIDE _ RIGHT SIDE
Permit 163,00THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TVE
- 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 tWAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 5019 LICENSE. SEPARATE PERMITS REOUIREO F-GR SEWER, PLUMBING AND HEATING.
Total 170919
By —
--------- AP -!CANT OR AGENT --
Approved j Receipt No. 1 C
AD RESS —IRT)
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UNIFIL- 01 SEM: 13AGE AGENCY NO.
_ 10614
WASHINGTON ("JOUNTY DATE –Aii-itst 17, 1976
CITY OF_ __ _ Ticard
APPLICATION FOR SE.VVI_ R CONN[J" VION PERMIT
OWNER: Larry Kelley
OWNER'S ADDRESS:
STREET
--STATE ZIP
BUILDING SITE: LOT-----.--- BLOCK ADDITION
Tax Map 251 3CD
TAX LOT No. 4600 TYPE OF OCCUPANCY residence
_----
--..—
ADDRESSTrails Dr. Lot il"14
DWELLING UNITS________l_ FIXTURE UNITS
SURCHARGE IF APPLICABLE _____50,00 Derry Dell
PERMIT FEE_5_75,40____._ INSPECTION FEE i-o-rAL DEPOSITED 500.00
Fanno
Cieek
(N XMINN
UW (EXISTING) BUILDING SEWER SYSTEM 9I
The Appiicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
jAPPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM.
LINE SIZE - INSTALLER
RECEIVED BY_
IAGENCY OR ITS AGENT)
COMMENTS: . Bid.g- 1011
This Application and permit expires in one hundred and twenty (120) (Jays.
The amount paid will be forfeited should expiration occur.
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