11680 SW TERRACE TRAILS DRIVE 'it,,!� JT 'LRAI LS DRJ VE
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CITY OF TIGARD c • �_�'
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6. OREGON
t D.W.D. Contractors
Owner: ... . ......................Permit Nk.
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............... . ...
11580 SW Terrace Trails
Building Address...................................................................................... .................
X11< '
Certificate is hereby given this.......?. .....day of..BEV............. ......... 19.? ...
�
1 " thst said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
..........
...I..y '. LCL .N. . .................... �I ,• /' .
Building Inspector
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City of Tigard
INSPECTION RECUEST
for r
INSPECTIC : TIME '—L.. PERMIT Nr'
DATE : - =&27._ DATE ISSUED: ....1'_L
OWNERS NAME : Kw%2 __--
A D D R E S
CONTRACTOR
TEST' Air 0 , Water p , Visuai �, Laboratory C]
RVULT . Approved , Disapproved ❑ , Pending
SKETCH:
INSPECTOR DATE
_ Y 5
COTE : Atlaeh suppiemanfal toot date hereto
R
City of Tigard
INSPECTION REQUEST
dor
INSPECTION TIME : PERMIT NO. :
DATE: 1 �'''� 7;-'. DATE ISSUED:—L.1—
OWNERS NAME : �—
AD D R E S S
CONTRACTOR : ---
TEST. Air O, Water E,] , Visual C7-;--Laboratory p
RESULT: Approved 0 Disapproved 0 Pending !,
SKETCH:
Ip3P CTOR— DATE v�
NOTE Attach sup pis mentnI test data here 1:01
r Md ,
CITY TIGARD DATEsL ` LIY �"�- t9 - 1?4 -"
BUILDING PEF�MI1 APPLICATION of
THE UNDERSIGNED HEREBY APPLIES FOR APERM11 FOR THE WORK HE
INDICATED HUII..DERPHON�
OWNER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER
OWNER i o ♦ t i`i 1Y j U L „JOF3 ADDRESS H
I ` Li 1'1'E1 t.. OME ADDRESS ---
ARCHITECT
--- ENGINEER
ADDRESS �_�_ DESIGNER
BUILDER s+:afTl(r - � II--�� rr��
IICI REMODFI_ ❑ADDITION ❑REPA -,_- `JRENEWAL _ ❑FIRE DAMAGE. LUDEMOLITION
STRUCTURE -- -- -- �-I
O RE$IDENCE IJCOMM ❑EDUCATIONAL ❑GOV'T ❑RELiGIOUSOPATIO ❑CAR PORT ❑GARAGE C]STORAGE LJSLAB ❑FENCE
❑BOND ❑MOVING ❑CUNDITIONAL USE ❑DESIGN REVIEW �C`�U'JCIL APPROVED ❑SIGNS
F TIw HEAT
cIrCUPANCYLAND USE ZONE
j _BLDG.TYPE —FIRE 20NE PLAN CHECK BY -
Corlst:uct Single F artily Dweal:Iitc, u'Lttl atcach#,d J 3 both. __--
"al.sc<uLi pgcmit 1041 ---- Garage b14
OCC..L4A.9_
1.(J FL9�EiJ.4�i2 a� __..1�..LStiT---- -.No�.ST931ES 1 _AB�i�BG"'b. •f G���3 YHI�b_�---°
BUILDING 17EPARTMENI 2 E _REAR 4/'E LEFT SIDE "l_ RIGHT SIDE —
SET BACKS FRONT 2t --
Perrnit Vii: X4.00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CO°V'TAINED IN THE BUILDING CODE, ZONING
Plan Check lU•(�U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY A3REED THAT THE
WORK WILL BE DONE IN ACCORDAA^.E WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 164.Oli ALL APPLICABLE CODES AND ORDINANCES. THE IGSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACIORF TO HAVE CURRENT CITY BUSINESS
State Tax 4.92 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1161.yZ
By CI�CANI OR AGES!,
Approved r TUReceipt No. - - ------ .
EC'
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CATE +NSP. TYPE INSPECTION REMARKS PLUMBING DATF
we i,- Contractor
Permit No.
oe
_F!q�uqh-in
r n Fixture
A A2L� ti Final
HEATING
a-7,a
Contractor
7. ef-A3:7L--e—A.L-e( rc Permit No.
LIZ Z :2 4-)-,iaJ Ga, of Oil
Rough-on
Final
SEWER
Final
DRIVEWAY
Final
tStorm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Landscaping
Final
d capi ng
Zoning
Final
�� ' S f)-7
- �1�•1 I�yy
UNIFIF.01 SEWERAGE AC; ETACY NO. _- 11602
WASHINGTON COUNTY DATF _ Januar 11, 1977
CITY OF---
APPLICATION
F---APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Construction
OWNER'S ADDRESS: __ 8950 SW_ Burnham
STREET
Tigard, 97223
CITY STATE - - - ------:.IP--- -- --
BUILDING SITE: LOT BLOCK ___.___- _ ADDITION
TAX LOT N0. TYPE OF OCCUPANCY _ - -- —
ADDRESS --;1680 SW- Terrace Trails Drive _
DWELLING UNITSFIXTURE UNITS . - -----
SURCHARGE IF APPLICABLE ._ -- -
PERMIT FEE .A575.00._ _-_ INSPECTION FEE 125. 00_ TOTAL DEPOSI I ED _6600.00
(IL,W)• (EXISTING) 5U101UQ SEWER SYSTEM — -----
The ^;-pl(-ent agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT - -- --- - - - -
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE _ _ - INSTALLER _--- -
RECEIVED BY.__,A/_U/
(AGENCY OR ITS AGENT)
COMMENTS:
This Application and permit E�4pires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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ADDRESS ZIrya ��-ur ' PERMIT NO.�
S
PERMIT CHARGE none--,
__._.
0tjNF_R _/0.
CUhNECTION FEE -CJS
V,AID BY '41
TYPE OF BUILDING , _ DAIL CONNECTED
SERVICE RATE INSPECTION FEE _
CONTRACTOR _ PAID BY DATE
SIZE OF CONNECTION _ A:;�-E55MENT _ _ PAID _