11685 SW TERRACE TRAILS DRIVE 11685 SW TERRACE TRAILS DRIVE
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INSPECTION NOTICE �f
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
7r
Date Requested____� lima A.M. ��P.M.
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Address L />�. _�% A---t� _l�4_?A,.- Permit
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Owner ' '� Lot
Builder — -- --- —-- ..�—_.—�-- - —
The following Building Code deficiencies are required to be corrected:
Presented to _� _ App-oved
Inspector e _
pe —._---- / -- �-� Cisapproved
Date --
CALL FOR REINSPECTION
El YES NO
a mu w ■r VNf
City of Tigard
INSPECTION REQUEST
for
INSPECTION PERMIT NO. : —
DATE:
O. : _.._DATE: _6- 141,56 DATE ISSUED -.--LL-
OWNERS
--L1_OWNERS NAME :
ADDRESS: .1/� %FofiE' tE l��CS
CONTRACTOR -.
I ST : Air ❑, Woter C] , Vi dual Ij$L, Laboratory p
RESULT' Acv—,,ld � , Qis� ,y�rwrd r1 Pending p
----•
SKETCH,
-'M
City of Tigard
INSPEC "T"ION REQUEST
f o r
INSPECT!0N TIME _ PERMIT NO.: .._.
i DATE : _ 174 DATE ISSUED. '_l-
OWNERS NAME ' .----.
CONTRACTOR
TEST. Air U, Water G , Visualjl , Laboratory v
RESULT. Approved ,I]1 , Disapproved ❑ , Pending
SKETCH: 'Pe ��' /DELL �'—
I WILL !�v1�C.�_ ��.I L Bo x C'-i-v'S r��, •-
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t
INSPECTOR DATE
COTE , Attcch lupp!ementul felt dnta h9l #L
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City of Tigard
INSPECTION REQUES .
for
:X,�
INSPECTION TIME --4s-4d, PERMIT RIC
DATE : 3;0'/76 DATE ICSUE[-' ..:_.. . .
OWNERS NAME
ADDRESS :NZ'A-Y e0.
CONTRACTOR : -----
TEST. Air 01 , Water C , Visual 0 , Laboratory
RESULT. Approved Diaaciproved ❑ , ('endl►,y�
SKETCH' y
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Lpjagt
C �
IN P CTR DATE
L0 At uppiementw tett da+o h*felon
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City of Tigard
INSPECTION REOWES8
for
INSPECTION TIME .----- PERlYF' NO----
D
ATE DATE ISSUED.---Z!—.L-..
OWNERS NAME .* el
ADDRESS : JlbtS:
CONTRACTOR
TEST'. Air El, Water 0 , Visual E-1 , Laboratory
RESULT' Approveq Disapproved 0 Pemd;nd
SKETCH
—QP
iN
#ECTOR DATE
OTE . Attach SUPP18,1101114, #&V u I 'J hyi
WE MEN
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CITY OF N !r� Ob�o
BUILDING PERMIT APPLICATION TIGARD DATE-- _ 19 1�1
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK VIE REIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-- —
QWNER _ _ ADDRESS __— BUILDERFHONE—
ENGINEER
BUILDER —_—__ _—____ ARCHITECT _ DESIGNER —tt--11
STRUCTURE (:]NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑ [.]
FIRE DAMAGE DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑COV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑AOND ❑MOVING ❑CONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVED ❑S'6N;
OCCUPANCY _.LAND USE ZONE__ BLDG.TYPE_ — _FIRE ZONE_ PLAN CHECK BY PEAT—
t'
EAT —4• :«Xltlwo t.,. . :..Ld1y ?'11 t h a
'pr'-Verl Plans
,.dam.
OCC, LOAD FLOOR LOAD HEIGHT _ NO.STORIES 1— AREA dW' VALUE
BUILDING DEPARTMENTSET BACKS FRONT I REAR I LEFT SIDE 24 RIGHT SIDE
Permit --
- _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Chock REGULAI IONS AND ALL APPLICABLI, CODES AND ORDINANCES, AND 17 IS HEREBY AGREED THAT THE
�— WORK WILL BE DONE IN ACCORDANCE INITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W1IVE
—' --' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CU41REN'T CITY BUSINESS
196 State LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total
By i
APPLICANT OR AGENT
Approved Receipt No
ADDRESS -- - PHONE - ---__.---_-_
Lj=I w
DATE INSP. TYPE INSPE'JI0N REMARKS PLUMB,NG DATE
Contractor�.– yllllr4
lPermit No.
3 16
Rough-in
Fixtiorti
Final
LAIL, --V4teek—
HEATING
Ile- • Contractor
Permit No.
GdS or Oil- 3126
-Eo
Final
SEWER
Final
DRIVEWAY
_[Final
Storm_Pra
Final
(Rain Drain) Final
wi 7- 2(e
Sidewalk
Cu,: A Street Final
Aroach
BLDG.DEPT. F!NAL TEMPORARY T CER T IF ICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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��5 Ccs ADDRESS �. 4ERMIT NO.
�__.��1�LQ..ss�.�.
PERMIT CHARGE none
,���i `,v�� �, ^Tv� V _ CONNECTION FEE
OWNER 5d ��
......_..� PAID 1 3 Y
TYPE OF BUILDING �L�.�,�te,� ,_M _._ )ATE (:UNNECTED
SERVICE RATE INSPECTION FEES _. ._ .
CONTRACTOR _ r,. ____._._______ PAID BY _ DATE
SIZE OF CONNECTION ASSESSMENT PAID _.
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