11695 SW TERRACE TRAILS DRIVE 11695 SW TERRACE TRAILS DRIVE
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Address -t10,�_ cti� �� It Permit No.
Permit charge
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Own,.. j Connection fee sSO�'®
Type of builLing � ,R,�wt, Date connected _
Service rate S _ Inspection fee
Contractor _ Paid by Datc
Size of conn-. tion Assessment paid
-3 3cu - 71
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6 �lrl Y OF 11GARD }�
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�. Owner:....... ......Samuel.........._... ..Eldien......_........... ............................PerrnitNu.902... .
Building Address..._f�_� SW Terrace Trails . .. ....... ........... .
Certificate is herebygiven this.... ..........day� of. ...panuery....... 10_7..7.. al t
i .3
that said building may be occupied and
that it complies with all requirements of l
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
�' Building Inspector .•
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: �,. PERMIT NO. :_ _
DATE: av DATE ISSUED :__._I—L_
OWNERS NAME : ^"�•_'� ��
ADDRESS:
CONTRACTOR :
TEST : Air 0, Water Q , Visual f3 , Laboectory p
RESULT* Approved EI Disapproved C , Pending p
SKETCH:
INSPECTOR DATE
CNOTE: Attach supplemental test data be►etd
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I City of Tigard
!
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO..
! DATE: _J_1. jl� DATE ISSUED:__L..J
I OWNERS NAME: _
ADDRESS : 9s- -S6„��r y�" 1
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CONTRACTOR : _ 4 #'11_1r�,� ,
! TEST' Air 0, Water ❑ , VisuGl Laboratory ❑
! RESULT: Approved 0 Disapproved Ci Pending C�
SKETCH:
I
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!
I � J
I
INSPECTOR DATE
I CNQTE: Attach eu
pplemental telt dafo hereto]
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CITY OF
July 1 76 N" 0902
BUILDING PERMIT APPLICATION TIGARD DATE 19
THE UNDERSIGNED HERESY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 146-47 Y,
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIN i e.LANS AND SPECIFICATIONS. )WNER PHONE
zz,in u si E ldis n S 16r:5 f v�' . same'
�YVAER _� ADDRESS _ BUILDER PHONE
3:T .a -tuMmsn St IENGINEEFt i� ' �.� - 19,
$1JA, DER 6FICHITECT � DESIGNER
STRUCT,IRE ❑NEW _ 0 REMODEL
❑ ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
RESIDEVCE ❑UUMM ❑EDUCATIONAL UGOV'T I,RELIGIOUSCIPATIO ❑CARPORT ❑GARAGE El STORAGE
r^SLAB ❑FENCE
DBOND
[]MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
Q CUPANCY LAND USE ZONE._—�`BLDG. "YPE " FIRE ZONE PLAN CHECK BY—_ HEAT_____
OCC. LOAD FLOOR, LOAD HEIGHT NO.$TORIES AREA VALUE439 DIX.
BUILDING DEPARTMENT SET BACKS FRONT 2111 REAR h, LEFT SIDE C RIGHT SIDE 79
Permit _---�THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 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 SPECIFICATidt4S 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 LICENSE. SEPARATE. PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1 % . t • -. .1�
'-- --- '- - ---------- A► CANT On AGENT
- --- -- --
Appi,wed Receipt No.
ADDRESS ---- -PHONE
DATE INSP. TYPt INSPECTION REMARKSPLUMBING DATE
Contractor
Permit No. 7 Z' ?' 7V/ �`�°• S
Rough-in —
�����7G' C �gAL FUI Nowaez/ S i t7T Fixture _
CC4sJP7H 8L[--- /3J 7;J Fina'
t�L is elf,e-�rrZ. L� 'Tb A C24,I G,uT� HEATING
S�' v 9 �_�p Q J?�r,J M c�/z T' 4a7q'�> Contractor
Permit No. ✓ d _ Q•�t/ "z ���
y- 76 Gas or Oil 7Z L
Rough-in
tie — Final -
-- — SEWER
Final _
DRIVEWAY �, `J-iG 76
Final
Storm Drainage
(Rain Drain) Final
Sidewalk c T` y �,•J�
0irb&Street Final
�_ --- --- A rte_. .__oack 1 / - 7r, b
BLDG.DEPT. FINAL- TE64PORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final _
Landscaping T
Zoning Final
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.._.i. _,_.. ..._ .. ....... ..._.�..... �. •.. . _ .�__ ,. .W .�......r+i......--�—__...::..ate:.:....-!7 flA..._ � -
City of Tigard Mechanical Permit JVD -
'819 Permit �•
New Installation P Replace ❑ Relocation I ) Addition « Alteration 1._7 Fee
CONTRACTOR�7' .. . /L( T0
—--- —_ ,N E R
ADO
R W ADDRESS1
i'HONE�. _ 9-
31&I. APPLICAN -
_
i(eat I,.put Rating (BTU Per our) 6. _ Vent Size �'� o --
UEL OIL ( � GAS F:1-ECT (] - -- Flue Size— ir
Ul•HER__
_ - ITEM NOs FEE — -- ---
or Issuance of STEM NO. FEE
�- ---- _ 3.00 Boilers Over 50 HP - -
w,Under. 100 TO BTU 4.00 2,ri_OCI,
tew Over 100,000 eTU 6.00 ---Air Handling 10000 CFM —
_ ___Air HandlinA_Over_10,000 CFM `3.00
t•toor Furnace 4.006-00_
al-1 Floor Sus- nded _ - 4
.00
Vent Fan Emw ative Cooler
300
nstall Vents 2.00_ 2.00
cpair Heat 8�Cooling - _- Vent System 3.00
' !Boilers Under 3 HP 4.00 _ Mood _ --
ii_er_s 3 to 15 HP
--AT-0 Dom
Incinerator
rjJilers 1 to 31l HP -T-50 ___Com_ m. Incinerator 5.00-
� _ in. _ 2000_
,Qoi►crs 30 t..fit.' HP Other Not Listed _
15.00
NSPECTOR'S COMMENTS—
OMMENTS— _ �- --------------------
LIC
ITY BUSINESS ���QUIRECFOR AI.L CONTRACTORS OR SUBCONTRACTORSPROVED BY_ DATE•--
--._
CEIPT NO. ISSUED BY DATE
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