11715 SW TERRACE TRAILS DRIVE -2
11715 SW TERR ^.E TRAILS DRIVE
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City of Tigard Mechanical Permit N_ 3 4 s 5
New Installation iJ Replace Ej Relocation 0 Addition A'terar:on 1:1DATE: 2
HEATING
CONTRACTOR -c � --- OWNER-
ADDRESS
%V -- -
ADDRESS-- - --- — JOB ADDRESS 1171G .5&/. �
PHONE APPLICANT _
e — ---
Heat Input Rating(BTU per Hour) Ven+ Size Flue Size
FUEL OIL 0 GAS FJ ELECT E] OTHER
ITEM NO. FEE ITEM —T 140. FEE
For Issuenr of Permit _— SEE BELOW_ Each Air Handling Unit or Duct System 7.50
New-up to & incl. 100,0 ,0 8TU — 6.00 Commercial Hood System — _ _ 7.50 _
New 100,000 BUT's & over 7.50 Other Equ�ment - Each _ 4.50 _
Woodburning Stove —_ _ 4.50 1 Trip Inspection 4.50
Wall-Floor- Sus ep nded _ 6.00 Air Condition Compressor - up to& incl.3 H.P. 6.00__
Vent System w/Fan _— 4.50_ _Air Condition Compressor- 3.1 to 15.H.P. incl. _ 11.00
Repair-I,
at Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
FERMIT ISSUANCE 10.00 Comments:
iFEES - _-- _--
SU TOTAL _�
% STATE r Issued By -
25PLAN CHECK (✓t/' lig-
TOTAL -- -- REC. # --------- — — --
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INSPECTil)N NOTICE
- _ i
City of Tigard Buil-linj Department /f
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of inspection —
Date
nspection —Date Requested r7 �r_-;� L--�
e _ P.M.
Address � / 5 L� G'L� it #
no
Owner.---., Lot #—
Builder -- --- – ---- — — — -----
The following Building Code deficiencies are required to be r;,;ected:
I
Presented to ^------------____'-- ----Approved
Inspector _�„ r _ ❑ Disapproved
Date
CALL FOR hEINSPF,CTION
0 YES EYNO
INSPECTION NOTICE
City of Tigard Building Department
124?0 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
I
Dare Requested Time._A A.M.--P.M.
,address �� �'G- ��-'�'=• _Z ;f Permit #, _
Owner -- - - --- �_— Lot # �.
Builder - - _--- --------
The following Building Code deficiencies are required to be corrected:
-77
xx
Presentk —_— —— _ IL': Approved
Inspector U; Disapproved I
Date
CALL, FOR REINSPECTION
0 YES CA NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
TVP*of IninwaVon 1-11, -�,,Z
Date Requaftod a- A.M. X P.M.
Addren C
Z21V ermit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Ftenrited to Approved
Inspector F1 Disapproved
Date
CALL FOR REIASPECTION
YES $ NO
BUILDING PERMIT APPI_I(;AIION TIGARD DATE._AI?rit 2 192-4 4781
fhElJNDEnSIGNC D FIE RLBY API SII: FOR A PERMI'i FOH 1 HE WORK HEREIN INDICATED BUILDER PHONE t►�.y"4121 _
OF AS SHOWN Aldi) �PPRnW O„N THF A(;C',)MPANYING PLANS AND SPE(;IFICATIONS. OWNER PHONE: 643—U79$._"_
LOT NO. L_�.�_�_�
OWNER (' r�yL _)OBADDRESS ��1215 ;,W iierrxce Troi A __
ARCHITECT
ENGINEER
BUILDER_— Kubeit 5ymsnk ADDRESS P.0. Box 5(k.i(j _ Aluha _ DESIGNER Gr�.g Tontpkina� _
STRUCTUNE _G{l NEW ❑ REMODEL —_❑_ ADDITION — C] REPAIR _❑_RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
URL"SIDENCE n COMM ❑ EDUCATIONAL ❑ GOWT Cl RELIGIOUS ❑ PATIO ❑ CAR PORI M GARAC° ❑ STURAGE ❑ BLAB❑ FENCE
OCCUPANCI' X-3—LAND USEZONE ' BLDG.TYPE FIRE ZONE PLANCHECKBY i�L]_HEAT (was
G�E.�_ruct single dwellini w attached
3 tse�ir��cs„ � N�Ithruua:�
SEWER PERMIT M 27 119 — ('rxtuu�e 5U1
OCC.LOAD FLOOR L-)AD _(r— HEIGHT 2 1.5 NO.STORIES 2 AREA �!,17 NO.BEDROOMS j VALUE 94.Ut►I,r.
BUILDING DEPARTMEfNT SET BACKS FRONT �_+ REAR � LEFT SIDE RIGHT SIDE
Permit — 4 15.Uu _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check dt,y.75 WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONI-RACTORS TO HAVE CURRFNT CITY BUSINESS
State tax 16
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
"'.5U
Total SDC— v4uo.uu
!U 1.35 j q 1(IU.(to `
PDC# -APPL T_01R NT
BY _ CA
jlyxt _-.IQLfJ i 90h pyReceipt Ne.
Approved
-- — —HONE
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FAA
DATE INSP. TYPE INSPECTION REMARKS PLLIMBtNG DATE
4Contrecto,
- 0Permit No.
Rough-in
Fixture
f
Final
HEATING
contracto
All Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
age
n)Final
Sfdevstlk
Curb&Street Final
Improsch
FK:DG. DEPT. Ft;'. T—Tli-m-PO-P-A-RY --F C—F.RT-1FIC--A1--E-:-6C—C11 WAN(:i-
jC1--RT'F;CATE01--,-UPANC-, "inal
11 ELant,-,iolng
oning Finai
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Ow
ijU 1 I d l f1rJ ('rrm i t �(i�.
Lo7ation
Dat e
Certification of Registration
With the Builders Board
doing business as (dba) ,
��✓ 5� �v�� �� y �� an registered under the provisions
of ORS Chapter 701 TOregon Homebuilders* Law) .
My Euilders Board Registration Number -is
My registration is in full force and effect and expires on i A3 • y
Signature
i i i ! i i '11f i it
THE UNDERSIGNED HEREBY A('?LIESFJIZ APERMII FOR THE WORK HEREIN INDICATED BUILDERI'iON/'E_�-� Z/
OR AS ,HO%VN AND APPROVED IN TFJE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINER,4, yeo7
LOT NO
JOB ADDRESS//7
FR�'FIITE r
l ENGINEER
�u11..v.:•z ;1.� J G7�Lj'Ylp ,�� AODREr,, � SIC-SO�•6 r��D {t�e, r'� �.. DtsiGvsR r� fnry,pf�',',G_�S
STc.UCTURE NEW C�Rt'MnDEL C.]ADOITION ❑nEpAm 0Rc14E',1AL ❑FIREDA..MAGiTT ❑DE'.IOLIT1
1 nESILIENCE DCONIM ❑EDUCATIONAL CJGOV'T ❑RELIGIOUSCIa.ATIO ❑CAR PORT—❑GARAGE [I STORAGE QSLAB UFEt,
CCCIPAr;•_Y . _LAND USE ZONE 'I 0LOG.TYPEti;2—'1/ .FIRE ZONE_ -PLAN CHECK BY '\ HEAT —
SEWER `-umIT 7 -719%
ys��t0:D _ FLO9RLOAD FIEI iHT NO,STORIES AREA2.G/ 7No sEDRookis 3 V.gj
MENT I -► !/# d ��:
SI)ILOINGOEPARfT
SET BACKS FRONT _ ! REAR ,� LEFT SIDE _� -� RIGHT SIDE
/ THIS PERMIT IS ISSUED SUUJECT TO THE REGULATIONS CON GAINED IN THE BUILDING CODE, ZON
I �:an ChrcR REGULATIONS AND ALL APPLICABLE CODES AND ORDI.ANC°: AND IT IS HEREBY AGREED THAT
�'--"-- r WORK WILL BE DONE IN ACCORDANCE WITH THE PLAN; ANDS?ECI�ICATIONS AND IN CGMPLIANCE W
$'.17 i�tdl I f1I l j ALL APPLICABLE CODES AND ORDINANCES. THE I'iSUANCE OF• THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CCINTRACTOKo TO HAVE CURRENT CITY BUSIN
``.ate Tax LICENSE. SEPARATE PERMITS RFOUIRED FCR SEWER, PLUMBINC, AND HEATING.
Tota! I�1L� n �.. 50C
r - � PDC �
' P. j
A D ICANT OR AGENT
l J Receipt No yO (3 5 h 8 la4.r
1L AnnAFSS �- HONE
SDC - $
PDC
SEWER CONNECTION $
SEWER INSPECTION $
SEWER S:IRCHARGE $
CDinment9fi
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