12510 SW PRINCE EDWARD COURT I
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12510 SW Prince Edward
King City
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223 / Q
Phone: 639.4171
Type of Inspection ----` '-
Date Requested Pt �-�__ , _� Time ±fLA.M. !� P.M.
Address — %Z—V'" — + Permit #_
Owi,er -� —.—_ -- Lot
3ui!der
The following Building Code deU iencies are required to be corrected:
Presented to - _ ❑ Approved
Inspector - _ ❑ Olapproved
Date -—------- —_
CALL FOR REINSPECTION
C] YE8 0 NO
CF-Y 6F TIGARD Fiumbirt.; Permit
13,ji:ding Department No. 7
Resideffal ill Commercial
New Insiallatioi 'E .11pplace Ll Addition Fl Alteration '5 Z�
Date.L
Licensed
Plumber 6 0,vner
Address 3 3 4/J Job Address 0�
Phone Applicant C
CITY BUSINESS LICENSE REoUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
I T7 M NO. FEE TOTAL ITEM NO. FEE TOTAL
�
-i�-.—-- A
Fixtures-Trars 7.50 Sews-r:First 100 ft. 30.00
Dishwasher 7.-50----(, --IiQch Addit. 10 15.u,'
Garbage Disposal 7.Fjo8tj Z9 7.50!UU11'—
Water Heater 7.50 W r Fir*,00 ft. 20.00
Backflow Preventer 7.50--- 1-: ., Addit. 15.00
Drain:First 100 f 30-00
ory Eaci i Addit.200 V' 15.00
Mobile Home Space 26.00
offiv(Specify): I Rair,Dain-Single Fam,Dwelling
PERMIT FEE Comments:
1".jed By:
STATE 'f-%
Fpceipt No. Applici: .1
TOTAL _ Signature
r of f,1, libing Inspection Phone b39-4171
BIJILDNG PERMIT APPLICATION KING CITY DATE--
THE UNDERSIGNED HEREBY HPPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_____
LOT NO
iLy JOB AD E ADDRESS
OWNE;? DRESS112�'_10 SW PrIsic., Awe HOM
e
ARCHITECT
ENGINEER
BUILDER Fijrknw- �'unat . ADDRESS 12070 91w1 ChoshAlre Hv. DESIGNER
STRUCTURE ONEW 0 Fill N.nDEL OADDITION El REPAIR EIRENEWAL [:]FIRE DAMAGE [:]DEMOLITION
0 RESIDENCE OCOMM OEDUCATIONAL [:]GOV'T EIRELIGIOUSOPATIO OCARPORT 0GARAGE CISTORAGFEISLAR [:]FENCE
DBOND [I'MOVING OCONDITIONAL USE 0 DESIGN REVIEW DCOUNCIL APPROVED DSIGNS
CCU _ .ANC USE ZONE__ LOG.TYPE--_—FIRE ZONE —
PLAN CHECK BY-- ----, HEAT_,
PANCY__' ' Lt.=�.__ =0
onst..- u; 1, beckoom addition (101 X X31, f ,4144 131 6-)_ t � sxist.Lny sin(ji-w
fiamily dwellinge All per plot-is and codes
SEE LIFRUTION SHECT ATTACHED,
40 HEIGHT____10.
QCC, 0 R-LQAP--- .___ND.;QFjtE_aj____Aj3tAl3b N0jaW=M5_.L_MALU040rJ0[ .
BUILDING DEPARTMENT SET BACKS FRONT REAR 17 LEFT SIDE RIGHT SIDE
Pe;mit 01C
THIS PFRMIT IS SSUED SI'9JFCT TO THE REGULATIONS CONTAINED IN THE BUILDINC, CODE, ZONINC,
Plan Check 14,00 REGULATIONS AND ALL APPLI- .BLE CODES AND ORDINANCES, AND IT IS HIFFIERY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND sr�c r"WATIONS AND IN COMPLIANCE WITH
Sub-total .10110 ALL APPLICABLE CODE AND ORDINANCES. THE ISSUANCE OF THIS PERMIT ODES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax Wj LIC' NSE. SEPARATE PERMITS FICOUIRE- FOR SFWFR, PLUNMING AND HEATING.
Total
By
APPLICANT OR AGENT
Approved I I Receipt No,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
--- .iLcLi tlfir�_....61.IItY�c"�`i'�ow ZS1 :roll Permi,No. -- .-----
- _ 1- —A r oAir Hough-in
' Fixture
T Ni GItC� yy,_i i^EI_�ICS•[i� �r1 u.0 r s
Final
F--j2 13 Ea n.t s W Qw1 L] Al.AL$4dA1'A.__._l_?2L'.s,—_
HEATING
Conunctor
Permit No.
11-6 lg NSk al,yN 0 —_ Gas or Oil
O&eie - - —- ---- Hough in -_
Final
NEWER
- ---- ----------'------ -Pinel
DRIVEWAY
- _--- - -- � I Final
Stonh Drainage
IHuln Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINALEMPORARY _ CERTIFICATE CCCUPAACY Final
CE
RTIFICATB OCCUPANCY
Landscaping
Zoning Final