11275 SW QUELLE PLACE 11275 3W QUELLE COURT
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigdod, Oregon 97223
Phone 630.417
1" f-Address - –, ' L•' �� '' Permit #
Type of InspectionThe following Building Code deficiencies are required to be corrected: ....,.-_.________ ALL: •'+ c:?.4
Ll— Ida
Presented to _ _ Inspector —.—
Date ---_.--
CALL. FOR REMI,SPECTION
G� yEs No
BUILDING DEPAF,TN;CNT, TIGARD Nt
PLUMBING PERMIT
holder of a valid p!,jrnbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in acc)rdan_e with the plumbing code of
i igard. Such installations require inspect Lon by the City Inspector who shall be notified not less than four -
(4) hours prior to the time the installations are ready for inspection. City of Tigard Eusiness License required
for a!I contractors and subcontractors.
Job
1 T'/eG�OiVI AddrES 761,5K1 c)Afl& --- Date.—/ " 1 T_ego
r E�_ _ -
NUMBER QF TOTAL I
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT ( I 1
_ 5Family^1_bath-each 25.00
iny!a
Du ta25.00x-Each t bath unit _ 4 - — -- ---- i '
Additionrl bathrooms-each 10.00 c] d
NlobiD! Home S133ca-"esch _ 15,00
161D_IVID_UAL FIXTURESMMERCIA
I to 50 Fixtures In t buildinL-each _ a.00
2.50 JAI
i1 to 100 Fixtures in t building-each �--- ---- - ----- —
_ tru r
101 to 200 Fixtures in 1 building-each _ 2.00
_201 or metre Fixtures in 1 building-_each _1.50,
hi I S C E L L A N E 0 U S --
Sewer-each additional 100 ft. __ 10._00
'Natsr Service to buiRdin9 _. 5.O0
Other to ecif
PERMIT 50,odor Plumbing Inspection Phone 6394171
State Plurtb:ng Contractor By -
Tnrnl PrrFIPT Nn 14mlori RV
CITY
BJILDING PERM11 APPLICATION Ory TIGARD CIA 6 ......
THE UNDERSIGNED HEREBY APPLIES FOR A PF'3MIr FOR THE WORK HEREIN I NDICA I L-D 13UIL-DER PHON
OR AS SHOWN AND APPROVED IN IHE ACCOMPANYING PLANS AND SPFCIFICATIONS, OWNER PHIZINE,
LOT NO.-----
OWNER -4 JOB ADDRESS '127" :'74, (,ueliv Ct.
HOME ADDRESS
ARCHITECT
BUILDER ADDRESS1104-"O Si Leprvo .-f— ENGINEER 1,,iiM,
DESIGNER' k N a I I
STRUCTURE ANEW C3 RumnDE L CIADDITION EGOV CIREPAIR QRENEWAL OFIRE DAMAGE 0DEMOLITION
3
Q RESIDENCE OCOMM QEDUCATIONAL 'T EIFIELIGIOUSCIPATIO EDCARPORT OGARAGE OSTORAGE EISLA13 OFENCE
QBOND OMOVIN,G 000NDITIONAL USE QUESIGN REVIEW 13COUNCIL APPROVED EISIGNS
OCCUPANCY_ -LAND USE ZONE—BLDG.TYPE. --—FIRE ZONE--- PLAN CHECK HEAT "A Va.
--?/' ,trU% Pillyle family d%,jwjjjn,,j j,i/eLtvc;hfsij yaiaIjo. 1.!q"(jrjf.)MF �j ;oL1)s,.
f'ORIO'A, 71011 SHEET ATTACIALIs
t�wai Permit ,tano - %76,66
40 HEIGHT 13 2�-14i, 000.
BUILDING DEPARTMENT SET BACKS FRONT Ai, REAR LEFT SIDE RIUMT SIDE
Permil, !,2 29,01)
Plan Check THIS PERMIT I! IrSUEO SUBJECT TO THE REGULATIONS CONTAINFID IN THE BUILDING CODE, ;'ONING
.11,4. �..j 0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCFS .',ND IT IS HEnESY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALI APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
State Tax 40 1i LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total
By P1
APPLICANT OR AMINIT
Approved Rpcelpt No. 3 -1-71
DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE
Contractor ,
Permit No.
t -
Rough-in
Fixture
b Final
/- Ik- O , ,q� HEATING
40'-Za-io rict iw�( Contractor
Permit No.
Gas or Oil �
Rough-in 170G
-� - Final
_ SEWER —
Final /0_3-ice_
DRIVEWAY
Final
Stolen Drainage
(Rein Orel n►Final
Sidewe I k
Curb&Street Final
— Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPAN Y Final
CERTIFICATE OCCUPANCY _ - -• ---- ---
-- -
Landscaping
Zoning Final
CITY TIGARD DATE 4,1 , 2v '_ �',p .2(3 7Z,
BUILbING PERMIT APPI_ICA t-IUN of
THF UNDERSIGNED HEREBY APPLiI.S FOR APFRMIT FOR THE WORK HEREIN Irv. ,,'.ATED BUILUEt7r•'-IrjNF-�2�`�Z���
OR AS SHOWN AND APPHOVED IN THE ACCOMPANYING PIANS AND Sf FCIF IC;. PIONS OV.NLF
LOT Nrr,-34 W)iy
r
BUI!OCIL AOf).�c"��.. ��A l)! pr'QM♦ �{
STRUCTURE NEW _ LJR141f1UEL [-�AODITION �" "AIR �� ' '.F .AL nr-IRE L" �.1 -1CI'.:""DLIt;
rr-�� .... _ _
t;ESIDENCE (.COMM ❑EOUCATIONAL 11GOV T 0RELIGIOUS(']PATIO []CAR PUNT OGARAGE C7 STOHAGE DS..AB L]FEN„
LAG TYPE y N —FIRE %UNt vl AN CHECK 81v. HFA'-
0
EA
rX
SEWER PERMIT. -!-.
OCC,L(iAU F I i "1F I(.,H7
As -No. 5 RIES ✓ AIE.AZI f/s 1JQ 9E ROpM1I,c .4 VAL' 7/1000
_
9Uli r PA(k.S FRONT O REAR
�1 I EI,--. SIOF �O RiGHT SII
'
2• I SUED SUBJECT TO THE RFGULATIONS CUNTArNED IN THE SWLD1N6 COLE—l(.%
Plan Check �D I ALL APPLICABLE CODES AND ORUIhANCES, AND IT IS HEREBY )(;REED THAI
wE IN ACCORDANCE WITH THE PLANS AND SFECiFICATIGNS AND IN C014PL.I. N.E d.l I
Subtotal343 �� n' Ir'• ."itE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT W6,
F r OvENANTS. CONTRACTOR AND SUB r'0N IRACTORS TO HAVE CURRENT CITY BUST V'
State Ta>, IGS , ItATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING
Total �
3sz .Lts
APP. AIyT OP AGENT .. ..___.
ApUravar% ,
SDC - $
PDC
SEWER 1NSPELTION
SFWER SUHCHARGE
Comments: � 2b �. F'rtaUh7 .r�► �NG �"� 'M!� �Ih.��M Ica �'.'g.,
oriS IA 6_V, + s em ow,. Pjvplom ISI;
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Tiro (-moom 817 • 9"�
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a .2.4(446.8) 37
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zI 4s e24. 6 , 793
Q&mt� .2-0 x X0 /S—, rot
j 98 8
76 000
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