12255 SW DUCHILLY COURT-1 H �
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12255 SW DUCHILLY COURT
IM
INSPECT'ON NOTICE
City of Tigard Building Department
P O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
��-
Type of I•.spr•ction C _- �'----�
Date Requested ,((, LL–� Time,___- A.M.___—P.M.
Permit #
Owner __ __ _-- Lot #_�_._ —
BuilderThe following Building Code deficiencies are required to be corrected:
Presenter! to R ^Waves
Inspector -- — Disapproved
Dote --
CALL FOR REINSPF,CTION
D YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Tyra of Inspection 0E
Date Requested. / i
Address; L( me A.M. P.M.
Permit # CF015 2
Owner_._.
Lot #
Builder
The following Building Code deficiencies are required to be Corrected:
-- - ..,.,r1..tc�/I.i1�'�- �`) ✓lil."V�"LQ iS.�1.C./�
Presented to —. � ---,_
--- F) Apt roved
Inspector
[_] Disapproved
Date
CALL FOR REINSPECTION
C1 YES CJ 140
meaeovw
C17Y OF TIFA RD CITA 4F6O
YO
COMMUNITY DEVELOPMENT DEPARTMENT DATE
13125 S.W.Hall Blvd..P.O.Bom 23397,Tigard,Omgon97223.(503)639-4175 PI:11M PMT NO. 800 157
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This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable cot;a and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void It work is not started within 180 days.or if work issuspended or
abandoned for a period of 180 days any time after work has
commenced It shelf be the responsibility of the permittee to assure
all required Inspections are requested and approved.
P rm tee Signature
Issued By. I fill I r hi IJ..0 1 :[ON 639 -.11.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
INSPECTION NOTICE
City of Tiqard Building DepartrnQnt
12420 S.W. Main St.
Tiqard, Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested _ Time A.M. P.M.
Address
Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Approved
Imtpector i' r
Disapproved
Date
CALL, FOR REINSPECTION
Cl YES I.d NO
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD. OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Sec'ion(s) of the Uniform Building Code, the
following itern(s, require correcting:
Date: Permit
Permit No.
inspectCf-�
CALL FOR REINSPECTION
ADDRESS 1.
PEHM( f
PERMIT CHP.RGE n Line
OWNER
CONNECTIO:J FEE 90.
PAI0 BY
TYPE ill HUILOING,
DATE t1 T E
SEPUICE RITE' � INSPECTION FEE
C 0 N'TIR A C'r o l? PAID By DATE
SIZE OF ("W',"P-MONASSESSMENT PAID
to
..,y0 �;5-.�;t,v,�a�a'.,�,u,,n ,Ag,cPo^qTR:.w_r+:K+r*^Cr;!�o-�,;r.�cw►�
�t ��,�•e+�te?nwisw«a+;'H"sr�7ip�im�f!.tEr�.f,�r.t-•aa.:.
BUILDING PERMIT APPLICATION 1oF TIGARD DATE . 19
f 1 Y
THE UNDERSIGNED HEREBY APPL IES FOR A PERMIT FOR THE WORK HFREIN INDICATED BL'ILrFR F,HONF _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE—__
LOT"NO. _
OWNER`LL 11L. __�_•—� JOB ADDRESS _—_ i!111Y 'A.H0M_EAnnRE53 k _
�
� C ENGINEER
BUILDER .�il KlL;nG ADDRE3S�.�t
STRUCTURE ❑NEW ❑RF'MODEL ❑ADDITION ❑REPAIR -_-LIRr-NFWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR POPT CIGARAGE ❑Sl'ORAGE❑SLAB ❑FENCE
QBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED QSIGNS
OCCUPANCY___.'.-,LAND USE ZONE--1ig—BLDG.TYPE_ FIRE ZONE PLAN CHECK BY HEAT
6'�gmilk G�rr�lina u/�IttelG.h+�L� + rel;ilr - 4 f3ed sorts
_-
occ
__—...H�lSaHZ ;Std —L4,.SSQAI�.S--• --°t--AR�E'�–�14.1+6NQ E5 DROOMS 4 VALE
BUILDING DEPARTMFNT SET BACKS FRONT 4REAFl Aid 17 tt i FII SIDE 6 RIGHT SIDE
Permit �5.�.1 �` -_------_ --•------.-.-- _..------ -- -.
- _ THIS PERMIT IS ISSUED SUBJECT TO THF REGULATION!' CONTAINED IN THE BUILDING CODE, ZONING;
Plan Cr-ck REGULATIONS AND ALL APPLICABLE CODES AND URUINANLES, AND IT IS HEREBY AGREED THAT THF
- WORK WILL BE DONL IN ACCORDANCE WITH THE PIANS ANO SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 47 ALL APPLICABLE CODES AND ORDINANCES, THF ISSIJ4NCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB C!1NTRACTORS TO HAVE CURRENT CITY BUSINESS
Stats?Tax e 12. 68 LICENSE. SEPARATE PERMITS REGUIREO FOR SEWER, PI.UMRING AND HEATING.
yEz[. ,.L::
Total $488. 18 Por- oT 'tlm'.0p
BY - - P1 -
APPLICANT 0A A(3 ANT
Approved – ---- —^ Receipt No.� D
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
1 Y7 — Contractor
Permit No. _
1,F7
6
Rough-in �+
s9 Fixture
Final
HEATING
i�^•7f f � b����. _ Conrisctor
rr4 _L�•L. ,= _ .� r Permit No.
Gas or Oil
Roughdn
Final
SEWER �Cu
Final
DRIVEWAY
Final
Stom Drainage
(Rain Drain)Final
_ Sidewalk
_�• Curb&Street Final
Approach
DG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY -
_p V [Final,OLanscaping
Zoning Final
1
1
BIJILD,NG DEPARTMENT, TIGARD ��
_ PLUMBING PERMIT' Lv �
holder of a valid p:urnhing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigaru. Such installations require inspection 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 Business License required
for all contractors and sub-contractors. �yy
Address- Date—
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEF. ON EACH A•,'01JNT (Office Use 0;W",
R_E510 E N,J_1A L
Sln le Fernil –1-1 bath—ench _ ^� f 25.00
11u�Ica -L,iLh I bath umt 25.00
TAdditional bathrooms–each _ 10.00–
Mobile Home Space–each 15.00 __ t
INOIVIOUAL FIXTURE FEES
1 to 50 Fixtures in 1 building–each 3.00
_51 to 100 Fixtures in 1 building-each ,2.50
r 101 to 200 Fixtures in 1 building–each _ _2.00
201 or more Fixtures in 1 building–each – 1,50
MISCELLANEOUS _
Buildin Sewer--1st 50 ft. _ 10.00
Sewer–each actiliticnal 100 ft. 10.00
Water Service to buildiny,� 5.00
Private Water Systerns–each 100 ft. _ 10.00
Other (S ecif0' YLIAJ r/ &'v
PERMIT for Plumbing Inspection Phon-•639-4171
�_ State_ ? , (y Plumbing Contractor dy
TOTAL rl y.S Iy.RECEIPT NA. Issued By