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12255 SW DUCHILLY COURT
CITY OF TICA1RD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone. 6394171
Date Requested: to — .30 ( l _ �� A.M. P.M. MST:
Location: �J 5 BUR
TLmant: _M _ Suite: _Bldg::/ MEC:
Contractor: 1,(Q ,Phone: PLM: _
Owner: .C) YLQ-E,f�� _ _ Phone: 7 t—�_ ELC:
ELR:
hmem' SIT:
BUILDING ,-e" (can't) PLUMBING MECITiNICAL ELECTRICAL STI E
Site osl/Deam Post/Beam Post/13cam Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
13smi Damp Drywall Storm Furnace Tcmp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Dow Volt
r4
pproved Approved Approved Approved Approved
Appr/Sdwlk oved Not Approved Not Approved Not Approved Not Approved
�T FINAL FINAL. FINAL FINAL
0 Call for reinspection CI Reinspection fee of S_ required befrre next irisftxtion O Unable to ir.spect
Inspector: v� Date tQ �'!� "C� ) Page of
CITYOF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-03,70
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE. ISSUED: 09/12/97
PARCEL: 2S 1 1 VIBB--00700
:3I TE' ADDRESS. . . : 1i-_'i_�.�:] SW DUCHiI_LY CT
SUBDIVISION. . . . :AMES ORCHARD ZONING: R-1
Bt_OCK. . . . . . . . . . I-OT. . . . . . . . . . . . . .. 18 JURISDICTION: TIG
Remarks: Sunruom addition to existing second floor
----------------------------------------------------------------- BUILDING ----------------------------
REISSUE: STOGi1S.......: 2 FLUOR AREAS - ------- BASEMENT...: 0 sf REQUIRED SETBACKS --- REWIRED-------------
CLASS OF WORI(.:ALT HEIGHT........: e FIRST.... : 8 sf GARAGE.....: 0 sf LEFT..........: 4c SMLB(E DETECTRS:
TYPE OF USE...:SF FLOOR LOPD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACcS: 0
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMFNT: 0 sf RIGHT.........; 45
OCCUPANCY GRP.:R3 BOHM: 0 BATH: 0 TOTAL------: 0 sf VALUE..$: 19008 REAR..........: 58
---------------------------------------------I--------------
SINKS.........: 8 WATER CLOSETS.: 0 WWHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........; 0
LAVATORIES....: 0 DISHWWRS...: 0 FLOOF DRAINS..: 0 SEWER LAW ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...; 0 GARBA6+ DISP..: 0 WATER HEATERS.: 0 WATER L''-NE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS.. : 0
-------------___..------------------------ --..__-- --- --- ------ MECHANICAL- --------------------- ---- - ----------
OTHER FIXTURES: 0
FUEL TYPES----------- FURN ( ION ..; 6 BOIL/CMP ( 3HP: 0 VENT FANS.....; 0 CLOTHES DRYERS: 0
FURN )=108K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
--------—--------------------------------- ELECTRICAL -------------------------------------------------
—RESIDENTIAL
----- ----------------- -----
—RESIDENTIAL OMIT---- ---SERVICE/FEEL. .---- --TEMP SRVC/FEEDERS-- ----BRANCH CIRCUITS--- •----MISCELLhNF0US---- --ADD'L INSPECTIONS---
1000 Sr OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 588SF.: 0 201 - 408 amp..: 0 ("01 - 488 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 680 amp..: 0 401 608 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN FtANT......: 0
MANE HM/SVC/FDR: 0 601 - 1080 amp.: 0 601+amps-1880 v: 0 MINOR LABEL -10: 8
1000+ amp/volt.: 0 ------------------------------------- PLAN REVIEW SECTION ----- ----- ----..
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------_-__ - ~~—-- ELECTRICAL - RESTRICTED ENERGY -----------
A. SF RESIDENTIAL--- B. COMMERCIAL--------------------•------------------ -------------
AUD1O 4 STEREO.; VAMIM SYSTEM..: AUDIO I STEREO.: FIRE ALARM..... : INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC........... ; LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: :LOCH ........... INSTRUMENTATION: MEDICAL......... : OTHR
HVAC........... DATA/TELE CONN.,. NURSE CALLS.... : TOTAL A SYSTEMS: 0
Owner: ------------------------------------Contractor: ---••-------------------- --- TOTAL FEES:$ 228.66
KFN HANSF.N NORTHWEST FINISH This permit is subject to the regulations contained in the
12255 SW DUCHILLY CT 6527 HYW 99 Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97224 VANCOUVER WA 98665 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone Le: 639-8727 Phone N- 360-699-0%2 not started within 188 days of issuance, or if the work is
- Reg C. : 128616 suspended for more than 180 days. ATTENTION: Oregon law
------------ requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are ,et forth in DAR 952-001-0010 through OAR 952-0014090. Y may obtain copies of these rules or
direct questions to OUNC by calling (5143)246-1987.
---------------------- --------------------------- REWIRED INSPECTIONS -
Framing Insp
Shear Wall Insp -
Rain drain Insp T Building Final_,_.---_ — — - -
Issuedy: xALImPermittee Signatt.tr-e: ''�—��
+++-&•f-+++- + 4+++++++•h+-++++++++•+++.+++++ +++++ + ++++++++++.++
Call 6.39-4175 by 6:00 p. m. for an inspection needed ti' ie next bLtstness day
Plan Checx it /
Il f CF TIG,;RD Residential Building Permit Application R.cd By
bw
31:5 SW HALL BLVD. New Construc,:on Additions or Alterations Date Recd
IGARID, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. `
503-639-4171 Oats to DST
503-684-7297 Permit A
Print or Type called 2.` • i r!r r Mt.9_
Incomplete or illegible applications will not be accepted
Name of Pml*rAL_ ,/ `/ Name
Job Kt cA/ /-��/y S�/V
Address Site Address Architect Mailing Address
Name City/State Zip Phone
L 1# sly 'IV -------
Name
Owner Marling Address
' TL..' -C< W/,/ Y En ineer Mailing Address
Gry�Sdate��, t �p� ? Phone Il -,
7 g - `
_ ,
Name' Ct"'State Zip Phone
General i Describe work New O Atltlrtron O Alteration O Repair O�
�)ntractorcling Addren c/ to be done.
/_� 7 r "0 lr Additional Descnphon o,'Work:
C/ estate Zip ,Phone �c f'�(/ Pd��i LID C'A oe
Oregon Const.Cont.Board Lrc.M Etc Dep ____11L' O* –'Opt
kttich Copy of „ /
Current COT Bu�mess Tax or Metro a at _ PROJECT 1
^Licenses /11-1`1 711/ VALUATION
Name Or
Mechanical ' '� - NEW CONSTRUCTION ONLY.
Sub_ Mawnq Address Sq Ft. House:
us: r S.,. Ft. Garage
Contractor _ Comer Lot YES NO Flag Lot YES NO
C,ty :,tate Zi) Phone
(check one) _ (check one)
Oregon Const. Cont. Board LUc d Exp Date Restricted Audio/Stereo Burglar
•tach Copy of _ Energy System Alarm_
Current COT Business Tax or Metro• Exp Date Installation Garage Door HVAC
_icenses
Name (check all that�_ ^_� Opener Systems
Other
Plumbing apply)
Sub_ Mailing Address Will the electrical subcontractor wire for all YES NO
Contractor I restricted energy installations?
c,ryrstate Z:p I Phone i I Has the Subdivision Plat recorded? N/A YES NO
Cregon Const. Cont. Board L.c; I Exp Date Reissue of MST,: Solar Compliance
Attach Copy of (Calculabon Attached)
Cu —�
ant Pl�morng Lrc. s Exp. Cate
licenses I hearby acknowledge that I have read this application, that the
reformation given is correct. that I am the owner or authonzed
COT Business Tax or MetroExo Dace agent of the owner, and that plans submitted are in compliance
v Jame - with Cregon State laws
Signature of Cwner/Agent i v— Date.
Electrical '3 >
Sub- '.fading Address t:ontact Person ar Kone 0
Contractor �f'_ ^'�' �'C%G r��.� Fame,/
C,ty'state Z p Phone FOR OFFIC Z ONLY:
Plat 9: Map/TL#
Cregon Const.Coni 9oaro L:c.# Exp Date T Jf10
Attach Copy ofSetpak� I Zone. r SQIa -A
Current E!eCncar L.c. A v I Exo. Date Y iJ
Licenses COT Business Tax or Metro Exp. Gats En rn Iring Aporoval: plannrn -pprovai: I TIF.
a i` _ J
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F PEMOL DCC (DST) 1#97
---. ._., ........ ....w..... nfai►. ru. u419. duo
/11544�u3 70 MST Permit (BUILD) (UBUIL(3)
Plumb. Permit (PLUMB) A_UPLUMB) _
Mech. Permit (MECH) (UMECH)
EL.0/ELR Permit (ELPRMT) (UELPMT)
State Tax (TAX) (UTAX)
BLDG.
PLUME:
MECH ^
FLC/ELR: _
Plan Check
MST: (BUPPLN) (UBUPLN)
Plumb: (PLUMB) (UPLUMB)
Mech:
(MECPLN) (UMEPLN)
CDC Review (BUILD) (CDCBLD) (UCDC)
CDC Review(PLN) (CDCPLN) N/A
Sewer Connon (SWUSA) (USWUSA)
Reimbur. District
Sewer Inspection (SWINSP) (USWINS)
Parks Dev Charge (PKSDC) N/A
Residential TIF (TIF.-R) (UTIF-R) _
Mass Transit TIF (TIF-MT) (UTIF-M)
Water Quarry (WQUAL) (U%NQUAL)
i"later Quantity (WQUANT) (UWQANT)
Erosion Control Prmt (ERPRMT) (UERPMT)
Erosion P!anck'USA (ERPL.N) (UERPLN)
Erosion Planck COT (EROSN) (UEROSN)
Fre Life Safety (FLS) (UFLS)
TOTALS: —
y L. ;
I:SFREM0L.00C (OST) 0'97