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12258 SW DUCNT' IY COURT
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BUILDING PERMIT APPLICATION TIGARD DATE — �/� ,` _,,s �l_ 3685
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THF WORK HEREIN INDICATED BUILDER PHONr _.X.38-761014
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLA NG AND SPECIFICATIONS. OWNER PHONE— 620-6763
LOTNO. 18-Ames Orchard
OWNERFrank & Betty_ TrokdffMDRESS 12258 SW Duch.illy Gourt _
ARCHITECT Dole 8. Haller, P.E.
ENGINEER
CUILDEFR Croun G,units �ADDRESS12000 SW Tonquin Rd*__ DESIGNER -- 655-3921
STP.UCTURE ❑ NEW ❑ REMODEL ADDITION C-I REPAIR ❑ RENEWAL ❑ FIRE DAMAGE O D MOLITION
IX RESIDENCE I7 COMM 1.1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS L] PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY _— LAND USE ZONE R-10 BLDG.TYPE .__"'" —FIRE ZONE--! PLAN CHECK BY _—_ HEAT__—
Construct residential swiT! ink poral , all _per code
D. 8. HallerP.E.
_ Ew;losuro required prior t0 filling pool.
SEWER PERMIT M
OCC.LOAD FLOOR LOAD — HEIGHT_ _ NO.STORIES _ AREA —� NO.BEDROOMS VAL4
BUILDING DEPARTMENT SET BACKS FRONT AC PLANOR LEFTSIDE RIGHT SIDE _
Permit 6O.00 _ THIS PERMIT IS ISSUED :.'IBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
X0.00 REGULATIONS AND ALL AP,"LICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT rHE
Plan Check WOFK WILL BE DONE IN AC:ORDANCE WITH THE PLANT AND SPECIFICATIONS AND IN COMPLIANCE
�4 Qa WITH ALL APPLICAS' E CODES AND ORDINANCES. THE I jSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total • RES'MICTIVE COVENANTS. CC NTRACTOR AND SUB CON-RACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 41 2.40
LICENSE.SEPARATE?ERMITS IIEOUIRED FOR SEWER,PLUMBING AND HEATING. j
----MfJ �
Total $92.40 SOC —
By P 1 PDCM APPLICjwmR AGENT
Approved _-- -----�� Receipt No. � ADD PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contract-
^ Permit No. —
T Rough-in
Fixture
Final
_ HEATINC. —
_ W� Contractor
Permit No.
Gas or Oil
Rough-in
c Final
-- � -- — SEWER i
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
L dewalk
Curb&Street Final
_ Approach
BLDG. DEPT.FINAL TEMPORARY ^^ CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
i