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12408 SW DUCHILLY DRIVE I I 1. 7 I S, 12408 SW DUCHILLY COURT i i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, nregon 97223 Phone: 639-4175 / V ` , Type of Inspection _� / � v6cN-- DateRequestedf/ Time ev t A.M.____—P.M. Address /,0$ ✓ 4c1 '`f' C Permit #--�--� Owner 4 r C� ,r.�t d✓ _ / Lot #_� Builder ---- Ths following Building Code deficiencies are required to be corrected: Presented to .____y_� —.-- __ _ ❑ 4pproved Inspector Di-sapproved Date CALL FOR. REINSPECTION Ll NIS C ASO 1 s' CITY OF T167A RD OREGON ' November 17, 1963 Mr. Mike McGinley 12408 SW Duchi.11y Ct. Tigard, OR 972.24 Gear Mr. McGinley, In a letter of October. 14. 1988, I requested you to advise this department of the status of your remodel project. As of this date, there has been no reply. I am again requesting that you advise this department as to the status of your project. Sincerely, Brad Roast Building Official BR/jlh I h3' 9-4171 _.--_—_ 13125 SW Noll Blvd.,P.O.Box 23397,Pr 4ard,Oregon 97223 (503) 3 CITYOF11VARD May 31 , 1988 OREGON Tualatin Homes PO Box 230321 Tigard OR 97223 re: McGinley job at 12408 SW Duchilly Ct .BP#880504 Dear Contractor: It has come to our attention that there remains a balance due for plumbing fixtures at the above described job. The amoLnt due is $84.00. Please remit this at your earliest convenience. If you have any questions you may call our office at 639-4171 . Sincerely, (� S C"-"e4-7r- Julie D. Ouellette Permits Clerk 1 i 13125 SW Hall Blvd,P.O.Box 23397.Tigard,Oregon 97223 (503)639-4171 -- --- — _ INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection __ L_ \ Date Requested ` — Time A.M,. P.m. l Address S L, } I �. � G h, C r Permit # Owner_ Nub Dh - l C'0 A Voir, A IL,hir Builder _ _ Lot A1C' b�lJlJ�n {��C��•�-.L�� The following Building Code deficiencies are raquired to be corrected: ga_a Presented to _ Approved nspactor /t'� - — — — ❑ Dice pproved Date CALL FOR RLQ INSPECTION ❑ VES 0 NO pI;--PM1T NO. : M18130801? CITY' OF TIFA RD ���, COMMUNiTY DEVELOPMENT DEPARTME14T * 538 /1 / 9 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 P111M. PMT .NO. 880,463 !aw Ill.CI-4,11A.I.-Y 1, 15I.JI I Of NO : NO WONK CILAI:)'; : ADD]. 1 1:01"! 1-:11PNA- CL. (1001( 1 Ail:2 I-IANUI.J4 (1.0 SENG1.1.: FAM11-Y I;-'lJI;4NACI-4': J.00K+ A]: :2 1••IANDI-1:4 '101( JINI:0 UN F-LOW4 h-Ur'!NACA:, E.Wit., CA.1ol. 1:..1:4 O(A"LN:' (.300 : r.L'4 HE'A I E14 VI-::NI' IAN VF.:.N I Vl.N U !:)'1!:)1 liM 1.3 L.1.4/L,U M V, < NO. S1131:11ES 01.11/CUMP 3—:1.51-11U) l')(JM DWEIJ... . UNI,I'!') : 1 (10%) t5 1501-11.) I.NG.I.NEWA I(A.;III COM I..F4 U M 1:., ;30•-•551.•11' 14%IJA T 144 Ul,"I. IF S MAX . INPUT 1:4 t:,(.')Ml-' 504-1-11.) Ir TIIE: 0MI:q4!!i'7 G j*A5 ()UTIA: 1!.-*) LOW I i.% WI:I r 11 PC)r. I lew I ivi I I q (:I I IV a I..!q 1.1.111 F.)p>Ih13B050A 1 0 W l4f?100 4-4w cluch-.1 .1.1y art, r-'I AN 14�:VTEW Illiel . 00 N y'l p,,: E q r ci I.X 1 111111/1. 00 R (!303) 1 A'Y L-: AX C 0 ('LNEPAL I:11kNA(',l;:. N T c)C) HUX '35 R A .1 It 19.111 ill.Pi 970 1 C (5015) 656 03 0.) T IE 11,T ti'l NO 11 ON NUI F11 6 0 P 0 R NO. :31.X 19 7 This permit is iss,jed sub)F,.ct to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes, zoning regulations and all other applicable codes and urdinances, and it 13 hereby I NE agreed toat the work will be done In accordance with the plans and 011-AU 11,41+1 specifications and in compliance with all applicable codes and ordinances The issuance of this permit does not waive r?.attintive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void if work Is not started within 180 days,or it work is suspended or abandoned for a period of 180 days any time after work has commenced It shall he the responsibility of the permittee to assure all required inspections re requested and approved Pprilliften S sture Issued By f ,"1.1. 1- NnI:)L.0 I IN e)*3q---/rIj.'j,mj SEPAR , E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF TIGARD MECHANICAL PERMIT Receipt#. Permit# Description - Table 3A Mechanical Code CITY PRICE AMT City of Tigard �- 13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O. Box 23397 - - Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 Furnace to 100,000 BTU 1) incl.ducts&vents Z 6.00 Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Name of Development Floor furnace 3) incl.vent 6.00 Job Address — 4) Suspended heater,wall heater 6.00 Address 12108 S.W. DUCHMY CT, or floor mounted heater Taw Lot Map No Vent not incl.in Lot Block Subdivision 5) appliance permit 3.00 Name(or name of business) Repair of heating,refrig., Mef}IM�Y 8) cooling,absorption unit 6.00 Meiling Address �+ Boiler or comp to 3 HP Owner 124o8 51.47. DUCH= CT. phone 7) absorp.Unit to 100,000 BTU 1 6.00 6,00 clty�slatb Zip Boiler or comp to 3 HP 15 HP TIOARD OR 97221 8) absorp.unit to 500,000 BTU 11.00 Name 9) BalIr r or comp 15-30 HP GENERAL FURNACE & AIR. Come absorp.unit's,-1 million `_ 15.00 Mailing Address PhoneBoller or comp to 30-50 HP P.O. BOX 35 656-0326 1°) absorp.unit 1-1.75 million 22.50 Contractor city stele— ZipBoller or compto 50 HP CLACNAI AS, 9 97015 11) absorp,unit 1750,000 BTU 31.50 State Registration No. Cit Bus.Tax No Air handling unit to City 12) 10,000 CFM 4.50 I hereby acknowledge that I have read this application handling uniton that the information given is 13) 10,000 CFM 4. 7.50 correct,that I em the owner or authorized agent of the owner,that plans submitted are In compliance with State laws,that I am registered with the Stele BuildersBoard,that the Non portable number Ivan is correct.(I1 exempt from State registration please give reason below). 14) evaporate cooler 4.50 15) Vent fan connected 3.00 to a single duct - -_-- - - _ - -—---- Ventilation system not - _ 16) included in appliance permit 4.50 Hood served by . � 17) mechanical exhaust 4.50 SI_ nature towner or eg ,ti L/ Date Domestic type Describe work I addit [) alteration [.7 repair F118) Incinerator - 7.50 to be done residential L non-reai:_ential f-1 _ 19) Commercial or industrial 30.00 Existing use of type incinerator building or properly S i RESME_ CE 20) Other i.e.,woodstove,water 4.50 Proposed use of heater,solar,clothes dryers,etc. building or property.__ - S•F a RESIDENCE — - -- 21) Gas piping one to four outlets Z 2.00 2.00 Type of fuel- oil [ I natural gas U LPG Cl electric CJ `- 22) More than 4-per outlet NQTIBUS-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION ON - ----- - — 24e0� STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 At _ 5%, �6 SURCHARGE 1.20 DAYS, OR IF CONSTRUCTION On WORK IS SUSPENDED OR ti LAN REVIEWOF 808-TOTAL 410 --� ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER — -- WORK IS COMMENCED. TOTAL Special Cor ditions r --_._ b� Date issued _. by— i�eD 5' �t,�' � — k)l.11:l._I:)7:Nf.; F'Fi:F2MIT' CITY OF T'FAcm't;t,,It D N . kAJW10,50A COMMUNi rY DEVELOPMENT DEPARTMENT DATE ISSUED: 41/11.1/88 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)839-4175 F)R3:M. PMT .NO . 0-(:i0,50A .x3r.) AtDormss : ieAoe sw DUCHILLY CT 'TAX MAP/1 OT P.S1.1.018101100 SUB: AMES (JP(..:HAPD L.T : IZI F)K LANU USE P I ()T S I Z E VAL.UATU)N : s -s0 ,000 5 E Tk)A C 1(5 FTIONT . 1:i r.-*.:A U I WORK (;LA!-'i5 : ADLY[TU)N DWELL.UN I TS : FIGHT' : USE TYPE : SJ:N(*.-',I U. FAM I I Y NO . BEDROOMS : FEXT .WAI L. (::t.INST CONST . TYPE-:. VN N(:). BATHS : N S W OCCUP,GRP . 1:43 PRO1 .OPENINGS ; 01.'CUP. LOAD N , 5 : F-,: W: TOTAL APE A. : 74e1 NO . !*.;TOPTEG : 14? IST : 11100F* CONST : C FIPF" DET'? HEIGHT : 20 2ND: A P E A ti E P A.P7 RATF:,I,) : BASEMENT*? 3AD: ('KIC'Up. SEPARI? P 014 T F:D MEZZANINE7 BASI--*:M-F FLOOR LOAD: 40 GARAGE : A.0ya I- J-PE SPPKL.R-? ALAPM? FLOW(GPM) DETEc.-r7 HEAT TYPE: GAS 1-41:)CP. ACCESS? CIOM:11*11 -_j ----rW--W-T7RF-r.K BY: bcr PEMAAKS : t.l.L,n v im r t Cj m.I--titir# to fas.mf.'Ly rj:jj:)m '.'I. k:PE S (,)I;:, NO . sadditiort of uttillitol-ird qvii,ritigo? LAST PEV:iGUE ------------------- FEES : 1 0 Mcg J.ri:l.o y M J.lit iie PERMIT \N 1.P-408 111W (11.4r.:11J.11.1y t-.!t PLAN PEVTEW N tignit-d or 97P24 F**IPI-- DEPT E R (503) STA*TE TAX *1.4 . 1.:1 OTHER DEVELOPMENT CHARGES : C SDC:(%T 0 PM) 0 *TUA1 ATIN HOMES SDC( STPF�.'ET ) N T pa BOX 230321 PDC 1 16 R A t i gard or 972241 PnEPATD 1.q3 . 915 C PHONE (503) 6e0--P606 T 1:11EGISTPATION NO. 8741 TOTAL : R PECEIPT 140. This permit Is issued subject to the regulations contai^qd In Title 14 of tha TMC, State of Oregon Specialty Codes. -r,.,inq regulations REQUIRED :rNSPECTIONS and all other applicable codes and ordinance s. an(, it Is hereby FOOTING Agreed that the work will be done In accordant a with the plans and FRAMING specifications and in compliance with all aiiplicable codes and INS UL ATION ordinances The issuance of this permit does iot waive restrictive covenants Contractor and subcontractors shall have current city GYP. BOARD business tax permits This permit w.11 expire and become null and PI•••B UNDEASI—AB void it work is not started within 180 days,or if work Is suspended or PI 13. TOPOUT abandoned for a period of 180 days any time after work has RAIN DRAINS commenced.It shall be the responsibility of the permittee to assure FJ NAL all rPquired?spect;ionsequested and Approved *L Issued By 4LJ CAI L. F-OF1 INSPECTION 639--AI75 SEPARATE PERMITS REQUIRED FOR WORK OTHFA THAN DESCRIBED ABOVE GIT' OFTIVARDCatLRD MECHANICAL PEPKIT COMMUNITY DEVELOPMENT DEPARTMENT PEPMI.T NO. : ME000506 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Orpgcn97223,(503)639 4175 PIP11M. PMT.NO. (36(11 90/I JOEI ADDRESS : 1240113 SW U(JGHILLY CT TAX MAP/LOT 2S110EIR11,00 SUH : (')11CHAPI) 1-1, : I'(1 F.)K LAND USE" : Al LOT SIZE : .1. 1 v-M: NO: NO: W(:)PK C',I-ASS ; ADDIIJON F111:4NACE <100K ATP HANDI P <:L0 USE TYI*.)E: SINGLE F-AMILY FUPNACE 100K+ AIR HANDLP 10K CONST' .TYPE : VN FLOUP FURNACE EVAP .COOLEP OCCUP . GPID . : R3 HEATER VENT F*Atl 2 VENT VE`.NT . SYSIT:'M 1:)L-13/CDMP <31-0) HOOD NO. STOPIES : R BLP/COMP 3-15HP INGINEPATOtl(DUM DWELL .UNIT4; : FILP/COMID 1.5-301-11F) I N('1NEnATOR(COM FUEL TYPE GAS Ell-Fl/COMP 210-501-44) REPAIR UNITS MAX . INP1J'r EILP/COMP 50+HP) OTHER F 114E DMPPS7 GAS r*,:rPir-j(.., c)tjn.E!:Ts LOW WEMAIUS : convert, garlLge to -Famnily ir-cir)m at d ft t*vrr-v-f va t;t i d W N Mcgilliny Mike F-1 F P M I r $10 . 00 E R 1.eA08 91W dLI(�hJJ:l.y (-A PLAN PIEVIEW $1 . 00 tignrd Or 9,72241 1-;1 X T U nE S 016 . 00 STATE TAX $ .80 C OTHE'14 0 N T R A C T 0 R TOTAI $80 .80 This permit Is issued subject to the regulations contained In Title 14 RECRIPT NO. 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 donr n accordance with the plans and specifications and in compliance with all applicable codes 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 if work is not started within 180 d&) or if kivork is suspended or abandoned for a period of 180 days any time after work has commenced. It shall responsibility of the permittee to assure all re(ILKANtl tills R requested and approved mill e I r Issued By *Poinf st*el SEPARATE PERmurs REQUIRED F69*dW ABOVE MUM SIT' OF T RDfYOFil6.a�,CI , PI-.UMF31NG ;)ERmrrCOMMUNITY DEVELOPMENT DEPARTMENT ORSONPl-:.'PMX*T* NO. PI-000,w),15 13125 S.W Hall Blvd..P 0 Box 23397,Tigard.Oregon 97223.15031639-4175 PPTM. PMT .NO. 88050A J0191 ADUPESS : 12'(108 s:iW DIA."HILLY CT TAX MAP/LL).- SUD : ()Ml--:S (:)I*4C;HARU L.T: 3.-1 BK : I AND USE : P1. LOT SIZE : ITEM: NO : NO: WORK CL.AStii : ADDYTION WATI-F.D CA-0!5ET TRAP USE TYPE : SINGLE FAMILY .JRINF4L 0 K F'L 0 W P P V N I P CONST -TYPE : VN L..AVOPATOnY 3 TRAP PPJ'MF-.':P OCCUP. CTP. : 143 TUB SHOWER I Go Ff F.A SIF TDAI-19 DISHWASHER (,'ARBA(.'vIr' DISI-"OSAL NO. STORIES : 2 WASHING MmCHTNE DWELL . UNITS : LAUNDRY TRAY DPAIN (DIA FLOOD DRAIN SINK SEWER (FT) WAIEP Hr-:ATEP STOPM/AAIN (FT REMARKS : c-onvert gml-aljo? to fiwinily room -aLdd1t!.uj1 e. 0 W F'EES : N1 E Mc.,g i.In 1.io y Mike PEPM]. T' R 12AOR MW Ct f114"5 . 00 'T'i.Illit1"(i or F-'1x*ruREs C STATE TAX $2 .V5 0 OTHER N T R A C T 0 R TOTAI 11111,(47 .E-13 This Permit is issued subject to the regulations contained in Title 14 of the TIVIC. State of Oregon Specialty Codes,zoning regulations NO. and all other applicable codes and ordinances, and It Is hereby agreed that the work will be done in accordance with the plans ond RF(;Il-lXPEI) INSPECTIONS specifications and In compliance with all applicable. codes and PL.13 . UNDEPSLAB ordinances. The issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shall have current city bu-iiness lax permits This permit will expire and become null and void it work is not started within 180 days,or It work is suspended or aber,doned for a period of 180 days any time after work has Cc rnmenc"shall be the responsibility of the permittee to assura ill re s quw66 irApec 9 are equested and approved rrrni Is n a Uri? Issued By QFPARATE PERMITS REQUIRED F6A'*d'R'RL'&Wfi"i'4XN 6990069" D ABOVE INSPECTION NOTICE j City of Tigard Building Department / P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4177555 Type of Inspection .^rfi"''r —' Date Requested---, eTime-- A.M._ P.M. �� Address ZSc' Permit # SLL_r Owner __— Lott - Builder .– „lL,�-7� The following Building Code, deficiencies are required to be corrected• r Presentdd toa �__ Approved Inspector --— ❑ Disapproved Dave _—b� L — -�----- -- CALL FOR REINSPECTION ❑ YES ❑ NO CITY O " T167A RD 16 CITYOFTWARD 1:"EPMI'T' NO . : M1-:R00,1503011 COMMUNITY DEVELOPMENT DEPARTMENT ri, 13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(5031639-4175 F.,RIM . V,M'T .NO . r1c.301463 ADDRESS : 1,2408 SW DUCHII-LY CT (AX MAP/1-01' Iris 1.10BUI.1.00 SUS : DACHARD L'T : I./I UK : LAW) USE: P1 5TZE: NO: NC) : WORK CLA55 : ADDITION F'UPNAC',F <1001< AIR HANI)LP (V) USE TYPE : SWIMMING POOL.. PURNAC:E 10OK4- I AIR HANDL P 1( i. ('.*ONSI' . -TYPE VN FLOOP FLIPMACE E*-.:VAP -COOLEP OcCUP . UPP. M1 HEATEP VENT FAN V Fi:N 1' . 5Y M 81-R/Clump (3141 HOOD N0 . 5'TORIES : 8 1 R/COMP 3-131-11P INCI NERAI'OR(DOM DWE'LL .Uk!I T S BILAI/cUMP 15--30IIP INC.INEPA'rop(cum I.- 'TYPE 81-0/COMP 30-501--lp F4EPAI1 I.JNT*lt.-s MAX . INPU"T' 8LA/C.OMP 50+IAP C)'7'I-*'.:P F'IRr umpps,? P'TWING OUTI-ET9 I. 1-111C.1-1 P1`IE5S7 r1w ri or;Q lZ liiee P1310,16'.3 +i.)r pricil. per,in:;.1, FF-ES VV N M ir-�q A.1-%1.va Y Mike pp.:P M 1 $1 0 E IR/4108 low d1.1011I.I.Y et PI AN PF-::VII:-:W R I.i cTarrrl ur 9702Pd-1 149 503) C 0114E A 0 N T R 1`1111PI'LlIsIr-i, PCIOI S A AMPER RD C r C.A.atz It a mot is (31- Y'70 5 0 PHONE (503) 659-11,335 This permit is Issued subject to the regulations contaln9d in Title 14 of the TMC. State of Oregon Spvola,ty Codes,zoninq regulations .......... and all other applicable codes and ordinances, and h is hereby INSPEO.TIONS agreed that the worl will be done in accordance with the plans and specifications and In compliance with all applicable codes and GAS LTNE ordinances. The issuance of this permit does not waive restrictive covenants. Contractor and subcoritracto.s shall Iisve current city business tax permits. This porn expire and become null and void if work is not started within or if work Is suspended or abandoned for a period of 19,1 ..A any time after work has commenced. It shall be the resoormibility of the permittee to assure all required inspections are requested and approved. permittee Signature Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CRYOF TIGARD ���, TY OF TWARD BUILDING PE RM11' COMMUNITY DEVELOPMENT DEPARTMENT 0111190H PE'RM11, NO ElU880,41413 13125 S W Hall Blvd..P.O Box 23397 Tigard.Oregon 972;13.(50'3)639-4175 DATE .17551LJED' ' 3/1-1/140 1*.lm*r.NO. U 0 0 dI 6,3 JOS AUDRESS : 1'140S SW DUC'11-11111 I Y CT MAP/LOT 21111.0901.10() S".' AMES 01PIGHAAD L 1 .1./1 Fl K I-AND USE : i..ar SYZE : VALUATION: ()()0 SETRArKS FRONT : WUPK CL-ASS : ADDITION DWIEL I.— UNITSLEFT : 06 WGI.-IF : .1.0e USE TYPE SWTMMXNG POOL NO. BEDROOMSI EXT . WALL. C.ONST . ('.(:)Ns r. 'rYPE : VN NO. SATI-15 : N: S : E W OCCAW . (*.-,PP . : M1 PPOT . OPEWNGS : OiX'ILIP .L.OAD N: E: W: T'O'T AI. AREA : NO. STORlES : 3.5 r : ROOF" CONST: FT PE. AET'? 2ND: AREA SEPAP7 PATEU: BASE'ME.N*T*'? ;3RD OCCUP- SEPAP7 PATED : Ml--.ZZANTNE:.'? DA!.-EM ' T L FI 0014 LOAD: C,A I"I A C;I"-' VJPE t5PAKI.AV? Al ARM? W"'M I HEAT l'Yl-*E: HDCP.AC 1:-'I-.AN CHECK BY : 1:)(:t, AFMAPKS : t.7 IF f-fie.1. tj%, I I 1F.-i T.k..?I R 7:11 1 J.S S \AJ rl FEES . Mc,g 1.113.0 y Mike r "RMIT 11186 . 50 IP/400 fliw di.1chilly CIL PL-AN PF--'V'I'r---W 111156 23 at- 9,722A FIRIF: DEP'r C 5T M, STATE' TAX 111-1 , 33 0 OTHER N T OEVEI OPME:NT G I I A P G KI-5 R SOC(STOPM) A NEPTUNE POO1 S S Dr.,(ST PEE T C T 1,578,5SEE. AMOC-31 14D PD(:,(# ) 0 C 1.1%C:k 1&11)lvil ciir, 9701-1111 L-R I LiHf'IWJ�* jl%JJ�41 C-11FIEPATI) < *.5 6 . le.?:3 NO. 1.1.81.0 TOTAL.. $90 .83 This permit is issued subject to the tepulations contained In Title 14 of the TMC. State of Oregon Specialty Codes. zoning regulations 121 E 3:P I' NO and all uthet applicable codes and ordinances. and It Is hereby agreed that the work will be done in accordance with the plans and 3U- specifications and in compliance with all applicable codes and REWIT.PED :r.N!51*)F:(.'T':tC)NS nrdInances. The issuance of this permit does not waive restrictive O*I'HF-*P* covenants Contractor and subcontractors shall have current city F[NAIL. business tax permits This permit will expire and become null and void If work is not started within 160 days,or it work is suspended or abandoned for a period of 180 days any time after work lies commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved. Permittee Signetum Issued By, .6 vs SEPARATE PERMITS REQUIRED FGAVORWO(THERMAM DESC-RI13ED ABOVE f CITY OF TIVARD No. 29852 13125 S.W. HALL BLVD. P O. BOX 2.3391 / Date-�' TIGARD, OR 97223 Name Address Lot BlocklMap Sbdivision/Address Permit If's Bid,. Plumb Cash Chock j Sewer Other Other Rec. By Acct. No. _ Description `Amount I 10-432 BuildingPermit Fees 10.431.600 Plumbing Permit Fees i 10.431-601 Mechanical Permit Fees 1 10.230 501 State Bldg. Tax 10.433 Plans Cneck Fee 36-443 Sewer Connection !^Y 30.444 Sewer Inspection 51.448 Street Syst_Dev. Charge 52.449.610 Parks I Syst, Dev. Charge _- 52.449.620 Parks II Sys'. Dev. Charge 31.450 Storm Drainage Syst. Dev. Charge — 10.430 Business Tax 10.434 Alarm Permit 10.227 Ball _ — 10.455 Fines T4RiclMlsdlParking - 10.230- CPTA TrafflclMisdlVic. Asst. — 10.458 Indigent Defense _ 30.122-401 Sewer ServlcelUSA M-1 22-402 Sewer Serv1ce1C1ty 30% 30.123 Sewer "evicelClty Maint. 30.125 Unmatched __ _ 31.124 torm Drainage — __ 475 a$ ncro_it Prin. Pymt. _ 40-471 Bancroft Int. Pymt. _ tOTAI. bEPARTM�.NT COPY0 1 V CITY (.,F TIGARD Plumbing Permit Building Department \� No. _ Residential ❑ commercial ❑ �- New Installation ❑ Replace ❑ Addition ❑ Alteration Date ' 1_icensed j Plumber Owner Address ` � _�f�� - _ Job Address Phone - - y y -- -- ------- Applicant CITY BUSINESS LICENSE REDUI9E_D FOR ALL CONTRACTORS AND SUB-CONTRACTORS ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL Fixtures-Traps — ,r 7.50 Sewer First 100 ft. 30.00 Dishwasher _ 7.50 Each Addit 10( tY. —�_ 15.00 _ Garbage Disposal _ - 7.50 EjsctorPump -�� _ 7.E0 _Water Heater _ 7.50 _ Water:First 100 ft. — 2.0.10 Backflow Preventer 7.50_ — Each Addit.200 ft. - 15.00 Storm&Rain Drain:Firot 100 ft. 30.00 — Each A Jdit.200 ft. _ 15.00 _ v^ Mobilo Home Space 25.00 Other(Specify): —� -�_ - - _-_ Rain Crain-Single Fern.Dwelling 15.00 PCommer is PERMIT FE ---- - - ---- - ---- - - - y, Issued B STATE % �` (,� -- Receipt No. - -_- __ A,pplicenl_ _- TOTAL L Q - -- Signature --- - For Plumbing Inslrection Phone 839-, 171 ADO HE5C_1,J- ' t=r; (IJ '1 PERMIT NO.�I,�; PERMIT CHARGE none 0, CONNECTION FEE PAID BY 3YPE OF BUILDING _ ; � �� DATE CONNECTED _ .if:RUICf RATE Ig• INSPECTION FEE a 5` CONTRACTOR PAID BY DATE ')IZE 0;-' CONNECTION �_ ASSE55MENT PAID � L �G� d NbPECTION REQUEST for INSPECTION TIME: 9, �J-_ PERMIT NO DATE: 1/ I,�,S Z V DATE ISSUED :--. 4-../ OWNERS NAME :- ADDRESS: AME :ADDRESS: %••3�� _ ''- �? CONTRACTOR : TEST * Air Q, WoterEl , ViGual Ll , Laboratory p RESULT '. Approve, Disapproved O Pending p SKETCH.' INSPECTOR DATE COTE Attach supplemental test data hereto] . SEWER PERMIT Uf � 15937 *v :vnfied Sewerage Agency of Wa,3hington County CJTY OF - Tigard DATE _-____b_1 _•7F, OWNER : Harbert Building Corporation PHONE : OWNER 'S ADDRESS, TYPE OF INSTALLATION: x❑x < BUILDING SEWER ❑ BUIL.DING SOWER AND SIDE SEWER TYPE= OF OCCUPANCY: �-� NEW 't_^f`5INGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS _ DWELLING UNITS 1 ADDRESS OF STRUCTURE : 1.2400 SW DUchilly Ct. PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS) OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION , PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE- HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT 'AID WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE g 25. CONNFCTiON CHARGE 600. SIPE SEWER INSTALLATION _ — B. Greene OTHER ISSUED BY TOTAL. 0;.25. - -- 6� iC&N - — APPLICAN I DATE — .. .. L1i.Ulrl iJ �l,ir SEWER PERMIT N° 15937 ADDRESS OF STRUCTURE TAX MAP � _ TAX LOTSYSTEM 'anip cr g ek LOT --BLOCK OF APPROVED BY DA1 E ' ISSUED FY ' �—� D�, D . U. _ REMARKS ��r•iat ❑n,•____ + or