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Permit
CITY OF T MASTER PERMIT DEVELOPMENT SERVICES PERMIT #.......: MST97 -0459 ���' " " "'�'Nl���l�j DATE ISSUED: 10/23/97 13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171 PARCEL_ : 261 15BB- -07400 SITE ADDRESS— :16490 SW KING CHARLES A VE SUBDIVISION.. o .: ZONING: BLOCK.. ....... n LOT.... „ .. a . JURISDICTION: KIN Remarks: Patio cover enclosure LET RON CHURCH MAKE ALL INSPECTIONS AS HE HAS PLACE A STOP WORK ORDER ON THIS JOB , HE KNOWS WHATS GOING ON -------- - - - - -- BUILDING REISSUE: STORIES.......: 1 FLOOR AREAS-- - - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED------- - - - -- CLASS OF WORK. :OTR HEIGHT • 8 FIRST....: 300 sf GARAGE • 0 sf LEFT....,.....: 0 SMOKE DETECTRS: TYPE OF USE... :SF FLOOR LORD,.,.: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT : 5 OCCUPANCY GRP.:R3 BORN: 0 BATH: 0 TOTAL --- -: 300 sf VALUE—$: 9099 REAR.......:..: 26 - - -� ��------------ - --- -- PLUMBING - -- - ---- -------------- SINKS ..... ....: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0 LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 - ---------- --- MECHANICAL ---- — - -- -_-- FUEL TYPES - FURN ( 100K ..; 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 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 UNIT -- - -- SERVICE /FEEDER -- —TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS - -- - - -- MISCELLANEOUS -- - -ADD'L INSPECTIONS- - 1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 2 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY..: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 . EA ADDL BR.CIR: 0 SIGNAL /PANEL...: 0 IN PLANT......: 0 MANF HM /SVC /FDR: 0 601 - 1000 amp.: 0 6014-amps v: 0 MINOR LABEL -10: 0 10r+!+ 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 - - - - - -- ----- ---- -- ________ ________ AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL........: OTHR: .. HVAC...........: DATA /TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0 Owner: -- - - - -_— --------- - --- -- Contractor: ---- - - - - -- TOTAL FEES :$ 287.64 ALBERT SNEAD OUTDOOR CONSTRUCTION SERVICE This permit is subject to the regulations contained in the 16490 SW KING CHARLES 16325 SW 108TH AVE Tigard Municipal Code, State of Ore. Specialty Codes and all KING CITY OR 97224 TIGARD OR 97224 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone #: 639 -5855 Phone #: 624 -6018 not started within 180 days of issuance, or if the work ,is Reg #..: 000173 suspended for more than 180 days. ATTENTION: Oregon law -- - - -- r requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - through OAR 952 - 001 -0080. You nay obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. - - - - - -- REQUIRED INSPECTIONS --------------° - Footing Insp Plumb Final Foundation Insp Building Final Framing Insp Shear Wall Insp Rain_drainins.p �e - Issued By: `1l/ •.� / Permittee Signature:` ti , .N, �a VOA + + + + ++ ++ a + + r +� +a i - ++ + + + ++ t + ra ++ } a + h f ++ { + s a t a + + ++ + + h + + ++ s •1 d_- - +- + +-t--- •+• + ++ Call 639 -4175 by 7:0 p.m. for an inspection needed the next business day Plan Check # 0'� CITY OF TIGARD Residential Building Permit Application Recd By Of 6 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd v icy ' 7 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 0 - 2-1 -i V 503- 639 -4171 Date to DST a -21- 7 F 503- 684 -7297 Permit #0 Print or Type Called /5/7374 /6.4 Incomplete or illegible applications will not be accepted ' c- -J <'/' � Nameof Project ( Name iv 1 1 Job ' Q pl l ot 0 .f 1iRl 1; 19 `�� , cnchw� A Mailing Address Address Si teC�ddress (� f l G '1 r � ' S' \ r j �i/ k City /State Zip Phone Name .r M - AV \Ik-' SVVk �1, (� Name pV A Owner Mailing Address � �r�/ I `I 1oI � S v 1 `\ \,,,,.. Uo City/State ZipJ Phone Engineer Mailing Address K VIC WTI u� C Q�t. ,� td34 -.55 General Name-) + City /State Zip Phone Contractor Chatpbr Vs- Describe work New ® Addition 0 Alteration 0 Repair 0 Mailing Address ,� to be done: W1i p csmyg,� 1 6(f) t: , ( ., . Prior to permit i �� ),5 S� j � Vt_ . m/ C Additional Description of W rk: issuance, a ity/State Zip Phone Is" Q 4 1 .• l c\t. ' ci t'k 'xk i G u '. &in( ViiLt , of all licenses li ci a. g ):L:J (01% -c t \ are required if Dragon Const. Cont. Board Ex Die YYY PROJECT expired d in n COT Lic.# I.-� r∎ �, f is 9 \ VALUATION $ t Z q elZ Mechanical Name I NEW CONSTRUCTION ONLY: Sub - Nil A Sq. Ft. Fi,ouse :. Sq. Ft. Garage Contractor Mailing Address 2c W 1( pi Prior to permit Corner Lot YES NO Flag Lot YES NO issuance, a copy City/State Zip Phone (check one) (check one) of all licenses Restricted Audio /Stereo Burglar are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm expired in COT Lic.# database Installation Garage Door HVAC Plumbing Name Opener Systems Sub f\J ' (check all that Other: Contractor Mailing Address apply) Will the electrical subcontractor wire for all YES NO restricted energy installations? Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO issuance, a copy of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# Reissue of MST #: Solar Compliance expired in COT (Calculation Attached) database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized . Name agent of the owner, and that plans submitted are in compliance i ,� with Oregon State laws. Electrical [ t1 Signature of Owner /Agent Date Sub- Mailing Address 5 (J./,,.- M 0PA-4- /4/ dll' F Contractor Contact Person Name Phone # City /State Zip Phone ` 60 6 23 Prior to permit FOR OFFICE USE • NLY: issuance, a copy Plat #: ! Ma�� #: .. 7 / 1 �� p of all licenses are Oregon Const. Cont. Board Exp. Date / required if Lic.# Setba s' ! gone olar: r J expired in COT 1 !/ database Electrical Lic. # Exp. Date -- —_ _ Engine ring Apv Planning ApprovlK TIF: I:SFREM.DOC (DST) 4/97 • • KING C ITY 15300 S.W. 116th Avenue, King City, Oregon. 97224 -2693 Phone: (503) 639 -4082 • FAX (503) 639 -3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create the permit, issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete, legible application is received. If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a King City staff person. King City staff will simply sign this form indicating land use approval. • Take this signed form to the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639 -4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: '.. /'_ 4 _'i! located at: Ae qv ,.5?„) King City Representative hDSTS,KCINST - DOf - -- - - --- - - - - - - - - - -- - -- --- - - - - -- - -- -- - - - //-1c1 —q • CITY OF TIGARD BUILDING INSPECTION DIVISION Ae----- 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: / / — / 3 - 7 A.M. P.M. MST: e7 Location: / 6 49 S(L) /'-'( /n 9.- BUP: Tenant: Suite: Bldg: MEC: Contractor: t� !/ lI 1 _ C b Phone: G.J., 7 � — 0/ 3 PLM: Owner: \ (2 J Phone: i - 53" ELC: i 6o ELR: SIT: BUILDING BLDG (co i't) PLUMBING MECHANICAL ELECTRICAL SITE Site o earn Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire 5pklr /Alm Crawl/Found Dr Heat Pump Low Volt 'proved Approved Approved Approved Approved Appr /Sdwlk o =.a., •ved Not Approved Not Approved Not Approved Not Approved i FINAL FINAL FINAL FINAL • 0 Call for-reins tion - - - 0 Reinspection fee of $ - -- - - ` - required before next- inspection - 0 Unable to inspect - - Inspector: ,1 Date: 1 ... 1 Page of • • /1 -dam --q 7 CITY O F TIGARD BUILDI INSPE N DIVISION 24 -Hour Inspection Line: 639 -4175 B usin P hone: 639 -4171 • - Date Requested: — A-.-M. / J� ' P © M MST: O os`– =k �r I ~ Location: - , . G ,I / ,J -C- 0 t/ BUP: yr Tenant: Suite: Bldg: MEC: a[ /MP ,%l %� Contractor: 'KW, Phone: 6 Jam" PLM: Owner: 4 f / / Phone: ELC: • ELR: BUILDING �(LD con't) PLUMBING MECHANICAL ELECTRICAL SIT: SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Rog___ UndFl/Slab Rough -In Ceiling Water Line Slab F Top Out Gas Line Rough -In UG Sprinkler Foundation " ` fif cation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath , Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved Appr /Sdwlk • ' .proved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL `, 2,&''C r _i t�--- _-zi C� l r , "....-"j-t4 J / 4 .et.-Q,—..--"Xv1.4_, 4-- - - 4 - --'r 0 ✓/zeff•- -4.. tom . , • O Call for reinspection O Reinspection -fee of $ required before next inspection O Unable to inspect Inspector: 72 `-' "" Date: 1,' 1 7 1 97 Page of