Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT D PERMIT # • MST94 -0061
��� T DATE ISSUED: 03/07/94
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 2S110CC -11800
SITE ADDRESS...: 15925 SW QUEEN VICTORIA PL
SUBDIVISION ° ei Ci' y ZONING:
BLOCK LOT .
BUILDING
I REISSUE: DWELLING UNITS:1 BASEMENT °0 sf
CLASS OF WORK. :ALT BEDRMS:0 BATHS :1 GARAGE :0 sf
TYPE OF USE... :SF FLOOR AREAS REQUIRED SETBACKS
TYPE OF CONST. : 5N F I RST : 155 s f LEFT..: 0 ft RIGHT. : 0 ft
OCCUPANCY GRP. : R3 SECOND. ..:0 sf FRONT. :0 ft REAR.. :0 ft
STORTES •1 THIRD - 0 sf REQUIRED
HEIGHT •14 ft TOTAL :155 sf SMOKE DETECTORS.:
FLOOR LOAD •40 psf VALUE $• 7130 PARKING SPACES..:0
Remarks: addition 155SQ FT TO HOUSE PATH I
PLUMBING
SINKS - 0 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:0
LAVATORIES - 1 WATER HEATERS...:0 TRAPS :0
TUB /SHOWERS •0 LAUNDRY TRAYS...:0 CATCH BASINS •0
WATER CLOSETS..:1 SEWER LINE (ft).:0 GREASE TRAPS •0
DISHWASHERS •0 WATER LINE (ft).:0 OTHER FIXTURES •0
GARBAGE DISP...:O RAIN DRAIN (ft).:0
WASHING MACH... :0 SF RAIN DRAINS..:0
MECHANICAL FEES
FUEL TYPES UNIT HTRS..:0 type amount by date recpt
/GAS/ / / VENTS •2 BPRT $ 68.50 JLH 02/11/94 94- 248856
MAX INPUT:0 BTU VENT FANS..:1 BPLC $ 44.53 JLH 02/11/94 94- 248856
FURN ( 100K ..:0 HOODS °0 BSPC $ 3.43 JLH 02/11/94 94- 248856
FURN >=100K ..:0 WOODSTOVES.:0 MPRT $ 25.00 JH 03/07/94 —
FLOOR FURN -0 CLO DRYERS.: 0 MSPC $ 1.25 JH 03/07/94 —
BOIL/CMP ( 3HP:0 OTHER UNITS:0 PPRT $ 25.00 JH 03/07/94 —
GAS OUTLETS:0 PSPC $ 1.25 JH 03/07/94 —
Owner:
ALLEN LOUDEN
15925 SW QUEEN VICTORIA PL
KING CITY OR
Phone #: 620 -1545
Contractor:
RRR HATCH CONST.
12425 SE FLAVEL
PORTLAND OR 97236
Phone #: 680 -5128
Reg #..: 82161
$ 168.96 TOTAL
This permit is issued subject to the regulations contained in the REQU I RED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot /found Insp Gyp Board Insp
applicable laws. All work will be done in accordance with approved Post /Beam Struct Mechanical Final
plans. This permit will expire if work is not started within 180 Post /Beam Mechan Plumb Final
days of issuance, or if work is suspended f• mar- th- 80 da• -. PLM /Underfloor Building Final
/ i Mechanical Insp Erosion Control
Permittee Signature: A /II L _ Ati %A.u! Plumb Top Out Crawl Drain
f / Framing Insp
Issued By: Insulation Insp
Call for inspection — 639 -4175
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blv
Tigard, OR 97223
(503) 639 -4171
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( at ta ch copy of curren OR Contractor's License)
Architect/Engineer: • X�•�/��LP/� 1 r 7
Address:
/1 /�/ �i ��S�''77
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Phone: °252' — f7 /2703 6 '� 2
COMMENTS:
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Applicant Signatu + ,. '•ne number
Received by: - 'l Date Received: /� y
Permit # Account Description Amount Amt. Pd. Bal. Due -
1775/ Bldg. Permit (BUILD) ?,S U / y • .Se
Plumb. Permit (PLUMB) .24'6 • r 2 S
Mech. Permit (MECH) PS.o
State Tax (TA S,13 / . 4 1 U
Bldg: 3.4 3
Plumb:
Mech: I Z. 7
Plan Check (PLANCK) ti. S 3 2. 3 3 t 7. Cl
Bldg: 441-51
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
• Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF-1)
Institutional TIF (TIF -IS)
Office TIF (TIF -0) -
Water Quality (WQUAL)- ._. - -.- _ _._ _ — -
Water Quantity .(WQUANT)
Fire District (FIRE)
TOTALS: l G'. � � � / 3.?,
E 11 - ' 94 FRI 13:29 ID: CITY OF KING CITY FAX NO:503 639 -3771 3#298 P01 �r.......
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[ CITY Post -It"' brand fax transmittal memo 7671 To ,
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MEMEMMUDEM 16300 S.W. 118th Avenue, King City; Oregon 97224 Pho 1 •
. . ?o • •
COMMUNITY °eat C M (0 3 - b
APPLICATION POF Faxi r
(Instructions o i °- 3 ) 7
DATE January 27, 1994
1. NAME OF APPLICANT: Mr . &Mrs . Louden Phone No. 620 -1545
ADDRESS: • 5 ... ._ -et Victoria Pla - _,. C_ Sr. 97.24
ADDRESS OF PROPOSED IMPROVEMENT Same
2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY — ATTACH TWO COPIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT: Extend living room into the existing 10'x15' ',.-
- ... I. an _•d' _.,_ ba r.. - -
n � � - ...ode. _ _ .
3. NAME AND ADDRESS OF CONTRACTOR Covera11 . Construetion. 516 S.E. Morriso
suite 210. Ptld. 97214 PHONE N0. 235 -2044 LICENSE NO. 83842 F�;�ir,, /91 i�
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIm BY THE CITY.
5. APPLICANT OR HER /HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING COMMISSION
MEETING NEXT HELD ON
REPRESENTATIVES NAME PHONE NO.
(The King City Planning Commission will consider only those applications received at least five (5) days
prior to a meeting.)
SIGNATURE
* * * * * * * * * * * * *** * *** * * * * * ********************* * * ** * ** * * * * * * * * * * * * * * * * *x * * *wcw *** *t*
APPLICATION RECEIVED EY . /, DAT$ / — ,27 — 9 V .
APPLICABLE 'FEE RECEIVED $ a5 Ill ToTAI4 pd .
PLANNING CC*MISSION DECISION: Approved Denied
CONDITIONS .a _ .1. - _ • , `_y .!. /J .G.0.1 1_'1 .._ i _ .6) it i%.. _..-�
dk 4 ./Jite_2" ..& 0 / 11; Ar2 4 442 I Approved applicationsfare valid for s x months only Li .
` >! .. �� V 2 _! 1
Signature _.� .i�..�_ .. N Date
NOTE: Oregon Bone 1"11 rs ?.w requires ' at RI�'•ersons who contract for work o their residence be
• registered with the B lders Board which means the contractor is bonded and insured on the job site.
For your protection, be certain your contractor is registered by calling City Ball Ph; 639 -4082.
NOTE: A permit must also be obtained f am the City of Tigard Department of
Corrrrnmity Development Yes ) No
•
*********** x* ************************************** * * * * * * * ** * * *** * * * * * * * * * * * *** * **
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved Denied
Date Comments
Signature
(Building in4pectal. pose 'z. uw. on¢, (1) copy to King City) '
CD 2.87
rla.l1 .1, 1 LvlCek ) - -7 -9
CITY OF TIGARD BUILDING INSPECTION NOTICE 0- —
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling
Post/Beam Mech. Shear /Sheath Framing
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. - =Id.
San. Sewer Gas Line Appr /Sdwlk „ll Reins.
Other: V
Date: J l 4 1 s P A.M. P.M. Entry:
Address: / 5 a 5 ( -a,ta an,
Tenant: Ste: MST: 94-°(:)4'l
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
�i-5 .C5 `"r a /6"
C.': 7
- - 5 Xc( 0� 2 71,z; C 4 r 6--
I e / ✓— Date: 3/ y /�6
APPROVED — DISAPPROVED /CALL FOR REINSP. CF CO