Permit CITY OF TIGARD
,� .� DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT # BUP98 -0482
!� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 11/ 16 / 98
PARCEL: 2S11OCD -03600
SITE ADDRESS...: 11860 SW QUEEN ELIZABETH ST
SUBDIVISION • KING CITY NO. 2 ZONING:
BLOCK LOT :037 JURISDICTION:KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST 99 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL . 99 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 9 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD : 40 psf LEFT: 0 ft RGHT: 9 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 2400
Remarks : Enclose an existing deck. THIS IS NOT A HABITABLE ROOM
Owner: FEES
DORTHA WALKER type amount by date recpt
11860 SW WALKER PRMT $ 38.50 DRA 11/10/98 98- 310696
KING CITY OR 97224 SPCT $ 1.93 DRA 11/10/98
98- 310696
PLCK $ 25.03 DRA 11/10/98 98- 310696
Phone #:
Contractor:
OUTDOOR CONSTRUCTION SERVICE
16325 SW 108TH AVE
TIGARD OR 97224
Phone #: 624 -6018 $ 65.46 TOTAL
Reg #..: 17396
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952- 001 -0010 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Per mittee Signet �i -Ai� /
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
k .
CITY OF TIGARD Residential Building Permit Application PlanChe.g —/ R
13125 SW HALL BLVD. New Construction Additions or Alterations Recd By WWI
TIGARD, OR 97223 Single Family Detached or (Duplex) DateRec'd /r - /G —
g y p Date to P.E.
V 503 - 639 -4171 Date to DST - r 2 - G !Y
F 503 - 684 -7297 Permit
Print or Type K. i �� Called AM', • ire./
Incomplete or illegible applications will not b a� ccepted /i/ 6 /Sts /O(,4—
Name of Project Name I pt
•
Job Mailing Address
Address Site Address \ h -� Architect
I Min S `, ) Q' . &' 1 ��? `^ �,-� ' _ City /State Zip Phone
Name. OTC' 1 Ii(K. \K1 qi, Kyr' Name Mailing Address N I
Owner n -- —
h 1�_ . . T 1
1 I h0 S W q 4,0 h b i 2 n e'` I yi Engineer Mailing Address
�i�r /Sta e �Zip l, f Ph � one � r D I g
1<15 41 � City /State Zip Phone
General Name
Contractor O <.K ,Mr 33 t(U CeT Describe work New 0 Addition 0 Alteration 0 Repair 0
1 Mailing Address n\pr to be done: E, tom- sacj &I'ii V ' x'"., Pok % •
Prior to permit I b3),5 Sj i V 0 - ` �`^ Additional Description of Work: / t�j a 1/4 ` ,
issuance, a copy S /State Zip Phone
of all licenses o r S1 £ toat�--Olg3
are required if Or n Const. Cont. B Exp. Date r PROJECT
expired in COT Lic.# $ I p VALUATION - 1 '1
1 n
database • - I 6 7 1 •
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- 01A Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address • _
Prior to permit Indicate the restricted energy installation by ilre electrical
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
- -- Sub- Q apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
• Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance, a copy Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached)
required if Lic.# I hearby acknowledge that I have read this application, that the
expired in COT
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oregon S . to laws. � Q p�
Name . rn /soy G /A9 G %".� . I I s lu
Electrical N l-Ot ,�
.
Sub- Mailing Address �� -• \0.0 AIVI 'R-- (0A N
Contractor FOR OFFICE USE ONLY:
City/State Zip Phone / Plat #: 4t Map/TL #: '
Prior to permit J(r ;Ni C / fl- 2 37 As//6 C L - 03600
issuance, a copy Setbacks: Zone Q Solar:
of all licenses are Oregon Const. Cont. Board Exp. Date V
required if Lic.# •
expired in COT Engineering Approval: Planning Approval: TIF:
database Electrical Lic. # Exp. Date
as, 03 -- 6, 1A fPLio
3 g- , 3 / d.crr —
!7 3 -1-P� I:SFREM2.DOC (DST) 8/11/98
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05/31/2000 Activities for Case #: BUP98 -00482
• 10:15:00 AM .
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA005 Application received 11/10/1998 DRA RECD GEO 11/10/1998
BUPA010 Permit created 11/10/1998 GEO DONE GEO 11/10/1998
BUPA020 Check for prcl. restrict. 11/10/1998 GEO KING GEO 11/10/1998 within King City
BUPA030 Plans routed to Plans Examiner 11/10/1998 GEO SENT GEO 11/10/1998
BUPA045 Plans approved by CPE 11/12/1998 RT PASS BT2 11/12/1998
BUPA050 APProved plans routed to DSTs 11/12/1998 RT PASS BT2 11/12/1998
BUPA055 DST Post - Review Completed 11/16/1998 JSD PASS JSD 11/16/1998 Received King City approval
11/10/98. Geo
BUPA700 Framing Insp 11/30/1998 RC PASS ROC 12/01/1998
BUPA870 Final Inspection 11/30/1998 RC PASS ROC 12/01/1998 NO ELEC OR PLUMB PERMIT
REQUIRED.
BUPA075 (F) Ready to issue 11/16/1998 JSD PASS JSD 11/16/1998
BUPA085 (F) Issue building permit 11/16/1998 GEO PASS CTR 11/16/1998
BUPA950 Case Finaled 09/28/1999 JMT DONE No Hold JMT 09/28/1999
•
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