Permit CITY OF TIGARD BUILDING PERMIT
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PERMIT # : BUP95 -0368
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/28/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 ( 3251417JI 1
PARCEL: 28110CC -05100
SITE ADDRESS...: 16175 SW ROYALTY PKWY
SUBDIVISION ZONING:
BLOCK • LOT •
REISSUE: (J"'' FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WO RK.:J lEt i FIRST • sf N: S: E: W:
TYPE OF USE...:SF SECOND...: sf PROTECT OPENINGS?
TYPE OF CONST.:5N THIRD sf N: S: E: W:
OCCUPANCY GRR.:R3 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR.: HT.: ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET..:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 0
Remarks: Adding new roof
Owner: FEES
JULIE FORKER TRUST type amount by date recpt
16175 SW ROYALTY PKWY PRMT $ 25.00 JDA 08 /28/95 KING CITY
SPCT $ 1.25 JDA 08 /28/95 KING CITY
KING CITY OR 97224
Phone #:
Contractor:
PARASKEVA ENTERPRISES
PO BOX 663
FOREST GROVE OR 97116 - - --
Phone #: 503 - 3659 -4642 $ 26.25 TOTAL
Reg #•.: 053326
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. 011 work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 180 days. _
Permittee Signature: I►'IAJL
Issued By:
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Call for inspection — 639 -4175
•
JAN- 28 -'00 SAT 21:15 ID: FAX NO: #058 P01 • • ---- --• •
Residential Building Permit Application . .
City of Tigard ----
13125 SW Hall Blvd. Post -It" brand fax transmittal memo 7671 #01 pages
Tigard,. OR 97223 To b 5—r From
(503) 639.4171 c " .
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Dept. J enei _,_ 1 1 q 2
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Contractors License :£ ^:'k:. :E ? '
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(attach copy of current Oregon license)
Contact Name & Phone: FFlc. .C.rc-S1c& -s u-
Subcontractors: Architect/Engineer: N I A-
Plumbing: f•-)( iN.-. Address:
Mechanical:
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION: Appl rvm, t
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"`.4 e
Applicant Signature & Phone number
i
Received by: Date Received: Fla q-QS
.4 4 t 6t—
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171 ../,
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: Poor'
2E I ws CC — Lk-et- 46 -4- Gh. Ca4-4-r)
Date: -7 —/ b "I& A.M 'P. Entry:
J
Address: 16 / 7 $w 16- V ez...
Tenant: Ste: MST:
BUP:
Con /Own: - 1. , /C-Ziv — / MEC:
4 2.-1-- O l 6 y PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
CA -rUfe)
Inspector: Dater //5'
APPROVED e—Be r FROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP / c"(k) 36
Date Requested AM PM BLD
Location /(p / 7C" pi ekij, Suite MEC
Contact Person Ph P LM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation ts 1� FPS
Ftg Drain ' til�l
Crawl Drain � r� 1 SGN
Slab -Tot Requested SIT
Post & Beam l Found During Research
Ext Sheath /Shear
Int Sheath /Shear N n insnectinn(sl in File
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Misc:
F
PART FAIL
P UMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL �.
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Date at /a -if 7� �7 Inspecto - E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.