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16.105 SW KING CHARLES
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP
Date Requested l I f( c�1g j _AM PM _ BLD
Location /C"(0 5 W L vtU, �� v(�S Suite MEC
Contact Person (C( (A-C' a6f- _ Ph PLM
Contractor I Ph SWR
1J1.01 Tenant/Owner A t ' :l u_��h ►'?24 ELC _
Rf!taining Wall —� ELR
Footing Access:
Foundation IFPS
Ftg Dain SGN
Crawl Drain Inspection Notes: � Y y(! I r�Zn'►'�
Slab SIT
Post& Beam —
Ext Sheath/Shear
Int Sheath/Shear
Framing c. _Limes ley GL i,7 - --_ —
Insulation
Drywall Nailingx;' vi �f✓�rGL�Z ti f;l .y O
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof --- ------___------- --
Misc: --------- — — ---— —_ — — -
PAS RT FAIL
PLUMBING
Post&Beam --
Under Slab _
Top Out —
Water Service
Sanitary Sewer ---------
Rain Drains
FinalPASS PART PART FAIL
MECHANICAL `A--- _---
Post&Beam ---- - ----- --
Rough In
Gas Line
Smoke Dampers
Final --
PASS PART FAIL
ELECTRICAL — - - - - -- --
Service,
Rcunh In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL_
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of b required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I J Please call for reinspection RE: )Unable to Inspect-no access
ADA
Approvrh/Gide walk
Other Date �.� Inspector _—� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MASTER PERMIT
PERMIT M MST1999-00354
DEVELOPMENT SERVICEMN
� DATE ISSUED: 10/27/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (.RISA
SITE ADDRESS: 16105 SW KING CHARLES AVE PARCEL: 2S110CC-03000
SUBDIVISION: KING CITY NO. 3 ZONING:
BLOCK: LOT: 034 JURISDICTION: KIN
REMARKS: Sun roam/patio enclosure
BUILDING
REISSUE: STORIES: I FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: 200 of BASEMENT: of LEFT: 5 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: of GARAGE: of FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: FINB:MENT: of RIGHT: 38
VALUE: $14 340 On
OCCUPANCY GRP: R3 BDRM: bATH: TOTAL: of REAR: 27
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHEP.SFLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: GARBAGE DICP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHA t7!CAL
FUEL TYPES FURN r TOOK: BOILICMP<3HP'. VENT FANS: CLOTHES DRYER:
FURN—100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES' GAS OUTLETS.
ELECTRICAL
RESIDENTIAL UNIT SERVICE rEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION:
FA ADD'L 500SF: 201 400 amp: 201 400 amp' TO W/O SVCIFDR: SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY' 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL.IPANEL: IN PLANT:
MANU HMISVCIFDR: 601 1000 amp. 601*ampa•1000v. MINOR LABEL:
1000-amplvoll
PLAN REVIEW SECTION
Reconnect only
—4 RES UNITS: SVCIFDR>e225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
_ ELI :TRICAL•RESTRICTED FNERGY
A.SF RESIDENTIAL B.CCMMERCIAL
AUDIO K STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK. INSTRUMENTATION MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 348.53
This permit Is subject to the regulations contained in the
PUMPHREY,BETTY J PP 6IFIC COAST AWNING INC Tigaru Municipal Code.State of OR Specialty Codes and
16105 SW KING CHARLES AVE 2242 N WILLIAMS AVE all other applicable laws All work will be done in
KING CITY,OR 97224 PORTLAND.OR 97227 accordance with approved plans This permit will expire if
work is not started within 180 days of issuance,or if the
wnrk is suspended for more than 180 days ATTENTION.
Nh"'Ip: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg a Lie: ^ forth In OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling 15031 246-1987
REQUIRED INSPECTIONS
Footing Insp
Framing Insp
Rain drain Insp
Final inspection
Issued BY : ..�' �T� - � Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application PlanCreck#
13125 SW 4ALL BLVD. Alteration - Interior Only /o-�y-
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Dat ReoDate to P.E./o"ice
V 503-639-4171 �/ {,r Date to D- /G-/y
F 503-684-7297 �1/ J Permit# 1-/9pf�oda1`5v
Print or TypeC(Tcaued
Incomplete or illegible applications will not be accepted
(—— Name of Project Narp e�
Mailing Address
Site Address Architect
Address / �
-- -- /`/�� s ��� /��-�y G��u•^/c�5 C y/ Zip Phon
N�r! State e�T ��_.., (�.^[y �u.�/�[ 1/�c '/�.3 !L",38r�• X36
Owner Mailing Address T ' Name
S S X ti� ins
CylSitEngineer Mailing Address
it, late
�,late Zi Phone g r. ,rr/.� y�zt t'8' 9z 3L•
General Nam city/state zip Phone
ContractorA��i��� Cd• Describe work New O Addition! Alteration Repair O
Mailing Address to be done:
Prior to permit GZ yz „JAoAitional Description of Work: 11010
issuance,a copy City/State Zip Phone Pc''t G'.amu. / <"_j ��»�+,✓t/r ,,e Aj6"
of all licenses �,1'�,.t/ f'2 -7 ,� _T,jgy —are required if Oregon Const Cont.Board Exp. Date PROJECT
expired in COT Lic.#
Y,
database ro /eC V/ VALUATION $ /x -� )
Mechanical Name
NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft.Garage
Contractor Mailing Address
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy City/State ip Phone subcontractor in the follow' g 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 �� _ S stem System_
Plumbing Name (check all that Other:
Sub- a l
Contractor Mailing Address Comer Lot YES NO Flag Lot YES NO
check one (check one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/StatePhone
issuance,a corry p Solar Compliance
of all licenses are Oregon C oKt,L-6x WoardExp. Date (Calculation Attached)
required if Lic.# _
expired in CO-r I hearby acknowledge that I have read this application,that the
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 Statu laws. _
Name Signaturpofn _wr/AA Date
Electrical % / ',.5 �� - -e ,�-`yi'
Sub- Mailing Adc,ress ---- Contact erson/Name 1 Phone#
Contractor ___ _ FOR OFFICE USE ONLY!
City/Stele zig Phone Fl t#:� MaplTL#:
Prior to permit f /� /s>f C�ry f/r�C°e4 -U��
issuance, a copy _ /� ,///
of all licenses are Oregon Const OOnt. Board Exp. DateI etbacks Solar:
required if Lic# I __ _
—�J
expired in COT _ _1 Engineering Approval Planning Approval: TIF:
database Electrical Lic # Exp Date IIII
Electrical Supervisor Lic # Exp Date ; 6., G
rformslsfintalt doc(DST) 10/23/98