16305 SW KING CHARLES AVENUE i
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16305 SW KING CHARLES AVE.
CITY'OFT11FARDA
�CftY/aF ilfiplRA
COMMUNIr*Y OEVELOPMENT DEPARTMENT ammo N
13125 8W K41 Blvd. P.O.Boz Mg/,Tigard,Orwon 97223 1503)W19-4175
PLUMBING PERMIT
PERMIT #. . . . . . . : GLM9r_''—k1' c)3
639-4171 DATE ISSUEDs 10 '21132
5JTE ADDRESS. . . : 16305 SW KING CHARLES AVE PARCELi 2S115BB--084OO
5U5D I V 1 S I ON. . . . : LOi•!I WG r
BLOCK. . . . . . . . . . : LCAT. . . . . . . . . . . . . :
CLABS OF WORK. . :ADD GARBAGE DISPOSALS. . : 1 MOBILE EIOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREJNTRS. . :
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . T'RAPS. . . . . . . . . . . . . . s
S i DRIES. . . . . . . . : WATER HEAL ERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES•-------•---------- LAUNDRY TRAYS . , . . . : SF RAIN DRAINS. . . . .
SINKS. . . . . . . . . . el URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAV( rORIES. . . . . : OTHER FIXT11REF.. . . . . : 1
TUB/SHOWERS. . - . a SEWER LINE (ft ) . . .. .
WATEK t LOSE TS. . : WATER L I IVE (ft ) . . . .
DISHWPSHERS. . . . : RAIN DRAIN (ft) . . . .
Remarks: ADDI"rIONAL FIXIU,,c FOR 4O1GAS LINE
Uwnera —.__ -----________________.._---__- _.-- ---------------- FEES _...___—__.----- —
UENE DROSS type amoi.lnt by diet e V"!c:F;t;
16305 SW KING CHARLES PRMT $ 25. 00 JH 1O/21/92
SPCT $ 1. 25 JH 10/21/92 —
KING CITY OR 97224
I
Contractor:
CHRISTIAN PLUMBING INC
I
229ig SW STAFFORD RD
1UF4LAT'IN OR 97062 ..-_ --------------_.___--_—.—_-_---------
Ptione #: 638•-8231 $ 26. 25 TOTAL
Rey #. . : 42671
RE UU I RED 1 NSI"'(:CT I ONS --- --_._
This pe-;iii is issuer' subject to the regulat:- contained in the Top—or.1t Insp
Tigard Municipa) !,ide, State of Ore. yf•cialty Codes and all other Gas Line _
applicable laws. All Mork will be done in accordance with Final Inspection
approved ple., This permit will expire if work is not started
within IN days of issuAnce, or if work is suspended for sore
than 180 days. _--
1 er-mittee Signature:
1 s s 11 e d B y s
Lall far inspection — 639-4175
I
CITY OF TIG,ARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PIE RMI T
13125 SW Hall Blvd.Tigard,Oreflon 97223@6113^ 1-10)839.4171 PERMIT #. . . . . . . : MEC94
b9 4171. DATE ISSUED: 0')/21)/1)4
PARCEL: 2S1 ,i5BB08400
11'r- ADDRESS- - 16305 SW K'IN3 CHARLES AVE
is UBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . ...
-LASS OF WORK. ALT FLOUR FURN. EVAP COOLERS:
YPE OF! USE. . . . SF- UNIT AEW ERS. . : VENT FANS. . . :
)CCUPANCY GRP". VENTS WIO "')PL: VENT sys,rEms;
,TORIES. . . . . . . . BOILERS/COPPRESSCJRS HOODS. . . . . • .
_UEL. 0-3 HP. . . . . DOMES. TNCIPJ:
"A5/ 3 5-1HP. . . . : COM11L. INCIN:
-1P.X I NPUT BTU 15--31?) HP. . . . : REPAIR UN l S."
IRE DAMPERS?. . : 30-50 HP. . . . : woonsTOVES. .
6AS PRESSURE:. . . 50.1- HP. . . . : CL() DRYERS. .
1\10. OF UNITS—- AIR HANDLING UNITS OTHER UNITS.
F-URN ( IOIZ1t BTU: (T- I 00ti.10 r--f it, - GA5 OUTLA.'J5. 1.
f-.*URN )=100t-1, BTU: > 10000 cfm:
Rvmarl,(s . GAS LOC3
Owner, FEES
CiE.N[" GROSS t y 1---)e amount by Date )-ec.:F)f
1631,15 SW KING CHARLES PR M T $ 25. 00 J F 09/29/94 -
5 V,CT $ 1. 25 1 09/29/94
L;] ':'V OR ;37224
I.1hone #:
Contractor:
H01 SPOT PIRLPI_()CF it POTIO
.11525 SW CANYON RD
:+rE'PVERTON OR 97005
hone $ 26. 25 TO T()L
!*UL1IRED INSPECTIONS
-his permit is issued subject to the re.6a.iing contained in the Has Lint? Insp .......
�igard Municipal Lode, State of Ore, Specialty Codes and all other V i n a I Inspection
iDphrable laws. All work will be dsoe in accurdance with
aoproyed 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.
V - -----------
Cal I fat-, inspection
t
City of Tigard MECHANICAL PERMIT PhnckJPec. #
13125 BW Hall Blvd. \ APPLICATION Permit ##1 W
PO Box 23397
Tigard, OR 972.23
(503) 639-4171Description
_
Table 3A Mechanical Coda OTY PRICE AMT
•N -
Job 430c,, 456, 1)
Permit Fee 0 -0 10.00
Address
2) Supplemental Permit 3.00
nrhw aluRvW Furnace to t
7- &- y'1 1) incl.ducts a vents 6.00
M.Ov N•�— Furnace 100,000 +
Owner
c Q PJ r/C. 2) incl., u is 6 vents 7.50
oof r Furnancu
T71 3) incl.vent 6.00
--_�" — ^• •••� Suspended eater,wallheater —
4) or floor mounted heater 6.00
M•VVent not incl,to
occ.t1 l,uil r-) - 5) app5anoo permit 3.00
CAy� • e�pair of heRng,re ng.
6) cooling,absorption unit 6.00
w-- iter or comp eat pump,air cond.
7) to 3 hP absurp unit to 100K BTU 6.00
f •�•v N• f Boiler or comp, eat pump,air con .
8) 3-15 HP absorp unit to 500K BTU 11_00
CUrItr2CtOf ,., Q _ Boiler or comp, as-pump,air co
N.
—�` 9) 15-30 HP absor, .mit.5.1 mil BTU 15.00
m• •t••a N. ter or corn N,heat pump,air con
j 10) 30-50 HP absorp unit 1-1.75 mil BfU 22.50
hereby acknowledge that I haVO read us application,that the Boiler or comp,heat pump,air co
Information given is correct,that!am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State r handling unit to
laws,that t am registered with the Construction Contractor's Board, 1.i 10,000 CFM 450
that the number given is correct (If exempt from State registration, r handling unit
please give reason below.) 13) 10,000 CTM+ 7.50
� on portahl
14) evapr aio cooler _ 4.50
Vent tan connected
e? 3 151 a single dud 3.00
1 enb anon system not
16) included in appliance permit 4.50
•• •� ood sew. y v—
�.i -y 17) mechanical exhaust 4.50 _—
Doembiq work n a rtron a terabor repair ommercial or irshia
to be done residential C non-residential Q 10) type Incinerator 30.00
Existing use o r ��ter re.,w�000slove,water
building or property r�)/` �� 19) heaver,solar,clothes did-rs,etc. 4.50
Proposed use of 20) Oras piping one to lour uutlets 2.00 L
building or property
21) More than 4per outlet
IType of funl -oil O natural gar LPG O electric Q —
L NOTICE
Minimum Fee$25.00 SUBTOTAL ('(
PERMITS BECOME VOID IF WORK OR CONSTRUCTION y
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED Oa
ABANDONED FOR A PERIOD OF 100 D4YS AT A14Y TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. -- —
TO-.AL
Special Conditions
Date issued^ by
kwup"PMT
SEP-�B-'94 LIEU 12:12 i 1):C I TY OF -KNG t iG CITY 17 HX N0:503 539-3771 9683 P01
)%&, KING CITY
- 1000 S.W. 11Rth Avenue.King City,Oregon 97224 Phone;639.4082
MEt:�I_1p, L PERM _T T P_p 'L Y CAT I d1V
DATE 9� �3_9 Kir.7 City rosiness Licer_sp No. 33c•�
(A70 - 0378
NAME OF APPLICANT: C'q,o s,_ _ ��h t_ _- PHONF.:
A DDRFSS. /co sas—__-� )_f�n�C140✓�0 �= - - ---- -
NAME AND ADDRESS OF PROPOSED JOB ! _�I1L�L�_. �-�—
PHONE
NA.MF rtF CONI +.ArTOP : Mcg VU2 f PHONE
ADDREZ,S f � �ohc�Q�L -- LICENSE N )._ Zs�
DESCRIPTIONOF WORKTO BE DONE:
FOR INSTALLATION OF P_IR CONDITIONERS PLEASE FILL OUT THF. FOLLOWING
AND ATTACH TO THE APPLICATION A DIAGRAM OF WHERE THE COMPR.FSSOR IS
SITUATED ON THE PROPERTY .
BRAND OF AIR CONnTTTnNER :_ —
STU'Ss / NO� QF D�.CIBELS (BELLS ) :
SIGNATURE OF APPLICANT:
**APPROVED APPLICATIONS ARE VALID FOR SIX MONTHS ONLY**
NOTE: Oregon Homebuilders Law requires that: all persons who contract for work
on a residence be registered with the Builders Board which means the
contractor is bonded anti insured on the job sit. Por your protection,
bp certain your contractor is registered by calling the Construction
Contractors Aoard at 1-503-378-4621.
OFFICE USE ONLY--_
AP?LIGATION RECEIVED BY �, tl^�t.IIT DATE'
APPLICABLE FEE RECEIVED $_ s`.G�(.'____. CONDITIONS!COMMENTS SyiaieL f a
APO?FED 3Y" DATE_._ _ .- --
Nyle: A Hermit mus also Abe obcaired from the City of ;igird Depatrement of
Co-,mmunit.v Development Yes!' No--
CITY OF TIGARD INSPECTION REPORT
This Project has been Inspected and Approved Denied -...
Comments
_ Signature
Date_ _
(City of Tiga+-d please return one copy to King City)
�sPecr:o,� NoglcE
City of Tigard Building Departaert
13125 811 Ball Blvd. Tigard, Oregon 97223
:,iepeution Line. (Rec-o-Phone)t 639-4175 Business Phones 6, -
s
inspection:
Foot in Plbg. Underslab Mech. Rough-in Appr/Sdwlk
�Found. :'lkg. Top Out Gas�.y FINAL.
IPoet/Beam Stcuct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Main
Insulation -Plumb.
Plt,g. Underfloor Nater Line Gyp. Bd. -Mech.
- a 3 Times _ AM. _,"PM
Dale Requaetedi_ /�,+,
/.1.1(v f
Builder i_
THE FOLLOWING COMECTIONS ARE RSQUIRBDi
ZK
Inspectors —_— Dates tl �
APPROVED DISAPPMVED APPROVED SUBJECT TO ABOVE
Call For Rainer).
!N3 Ep CTION NOTICE \ ,�
City or Tigard Building Department
131.7.5 SW Ball Blvd. Tigard, Oregon 97:23
Inspection Line (Rec-O-Phone): 639-4175 Bveineas Phone. 639-4171
Inspection:-_-_ -_ --- ----- --
Footing Plbg. Underslab M h. Rough-in Appr/Sdwlk
Round. Plbij. Top Out Gn¢1.1r f FI
Post/Beam Strurc. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line !� Gyp. Bd.
Date Requested: _ G� / Time: AM PN
r _
Addresefto 3 Permit
Builders
THE FOLLOWING CORREC'a•aONS ARE REQUIRED.
0-2 ,17S
LA
71,l w• --�-_� f-
e;
Inspectors y_ Dates
____`APPPROVED DISAPPROVED -J�PPROVRD SUR ICT TO AROVP.
1 Call For Reinep.
" O� �I���D PERMIT
PERMIT
CITY #: BUP2000-00407
DEVELOPMENT SERVICES DATE ISSUED: 9/27/00
'13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639--,.171
PARCEL: 2S 110CC•05700
SITE ADDRESS: •16035 SW KING CHARLEC AVE
SUBDIVISION: KING CITY NO. 3 ZONING:
BLOCK: LOT: 031 JURISDICTION: KIN
REISSUE: ^FLOOR AREAS _ EXTERIOR WALL_CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N` S: E: W:
TYPE OF USE: SF SECOND: sf _ PROJECT OPF_NINGS?_
TYPE` OF CONS-i: LINK sf N: S: E: W:
OCCUPANCY GRP: R:1 TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED•
STOR: HT: T' GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: -CE
REQD SETBACKS RE_QUIRED
FLOOR LOAD: psf LEF : ft RGHT: ft FIR SNKL: SMOK DET.
DWELLING UNITS: FRNT: ft REAR: ft FIR AL RM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO C ORR: PARKING:
VALUE: $ 3,800.00
Remarks: Reroof perrnil, remove existing roof material Install ne\n sheathing over spaced sheathing.
Owner: Contractor:
JOHNSON, FRANCES DAY OVVNFR
GYLLFNBERG, JANICE F
16035 S W KING CHARLES AVE
KAGCITY, OR 97224 phone: 579-9125
one:
Reg #:
FEES REQUIRED INaPECTIONS __4_ _
Type By Date Amount Receipt Dryrot After Tear Off Irrsp
5PCT CTR 9/27/00 $6.85 27200000000 final Inspection
PRMT CTR 9/2.7/00 $85.62 27200000000
Total $92.47
This permit is issued subject to the regulations contained in OE! Tiyard Municipal Code, State of OR. Specialty Codes
and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 clays of issuance, or if work is suspended for more than 180 days ATI ENTION: Oregon lay,
requires ycu to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 "010 through OAR 957.-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-1987.
Pennitee - ' -
Signature:
Issued By: I -
Call 639-4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Plan C -cc _
13 12 5 SW HALL BLVD Recd :
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date Recd: 9-a7 :90
Date to PE:
V- 503-639-4171 X304 Date to DST
F-503-598-1960 Permit#: >�
Incomplete or illegible applications will not be accepted Called:
- +tame of Develepment/6usinGss T STEP 2. NEW ROOFING ASSEMBLY
�~--- -Material Documentabon(UBC Appendix 15���_
neat Address Ste# Please fill out applicable section and attach copy of roofing
Job Site ('}? specifications.
Bldg# I qity/State ZipC. Listed A.s_sembly (Cfrcla&Complete A,B or
— — --
��2?3 A�—
Name 1 Specification# — -- ----- -
N _� OLti N r.�OtJ —_.—
Applicant Mailing Address 2 Manufacturer
SL
City/State I Zip P one "3a UL Classification:
__ 1 4 2 L 3 Ali ASO,
Ro_ofing Name _ Listed UL Building Materials Directory Page#:
Contractor /` (OR)
(Prior to issuance Mailing Address "3b ''vainock Hersey
applicant must
provide a copy of City/State Zip Listed Warnook:jersey Directory Page
all contranor 'COPY OF ASSEMBLY REQUIRED
licenses if Phone# Fex#
expired in COT _ B. ICBO Research#:
database) State Constr.Contr.Board# Exp Dale
DATED: _
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
BKniNG INFORMATION
Building..Type Of Use. (circle one) (review required by plans examiner)
SF SFA COM
Building- fype of Construction:
— - VALUATION OF PROJECT $ cri
sqft of roof area
Existing Deck Type T Permit fee based on valuation" 7
Combustible ( ) Non-Cornbu%tiblc 1 ) " see charton back $
RESIDENTIAL_ ONLY-C lass of iNork:Alteration— City use only: WACO:
Q REPAIR(MAJOR)(review required by plans exometer) (BUILD) , (UBUILD) —
Permit required ONLY when spaced sheathing is covered by y
solid sheathing. Changes to roof line require Building Pei mit _ 8% State Surcharge $ :
Application. City use only: WACO:
SUBiIT TWO(2) SETS OF PLANS SPECIFYING. _ (TAX) (UTAX) —_
A. Roof area&nearest street. "Required for major repairs of
Residential
P. Attic vents-Provide 1 sq.ft.for each 150 sq,ft. of attic or"C"above " 651,', Plan Review $
,)ace. Vents shall be located in the upper 1/3 of the roof. City use only: WACO.
provide 1 sq.ft.for each 300 sq.ft.when eave&attic (EIUPPLN) (UE)JPLN)
venting Is provided. —
TOTAL 1 $
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair information given is correct; that I am the owner or authorized
Describe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in
L] PE-ROOF (circle A,L or C) compliance with Oregon State law.
A Existing built-up roof covering to be REMOVED and det,.:
repaired 9lgnature of ner/Agent Date
B. Existing built-up roof covering to REMAIN: note applicant
Z-elemust submit an engineer's review of the roof structural -2-
elements,
ments. Review shall bear the seal(or stamp)of the
architect or engineer licensed in Oregon. Contact P raon Name Telephone
C. Asphalt or wood shingle/shake 2d �+�� Sd.� C��`, ( O�
(PROCEED TO STEP 2; fi
:d sts\form sb.t,.,;.rc s.doc
8/26/99
KING CITY
15:300 M 116th Avenue,Bing C;t:. PreFtm 97"..'14.265:3
Phone:(6013)639.4082 a FAX(50X)639-37'1
Notice l'o Controic',cors NN"orkinb 1n Kinu Cite
Dut- tc rpm.:1t; wrr>meri -.with the Cite of Tigard, mann building related permits
for hri:leets i:i its are issued and inspected by the City of 1,iga-d.
Ify,.:ur herrnit application DOi.S NOT REQUIRE PLAN REVIEW, simple complete the
approprin•e application legibly and submit it to the King Cir: staff. The King Cite staff will
collect all lees and fax the application to the Cite of Tigard. City of f ward staff will then create
thte hermit. i�: Ue the pe-:-nit. anc perform inspections. Please indicate on the permit application
whether you W.Auld 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 illc?ible
application tik ill be returned to King Civ, staff for correction and no processing v.-ill occur until a
complete. IcLibic application is received.
If-WLIV l urmit application DOES REQUIRE PLAN REVIEW. this form must be signed by a
Kinug Citi: stalf; i-i..n !ting Civ, staff%pili simplti sign this form indicating land use approval.
Take this signer: form to the City of Tigard Development Services Cou^ter located at 1.125 SW'
Hall Blvd. Tigard. suhmtt applications and plans. Development Se' 7.!chnicians are
aN ailal,le a: E=U--t 1 ;'1 }:::?. :14 sh,,uld you have any questions concetml g . -bmittal
requirement.s. Al permit fees will be assessed and collected at the City of T Lard.
The City of Kine (_'ity herebN authorizes applicant to pursue permits at the City of Tigard
Building Department for the fbllcminL prtljcct: �. c*
located at:jw3 j,_ r
Kind_ City Representative �_ �,6)0
1 U1 r,6U`.4T r`C,
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