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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone-
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech Rough-in Fi.eplace
Po:.t/Bearn Struct. Plbg, Top Out Elec. Rough-in 'jINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drainramin v -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested::_ 1L� �' Time: AM PM
.Address: I (O
Builder_ .3g6 `Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insp ctor:_ ,/' Dater
PPROVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
r
-- 1
MASTER PERMIT �
CITY OF TIGARD
g PERMIT #. . . . . . � IhST9�•-0:356
COMMUNITY DEVELOPMENT *VF_NT DATE ISSUED: 09/2:6/95
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)939.4171 ,
PARCEL: 2:S 1 15BB•-06800
SITE ADDRESS. . . : 164'_0 SW KING CHARLES OVE
SUBDIVISION. . . . . ZONING:
i BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
--•------_____._.__-- _________._.___-- BUIL_DING
REISSUE: DWELLING UNITS:0 BASEMENT. . . . . . .. . :0 __•_sF --- "
CLASS OF WORK. :ALT BEDRMS:0 BATHS:O GARAGE. . . . . . . . . . :0 sf
t TYPE OF USE. . . :S'= FLOOR AREAS-- — —____.__— REQUIRED SETBACKS—
TYPE
ETBACKS—••-•---------TYPE" OF CONST. .5N FIRST. . . , :0 sf LEFT. . :O ft RIGHT. :0 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 s f FRONT. :0 ft REAR. . :0 ft
STORIES. . . . . . . :O F I NBSMEN•T s 0 sf REQU I RE:D—_._.-
HEIGHT. . . . . . . . : 0 ft TOT r,L --------:0 s f SMOKE DETECTORS. : 4
FLOOR LOAD. . . . :0 ps f VA'_UC.. . . . . $ J' 6600 PARK I NG SPACES. . :0
Rem
arlts : WIDEN OPENING 01: GARAGE DOOR FROM 9FT TO 16FT 5: �
--- ---------------------------------
PLUMBING
SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :0 WATER HEATERS. . . -0 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . ..0
a WATER CLOSETS. . :O SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . ;0 WATER LINE: (ft ) . :0 OTHER FIXTURE . . . . . :0
GARBAGE DISP. . . :O RAIN DRAIN (ft ) . :0
WASHING MACH—:0 SF RAIN DRA I NS. . :0 �°
----------------- MECHANICAL — _-----.____._____._____.-------__.____--- FEES _______--•--._____ �s,.
FUEL TYPES—_.._____...__._ UNIT F!TRS. . :0 type amo'-int t,y rate recpt
VENTS . . . . . :0 BPRT $ 62. 50 DAY 09/20/95 KING CITY
MAX INPUT:O BTU VENT FANG. . :0 BPLC $ 40. 6;3 DAY 09/20/95 KING CITY
FURN ( 100K . . :0 HOODS. . . . . . :0 U5PC $ 3. 1S DAY 09/20/95 KING CITY
FURN ) =100K . . :0 WOODSTOVES. :0
FLOOR FURN. . . . :0 CLO DRYERS. : 0 :rs ,
BOIL/CMP ( 31••IP:O OTHER UNITS:O
GAS OUTLETS:O
Owner:
JACK & l_UREBA R I NKE
164 ::0 SW KING CHARLES AVE
KING" CITY OR 97224
phone #: 639•-6146
Contractor: ---_._._________.___.__.__.._-------•-•
H & H REMODELING
P O BOX 1:695 ` ?
PORTLAND OR 972113
Phone #: 2155-9.380
Reg #. . X894.0
$ 106. 26 TOTAL "
This permit is issued subject to the regulations contained in the - -- — REQUIRED INSPECTIONS ------- I;
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp
&pplicable laws. All work will be done in accordance with approved Bt--.i 1 cii n q Final
plans. This permit will expire if work is not started within 180
r
days of issuance, or if work is suspended for mcre than 180 days.
P a r-m i t t e e ;:3 i g n a t U r e :
I s s 1_t e r3 La Y =
Call for inspection — 639--4175 1
Residential BuiltAng Permit Application
City of Tigard /1 G�
13125 SW Hall Blvd. V
Tigard, CR 97223
(503) 639.4171
Jobsits Address: 4W,2.6 5W ,CiN f,�,�h /Z S/�� I 6741 4y-47ZZel
Subdivision: Loi. At Office Use Only
/ Contact Date I I _Initials
Valuation: �. ,T�i�C) Result
New Construction Only: (Square Footage) Planck/Rec
Permit »�� .3 _ 1
House: Garage: Reissue of
Corner Lot? Y �I Flag Lot? Y U Map & TL
Zone
Owner. f�GrG >E L[L.?� f�+�uK Plat# -
Address: �(s �0 Sfy ,�, jrG�fS Approvals Required
Planning Setbacks Solar
`L— — Engineering
Phone: LSO 3 ) (y 3 —6, Other _
Contractor: A ig Items Reouired
Address:
PO 60K f � — Truss Details
6971 A) tet' 7.24 ''j Other �—
Phone: LS-03 o�S�� � Notes
i
Contractors License #_ q 1140 —
(2tfachcop f current Oregon license)
Contact Name:
Contact Phone: 5o3 1 Z5 5 1 J cg 0
Subcontractors: Architect/Engineer:
Plumbing: A. /r'd��LQW&.AF Address: 373��
Mechanical: _ _ / FOS(/ MvJ> O iQ �j 7.2.0 Z
(attach copy of current OR Contractors License) M
Phone: LSO 31 02 3 5--9-2q5
JOB DESCRIPTION: �0l DCtU OPENi OF (p/97C —DO0r2 �"�rV1
90 3 ) ass=-q 3 8 O
Applicant Signature Aorlic3nt Phone number
Received by' _ i_
Date Receive is
} Permit S Account Description Amount Amt. Pd. Bal. Duo
54y"
y Sidg. eormit (BUILD) ,�.Sa ( :t, v
Plumb. Permit (PLUMB)
I
Mech. Permit (MECN)
State Tax (TAX) 3. L3 •' i
Bldg:
Plumb:
i
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mach:
Sewar Connection (SWUSA)
Sewer Inspection (SWINSP) _
Parks Der• Charge (PKSDC) _
Residential TIF MF-R) _
Mass Transit TIF (TIF-,VCT')
j Commercial TIF (TiF-C) _
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) _
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Eresion C:ntri Permit (ERPRMT)
Erasian P°ancic/USA (ERPLAN)
7asion Planc!JCOT (EROSN)
TOTALS:
9_.�1fi1 r�A7 ry. 1r At6 4. :�l .,4 w Clr�iu:' S •�.YE.'tlf�N
FEB-.d4-'00 FRI 00:41 IDS FAX MDS 3#105 P03
i
i
Poet-IS'"brand fax transmittal memo—M N of paps.
TO
Ste _
Fax 377/
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FEB-24-'00 FRI 00:40 ID:.__.__ FAX N0: _ #105 P01
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Residential Buiiding Permit io
City of Tigard
13125 SW Hal/ Blvd.
Tigard, OR 97223
(503) U!*49.4171
Jobelte Address:
Subdlvl klon• Qfflf 0 ' YM„ xM �ryn.i A� :aN � MAlA1�IN
Lot At _ .". ,•, „�,�;c,.¢";,�r,+S'
Valuation: _&LQ�_ Contact D:;} 1�/ ;;��t31U>wlt;a:a" �, ,
AEsult'
New Conatrtuction Only. g
(Square Foot3 a
PianckLRnc
'
ermit*
le ■
House: Garage: p
_
issue of
Corner Lot? Y Flag Lot? Y O Map& TC 0.
Zone
Owner. t A Plate ;.:.;..,
Address: ar _ aPorova s Rsvu;red
Planning:Setbacks Solar ,
l;ngineering
Phone: ( fo 3 ) -I!i/1�L Other _ ;^
Contractor: '� r - Items k0ayfrod
Address: —� q� CRthCt
Truss details
Phone: _ Motes
contractors License # $g40
Contact Nemec
' / (attach cop f current Oregon Ilcense)
�+OEc�A�__._ ..._...._--
Contact Phone.- 1 Sy3�� 2.5 S��1�8 o
Z..,TJF�,. �IIJ �,v L�.E•.,.Z'rtJ C.
Subcontractors: Arch ltectiErtgineer: M rd
PE,
Plumbing-, _lQldJ_'.�_ el�/sCf U/,t A5 Address: ? 3 jr
Mechanical-
(:,'tach cony of current OR Contractors License) e4 Za_p
Phone:
JOB DESCRIPTION: t'N�bEiV QP IU i f 6'
Applicant Signature
Applicant Phone number
Received by: DateReceived:
'
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FEB-24-'00 FR 100:40 11)d
FAX NO: _#1?5 P02 ry �
• !"erntlt d Account Description Amount s Amt. PC Bal. Due �
ididg. Permit (BUILD)
Plumb. Permit (PLUMB)
Moch. Permit
State T"
Bldg: ,;
dumb:
Mach:
Plan Check (PLANCK)
■
Bldg:
Plumb:
Mrch:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDe)
Residential TIF MF-R)
Mass Transit TIF (Tlt`-IIIIT)
Commercial TIF (TIF-C)
Industrial TIF (TIF4)
' Institutional TIF (TiTaS) w
Office TIF (
TIF-01
Water Quality (WQUAL)
Water Quantity (WQUVt T)
Fire U.!& Safety (FLS) -
Erosion Cntrl Permit (ERPRMT)
e=rosion Planck/USA (E?PLAN)
Erosion PlancWCOT (ER )SN)
TOTALS: k
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JOB__-
ZTec ENGINEERS, INC.
3734 3E 8th Avenue SHEET NO. OR • 1
PORTLAND, OREGON 97202.3761 CALCULATED BY DATE
(503) 235-8795
3y CHECKED BY DATE
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ZTec ENGINEERS, INC.
3737 SE 8th Avenue SHEET NO. . OF
PORTLAND, OREGON 97202-3761
(503) 235-8795 CALCULATED BY DATE
CHECKED BY__ DATE
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