16595 SW QUEEN MARY AVENUE 16595 SW QUEEN MARY AVENUE
--KING CITY --
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INS"ECTIC"J NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 6�39•-4175
Type of Inspection
Date Requested Tiime A.M. P.M.
Address 5 __ice '=—�� Permit
Owner _ -__— — --
L.O.
Builder
The following Building Code deficiencies are required to be corrected:
L► o o IVA YY a,r
-
�..L LI eiZ �rN
Presented to _ [4-A pproved
Inspector Disapproved
Date % -- -
CALL FOR REINSPECTION
[] YES 0 NO
INSPErT'" "; NOTICE
City of Tigard Building Department
P.O. Box 23397 , I
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 1 Time A.M. P.M.
Address / (� �..� L L is L i 7 , / _ Permit *—,I
Owner _— Lot #
F3uilaer
� AThe following Building Code deficiencies are required to be corrected:
Flresantod to I� Approved
Inspector [ Dhepproved
Date
CALL FOR REINSPECTION
2 YES 1_7 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
rshone: 639-4175
Typa of Inspection
Date Requested Time A.M. P.M.
Address l C G r'C[' J `77C Y� Permit
Owner
-- Lot #
Builr!er
The following Building Code deficiencies are required to be corrected:
Presented toc
proved
Inspector
y Disapproved
Date ', _.�fe ' �G1J
CALL FOR REINSPECTION
❑ YES ❑ SIO
INSPECTION NOTICE
City of Tigard Building Department 11 i N
P,O. Box 23397 l\
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection 9-walnn.�" --
Date, Requested—_ CC/ () ^/ 3 Time_. - A.M.. P.M.
D �f
Address �1 �� a-) y a Y c Permit
Owner ' l Lot #
Builder ' aro
The following Building Code deficiencies are required to be xwr9eted:
Presented to Approved
Inspector __- _ (_( Disapproved
Date
CALL FOR REINSPECTION
❑ YEE 0 NO
CITYOFTIGARD � HIJIL.DINC PE.'RMIT
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COMMUNITY DEVELOPMENT DEPARTMENT
I 1125 S W Hall Blvd-P.O Box 23397,Tigard.Oregon 97223.(5031639-4175
.JOS 3.6593 GW QUEEN MARY AVE:
TAX MAP-*'/L..O*I' SUB : KINC, CITY 8K .
LAND LISF :
VAL-OATICIN: Ni 25 ,000 GE.FBACKS
F*PONT : RE AR
WORK C.L.ASS : AL.11EPAUTL1114 UNUrs : I E.F'T' : 14TC,111, -
USE:. TYPE' : F)1:NLA I-: F AM L.Y NC). BEDPOOM5 ; E;-'XT' .WALL.. CONST ;
i -ONSI 'I Yl:)r-' VN NC). OATHS : N: G : I*---: W
L)CCUP . GNP' PROT . OPLKNINGS :
ULC
" UP -L OAC) TUTAL ARL'A . N: 5 : W:
No . s*rnnii-,.s : 1.ST WOOF' (:,(:)NST:
IIE'A:(..;H I PISID: ARFKA SEPAP? A'I E-1.)
B6SEMF:*N F? 3RD: ()(:,(:.IJP . !iF-.'.PAP'? RA'T'ED:
PAST:-;.M' T'
O(Jp I L)AD: GAPAGE-" : 5PR(1_-A? AL..AAM'?
DF.T EC'T7
IJI AN C'HC:(:,I< BY : I-It
(.:',I'.TY APPROVAL.. W11.1 f-'I..AN!:) OF* NO
PEISSUE
W DA(H
N *710 . 5
E 1659,") 5W QUE.1,N MARY AVE:. PI AN RE-V 1:F.-:W 1. 0 113 3
R KIN(., (31.1 9 722-q F UWE DF-Wr
PHONEL 11.503) 6841-97P3 S"I OW11, TAX 10 ::)3
O
DE--VL1-UF)ME:N7' C34APOP.:S :
N JAL, i GF:N U,E'1A-4APD M !it)(:,(S1,014m)
T C, .)A(:.OBSt::N CONSTPUCI ].ON Dc'1 5T'171
A (3 1 AIJPEJ ST POO"(#
C I Ai<l*: OE31
SWGO on 9,70
T PRE!'.PAI D < $100 .
0 1:140NE (503) 233-00(49
R I 11111',ISI'PAT ION NO . 416937
This permit is issued subject to the regulations contained in Title 14 141i.cciawr NO.
of the TMC. State of Oregon Specialty Codes, zoning regulations ......................................................
and all other apolicable codes and ordinances. and It is hereby INS1311UTTONS
agreed that the work will be done in accordance with tht,plans and U44AMINC;
specifications and in compliance with all applicable codes and
ordinances The ssuance of this permit does not waive restrictive I'I111POLYT,
covenants. ;ontractor and subcontractors shall have current city IWA.11LAI JICIIN
business tax perriits This permit will expire and become null and GYP. BOARD
void If work is not started within 180 days,or if6 rk is suspended c,-
1::'I NAL
abandoned for F period of 180 days a time after wr,:k has
commenced ltshall bethe reslpons il't the permittee in as3u",
all required I ctions are requ a nd approved.
irs"I ee Signatur—e
Issued By
C'Al-.1- VU14 :INSPEV I I'()N 639-41.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
someadRib—
P1 11-JIMBING PE14113'"T
CITY OF TIGA RD PET PKI' NO. : PI (301981
CITYOFnorm
COMMUNITY DEVELOPMENT DEPARTMENT orreoow DATE. I55UED; :1.0/11.1(38
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)6394175 Punm . r)mT.No . 8819A0
,108 AODWE-KISS : 11.659,5 SW QUEEN MAk"r' AVE
FAX MAP/LO'T 1:iUB: K1NG CITY LT : 1:3V
L.AND USE -
I. 11.111 STZE' :
XTEM: NO: NO:
W(')l4K CLASS: ALTEPA'TION WA'T*E-IP 0L.OSE1 2 TRAP
USE *TYPE : S1NGX.E:' FAMILY UPINA11- BKFI-OW Pl--4VNI'P
I YPE VN LAVOPAI ORY 2 TPAV' PWIMEP
TUB SHOWER 2 GAl-_":ASE '1 RAP'S
DI'SHWASHL:14
GAR8A(,'-',F-. DISPOSAL
NO , 5TORJ:I*--:'.S : WASH).*NG MACHINE'
OWEI L. .LINT T!5 : L AUNDPY TRAY l*.4I..D(*.;. DPAIN (01A
I'LODW I)PA'SN
G11:14K SEWED (F,T)
WATER l.1I:-:A1T:R STOPM/PAIN (11-1
OTHER
REMARKS :
KING C1*TY APPPOVAI WE 11-4 PI-ANS
0 1-.:14M I T P
W 11.6595 SW QLJEF.N MARY AVE.
N
E KING C'STY OP 97c PA FXXTURES
R PHUNH-K ( 503) 604-9723 STA"I'VE. 'TAX !4:1 1 3
C MORI A N
0
N MOPLAN P1 (JIM411IN(v OPF"LlANCE
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A POP 1*1 AND (:)R 97206
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O PE(;T51'r1A'TTON NO . 2734 TOTAL : fleM
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P1Z.CF-':1P1' No .
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations DEQ11-1.1141F.IJI INSPECTIONS
and all other applicable codes and ordinances, and it is hereby PL.8 .IiJNI)r.-.:l4GL.AB
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive WA 134 LINK
covenants Contractor and subcontractors shall have current city P1, 8. TOPOUT
business tax permits This permit will ex
Ire and become null and
void if work Is riot started within,180 d or it work is suspended or FINAL.
abandoned for a period of 190 y§ any time after work has
commenced It shall he the rffdllland approved.the permittee to assure
a
a
all yrequired sp ons 04, approved
ZIttee S gn
GAI.A. F'OR INSPEG'I AJIN
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ME.CHAN I CAI P E.'P M I'T'
PERMIT NO. ME8819m, %/
al"N"OFTIOARD
Ctn'OF TWAM
COMMUNITY DEVELOPMENT DEPARTMENT DATE 1SSUE'D . 1.0/11/88
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)63941175 PP T M. PM 1' .NO 1138191110
ADDPESS : :1659.5 SW (4I.JI*4'F.N flAI-1,11Y AVE.'
1 AX MAP/1 01 Sk.A'- : KING CITY I
I.-AND USE
I.All
11,k."M NO NO
WORK CLASS ALTERATTON F-LJPNA('.,E <100K A.134 HANDIL.P <1.0
USE: TYPE' : 43.11SIGLE: FAMILY 1--'I.JPNA(:'I:-* 1.001<4- A11:4 HANDL,P 10K
CONST 'TYPE: : VN FLOD11 FURNACE.' FVAP-1,C)OLEJ1
0C.CUP .GPFI . HEATED VF:NT FAN
VENT Vr-:Nl* . SYSI*F:M
BI..P/L'C)MI'_) C31.4p HOOD
NO.STORIES : 6I._P/(:X)MP 311.51--lP J.NCT.NE':RA*TOR(I:)0h
DWELL . LIN I I'S 19A.-P/cOMP 1.5 301-41:1 TN(:,'1NEPATOA(CXM
TYPF: 30--.50HPI PF-PAIP UNITS
MAX . INPUT RI P/C10MP 50-H-4p (:)THEIR
DMF)RF,'? GAS IP3.N(., OUILET'S
FIRIESS?
LOW PRITSS'
NE:'MARKS :
I<J:NG APP"OVAI WITH PI A NS
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r: r-:S
0 DA CH PEOM11'
W :1639.5 SW QUEEN MARY AVE: PI AN 14E'VIF*W
$
N 41 00
KING CITY UP 91P241 F1 X I I I IW S 016. 00
PHONE (J0 i) 684--97F.1 STATE: TAX tIl 80
arHER
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0 1'01 AL : 1111120 .130
R
RECCUPT NO.
This permit is Issued subject to the regulations contained in Title 14 """"""""""""""""'"'•""".".
of the TMC. State of Oregon Specialty Codes,toning regulations lA-_IAJ:1WE'.0 ENSPECTJONS
and all other applicable codes and ordinances. and It is hereby ROUGH— J.N
agreed that the work will be done In accordance with the plans and FT NAL.
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
cf,venants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and come null and
void if work is not started within I days,or if w is suspended or
abandoned to a ri clay�" any e after work has
commenced 11:p"halpl'ib h P lon'�sfb!lkty of epermittee to assure
all require in! I I P q I e stwo d approved.
itt Sig afUre
Issued By ALL II-OR 1145PECTION 639-41-7
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
rlTN' OF KING CITY
15300 S.W. 116th AVENUE
KING CITY, ORE1li:•I 97224
( 503) 639-4002
APPLICATION FOR
COMPLIANCE REVIEW BOARD PERMIT
1 . NAME OF APPLICANT : M t f c
ADDRESS: /G ___L �.y.
TELEPHONE NO. -2P 3
ADDRESS OF PROPOSED IMPROVEMENT�['�,y
2. TYPE OF CHANGE , IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT
IS REQUESTED. (DESCRIBE BRIEFLY/AT�.pCH TWO COPI OF PLANS
OR VRAWINGS O�FpW14AT/ IS PROPOSED) :
743. NAME- AND AUURE ES OF CUNTRACI,UR :
4 . NAMES AND ADDRESSES OF NEIGHBORS WHO MAY BE AFFECTED BY THIS
CHANGE , IMPROVEMENT OR CONSTRUCTION. ( IT IS THE APPLICANT ' S
RESPONSIBILITY TO NOTIFY EACH NEIGHBOR) :_-_
oil
—SIGNATUITE OF APPI_ ICA
DATE OF APPLICATION -L,/
U FTCE USE UUNLY :
APPLICATION RECEIVED BY _ DAIE
APPLICABLE FEE RECrIVED $ 10.00 OTHER 101AL PAID
APPLICATION REVIEW SCHEDULED: UAIE _
CUMPL I AN ' REV E B RC2 -A DEC I S I UN:
APPR - _ , -s�G�t
DENIED DA1F
CONUIIIUNS:__�_
App IIrntlon npprnved You_are_ urged__to hi.re_can-
ror six month period only traclurs who are reg-l's-Le-fed
wlLh `L1ie 0611ders ljoard
luin1 — -
—
( InrormaLlon/Instructions on reverse)
I' inti Cil.y
COMPLIANCE REVIEW BOARD
PROCEDURES FOR NEW CONSTRUCTION, STRUCTURAL CHANGES, ADDITIONS,
EQUIPMENT INSTALLATIONS AND REMODELLING REQUESTS .
1 . APPLICANT WILL SUBMIT A COMPLETED APPLICATION FORM WITH
ATTACHED PLAN OR DRAWING TO CITY ADMINISTRATOR.
2 . ATTACH APPLICATION FEE $10.00 - ADDITIONAL FEE HAY BE APPLICABLE .
3. 11 A MAJOR STRUCTURAL CHANGE IS REQUESTED, CITY ADMINISTRAfUR
WILL BRING THE APPLICATION BEFORE THE COMPLIANCE REVIEW BOARD
WHO WILL REVIEW IT , APPROVE IT , CONDITIONALLY OR OTHERWISE ,
DENY IT OR DEVELOP RECOMMENDATIONS TO THE CITY COUNCIL .
4 . APPLICATIONS FOR MINOR ALIERATIUNS AND REMODELLING MAY BE
APPROVED BY THE CHAIRMAN ON BEHALF OF THE BOARD.
5. TILE COMPLIANCE REVIEW BOARD IS AN APPOINTIVE SEVEN MEMBER BOARD
OF THE CITY COUNCIL OF THE CITY OF KING CITY . THE BOARD HAS
AUTHORITY TO MAKE ADMINISTRATIVE DECISIONS RELATIVE TO LAND
USES AND TO MAKE RECOMMENDATIONS TO THE CITY COUNCIL RELATIVE
TO VARIOUS REQUESTS , CONDITIONAL USE PERMITS AND OTHER LAND
USE PROPOSALS.
6. THE RESPONSIBILITY FOR THE ISSUANCE OF BUILDING PERMITS LIES
WITH THE APPLICANT , AFTER RECEIVING AN APPROVED PERMIT FRGM
COMPLIANCE REVIEW BOARD, WHO MUST APPLY TO THE CITY OF TIGARD
FOR A PERMIT WITHIN THE AP"t "ABLE ZONING AND BUILDING ORDI-
NANCES. AN APPLICATION APP.;(-'IED BY COMPLIANCE REVIEW BOARD IS
NECESSARY TO OBTAIN A BUIL0.0,.j "ERMIT FROM THE CITY OF TIGARD.
7 . APPLICATION MUST BE RECEIVED AT LEAST (5) FIVE DAYS IN ADVANCE
OF MEETING DATE TO BE CONSIDERED BY THE COMPLIANCE REVIEW BOARD.
8. THE COMPLIANCE REVIEW BOARD WILL MEET ON A REGULAR BASIS ON
THE LAST WEDNESDAY OF EACH MONTH AT 10:00 A .M. , IN THE CITY
HALL , KING CITY. SPECIAL MEETINGS MAY BE SCHEDULED AS NEC-
ESSARY. INFORMATION ABOUT MEETING DATES OR AGENDA ITEMS CAN BE
OBTAINED BY CALLING THE CITY ADMINISTRATOR, 639-4082.
REFERENCES: ORDINANCES N0. 0-88-2; 0-86-3
RESOLUTION NO. R-88-7
• City of King City • 15300 S.W. 116th Avenue, King City, Oregon 97224 • (503) 620-6444 •