16678 SW QUEEN ANNE AVENUE i
16678 SW QUEEN ANNE DRIVE
-KING CI'T'Y
mwecT10N__1�OTICE
City of Ti.-jard suilllog Department
13125 SW Ball Blvd. Tigard, Oregon 9722-
Inspection Line (Rec-O-Phopa): 639-4175 Ruainean Phone: 639-4171
Inspection: -
Footing Plby. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Be-1 Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
Date Requesteds_ / - /6" Time: AM PH
_ + _�---�� raddress C �Ilurermit f 9, L,
Builw,rt
w
THF- VOLLOWINC CORRECTIONS ARE REQUIREDt
Inspectors Date:
~ APPROVtD --_W DISAPPROVED APPROVED SUBJRCT 10 ADM
__.____Call For Reinap.
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CITY OF TIGARD
OREGON
October 2 , 1991
Robert B. Allen
16670 S.W. Queen Anne Avenue
King City, OR 97334
Re: 16670 S.W. Queen Anne Avenue Permit: # MEC 90-0045
Dear Mr. Allen,
The last inspection conducted on the above project was a final
inspection on 3/6/90 . The next required inspection will be a
re-inspect final.
Please advise the Building Division of the status of this project
as soon as possible so the file may be kept current.
Please not.r! that any permit without activity for over 180 days
becomes void. If you need additional time to complete the project,
please conL-act this department so that an extensio,, can be
discussed.
Sincerely,
Kenneth Schreindl
Building Inspector
Notice.A
i
i
131125 SVV Nall Blvd,P.O.Box 2&197,Tigard,Oregon 97223 (503)639-4171 --- ----- — -------
CIIYOFTIFARD frITY:FTWAJ§ HANICAL
GOMMUNf!Y DEVELOPMENT DEPARTMENT c�afcaofl ERMIT
15125 SW HO Blvd P.O.Box 23397.TOW,Orelpnao0t7l1t(5W)6394175 . . . . . . : MEC90-0045
-- -� 630-4174,----
DATE
171- — DATE ISSUED: 03/01/90
SITE ADDRESS. . . : 16678 SW QUEEN ANNE AV -K�h C, PARCi ,.: 2S115BC•-17600
SUBDIVISION. . . . : / ?,ONIVII:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
----------------------------------------------------------------------------------
CLASS OF WORK. . :AI.T FLOOR FURN. . . . 1 EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------ 0-3 . : DOMES. INCIN:
3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . . REPAIR UNIi`S:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS---------- AIR HANDL1NG UNITS OTHER UNITS. :
FURN < 100K PTU:1 <= 10000 cfm: GAS OUTLETS. :
FURN >=100K BTU: > 10000 cfm:
Remarks: Installation of new central air conditioni•1g system to home.
Owner: ------------------------•----------- ---------------- FEES -----------.-----
ROBERT ALLEN type amount by date recpt
16678 SW QUEEN ANNE PRMT $ 16.00
5PCT $ 0.80
KING CITY OR 9722.1 PAYM $ 16.80 JLH 03/01/90
Phone N: 620-8354
Contractor: ----------------------•-••---•---
AAA HEATING & COOLING
2915 NE UNION
PORTLAND OR 972.12 -------------------------------------
Phone M: 284-2173 $ 16.80 TOTAL
Reg N. . : 222
---•---•- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Godes and all other _
applicable laws. All. work will be done in accordance with _
approved plans. This permit will expire if work is not started
%ithin 180 days of issuance, or if work is suspended for more
than 180 days. —
Permittee Signature:
Issuers By:
Call for inspection -- 639-4175
a �e N mrwNFLMRW W- ■r
CITY OF TIG#441) FECF'I►-T SOF` PAYMENT REC Nil- lX;tC173;:,a
CHECFi AMOUNT i 16.80
PJAME- AAA HEWING & COOLING i NC CaRH AMOUNT .CIO �
ADDRESS: 2915 NE UNION r-WeMENT CA1'E 0'7--C11-'YO �
F'URTLAIJ0, OR 2 17 NOiADDR.
16678 `;.:,W WUE;E•:N ANNE: AVE
OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
";�-'.HANICAL PFF'M -qO--0D45) 16.00 STATE. BUILD FI:RMIT TA9 l5}.i .HCI
TOTAL AMOUNT PAID - - ?.,.bij
A 0 2/1 7b ��yG � FYI CC
-
AAA H .EATING & COOL-ING, INC.
2915 N.E. UNION AVE. • PORTLAND • OREGON • 97212 • PHONE 284.2173
Geri Hardina
City of Tigard
P.O. Box 23397
Tigard, Oregon 97223
Dear Geri ,
Thanks for your help this morning. Enclosed please a copy of Mr .
Allen 's King City permit and a check for 16 . 80 for the Tigard permit .
Please call Mr . Allen and set a time for inspection as he is usually
home .
Thank you again for your help in th13 matter .
Sincerely,
John Spezza
2encl : rj
REG��el�Q
GgMM11Nlr OF.VE1.dPMkhi
w w w w w
KING CITY Mayor.
■L c red Clagett
uaaseaa#s1��1 15300&NV 116th Avenue,King City,Orepn 97224 Phone:639.4082 Council Members:
Maybelle DeMay
Hal Ennor
APPLICATION FOP. Herbert Lindner
PLANNING COMMISSION PERMIT Stephen McShane
(instructions on reverse) Manager.
Lenore Akerson
D A T r �� Chief of Police:
J.Dennis McClain
+. NAME OF APPLICANT: _ I�V_ P"betiT -8. Aflz-(" Phone No.
ADDRESS: l 67f '4NA/d �'iivr C/Ty 2y !
ADDRESS OF PROPOSED I MPROVEMENT r- ,y rz CF c`
2. TYPE OF CHANGE. IMPROVEMENT OR CCNSTRUCTIO14 FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF PROJECT.
PROPOSED:- £N,rq ll N r•?.� 1 J- 4170 C' 4A'
i
3. NAME AND ADDRF..ES OF CONTRACTOR A 14.477/ C1CfYirF�' �;k<<.
`�/S ti'rL ll/✓r�rAV6 rf���C�`��Z/� FHO14E NO. LICENSE N0.
4. NEIGI4BORS WHO 11AY BE AFFECTED B" THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR HER/HIS REPRESENTATIVE HUS" BE PRESENT AT THE PLANNING
COMMISSION MEETING NEXT HELD ON _
REPRESENTATIVES NAME PHONE NO6r_'7.
(The King City rlanr,ing"Coiaission will consider only those applications rvicelved at least live (5) days Ftior to a aeeting.)
i g n a t u r e
APPLICATION RECIF I VED BY. _ 7C C/ (Z�� 7LCkf' C1 DATE _
APPLICABLE FEE RECEIVED t TOTAL
PLANNING COMMISSION
_ DECISION: Approved Denied
CONDITIONS
61
A.pFroveddal"pliiccaattlloons are valid for sll vont only
S i a_n a t u E e✓_� \ � i-E����=�-�C1-G�-L__ !3 t C � •� r d
Oreton lioaebuilders lar requites that all persons who contract tot work on their residence be
reilstered with the Euilders ;card which leans the contractor is �^nd d and Insured on the job site.
For your protection, he certain your contractor is registered by calling City Ball Ph: 639-108?.
Note: A permit must ahs be obtained from the City of Tigard Department of
Community Develooment Yes IJo _
11####11#11****I***0#IN#11N*11##NNS#r
CITY OF TIGARD INSPECTION REPORT
The above listed prolert has been inspected and Approved Denied
Date Comments
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c i i y O 3 TIoar1'. Mechanical Permit M Parrt,it �aQ
Fee
;tate Installattor Replace C3 Relocation [I Addition 0 Alteration D4`/.State
TOTAL
HEATING
C01`4TRACTORl21l�_ r.�s2j., # �L_ ._ OWNER It j6qLIj
WORK ADDRESS `jZ S.w- Q%jA)
PHONE APPLICANT • �• t+��'�� I�ZIG-� I
F _ ' ------^
�rat Input Rating (BTU Per Hour) Vent Size Flue Size�''`'7� _ _ � _
UEL OIL ❑ GAS P' ELECT L! OTHER C,
ITEM NO. FEE ITEM No. FEE
.-or Issuance of Permit SEE ABOVE Air Condition Compressor 15 to 30 HP 10.00
.Nv"Up to & inC .100.000 BTU 4.00 Air Handling 10,000 CFM _ _ 3.00
"lawr-100,001 BTU s& over _5.00 Air Handling Over 10,000 CFM 5.00
rioar Furnare 4.00 Evaporative Cooler _ 3. 0
01all - Floor •Suspended _ _ 4.00_ _Range Vent Fan - _^^ 2.00
Insta!I Vsnts On!y 2.00 Vent System _ 3.00 t
Reoair -Heat& Cooling _ 4.00 Hood Commercial 3.00
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System 10.00
Air Condition Corepressor 3 to 15 HP 7.50 {
!,%,'zPECTOR'S CO1r1MENTS _
-iTY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
PPROVED BY DATE ISSUED BY _ _-_ _ DATE
-:ECMPT NO. _
r+ Signature of App' an ►,�
P�U' 1NG PERMIT
------ .; holder of a valid plumbing contractors license is hereb
Y
authori He'd to cru e p rnl,►ing work a'; hrrt:irl vtt d to be installed in accordance with the plumbing code of
Iiord. Such in:,t Ila ions require inspection y the City Inspector who shill be notified not less than four
(G) hours prier to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-con tractors.-
Job
OwnNr. � �=._...__.._._–�._. Addess. 6 - _. . �C.
NUNMER 013 L -
TYPE OF PERMIT 7i11'A 1fEMS Ft! 0,4 EACH AMOUNT
5na_!a Family.�t hath_each O
�!'x 25: U
baTh unit __ _
�Additional bathroom,•-each _...._ .....�. .�.___. __......____._._"...�. ._..�_...
�A1ob+'eHmt,Space'-each
N O I V I D U A L F J Co v ..� ib.00_. _
t to 5b Fixtures In_1 build}n --aclr_�-�^�„ y- 3.0t1
} _61 to 100 Fixtures ---
101
to 700 Fixtures in 1 bulldinc�e.nh��
701 or mora Fixtures in 1 buL' 2o.-earh ^'ZOO '—`
r.1-I S C E L L A N E O U S ___. _._ _..._._1.E0
SpyV+~etich additional 100 ft_ __��.._._. _ �'• _ ____y_... _ --- -
.�r to Service buny—_._�__.—`._�.._�` __.-�-�• ..- .-10.00
Wa: _
�� Athpr ISn�r}ry): .....--fes— –_...._....,�........_ _.__•� � .._...�_..__...._____ •--__.._._.-- �_.__.. I
PERMIT �-�"1 f)�Q For Plumbing Inspection Plra1s 639-1171
Plumbing Contractory
i .-TOT�t• � l _ RECEIPT NO. Issued By e
'JILDING PERMIT APPLICATION CITY
QF DATE . _
— -4 UNDERSIGNED HFREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATE BUILDLRPHONE _'
jR AS SHOWN AND APt'ROVED IN THE ACCOMPANYING PLANS AND SPECIFICAIIUNE OWNER PIIONE— M _
LOT -_--
R ADDRESSAkC ITkCT
ENG NEER
LIP�
ER � DDRESS �r •� �� DESIGNER ••••••(((�
UREWNEW — ❑REMOD_EL ❑ADEATTION _ ❑REPAIR —[J;-iLNLWAL Of-IREDAMAGE ❑DEMOLITIOn
IDtNCF DCO MM LIEDUCAIIONAL OGOV'1 OP.FI IGIOUSOPATIO OCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
I,POND ❑MOVING OCOND1110NAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
— -.
: '.-Pt NCV _LAND USE ZONE—_"` 8LDG TYPF �$7 FIREZONEPLAN CHECK BY.—�_-_ HEAT_C�._:__ ___
t.—� -51�n-l�
cIC�-.1QAQ___--�_f_h0.Q3_LQAD.ZLe--_H�SaHL�+ _N4_SIS�R1�$_..�__ ARF n@EROOMS VALU-#2 6^0
51
BUILDING DEPARTMENT SET HACKS FRONT_ F,_EA R I I Fl SIDE RIGHT SIDE p
THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONINI
Plan Check _ D�t� RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGAEEO THAT TH
[ ----- "' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN f JMPLIANCE WITI
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMIT DOES NOT WAIV
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES
�rtbte Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
9719
Total
i �q
Bvy_ML_
-- APPI ICANI OR AGENT
App.awed Receipt No
ADDRESS �— _—PHONE --
r1Q_r- g ^
pm-
�s2�
N1.1 .1.,:56
BUILDING PERMIT APPLICATION KING CITY
THE UNDERSIGNED HEREBY ,APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILD�RPHONF_____-__.___..
OR AS SHOWN AND APPROVED IN 'THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO. _
• JOB ADDRESS ussn Ani'm H l�.i, –.—
OWNER - 7� J' HOME ADDRESS
ARCHITECT -
BUILDER ADDRESSE nn n 'o11'Ah Ayenub ENGINEER
DESIGNER
STRUCTURE _❑NEW C3Rf'MnDEL ❑ADDITION +❑REPAIR_ [:]RENEWAL. Cl' NE DAM__AGE ❑_DE MCI LITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL DGOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDIT'IONIL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _
nC(;UPANCY LAND USE ZONE--- BLDG. T'YPE—_trt FIRE ZONE PLAN CHECK BY_��C — HEAT____-. ____
Lonstlruct 91n; is Pair.41y Uwa111ny w/a+ttachud yarta6e, r It'ranr�lt i,as N
------ t4.1 1',UHRECTICiN SHF U T ATTAC:HLU*
Vf.'`MI'f 15SUED t Y ij*.Y'.A. y2d"',+i7 UATEf? i?/_/bn.
+�--si}.-�-fir-------
Q.1;��A2___.__._F1.4S2BJ>9,AD 4 _�'" N�T4p1ES—_�_ AREA1110 Np @ERB4S?Ms ` yA.LS '7_
BUILDING DEPARTMENTSET BACKS FRONT 19 REAR dA LEFT SIDE RIGHT SIDE
Permit 1dI*CIL) ---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 90.bo REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 171. :,0 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOF,S TO HAVE CURRENT CITY BUSINESS
State Tax 4 7.24. LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total %7 8.'74
By n_�
APPLICANT OR AGENT _-
Approved Receipt No
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
`tio-*V0 OM or1•►.� _ Contractor
'��GV t1 pd� _4a4.r. �t1nL1 Permit No.
41,
77-
• Rough-in
Fixture
tsL�Sr tl►�� SPIy---� Final
�• ` Nr0 — �tM� --- HEATING
Q'/O-�V _E TATwIA �' Contractor
10-1L1-4b '11t Permit No,
Gas or Oil
Rough-in
Final
8F-WER
— Final
DRIVEWAY
Final
_ StorYh Drainage
---� (Rein Drain)Finel.
Sidewalk
Curb&Street Final
Approach ~
BLDG. DEPT. PIf1AL TEMPORARY CERTIFICATE OCCUPAPCY
CBRTIFICATE OCCUPANCY Final
-SO
Landscaping
Zoning Final
li
l
TLIAc. ariA.> ISO Co
1z-� iZ 3a 3C-0 CIO
F P 2 - �-. x S ►�- �
4�
2 z x 2 z #�
r
s-/
s �
M/rfOriir-r r
0 1) Mp-_ AG�'cE " %Ef,l. , 16680 5,LD 0ueeN 4NIve, Kinin i y, 47&,l -- &39- X105_,
1668,E 1 If ii !i H - Gua - os-7
0 A114
DAA,4
4)
/4 86
! yo
/ I c �I
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