16800 SW QUEEN MARY AVENUE-1 ADDRESS:
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Orecords\microflm\ta rgetstuilding.doc
INSPECPXON NOTICE,
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 9'7223 N-
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINALt
Post/Roam Struct. Fan. Sewer Framing
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -!tech.
Date Requested: 2 Times �AM
Address: PermitL
Builders ?-,-[ Vpc) &,f - `C)- , ,
PN
/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ra
Inspector: Date-__IC)—/) -e? [�
APPROVED `_ DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinnp.
INSPECTION NOTICE
City of Tigard Bui.ldiny Department
13125 SW Nall Blvd. Tigard, Oregon '
Inspection Line (Rec-O-1'bnne). 639-4175 Business Phi 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam St.ruct. San. Sewer Framing -.Bldg,
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requestedt/0 PN
Address: u Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector• '-------- --- — ---------------
�� --- ------ --- ------------ Date:_
_APPROVED _ DISAPPROVED %PPROVF.D SUBJECT To ABOVE
_Cell For Rainnp.
INSPECTION NOTICE
City of. Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97273
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beano Struct. San. Sewer draming -Bldg.
Poet/Beam Mech. Rain Drain Insuleti n -Plumb.
Plbg. Underfloor �Water Line Gyp. Bd. -Mech.
Date Requested: / r1 ��-� Timed AM PM
Address: �L/v ?ermit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectort / � _ Date:
APPROVED DISAPPROVED "___APPROVED SUBJECT TO ABOVE
_Call For Reinnp.
INSPECTION NOTICE r
City of :i.gard Building DepartlllOnt
13125 BM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business phone: 639-4171
Irepection: _^ —�
Footing
plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plby. Top Out Gas Line FINAL—
pont/Ream Struct, San. Sewer -Bldg.
`� g
z� -Plumb.
Poet/Beam Mech.
Rain Drain Insulation
tlbg. Underfloor Nater Lines
Gyp. Bd. -Mech.
� 1 � T ime: A!1 PM
Date Ryyueeted:, -/ � -��Z�
ratit t e
Address:_
Builder•__��-�Z4zi-d- 4
THE FOLLOWING CORRECTIONS 11Ra IREDi
OL
I napeCtOC 1 ---�_�_ natal.
APPROVED _._ DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
MORES
INSPECTION NOTICE
City of Tigard Building DepartAwnt
13125 SSI Ball Blvd. Tigard, Oregon 97223w"__
Inspection Line (Ree-OOf�-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Mech. Rough-in App-/Sdwlk
Pound. Plbg. Top Out Gaa Lin-s FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requestedt. Lme: AM J PM
Address- /1�1?00
Builder:__L J
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspector: i at.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-___Call For Reinap.
NSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineee Phone: 639-4171
Inspection:
Footing Pl.bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sawn. Sewer Framing -Bldg.
Post/Beam Mech. —Rain Drain Insulation -Ply.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requeeteds �r ^5F�_ ---_Timet AH PM
Address: 0 ba �s� Permit izll
Builders —
THE FOLLOWING CORRECTIONS ARE REQUIREDt
Inspector: -�
Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
BUILDING PERMIT
CIS OF TIGA RD CITY RD PERMIT #. . . . . . . 3 BUP92-0258
COMMUNITY DEVELOPMENT DEPAY 0411119M
,%E711125 SW Hall BW. P.O.Box 2W97 Tigard.Oregon 97223 ( ) 71 DATE ISSUED: 08/28/92
SITE ADDRESS. . . : 16800 SW QUEEN MARY AV PARCEL: 2SI15BC-07000
SUBDIVISION. . . . : 7.ON1114G-.
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
--------------------------------------------------- --------------
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :NEW FIRST. . . . :276 s N.- S: Es W:
TYPE OF USE. . . :SF SECOND. . . : Sf PROTECT OPENINGS?-----------
TYPE OF CONST. :5N THIRD— . : s N: S: E: W:
OCCUPANCY GRP. :R3 TOTAL--------: 276 sF ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: BASEMENT. : 5f AREA SEP. RATED:
STOR. : 1 HT. : 15 ft GARAGE. . . : 5f OCCU SEP. RATED:
BSMT?: MEZZ':',: REWD SETBACKS--------- REQUIRED-----._--._----_._—.___
FLOOR
EQUIRED-----------------------
FLOOR LOAD. . —'40 Psf LEFT- ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: 1 FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $: 12696
Remarks : addition to existing house
Owner: ----------------- FEES --------------
NORTHRIDGE HOMES type amount by date recpt
4341 SW VACUNA PRMT $ 98. 50 SCR 08/28/92 —
PLCK $ 64. 03 BCR 08/28/92 —
PORTLAND OR 97219 5PCT $ 4. 93 BCR 08/28/92 —
Phone #: 246-8*780
Contractor:
NORTHRIDGE HOMES
4341 SW VACUNA
PORTLAND OR 97219 _._.__________—_.____--._._._.______._._____.._._._.
Phone #e 246-8780 $ 167. 46 TOTAL
Reg #. . s 78853
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Foot/found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp
applicable laws. PH work will be done in accordance with Insulation Insp
approved plans. This permit will expire if work is not started Gyp Board Insp
within IN days of issuance, or if work is suspended for more Rain drain Insp
than 180 days. Final Inspection
Permittee SignatUrel
Issued By:
IJ
Call for inspection 639--4173
CITY QF TIGA.RD 131 u
isswl�, aNa. PLNCK/REf.T N S 6�i
PO[lox 73197 PERMIT �uPr11-d.Z�c�
COMMUNITI'DEVELOPMENT DEPARTMENT Tigard.Oregon 97W t
(507)63"171 DATE ISSUED
JOB ADDRESS: T 's/'dam' > j��Gf'/'� TAX MAP/LOT o2SI l�;BC - 07uvU
SUB: ����� LOT: V _ LAND USE:
VALUATION:
Q�(�Q SPECIAL NOTES
NAME: "/` l /..c.c�. %1 n». '� - REISSUE OF:
ADDRESS: G���.�i �' fi) —. 'ce ;-�� ; `'1 J z1 ., , LAST REISSUE:
�; r1! FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR 1p--� APPROVALS REQUIRED
NAME: ,/�*C�f7i'c: e J �.�- °- PLANNING:
ADDRESS:
�i/ „Z � ENGINEERING:
� -�1--Gr C�CCIC �;.
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: ;;-Z e_ ,
COMMENTS:
24
APPLICANT SIGNATURE
Received By: �__ Date Received: 2 -.
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
Bu P9Z-D 258' 10-432 00 Building Permit Fees 55Z,5v -L,
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees _
10-230 01 State Building Tax (5%) _7sL
Building W,y3
Plumbing _
Mechanical
10-433 00 Plans Check Fee a 3 SJ *���
Building 6 (1,03
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection _
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees _
M
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees _
25-448-05 Mass Transit TIr Fees
52-449 00 Parks System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC) _
24-445-01 Water Quality (Fee in lieu of)
24-445-U2 Water Quantity (Fee in lieu of)
J'S
TOTAL
rAV3587P.WPF
Cif" PflYMUNI RFcA. ,IJ)'r NO. ;9F'- 2
CHECI, AMOUNT 9S. 63
MIME NORTHRIDOP- I W. CASH AMOUNT 0. 00
V10 BOX 21.,12,5 PAYMUN'r DATE 06/28,1%?
mrLWAIJlI,Ti�I, OR G U B D I'VT 10 N
PURVIOSL OF P,AYMEI%I,f, AMOUNT (-"O I J) ("URF'(.' OF' POYMEW AVIOUNI VIA I D
...........-...._'..---.._I- _
'Ae';. 7121 4. 11 ,311
BUID 1420�__T'fia
Twrvo.. Amoom v,( in (n., 3
6-
1
c'rry or "rTGAOD W-A-TIPIT Or PAYMENT PFCE r 2 92'• e-','?:t IA 4 P
NORTHRI DOV-, CHLCK nivi6owr 71. 8
ODDRFSS a 4341 SW VACUNA rM71H 0. 00
PAYMEN'r I)n rp.
POIRTLMD OR 1) 7;?�14 SURD I V f S T ON
:UPPOSE' OF PA Y MU FIT AMOUNT V`()ll) PURPOSE: OP MYMP'N'T 11MOLIN T 1,44 1 P
7 1 . A3,
PLAN CIIECK #t)
!6AOCA 9W GIM-A r4 tjor)y, 1,j
TOTAL AMOUNT' V,01rD