15980 SW ROYALTY PARKWAY-1 ADDRESS:
_.1
i:\records\microflm\targets\building.doc
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: — — —
i
Footing Plbg. Underelab Mesh. Ro -in Appr/Sdwlk
Found. Plbg. Top Out Gas Lin-
Pont/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -plumh.
Plbg. Underfloor Nater Line �7 oyp. Bd. -Meeh.
Date Requested: —�G�y^" T
imet
Addrenn:
y(.� Gt' t P6rmit
Builder: S li"�s3
7v
TM FO NO CORRECTIONS ARB REQUIRED:
Inspecto --_ nate:1��7
APPROVED DIIAPPROVED APPROVED SUBJECT TO ABOVF.
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Dopart�ecsll
13125 BN Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Busl.ness Phones 639-4171
Inspections —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
c
Date Requested: �
/� ��O � Lr TL AM PH
Address: /J` - �� s
Builders e5 17
THE FO.LLONjyIO CORRECTIONS ARE REQUIRED:
4
Inspector:
_APPROVED W_ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
MECHANICAL
-
CIC IWO'1.�T7WLA R D PERMIT
COMMUNrrY DEVELOPMENT DEPARTMFNT ORIOC64 PERMIT #. . . . . . . .. MEC91 --0291
13125 SW VW1 B-M. P.O.Box 21397,74 d,Oregon 97223(603)63"175
DATE ISSUE- 1'2/05/91
SITE= ADDRESS. » 15960 SW ROYALTY PKWY PARCEL : OS00OXX-00000
SUSD T Y 15I ON. . A',; " C/*it/ ZONING:
BLOCK. . . . . . . LOT. . . . . . . . . . . . .
LLASS OF WOFK. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USC.. . . . :SF UNIT HEATERS. . : 1. VENT FANS. . . ,
OCCUPANCY GRP. . : R3 VENTS W/O ADPL: VENT SYSTEMSo
STORIES. . . . . . . . .. SOILFRS/COMPRESSORS HOODS. . . . . . . ..
FUEL I*YP,Ec3------------ -- -- 0-3 HP. . . DOMES. INC*,*IN-.
:/13AS/ 3-15 HP. . . COMML. 11'1(-,IN-,
MAX INPUT: LATU 15-30 HP. . . . : REPAIR UNITS:
FIRE DA(v1f--,ERS?. . 3,0, -50 HP. . . . : WOODSTOVES. . -
CiAS PRESSURE. . . : 50+ HP. . . . - CLO DRYERS. . :
NO. OF FAIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: 10000 cfm: GAS 0UTLr-TS. : 1
FURN ) =100K PT11: 10000 cfm:
P—n,ir-ks : FREESTANDING GAS FIREPLACE
LJWTrer': ------------------ FEES
DAN OGUN type am(3(,Ant by date recpt
15960 SW ROYAL'rY PARKWAY PRMT $ 25. 00 JLH 12/05/91 -
5P(:T $ 1 JLH 12/105/91 --
KING
KING CITY OR 97224.
F'1-lone #: 598-9531
Cc)ntr,autot,:
TOM RJ51-40P
12195 SW CANYON RD
BEAVERTON OR 9'700b
Phone #: 644-7868 26. 25 TOTAL
54696
REQUIRED INSPECTIONS
This pertit is issued subject to the regulations contained in the Final ITISPeCt: i DTI
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This pervit will expire if work is not started
within 180 days of issuance, or if work is suspended for tore
than 180 days,
Plev-m i.tt ee Si qnat 1.ti--e - fv�
t�jt.I L'
lss�ted By !:
Call. -f o r- i n—s—p c. t -i al—n 6-3-
KING CITY
15300 SAV.116th Avenue,}ting City,Oregon 9724 Phone:639.4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PEbMIT
(Instructions on reverse)
DATE i.7- 3-'i/
1.. NAME 07 APPLICANT: DaPhone No. 5+9E-95-3/
ADDRESS: (F rt
ADDRESS OF PROPOSED I RO c . .'7 ( [r, h�, ,L -
2. TYPE OF (MANGE, IMPROVEMENT OR CONSTRUCTION FOR WH I C-I PERMIT IS REQUESTED.
DESCRIBE BRT.EFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT: 1';,,
3. NAME AI413 ADDRESS OF CONTRACTOR rr-Iri
t4�a: ►d F r�,i r t _ PHONE N0. ?C-& L _LICENSE NO.
4. NEIGHBORS WHO MAY BE AFFECTED RY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT-OR HER/HIS-REPRESENTATIVE MUST BE PRESENT AT THE PLANNING Xt4 SSION
+1ELR'ING ffEXT HELD--ON
REPRESENTATIVES NAME _ PHONE NO. _
(The Ring City Plannieq Commission will consider only those applications received at least five (5) days
prior to a meeting.)
SIGNATURE
APPLICATION RECEIVED BY J(\ ,,c ��• ,, �� )t i �1 C . --DATE/�-
APPLICABLE FEE RECEIVED $ r TCYTAL�
PLANNING COMISSION DECISION: Approved - --- Denied
CONDITIONS_
Apploed applicatiogA are valid for sit months only
Signature_ rtu�Gr . &4Aate -c� -y/
N01E: oreg Bomebuilders Law requires that all persons who contract for work on their residence be
registered with the Builders Board which means the contractor is bonded and insured on the job site.
For your Protection, be certain your contractor is registered by calling City Ball Ph: 639.4082,
NOTE: A permit must also be obtained from the City of Tigard Department of
Camr.mity Development Yes—Z No _
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approvec__ nied
Date Comments
Signature _
(y3 Atd-ing .in bp2.atm Pflw--Se ",bkA r, on:e. (1) copy to King C- J)
CD 2-87
ciry of i I GAF,,o RUCEIPT CIF PAYMF.-N-1- PUTIPT NO. 9 1-&%7,03 7 1
(711ECK AMOUNT 26. ab
NAME. m AGUNI Df3bV# CASH AMOUNT 0. 00
.#7 4
ADDRESS PAYMENT DATE 12/05/91
SUP D I V T Sl ON
KINU CITY, OR 972i:-'4-
PLJRVIO11: OF POYMF--'N I OMOUNT V,A I D PUPPOSE OF V'A*YME:,'NT MOUNT PA I D
ME'E'FAAWi E'. P I F,
oet ST. PIL310-1) FIER 1. 25
FREESTANDING GAS FIRUIL.AGE
`rcjTAL AMOILINT PAM