16395 SW ROYALTY PARKWAY 1
1
a
16395 SW ROYALTY PARKWAY
KING CITY
IN£PECL':LON NCT7cF.
City of Tigard. Building Department
.13125 6W Hall Blvd. Tigard, Oregon 97223
Ins:oectlon Line (Rec-O-Phone): 639-4175 BunineevePhone: 639-41.71
Inspection:
Footing Plbq. inderslab Mach. Hou' qh-in Aper/8"lk
Found. Plbq. Top Out Cas Line lI1g1Lt
Post/Beam Struct. San. Sewer Framing !` =81dg.
Prat./Beam Mach. Rain Drain Insulation -Plumb.
Pl,bq. Underfloor Water Line Gyp. Bd. -Mach.
Date RequeatMl '��' � ./ T11M3 AM PN
Address: tT
/
Builder: !
THF.. FOLi.OWI1tYLZCL'IOR8 ARP REQUIRED,
lnspectors (�� 'r �_ Date s._.LY
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
call For Reinsp.
sw
INSPECTION NCTICE
City of Tigard Building Dopartmummt
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec O-P one): 639-4175 Business Phone: 539-4171
Inspection:_
0ooting 41b?✓/Underelab Mech. Rough-in P.ppr/Sdwlk
Found. Plbg. Top Out Gas Lire FINAL:
Pest/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. [tnderfloor later L a Gyp. Bd. -Mech.
r /
Date Requested: L C! � Times
AM PM
_
Addresn: C ti �t�►e it �t �/� ��•--
Bu]lder: _
THE FC11JXWTNG C.'ORRECTIONS ARE REQUIRED:
Inapector:
/ APPROVED DISAPPROVED APPROVR,D SUBJRrT TO ABOVE
_,Call For Reinap.
BUILDING PERMI-r
CITYOFTINARD RD
ow I-IERMIT #. . . . . . . : BUF-"�'-
COMMJNrrY DEVELOPMENT DEPARTMENT
23397,I-Qwd,OrOgm 97=(SW 6394 175 7t
13125 SW K41 8" P.O.Sm
W ROYALT � PKWY PARCEL!
SITE ADDRESS. . . 16395 S ZONING:
SUBDIVISION. . . . C1.11
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
EXTERIOR WALL CONSTRUCTION—
PEISSUEt
—_.__.._._____-_.________.--._----Fl
LUOR AREAS----'---- —S f N- S: E W:
CLASS OF WORK. :ADD FIRST. . . . : PROTECT
TYPE OF USF . . - :01"F 5EG'OND. . . : Sf r E- W:
YF
'E OF CONST. :5N THIRD. . . . : f N S.
f ROOF CONS": F I RE FRET?
t')CCUPANCY GRP- :P3 BASEMENT. : f AREA SEP. RATED:
JCCUPANCY LOAD-- GARAGE. . . ' S OCCU SEP. [RATED'
: 1-4 T. : RE
DD SETBACKS---------
113SMT'': MEZZ? : LEFT f t FIGHT: -F t F I R SPKL: SMnK DET. . :
I FIR AL RM: HNDICP ACC:
!--IDOR LOAD. . - - . PFf F R NT: ft REPR: ft
DWELLING UNITS: IMP SURFACE: P,R0 CORR: PARKING:
BEDRMS: BATHS-
VALUE. $: 0 81 MAX DISTANCE BETWEEN POSTS, FOnTINGS MUST BE 12" IN
Remarks: EXTEND FENCE --
DIAMETER Al%-ID 31 DEEP. MUST BE INSPECTED BEFORE POURING.
FEF-_5
Owner-: --------------------------- type amount by date i-eept
iii.-VINGETS PRMT $ 25. 00 JLH Oi /P9/92'
16395 SW ROYALTY PARKWAY SACT $ 1. 25 JLH 01 /29/92
KING CITY OR 137224
Phone #:
ContractoT-:
DEREK FiAm-
a30 SW 7TH
CANBY OR 97013 $ 26. 25 TOTAL
Phone #:
Req #- . : 33097 REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained In the
Tigard Municipal Code, State of Ore. specialty Codes and all othisr
applicable laws. All work will be done in accordance with T-1715 I'd-
approved Plans This permit will expire if work is not started
within 160 days of issuance, Ov- if work is suspended for sore
fman 180 days.
issued By :
Call fot- inspection 639-4175
i
t
4 I ,
A�
i� 11l
J
r
s�
1
t
Cl TY OF T I CARS} REC'-k- I P'T OF PAYMENT RECE I PT NEI.
CHECK, AMOUNT P6. 21-5,
03F IS, AL V I N CASH AMOUNT a 44. ok7
.1
ADDRESS A 163905 SW ROYALry Pnpt<wAy PAYMENT DATE e 012
K16 CITY, OR 9-7224- SUBDIVISION
KI
PURPOSE OF FlWMUNT nMQIJNT PAID PURPOSE W PAYMENT AMOLIN T PA I D
215. 00 ST. BUILD PER 1. e'5
TUCAI_ AMOUNT FFA ID c.,15
i
KING CITY
15:300 S.W. 116th Avenue,Hing Citi•,Oregon 9727.4 Phomw 639.4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATE
1. NAME F APPLICANT.,_-- Y � Phone No.---
ADDRESS:
ADDRESS OF PROPOS I 'ROVE? Ad
2. TYPE OF CHANGE, IMPROVEMENT 01 CONS UCTION FOR WHICH P IT S ESTED I
DESCRIBE BRIEFLY – ArrAC11 TWO COPIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT:
3. NAME AND ADDRESS OF CONTRACC01__
PHONE N0. .2'1`!r/�-17 L LIC SE NO. _ l
4. N} :GHBOBS WHO MAY BE AFFECTED BY 'PHIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR 11F..R/HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CCKIISSION
MEETING NEXT HELD ON
REPRESENTATIVES NAME_ PHONE NO. _
(The King City Planning Commission will consider only those appli tions received at least five (5) days
prior to a meeting.)
SIGNATURE. —��/,� �
APPLICATION RECEIVED BY +� _ DATE
APPLICABLE FEE: RECEIVED S_.c S" 0 U NOTAL. I a(•
PLANNING COMMISSION DECISION: Approved !` Denied
CONDITIONS . Ls
Approved applications are valid for sit months only
Signature Date
NOTE: Oregon Nomebuilders Law requires that all persons who contract for work on their residerce 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 Nall Ph: 639-4082.
NOTE: A permit must also be obtained from the City of Tigard Department of
Ctxrtrntnity Development Yes_ No
***!ck•k**********************************�k***�k*******************•kir*********9******
CITY OF T'IGARD INSPECTION REPORT
The above listed project has been inspected and Approved Denied
Date_ Comments
Signati.tre�
(SuAtding .im6peztant ptk"e n•¢tuAn one ( 1 ) copy to King City)
i CD 2.87