12435 SW PRINCE EDWARD COURT ADDRESS:
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i:\.acords\microflm\farnets\building.doc
4.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Businsss Phone:639-4171 `
Footing Rain',)rain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing -Much.
Plbg.U,idiFlr/Slab Plbg.Top Out Insulation -Elect.
Post,9eam Struct, Mech. Rough-in Gyp. Bd. 4tJ�
San. Sewer (ani Line Appr/Sdwlk Reins.
Other: _ ✓
Date: ( A.M. --Am..�_ Entry:
Address: ,%
Tenant: _2,6f___9 Ste: MST:
Con/Own:�--�b--� �L (� MEC:_
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
Inspector: __ Date:
(�,69PF36VED —DISAPPROVED/CALL FOR RE;NSP. RFC
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 638-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheaih Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
Other: ken _
Date: _ A. . _ P.M. _ Entry: _
Addrc-= 3577
Tenant: _--_-_ _ Ste:_. MST:
Con/ i� � -- -- --- -- BUN.
Q MEC:
w
PLM:
ELC:
THE FOLLOWING CORRECTION ARE REQUIRED ELR:
Inspect ` _ -- Date:
✓APPROVEDADISAPROVED/C4LL FOR REINSP. CF CO
ti
C'TY OF TIGARD BUILDING f-*1ERMIT
J-DERMIT #. . . . . . . : BUP9(. 0.459
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED. 015/08/96
13125 SN Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4111
PARCEL: L:-_,Sl09DD--038l1l0
ITE
ADDRESS. 1C.535 SW P'RINCI.� EL -)RD CT
SURD I V I S I ON. ZONING.-
BLOCI<. . . . . . . . . . LOI.. . . . . . . . . . . . . ..
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :NEW FIRST. . . . : 0 Sf N: S: E.: W
TYPE OF USE. . . :Sl-.: SECOND. . . : 0 S F PROTECT OPEN I1\1GS?----
TYPE: OF CONS-[. :5N . . . . 0 s N: S. E: W.
OCCUPANCY GRP. :A1 TD*T*AL-----------: o S-F ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. : 12) s C4REA SEP. RATED:
ST 0 R. - 0 HT: 0 ft GARAGE. . . : 0 S-f OCCU SEP. RATE-A):
Bsm-r? : ME.Z Z? REUD SETBACKS— HEQUI RED--.--,--
FLO(:JR LO(]ID. . . . 0 p s F LEFT: 0 -ft RGHT: 0 ft FIR SPKL: SMOK DEI . . :
DWELLING UNITS: 0 FRNT : 0 ft REAR: 21 ft FIR ALRM: HNDICP ACC:
LA E D R 11 S: Q1 BATHS- I-A IMF, 0 1'_`R 0 C 0 R R PARK 1 NG 0
VALUE. $ - 6704)
Remarks : Re-iirJeritial ie f u c)f
Owner,: FEES
RAY EJOYER type amal-krit by mate t-e c.,p t
12353 SW PRINCE EDWARD CT PRMT $ 62. 50 CJS 08/08/96 KING CITY
5PICT $ 3. 13 CJS 08/0B/96 KING C11
KING CITY OR 97*2.124
#:
MARK GOLOOS CONSTRUCTION
10100 SW MCDONALD
rl(3ARD OR 972L3
P"hayie #: 639--9835 $ 65. 63 TOTAL
Reg #. . : 106766
REOUIRED INSPECIIONS
This pernit is issued subject to the regulations contained in the lriSUIAtiOn Insp
Tigard Municipal Code, State of Ore. Specialty Cndes and all other Misc. lnrsppction
applicable laws. N1 work will be done in accordance with lylirr-. Inspect ion
approved plans. This peroit will expire if work is not startp,1 F i T1 a I 11"15 V.)e C t i on
_"-iri 180 days of issuance, or if work is suspended for nor@
ti,an 160 days.
Fermittee Sig iiati.tt-e -
.1 s s d B y ......
Call fr.)r- inspection 639--4175
MAR-01-'00 THU 01:01 I D: FAX NO: 9154 P02
Pien Check# A✓ `i
CITY OF TIGARD Residential Building Permit Application Rec'd By _; ic��
13125 SW HALL BLVD. New Construction Additions or Alterations Date Ree'd—b-
TIGARD, OR 97223 Single Family Detached or Attached Date to P E.
1503) 639-4171 Date to OST 8-'S�-` Lo
Print or Type Permit# l'Q r'W fJySy
_- rric� �
Incomplete or illegible applications will not be accepted Called /e-c-/
- —� Name of Subdivision Lot e- - —J Name ---
Job
Address Site Address `—`— - Architect Mailing Address
Nam city/state Zip Yhore '�
/�I, /►lrr, mfi —_� Name
Owner Mailing Address
Cite/State Zip Phone Engineer Mailing Addrpss
>h�+ c,' 9C'!ylstate Zip Pnone
Nam@ -
General i� sr l ��-�t7 �r�,�; Describe work naw addition C alteraban O repair O
Contraeto• Mailin Address to a done:
//,/r?O .rG/r �1J y ��S/, itional Description of Work:
City/State Zip Phone
i. 1;4/7 dY v7?-Vy -9�'S� r cn
a an Const.Cont.Board Lic.# I etc
Artach Copy at Pro
Current GOT Business Ta:or Metros Exp.Date ValUailOn
License's /- t �__Name NEW CONSTRUCTION ONLY:
Mechanical /�! _ Sq.Ft. house: Sq,Ft.Garage_
Sub- Mai'ing ddress
Contractor ' Corner Lot Yes No Flag Lot Yes No
CttylState zio phone (check one) check one)
Restricted Audio/Stereo Burglar
Oregon Const.Cont.Board Lie# Fsp Date Energy System Alarm
Crront
Attachu copy of COT Bueinaae - Installation Garaoa Door MVAC
Lice_nsee ax or Metro rt Exp.Date Opener Systems
Name (check all that O.ger:
Plumbing 4v/ ap
Sub- Mailing Address Will the electrical subcontractor wire for all Yes No
Contractor restricted energy installations?
City/State Zlo Phone `- Has the Subdivision Plat recorrie47 nrra Yes No
Oregon Ognat.Cent.Board Lic.# Exp.Date Reissue of MST# DS;ilar Compliance
Attach Copy of J __ Calculation Attached)
7
jCurrent Plumbing Lic.s Exp.Date I hereby acknowledge that I haves reed this application, that the
Licenses information given is correct,that I am the owner or authorized agent of
GOT Business Tav or Metro s Exp Date the owner, and that pla:is submitted are in compliance with Oregon
State laws.
i Name J Signature of ONmerlAgetd Date
Electrical Contact Person Nome Phone
Sub_ Melling Address
Contractor FOR OFFICE USE ONLY:
City/State Zip Phone— --- Ptat Mapf%*. --
Oregon Const Cont. Board Lic# Erp Date
Attach Copy or _ Si?fbarts Zone: Solar,
Current FIAnricai Lc,S Exp, Date
Licenses
COT Business Tax -jr Metro 1111 FxF DateEngineering Approval: Planning Approval: TIF:
- - MAR-01-'00 THU 61:02 ID: FAX N0: 41.54 P03
Pew Account Dgaut,Jgn 60guw Amt d• Bal Dui
MST. Permit (BUILD) -/"g ,5v ,g,5-
Plumb, Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX) 1-3 --
Bldg:
Plumb:
Mach:
ELC/ELP
Plan Check
MST; (BUPPLN)
F iumb: (PLMPLN) y�
Mech: (MEGPLN)
CDC Review (LANDUS)
Sewer Connection
(SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge PKSDC
Residential TIF (TIF-17)
Mass Transit TIF (TIF-PAT)
Water Quality WQUAL
( ) _
Water Quantity WQUANT
Fr^-,ion Control Permit (ERPRMT)
Eros,on Planck/USA (ERPIAN) _.
Erosion Planck/COT (ERCSN) -
Fire Life Safety (FLS)
TOTALS: 4-C !L.-
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STATE Or OREGON CONSTRUCTIONCONTRACTORS'•BOAR0
Registered as: N� I i 0 6`?b 8 BondQO;3
ILIM1Tk0 CCNTRP000 insurance SED SN11='LO INS CC
(Exc"Vi ( 6LA019357
(I N D i V I O U A L (e/QS/y a Employer Accounts: ON F-I L E
Expires(
'[MARK SOLOC S UNSTFUCTION
Rev
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(1C1t"i0 Sk PCD0A1.0 ST, IRS
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