12755 SW PRINCE ALBERT COURT ADDRESS:
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i:\records\microflm\targetstuilding.doc
j�t�SCTION,_NOTICE
City cot Tigard Building Danaartaent
33125 OW 'tall Blvd. Tigard, Oregon 97223
Inspection tine (Rao-O-.lhone)s 639-4175 Business Phone: 639-4171
Inspection:
Footin5' Plbg. Underslab Morh. Pough--in Appr/Sdwlk
Found. Pliny. Top Out (�/�Oas Line FINALS
\`-- -
Post/Beam Struct San. Sewer -Bldg.
Post/Beam Hoch. Rain Drain Insulation -ply.
Plbc . Underfloor Nater Line Gyp. Bd. 1 Hoch.
I .> -
Date Requesteds `� �! L �T�L es AN —PH
#►ddcesss ) J s C- 1 r( 3 Q i U�
Builder:
THE FOLLOWING CORRECTI:)NS ArA REQUIRED:
Inspector s_ti'� Dates_
i-LAPPROM DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
ly,ECHANICAL
r'. . . . .E R M IT'
CITY OF TIGARD PERMIT 4. . : MEC93-010,i
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/213/94
13125 SW Hall Blvd.Tignrd,Oregon w722308199 (503)(539-4171
PARCEL: 1ESI091)D-0II00
SI T E ADDRESS. 1-,752) 5W 1-1 R I 1\1(*-'E A L B E R T r.T
SUBI)TVISION. . . . ZONING:
L
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF WORK. . :ADD FLOOR FURNI— EVAP COOLERS:
TYPE OF USE. . . . UNIT HEATERS. . -, VENT FANS. . . .-
OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . .
FLJ1�L 0-3 HP. . . . . 1 DUMES. INC IN-
: /GAS/EL-E/ 3-15 HP. . . . - COMML. INCIN:
MAX INPUT: DTU 1�-30 Hr-,. . . . -. REPAIR, UNITS:
FIRE DAMPE RE) 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . 504- HP. . . . : CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. .-
FURN ( 100K B-U- 1 1.0000 c f m: GAS OUTLETS. : 1
FURN ) =100K I' T*U: 10000 cfm:
Remar-ks : NOISE READING RE(AUTRED
OWnet`,-, ------------ FEES
BETTY AMUNDSON type aM 0 Unt 1•1y date r-ec:pt
I
1, 155 SW PRINCE ALBERT �-'RMT 25. 00 JH 05/27/93
W'!CT 1. 25 JH 05/27/93
KJNG CITY OR 97224 MISC 1 20. 210 JI-T 05/27/93
Phone #:
COLUMBIA HEATING
8900 SW BURNHAM
SPACE E--110
TIGARD OR 97223
Piurle #: 624-2704 46. 25 TOTAL
Reg #. . . 76359 REQUIRED INSPECTIONS
'his permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Spe,7ialty '.odes and all other
applicable iaws. All work will be dole in accordance wi,h
approved plans. This permit will expire if work is not started
within 180 days of issuance, or ;f -erk is suspended for more
than 180 days. 7
Pt-in i t t P e S i cl n zxt 1.tr-e ......
ti i.ted By
Ca 11 f o r- inspection 639-4175
NI. SP9,MON_Na ICcE
City of Tigard Building Depart
13125 RW Nall, Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:`_.
tooting Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line FINALt
Poet/Beam Struct. San. Sewer gaming -Bldg.
Post/Beam Mach. Rain Drain Insulat.on -Plumb.
Plbg. UnderV.oar Nater Line Gyp. Ad. -Meeh.
Data Rewiestedi � e J Times
Addresa!
Builder:
TH? FOLLOWING CORRECTIONS HRR REQUIRFD:
IPO � 1-14 1 N
I tii
TA I.LAr:o AO tiOT" "/,)6L #I Ccs t L
/3rio�t.4L. (z n40,9L;
Inspectors__ _ Data.
_, APPROVRD DISAPPROVED APPRo"D SUBJECT TO ABOVE
_ Cal: -,nr. moinap.
C,,A�[(aoj.=: ERT'�N9 ARCD �c•ctH.j.. AQE�`
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MEMNON
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTME14T
13125 SW Hall Blvd.Tigard,Oregon 97223.81b9 (503)839.4171
MAY-27-'93 THU 14:51 ID:CITY OF KING CITY FAX NO,503 639-3771 14777 PLi1 -
Post-It'brand fax transmittal memo 7671 w of page.►
KIING. CITY � Rrom
f(C — InA
Co' f:o.
15300 SNV, 116th Avenue,King City,Orrgnn 97'7'.4 Phanv CA (-}{ 1 Irt
Dept. � 'Phone N
C')MMUNITY I � =� _ (nYt '-IDBS
APPLICATION FOR Fax � FOR# G�
1 . C (Instructicas an
DATE~ �J /
1. NAME. OF APPLICANT: err - T/�'l U ✓� ishon No. (n ��1 Q✓"o n
ADDRESS OF PROPOSE) IMPRC
2. TYPE OF CHANGE, LMPROVD 04 T OR CONSTRUCTION TOR 1>'H I CH PERMIT IS RDQUESTED.
DESCRIDE BRIEFLY - ATTACH TWO COP1 5 OF PLANS OR DRAWINCS OF I
PROPOSED PROJECT: _ �LEsy�''����� �1 I �� �.CLc���1- ear • .f ;
7
3. WkW_ ANP ADDRE S OF COMMA=, R"t ZLC
LIJUN0. 7 LICFIVSE NO.—
i 14'
4, NEI RS WIIO MAY BE AFF'EC'TED SY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5, APFLICRNT OR HER/HIS REPRESENTATIVE MUST IIF PRESENT AT THE P1 AWING G'..WISSION
MEE'T'ING NM HIMD
RY-PRESENTATIVESNAME__ PHONE NO.
(The lying City Planning Commission sill consider only those applications received at least five (5) days
prior to a eeetiUq.) //�
SICNAWRE - 4 � {.wr�,•�-c[,,L d vy -- -------
APPLICATION RFCTIVED BY _ �'1 cT� � .�.. DA
APPLICABLE FM RECEIVED)
PLANNING CCMISSIOty DWISION: ApprnvefDenied.
CONDITT,ONSA14
roved appy tions fre valid for
sir eaathsfonly
Signature Date
WE;; 0 Man Belebuilders t" qn res thit ell persons who eontrart to fork o&-`their residence be
registered lith the St loatd which means the rootr2ctor is bonded and insured on the jib site.
Por your protection, be lin your contractor is registered by eaH inq City Ball Ph' 639-4002,
NUM A permit must also be obtained fin the City of Tigard Departrrrnt of.
Carvnunitv D'..veloprnent Yesi„_„l�' ,w No—
The above listed pr.o jt r_t has been inspected and Approve-d____penied__
Signature
(&UWng inApir, m, ytea,A2. A.a htnn, mie- ( 1) c npy .to rbW c g)
CD 2-97
KING' CITY
15300 SW 116th Avenue,Bing City,Oregon 97=4 F9one:639.4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions an reverse)
DATE. ��r �f
l
1. NAME OF APPLICANT: , ,<�T 1 i/ �- 1 �i`�l L' IV phone No.— �' �
ADDRESS:_ /x 'r:� -
P•DLRESS OF PROPOSED IMPROVEMENT `I 'e w
2. TYPE OF CHANGE, IMPROVE= OR CONS'rRUCTION FOR WHICH PERMIT IS REQUFSTED.
DESCRIBE BRIEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF ,
PROPCrSED PROJECT:_ �L C 4 L �'s-� cs_ G i'-s s-et-e-t
t
3. NAME AND ADDRESS OF CONTRACTOR
PHONE NO. 1 _ LICENSE NO. -ILI f ! Le
4. NEIG16JRS WHO MAY BE AFFE= BY THIEF PROJECT WILL BE NOTIFIED BY THE CITY.
S. APrLI(= OR HER/HIS REPRESENTATIVE MUST BE PRESENT AT IHE PLANNING Cr 44ISSION
MEETING NEXT HELD ON
REPRESI--=TIVES NAME PHONE NO.
(The Ring City Planning Commission will consider only those application: received at least five (5) days
prior to a reetinq.)
SIGNATURE _ / ,�f ��� <J_ Ct✓t'�-�-c c._r�-r•�..�-1-i�;' _
APPLICATION RECEIVED BY L'-R�' � ��*' `�J _DA'17E
APPLICABLE FEF. RECEIVEED $_ �` -- TOTAL
PLAM JNG CCMMISSION DECISION: Approved ` Denied
CONDIT ONS
roved api' tions ire valid for sin months only
i
I
Signature._( Date_
10TE: 0-ion Bamebuilders Law requ res that .11 persons who contract foj/wart o their residence be
registered with the Builders Bard which means the contr2ctor 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 rm st also be obtained fry the City of Tigard Deyartment of
Corm mity Development YES_ /'1 _ No
CITY OF TIGARD INSPECTION REPORT
The ahove listed project has been inspected and Approved venied
Date Carnents
Signaf.uz e
(StUt.ding -iy"perAD-,t, pfaaze -retuAn ono_ ( copy to King City)
CO 2 91
.. —Fc)/t/ —
d,-,L&j LW
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'E I PT NO. P40653
C",T TY OF I I GARD RU-"C;F I PT nF f-',AYMF NT P E C
CHECK AMOUNT x 46. 25
NAME, AMUND'30N COSH OMOUNT 'eh. 00
I .,755 97W F,RINUV" Al—JAERT PAYMENT DATE-- n 05/j"! 9;3
SUM 1,V I S 1 ON
KLNG CITY, OR '? 1 4'.'4
+:IURPOSE OF PAYMEANIT APIC-4.11,4 T PA I I') PURPOSE UW PAYMFNT MC)UNT PAID
MELHANTCAL. PF C-1 Ere. 041 T�7. BUILD PER 1.
A I SCIELLANFOUS 1:-101. 00
F-URNACE, PIP CONOTTICINPR PP-1711ITT
",101HE: PEODING
10TAL AMOUN-T pA.1r) 4b. 0`3