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16865 SW 126TH AVENUE
ADDRESS: MU5 SW /A(v �Avzqa � O r J -C 1:\reoonis\►nicroflm\turgels\building.doc Q0 I w J CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171. Date Requested: -- A M P.M. MST: BUR Location: _ 111 `L—/ — Tenant: _ --- Suite: 131dg: ME'C: Contractor: Phone: _, PLM: Phon : ELC: --- ELR: — BUILDING — DG(coni) PLUMBING/ MECHANIC.�L ELECTRICAL SITE Post/Beam Post/B am Cover/Service Sewer/Storm S"le Post/Beam Water'.me Roof l)nd1�NSlab Rough-In Ceiling Footing Rough-In U(3 Sprinkler Slab FramingTop(hit Gas Linc Sewer Hood/I)uct Rcx:onnect Val.dt Founda!ion Insulation Tem Servicc MISC. Bsmt Damp Drywall Storm Furnace P MasonryCeiling Rain Drain A/C UG Slab Low Volt Shue/SheaUi Fir Im Crawl/I�ound Dr I lent Pump _ -- Anon) Approved Approved Approved Approved Appr/Sdwlk NII Not A NApproved Not Approved *Tot Approved � Approved ot FINAL FINAL FINAL SINAL FINAL tC— -- - - -- — _ Ln J O Call for reinspection C1 ReinsPce tion fee of S _required before next inspection 0 I tnable to inspect In,ectoc I L k N✓ Ite _ —I I I __ Page_ of ----- — CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Bivd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP97-0�'X03 DATE ISSUED: 04/30/97 PARCEL: 2SI16AD-00600 SITE ADDRF_SS. . . : 16865 SW 126TH AVE_ SUBDIVISION. . . . : ZONING: BI-OCK. . . . . . . . . . . LOT. . .. . . . . . . . . . . . JURISDICTION:KIN --------------------------------------------- REISSUE: FLOOR AREAS--- ------ EXTERIOR WAIL. CONSTRUCTION- CLASS OF WORK. :OTR FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :SFA SECOND. . . : 0 sf PROTECT OPr=N I NGS?--•---- - _-_.-.. TYPE OF CONST. :SN . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :R1 TOTAL._------: 0 sf ROOF CONST: FIRE RET?: OCCUPANCY L_.OAD: 0 BASEMENT. : 0 s f AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 Sf OCCU SEP. RATED: ASMT? : MEZZ.?: REDD SETBACKS-------- FLOOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft F I R SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT : 0 ft REAR: 0 ft FIR AL.RM: HNDICp' ACC: BEDRMS: 0 P'�THS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : ,,544 Remarlis : Rep).,ing exiting deck due to water damage - same dimensions. This deck is at the s?nd level. Owner: --------------------------------- FEES CHARLES JAEGER JAEGER type amount by dat- rer_pt 1.010 N CLARK AVE SPCT $ 3. 1.3 DRA 04/30/97 97-2:93899 MT VIEW CA 94040 PRMT $ 62. 50 DRIB 04/30/97 97-293899 PLCK 40. 6.: DRA 04/30/97 97-293899 Phone #: 415-941-8003 FIRE s ,29. 00 DRA 04/30/97 97-293899 Cnntr•actor: ---------------------------- FRANK, JOHN HOWARD 2255 W BURNSIDE TF_ 603 PORTLAND OR 972,10 Phone #L 226-1212: $ 131. 26 TOTAL_. Reg #. . : 001215 ------- RFPU I RED INSPECTIONS - - —This permit is issued subject to the regulations contained in the F'ost/Ream Insp Tigard Muricipal Code, State of Ore. Specialty Coes and all other Fr^timing Insp applicable laws. All work will be lone in accordance with Final Inspection approved plans. This permit will expire if work ii not started within 190 days of issuance, or if work is suireeded for more than 190 days. .-'. Permi tte r 1 - w Tss►.ied y : J Call for i.nspectfon - 539-4175 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover''Service FI ALl/: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Meth. Plbg.Und/Fir/Slab Plbg. Top Out Ins ton -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. Other: _ Date: A.M. P. Entry: Address: �.SL✓ � � /9d� Tenant: - Ste: Cori/Own: FLM: ELC THE FOLLOWING CORRF 7,TIONS AHE REQUIRED: ELR: r J w J Inspector: Date: ROVED— DISAPPROVED/CALL FOR REINSP. CF CO tt J CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/SheathFramin -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Nlech. Hough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ _ _ C-a�' Date: A.M. —P.M. Entry: Address: Tenant: — Ste:`__ MST: 2'Z BUP: /Own: MEC:_ PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: I f &A ` - a � — V7 — J _ L w Inspector: _ T Date: APPROVED `.DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service tFL. Foundation Water Line Ceiling PosUBean amiMech. Shear/Sheath rn PIbg.Und/Flr/Slab Plbg.Top Out Insulation Post/Beam Struct. Mach, Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. Other: Dater A.M. P. Entry: _ Address: h (!e Tenant: S!e: MST: — -------- - BLIP:C _— Con/Own: _ _ MEC: PLM: — ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ r U• W Inspector: — Det APPROVED APPROVED/CALL FOR REINSP. t.F YO Ili Q&mm.erciai _wilding Permit Application- ` �. / City of Tigard 131:5 SW'Mall Blvd. Tigard,OR 97223 � (503)6391171 r� c:� 'Al �11r :�. ; i., �.• Jobsite Address: ��1/ - OFFICE !$E OILY Tenant: / Planck/Rec. # 062 01 . Valuation: -1.T �� Permit# } C il Map &TL# r Owner. , � gpprovals Required :. Address: 0 L � Planning Engineering Telephone: ftL Other ti r Contractor: Address: # °le #6L / p/j B 9 IL 9 Type of constr:_ i `f �v-q ( � / Telephone: � � _ Occupancy Class: Contractor's License # ©1,,Q �-,577 Sprinkler? Yes No (attach copy of current Oregon license) Sq. Ft Of Project: Contact name & telephone: Ai 6 , 3 8 Story (1 st, 2nd, etc.):_ Architect 8 Engineer: I 7 V Proposed Use: Address: Previous use: _ Note: Plumbing & mechanical plans must Telephone: __ be submitted at time of building permit application. / I , JOB DESCRIPTION: F r W J /, (Applicanf Signat re &Telephone Number) Peeeived by: ,,JQ Date Received: -,-;2 1--q;7 Balance Duet Pd Am . , PERMITS Accou�zt Description Amount � (�} ' J-3 Building Permit (BUILD) (a Plumbing Permit (PLUMB) _ Mechanical Permit (MECH) State Tax (TAX) / -V' 13 Bldg. Plumb. — Mech. Plan Check (PLANCK) Bldg. Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) _ Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (,IF-IS) Office TIF (TIF-0) Water Quality (WQUAL) v, `Nater Quanity (WQUANT) � lel Ln Firc Life Safety (FLS) / iC4 J Erosion Cntrl Permit (ERPRMT) t� Erosion Planck/USA (ERPLAN) W j Eroiicn Pl3r.ck/C0T (EROSN) C/ TOTALS: OVER-THE-COUNTER (OTC) ELAN R Y1EW COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST _DESCRIPTION OF PROJECT CLASS OF WORK. /U FLOOR AREAS = EXTERIOR WALL CONSTRUCTION t I TYPE OF USE: �A A i FIRST SQ. FT. i N: S: E: W: TYPE OF CONSTR: SECOND SQ. FT. i PROTECT OPENINGS?: I I OCCUPANCY GRP: r I THIRD SQ. FT N: S: E: W: OCCUPANCY LOAD: _�� i TOTAL SQ. FT. i ROOF CONSTR:_— FIRE RET: I I I I STOR: FIT. FT: BSMNT: SQ. FT. ( AREA SEP. RATED: BSMNT?: MEZZ? GARAGE. SQ, FT. OCCU.SEP RATED: FIRE FIRE SMOKE HANDICAP SPRINKLER- ALARM: DETECTOR: ACCESS- COMMERCIAL INSPECTION ACTIONS FOOT/FOUND INSULATION SUSPENDED CEILING SMOKE DETECTOR INSPECTION INSPECTION CEILING INSPECTION POST/BEAM SHEAR WALL SPR!NKLEk APPROACH/SIDEWALK INSPECTION INSPECTION ROUGH-IN INSPECTION MASONRY FIREWALL SPRINKLER MISCELLANEOUS INSPECTION INSPECTION FINAL INSPECTION v~i FRAMING GYP BOARD FIRE AL NRM FINAL > INSPECTION INSPECTION INSPECTION INSPECTION ' TYPE OF 11SE OPTIONS (COM = commercial; CMS = commercial manufactured struc+ure) w CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW= new; Add = addition; ALT % alteration; ACS = accessory; FND -' =foundation; OTR = other; DEM = demolition; REP = repair; FPS = fire protection system, NOTE: USE OTR FOR FENCES, RETAINING WALLS. DETACHED DECKS, SIGNS, AWNINGS, CANOPIES) I\ovrcnir3 doc (DST) 4197 I `11 O AQP ��,©GC,:� � � � ��''�'•• �� My po Ln ui ol ' I � I a � o � . r KING C 15300 S.W.116th Avenue,King City,Oregon 97224-2693 r Phone:(503)639-4082•FAX(503)639.3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard. many building related pernlits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create the permit, issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready :for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete. legible application is received. ll'your permit application DOES REQUIRE PLAN REVIEW,this form must be signed by a King City staff person. King City staff will simply sign this form indicating land Ilse approval. Take this signed form to the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development SerN ices Technicians are available at 639-4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: l� — dorms u located at: —JL to r, "�L 111,169 'C King. City Representative I TSTSACiNST DOC