16556 SW MATADOR LANE x'.
1
ADDRESS:
Ir
2Q r La
rl
I
h`
P
,i
i
h
i:Arecords\microflm\targets\building.doc
a
i�
................
�a
',
is r,
k rI,,
�� CITY OFTIGARD BUILDING INSPECTION NOTICE
' } ,x'14 ��"her Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 71
tt
Inspection: a
Footing Susp. Ceiling prink. Rough App
° g d €kdi 1 t
Foundation Plbg. Underslab Mech. Rough-in Fireplace ,
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line �� _
Plbg. Underfloor Rain Dra;n Framing C `
Alarm Water Line Insulation Mec 1
Underfir. Insul. Shear Wall Gyp. Bd. �- 1
r Date Requested: / /� 7 �' Time: /A'M I 'PM
" Address: l. s.> �1 � C-�'L lel
Build��: tM -� �� �' 3 35 Pefmit�t�Cl
THE FALLOWING CORRECTIONS ARE REQUIRED: OS U� YOOX
i
411
c
k
In pector: Date:
if
i
OVED _DISAPPR VED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
,
CITY OF TIGARD BUILDING INSPECTION NOTICE _
Inspection Line (Rec-O-Phone): 639-4175 Zusiness Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out 08, Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain
ramie •"'- -PiL'mb.
Alarm Water Lines atron ,/ -Mech.
Undarflr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested:_ ij �f 5� —T i—me; AM PM
Address: �C -
Builder: U ,?j j --
-�. Permit #:(1'l
THE FOLLOWING CORRECTIONS ARE REQUIRED:
TL__�4
omz�e
- w% -
Inspector: Date. 1 I
—APPROVED �DISAPPROvED ;APPROVED SUBJECT TO ABOVE
Call For Reinsp
t�l
V�Mw
0
a
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639
Inspection:
Footng SusP• Ceiling Spink. Rough-in APPriSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. P!! Top Ou Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: L 11_LL--Time PM
Address' Com,/ I 01 C--Q�_ —N
Builder:(--�� lr�-f r 7 5 U3,? Permit #:
THE FO�LI.OWING CORRECTIONS ARE REQUIRED:
F
I
Inspector: Date:
L.APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
d
�y
h
MA>-FEFR PERMIT
• CITY OF TIGARD DA`E ERMI I SSUE: D: 11/07/99 7)-
1/07/99-
COMMUNITY DEVELOPMENT DEPARTMENT �
13125 SW Hall Blvd.Tigard,Oregon 8'7223.8108 (503)838-4171 IDARC EI : c S 1 1 6 AD--137ia 0
1?I T f_ 16556 56 f3W 11A'TAD0R LN
SUBDIVISION. . . . : ZCINING:
LAL_0(_I'. . LOT. . . . . . . . . . . . . .
Remarks: ADDING BATH ROOM IN GARAGE
----------------------------------------•----------•-•------------- BUILDING ------------------------------------------------------------------
RE125UE: STORIES.......: 1 FLOOR AREAS--- ---- - BASEMENT...: 0 sf REIIUIRED SETBACKS---- REQUIRED-------------- 1
CLASS OF WURK.:ADD HEIGHT........: 0 FIRST....; 0 sf GARAGE.....: 0 sf LEFT..........: 0 SM(W E DETECTRS:
TYPE OF USE..,:SF FLOOR LOAD....: 40 SECOND...; 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF L'ONST.:5N DWELLING UNITS: 0 FINBSMENT; 0 sf RIGHT,,,,,,,,,; 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 1 TOTAL------; 0 sf VALUE.3- 7000 REAR ......... 0
---•-------------------_---------------------•------------------- PLUMBING ------------------------------------------
SINKS.........
----------------•------------..___-------SINKS.........: 0 WATER CLOSETS.: 1 14ASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS,.... . ; 0
LAVATORIES....: I DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft; 0 SF RAIN DRAINS: 0 Cr.it.M 0
TUB/SHOWERS...: 1 GARBAGE DISP.,: 0 WATER HEATERS.: 0 I4ATFR RIVE ft: 0 BCKFLW PREVNTR: 0 GREASE TRk. 3..: 0
----_--- OTHER FIXTURES.. .
- -------- -------------------------------------------------- MECHANICAL ----------------
FUEL TYPES---------- FURN c INK ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS...... t CLOTHES DRYERS: 0
FURN ;=100K .,: 0 UNIT HEATERS,.: 0 HOODS........,: 0 OTHER UNITS..,: 0
0 BTU FLOOR FURNACES: 0 VENTS,.,.,.,..: 0 WOODSTOVES...... 0 GAS OUTLETS..,: 0
MAr, INF',;
r -------------------------------------------------------------- ELECTRICAL ----------------------------------------------------------_
-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCF_LLANEOUS---- --ADD'L INSPECTIONS--
]ON 5F OR LESS; 0 0 - 200 amp..: 0 0 - 200 alp..: 0 W/SVC OR FDR.,: 0 PUMP/IRRIGATION; 0 PER INSPECTION: 0
EA ADD'L 5065F,: 0 01 400 amp.. : 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 40, , A00 amp..: 0 401 - 600 amp..: 0 EA ADDL BR C1R: 0 SIGNAL/PANFL...: 0 IN PLANT......: 0
MP"7 HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+ampE-1000 V: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------- ------------------ PLAN REVIEW SCCTIDN ------- ---------- -- ------
Reconnect only.: 0 )=4 RE5 UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCL':
-------------------- ------------------------------- FI-i CTRICAL - RESTRICTED ENERGY -•----------------------------------------•---------
A. SF RFSIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------------
AUDIO I STEREO.' VACUUM SYSTEM..: AUDIO 9 STEREO.: FIRE ALARM...,... INTERCOM/PACING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: BOILER........,: HVAC............. LANDSCAPE/IRRIS: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK............ INSTRUMENTATIONS MEDICAL.....,.,: OTHR: 1
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 8
I
Owner: ------------------------------------Contractor-- ---------------------.-----.-- TOTAL FEE5:1 160.86 ,•
F ERICSON LAINE J. CONSTRUCTION
' 16556 SW MATADOR LN IWI SW LANCASTER ROAD
KING CITY OR 97224 jown Fav OR 97219
Phone #: 639-G504 c'~,une #: C-.45 0335
Reg #..: 91129
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all otFer
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is s. ,ended for, more than 180 days.
REQUIRED INSPECTIONS
PLM/Underfloor Framing Insp Plumb Final _
Mechanical Inso Insulation Insp Building Final
Plumb Too Out Gyp Board Insp
Electrical Servi Electrical Final
Electrical Rough Mechanical Fin 1 `
' ,A 1.
11 Lid. _ .o:: �- E:.. ... .... I55l1E'f� y: '`� ..
'
Cal 1 for- inspect i on - 639--417F;
Lill'
..•• Ml.!PINNWslMATKxs!.+.w•.n...... �.... ...nw.......w..... ..:.:
�n
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 6394171
Jobsite Address: 1l4rMLOn :5W ry-a t m Ln
r
Subdivision: ���r y r �, Lot # Office Use Only
Contact Date / f Initials
Valuation: S 0 J Result
New Construction Only: (Square Footage) Planck/Raz #
Permit # S f i= U 3k V
House: Garage: Reissue of
Map & TL
Corner Lot? Y ( � Flag Lot? Y Zone #__
I Plat # T
i Owner: F F_ f '` >rC
Arovals Re wired
Address: �1 oSVS ,W `� ) in�.ktcloe Ln q--
/ Planning Setbacks _ Solar
c t`�.� -- Engineering
V Other k o yT
Phone. ( rn-� ) 02�11-Np j _
Contractor: �
•—�\ cY� ` Items Required
t�V1
c Subcontractors _f\Is /��_/r. /1,
Address: a �� `5.1��(1�'��-t Truss Details
Other
Notes !_ ..-
Phone: cD�Js
Contractcr's License # CP��c�p�
y (attach copy of current Oregon license)
%ontact Name: i�L1 Y-1iY, klu
Contact Phone:
Subcontractors: - ��L M. A014 ' Architect/Engineer: 1a`- -os
Plumbing: ��-� ,r=-�� —;� �-gyp Address: j ffjc�k 'RC
Mechanical (jn'
(attach copy of current OR Contractor's License)
2� � � Phone: ( )
JOB DE CRIPTION. ► f1 CAAi UL l )SA"j_ '>>CQ.
Apoticant Signature ovk fttkn Applicant Phone number
Received by Date Received:
'
H v gP,ae.v.w
Farmit# Account Description Amount Amt. Pd. Bal. Due _ s
Bldg. Permit (BUILD)
I
Plumb. Permit (PLUMB) _1z
Mech. Permit (MECH) J
State Tax (TAX) 3/ 3 3 .3r1 ,3 .
Bldg:
Plumb: 3 '
Plan Check (PLANCK) 3
Bldg:
i
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)
Indurriai TIF (TIF-I)
jInstitutional TIF (TIF-IS)
Office TIF (TIF-O)
i
Water Quality (WQUAL)
Water Quantity (WQUANT)
;i
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ER.PLAN) _
Erosion Planck/COT (EROSN)
TOTALS: / .'��' / . 7
f a: S1�tlk lY�y."I���t. P�'� `tlgh•xl ;.
�,�.'+�.�'K�.�,.1,YaT•in!6..A'1tll�t'4WMR#+it,tri'�1oV'kgn^'MeMP;rA:.eY kia! ..n n, ,N.,rc., n:.,.. +.du;roY'`�', .. ... •.i,� eno,.v.r- _rn wn.w.wMwr«,...•_ ,,............ ....M.+n.-uet- _ ?k„'. kk
ti
KING CITY
ps1Ml� 1 15300 S.W.116th Avenue,King City,Oregon 97224 Phone:639.4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATEAb__LC �,_ ,
1. NAME OF APPL I C..ANT:_ f) • E►?k'Eli2>Yl Phone No.
ADDRESS: 11, 5 a `�1sZ�02CJ-_WX\ 0 C .IA-k
ADDRESS OF PROPOSED IMPROVD994T_
2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - ATTACH TWO COPIES OF FLJLNS OR DRAWINGS OF +'
PROPOSED PROJECT:- N I f CK-An a r
NAME AND ADDRESS OF CONTRACX -libri _ Lain—( iQUI Std MnraC-le _ Rd c
— S''4ICar"YI OSS C�`Ir��� PHONE NOn3A4-_, LICENSE NO. (:`iCl1 I o1R
4. NEIGHBORS WHO KAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR HER/HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CCtIMISSION
MEETING NEXT HELD ON
REPRESENTATIVES NAj i 01 PHONE NO.0t,115-0- 'I-
tME
(The King City Planning Commission will consider only those applications received at least five (5) days
prior to a meetin
SIGNATURE .n ,L _
APPLICATION DECEIVED BY DATE &I —161 �APPLICABLEFEEFEE RECE?VED $ U TOTAL,
PLANNING COMMIS ION DECISION: Approved ✓ ' Denied
CONDITIONS` ti� 6-/
Approved applir ions are valid for siI months only i
Signature - KO` , /( Date
NOTE: Oc on Bomebuilders Law regaires that all pars s 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 bl calling City Ball Ph: 639-4082.
y
1 NOTE: A permit must also be obtained frcn he City of Tigard Department of
mt
Conniity Development Yes No
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved�_.-__penied.
Date Comments
A
Signature
(/3 iltd ing .in,6pezton, pQ,wAe n AuAn mm ( 1) copy to K,ir 9 C-4)
CD 2-81
I
��►IA!&�V�'M'/44�}xky�,,�+.+aAa:r�r�wmH�L+kn3M"+MMM1?p«tr�e.+Newer+°qv�*:bNnwxA�*�4RaEY61Wtk3}�EUr":�ki�1MY.s�+har��,�;wuFr:«,+�tw.,wk..... _..,�,. ,. .,. . ,.�.__ .�<iur+ti,.• ' r}� �'i+f i• - I
i f:7 T"r' 1++ ( l la(•artl) – ftr 1;l i t-'T I.:lr (=�F11
1-1, M R111.11h IV,U 9S...2'lP61(A
I:';1-rRCIl( AMOUNT 1 i'Il�. 2 3
NAMEa T I.Ia 1 NF� 1;I 1 i , 1,,I+ ,I I ONCASH OM(.) hA f Ill, Ola
►4)DRF:JE ; SW f HNI.4-11,iIF-M HO PAYMI•.N(
P R(I_AND OR !;11I. l')i V I!11 I►IN `
�e1
PUF2F"t',rSE M Fit VYW N I (1i'It.II..►I 1 I I'F+ 111 I'I:'i! '1 I�,t 1 11 I 'f 11't►IF ' I'f t'IlEII!t Ir.l I �
I
BU1L.I)IItiO IT RM MFA �–Vy;�t:►w f I:'1 ► '1 IIf'u+ }Iil, 1 ) iri;l - . ►.•o•
MP[,ItION1C(41. r-'F'.
►
I+°
I!
+
I
I
I I
l..,.1 I Y I+f 11L�i+iltl+ I:I + I II'I (JI- f!►IY1%1 rd1 h'F 1 I 1 , ' t !I11, t'-�:"1 '�
I.IiF +A LIIYilit11'11
H I I`dF; I-;1 fl"V: I Id 11. 1 1 I IN 1J I', 1 1 Iml 11 1011 1 1,1
lL-11AII i 10 I L;W 11tP!� f1+•;1f 1: I"IIt fI 1)1tH-. t• I47� o
i 1ld1I 1:L{} ;1}= �ii!tt1l +l1 ,lllfl X
1
N'I 1111!LM+I 1 Ii r'f•I'r l+fF fJ i + 11,1111 1" 1 1 41 1 !1 1 '1 il.l 41 ��t f'I I'1 h i•II 111 hlt n 1N 1 I'll '
I
1'+ i i ' � I Pit i 1'I f li'•k ! I I; t ►. '161.. 1
I
�I
#I
�II I 1
+
,I
'I