16930 SW MONTEREY LANE 1
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16930 SW MONTEREY LANE
-KING CITY r.
C'1Y OF T'GA RD HUILD11NIG PIEPMI-Y'
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CITYOFTWAr) PERM11' NO.
C MMtINI-iYI)EVELOPMENTDEPARTMEN-t- ofiloo"
13125 S.W.Hall Blvd.P.O.Box 23397.Tigard.Oregon 97223.(503)639417'5
DA*11'--' ISSUED: 4/201108
JOB ADDI:wss : 1-(!;930 SW MON1'EnY LN
'T*AX MA::),'L.0'T' SIM : 1<,T.N(.'; C'11'Y
I AND HIK :
I.-.OT SIZE : VALUA YJ('.)N th :1. ,Ooo SK1 BACKS
F*AONT : PEAP:
WORK M ASS : A- L'TESIA-TION DWELL .UNI'T'S: LEFI' : R10011-11,T :
USE 'T'YPE : FUNGI F FAMTLY W.I . BEDROOMs EXF . WALI CX)NS'T :
(-'ONS*T' . 'TYPE : VN NO PAI'HS : N: 15 : E W
: P3 P1401' . 0P1:_,:N1NUS :
OU'UP - LOAD TO'T'AL. A1411*A . W
NC) . 5-JOPIES ILS 11-100F CONST : WE.r?
HEIGHT: 2ND : AREA SP.:PAIV? PATF;1) .
BASEMEN'T"?
3PD: OCCLIP , RA"VEI.*) :
MEZZANINE-7 BANIEli
11:100P LOAD: GARAGE : FT114-i': SMIKI_147 At ARM.?
F,LOW(C'nM)
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PLAN CHF.::(.'K BY : rit
REISSUE OF NO.
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y7".'22.1 F I P1' DEPT
PHONE: (103) 639i63nZI S
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lois permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations RF_:(:,FJPT NO.
and all other applicable codes and ordinances, and it is hereby
E'
reed that the work will be done in accordance with the plans and PIEWUPFM INWEl-TONS
5peclfications and in compliance with ?II applicable codes and FPAMTNG
ordinances. The Issuance of this permit does not waive restrictive F I NAL
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become n0l and
void if work Is not started within 180 days,or it work is suspended or
abandoned for a period of 180 days any time after work has
(ornmenced It shall be the responsibility of the permittee to Mllrp
;t1I required inspections are requested and approved.
Permittee SIgnatur,
k-tied By!
ron T'NSPF.t.;TJON 639-411.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CtTY OF KING CITY
15300 S.W. 116th AVENUE
KING, CI"! Y, OREGt"',! 97:?24
( 503) 639-4082
APPL.ICATION FOR
COMPLIANCE REVIEW BOARD PERMIT
1 . NAME OF APPLICANT : FRED CLAGNTT
ADDRESS: 16930 SW MONTEREY LANE,
TELEPHONE NO. 639-6354
ADDRESS OF PROPOSED IMPROVEMENT Same
2 . TYPE OF CHANGE , IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT
IS REQUESTED. (DESCRIBE BRIEFLY/ATTACH TWO COPIES OF PLANS
Oh DRAWINGS OF' WHAT IS PROPOSED) : Install 5ft x 2 ft _window
.in north wall of second story bedroom to provide added light,
ventilation.and alternative means-mor emergency egress.
3 . NAME AND ADDRESSES OF CONTRACTOR: Specialty Remodeling, .Inc. ,
11825 SW Greenburg Rd. , Suite A-17L I' Rrd.—CI
4 . NAMES AND ADDRESSES OF NEIGHBORS WHO MAY BE AFFECTED BY THIS
CHANGE , IMPROVEMENT OR CONSTRUCTION. ( 11 IS THE APPLICANT ' S
RESPONSIBILITY TO NOTIFY EACH NEIGHBOR) :
NIL'�z .1ohn 1{irkl ai.d. 1b910 SW Monterey Lane.. 684- 480
.Martha 1.f915 SW 126th Ave•_4L68 ______ —
SIGNATURE OF APPLE ' JP�v--f/
DATE OF APPLICATION 2e March 198
OFFICE ilSEONLY :
APPL.ICATION RECEIVED 8Y_Y-W � `b,1c�tt DATE
T E
APPLICABLE FEE RECEIVED $10.do U HER- TOTAL PAID
APPLICATION REVIEW -SCHEDULED: DATE_—Y_ & !-7,Ly ,X,A-+'''i'r'e^
COMPLIANCE EVIEW BO RQ ISION:
j
APPROV
DENIED _ DATE
CONDITIONS:W -
11 10 01
10/87
( Information/Instructions on reverse)
City of hing City
COMPLIANCE REVIEW BOARD
( INTERIM FORM 10/801)
PROCEDURES FOR NEW CONSTRUCTION, SIRUCIIJRAL CHANGES, ADDITIONS,
EQUIPMENT INSTALLATIONS AND REMODELLING REQUESTS.
1 . APPLICANT WILT_ SUBMIT A COMPLETED APPLICATION FORM WITH
ATTACHED PLAN OR DRAWING TO CITY ADMINISTRATOR.
2. ATTACH APPLICATION FEE $.10.00 - ADDITIONAL FEE MAY BE APPLICABLE.
3 . IF A MAJOR STRUCTURAL CHANGE IS REQUESTED, CITY ADMINISTRATOR
WILL BRING THE APPLICATION BEFORE THE COMPLIANCE REVIEW BOARD
WHO WILL REVIEW IT , APPROVE IT , CONDITIONALLY OR OTHERWISE ,
DENY IT OR DEVELOP RECOMMENDATIONS TO THE CITY COUNCIL .
4 . APPLICATIONS FOR MINOR ALTERATIONS AND REMODELLING MAY BE
APPROVED BY THE CHAIRMAN ON BEHALF OF THE BOARD.
5. THE COMPLIANCE REVIEW BOARD IS AN APPOINTIVE SEVEN MEMBER BOARD
OF' THE CITY COUNCIL OF THE CITY OF KING CITY . THE BOARD HAS
AUTHORITY TO MAKE ADMINISTRATIVE DECISIONS RELATIVE TO LAND
USES AND TO MAKE RECOMMENDATIONS TO THE CITY COUNCIL RELATIVE
TO VARIOUS REQUESTS, CONDITIONAL USE PERMITS AND O' HER LAND
USE PROPOSALS.
6 . 111E RESPONSIBILITY FOR THE ISSUANCE OF BUILDING, PERMITS LIES
WITH THE APPLICANT , AFTER RECEIVING AN APPROVED PERMIT FROM
COMPLIANCE REVIEW BOARD, WHO MUST APPLY 'TO THE CITY OF TIGARD
FOR A PERMIT WITHIN THE APPLICABLE ZONING AND BUILDING ORDI-
NANCES. AN APPLICATION APPROVED BY COMPLIANCE REVIEW BOARD IS
NECESSARY TO OBTAIN A BUILDING PERMIT FROM THE CITY OF TIGARD.
7 . APPLICATION MUST BE RECEIVED AT LEAST ( 5) FIVE DAYS IN ADVANCE
OF MEETING DATE TO BE CONSIDERED BY THE COMPLIANCE REVIEW BOARD.
8 . THE COMPLIANCE REVIEW BOARD WILL. MEET ON A REGULAR BASIS ON
THE LAST WEDNESDAY OF EACH MONTH AT 10:00 A .M. , IN THE CITY
HPI.L , KING CITY . SPECIAL MEETINGS MAY BE SCHEDULED AS NEC-
ESSARY . INFORMATION ABOUT MEETING DATES OR AGENDA ITEMS CAN BE
OBTAINED BY CALLING THE CITY ADMINISTRATOR, 539-4082.
REFERENCES: ORDINANCES N0. 0-88-2 ; 0-88-3
RESOLUTION NO. R-88-7
• City of King City • 15300 S.W. 116th Avenue, King City, Oregon 972.24 0 (503) 620-6444 •
7L� INSPECTION NOTICEE
lr City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone:539-4175
Typa of inspection
Date Regwtteed_ �–� �� Time–_._— A.M._ P.M.
Address l �%' y �o 111t-y t2�g;t/ �9 ' Permit # 3�
Owner _, jg�G ---- --_ Lot #--
Builder
The following Building Code deficiencies are required to be corrected:
r
Presented to oeT� — 11 proved j
Inspector ❑ Disapproved
Date
CALL, FOR REINSPECTION
Cl YES l] NO
BUILDING PERMIT APPLICATION� 31 .,, "; I I -..., zl 3013 54
KING CITY DATE_- __--------_--___.-_,t9_.._.___
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED GUILDER PHONE .
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWN!~R PHONE
LOTN6. __--
OWNEFl JOB ADDRESS 1030 SW Monterey Lane
_ ARCHITECT --- -------
ENGINEER
BUILDER ADDRESS gates DESIGNER
STRUCTURE O NEW 12 REMODEL I-] ADDITION O REPAIR ❑ RENEWAL ❑ FIRE DAMAGF. ❑ DEMOLITION
,UPESIDENGE O COMM 1-11 EDUCATIONAL ❑ GOV'T O RELIGIOUS ❑ PATIO LI CARPORT ❑ GARAGE ❑ STORAGE O SLABO FENCE
OCCUPANCYK� -LAND USE ZONE RI BLDG.TYPE ar:- FIRE ZONE_--_PLAN CHECK BY �1W HEAT alae
e�rmu:lel existing dwelliar., all po�j +Auuroyed plans and code requiresmlenta.
SEWER PERMIT# none
OCC.LOAD FLOOR LOAD HEIGHT 2U+- NO.STORIES 2 AREA NO BEDROOMS VALUE 1ti,(
BUILDING DEPARTMENT SETBACKS FRONT REAR Y— LEFT SIDE RIGHT SIDE
P_e'n_t_It k u060 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 52.33 _ ,WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total 132.83_ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Slate Tax 22
,
SDC- `..'r..'
Tclal 136.6-5 _ _ `;
PDC# APPLICANT OR AGENT
Receipt No.
Approved ADDRESS —PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
A?-2-z—
—
Permit No.
Rough-in
F I x tu re
Final
HEATING
Contractor
Permit No.
Gas or Oil
nough-in
Finni
SEWER
Firal
DRIVEWAY
Final
Storm Draingv—
T(H.1nDrain) Fln9l
Sid000lk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Finni
CERTIFICATE OCCUPANCY L.ndscaping
—1 Zoning Final