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Permit CITY OF TIGARD MASTER PERMIT . PERMIT #: MST1999 -00354 piV DEVELOPMENT SERVICE; DATE ISSUED: 10/27/1999 -- 13125 SW Hall Blvd., Tigard, OR 97223 ( N A _ - SITE ADDRESS: 16105 SW KING CHARLES AVE PARCEL: 2S110CC -06000 SUBDIVISION: KING CITY NO. 3 ZONING: BLOCK: LOT: 034 JURISDICTION: KIN REMARKS: Sun room /patio enclosure BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 200 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 38 VALUE: $ 14,340.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR: 27 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: CLOTHES DRYER: ' FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: . SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU.HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY . A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: .BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 348.53 This permit is subject to the regulations contained in the PUMPHREY, BETTY J PACIFIC COAST AWNING INC Tigard Municipal Code, State of OR. Specialty Codes and 16105 SW KING CHARLES AVE 2242 N WILLIAMS AVE all other applicable laws. All work will be done in KING CITY, OR 97224 PORTLAND, OR 97227 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: LIC 10469 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Footing Insp Framing Insp Rain drain Insp Final inspection . By : -�-� Issued B / � �� ,:�' .. Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • CITY OF TIGARD • Residential Building Permit Application Plan Check# /o -, R6 X125 SW HALL BLVD. Alteration - Interior Only Recd Bya— Date Rec'd / i TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. / 0 "J if-f 9 V 503 - 639 -4171 1 / 1 -- .— Date to DST /D -/ q7 F 503 - 684 -7297 �l / r J Permit # /Li? F/ 991 - oo 7 Print or Type • � ` Called •/0-9/ -9P 91. Incomplete or illegible applications will not be accepted "v' -/ -2t; Name of Project Name, e Job e 6 7 ' # 4 4 —, / A,. ?" 4,,,q," /J /u1.7/�IItM ®' L T� Address Site Address ��// / Architect Mailing Address /6/aS S. t d. , c40,-/e3 � '�a G,/MHrPi .�✓� L. � City /State Nan-3 c �T ,��..� it rc 4i"""). Zip !� 3'c `,73 � Phone � -�'Se� -33 3 Owner Mailing Address ' Name /6/0$ 5, L „:), /6.+1 c4yp. - /iS ' City /State Zip- Phone Engineer Mailing Address City 16-79 C.3 Yazz =9236 General Nam City /State Zip Phone Contractor ,4c -: 4 T,4,s -0/7 y co. Describe work New 0 Addition' Alteration Repair O Mailing Address J to be done: Prior to permit Z i. c - �S ALA A itional Description of Work: . / . . 0 0 erreer issuance, a copy City /State Zip Phone / C .-e c} 7 7 9 t?•�a / .S1 ? -- / i r /cSi. --e of all licenses , I'/? 972 Z5.9.-g ' • are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in database Lic.# To -e 3` ©c ) VALUATION $ / � 3/0 ' 4}. Mechanical Name NEW CONSTRUCTION ONLY:' Sub- Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address Prior to permit /� Indicate the restricted energy installation by the electrical issuance, a copy City/State ®k Zip Phone subcontractor in the following areas of all licenses Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: • Sub- apply) . • Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State p Phone issuance, a copy Solar Compliance of all licenses are Oregon Cord f. . o and Exp. Date required if Lic.# (Calculation Attached) expired in COT I hearby acknowledge that I have read this application, that the database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name Si g natur n r ent Date Electrical °/ i / fd` '' 40 7fr Sub- Mailing Address Contactperson Name Phone # Contractor " ".I A4�i '- . ,Q�ot '„',`) z'P �a 01 FOR OFFICE USE ONLY: City/State Zi Phone Pl t #: MapJTL #: Prior to permit / V / ( CO(,..,/ -,..:3 -,..:3 s J/6 cve - o O issuance, a copy !!^^^�� Setbacks: / e: p Solar: of all licenses are Oregon Const. nt. Board Exp. Date required if Lic.# /�' L (�� expired in COT Engineering Approval: Planning Approval: TIF: database Electrical Lic. # Exp. Date Electrical Supervisor Lic. # Exp. Date /� , Cp i:forms\sfintalt.doc (DST) 10/23/98 . . • . ' • . . .. . . , . . 47 1 •;j• ' 41 — /a. :7.70 .4 4,4_ r e_. . .• • ,.. .,,,,5 , , . , • • r . , • , , , • . . . . . . . . . , • . . • . • . . • s • . . • . 7 •;•••••-:., , . . . • " . • . • . • .7: . . 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Williams Ave. Portland Oli 97227 - - - , (503) 249-8184 • • .. ,.. . . . . _ . . • , . ,., CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1g4Q -13 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP Date Requested 1( f( (P ( / AM PM BLD Location /( (0 1 0A-0■/LS Suite MEC Contact Person P4 ( Paati, £ Ph PLM Contractor Ph 1 SWR LD1N _� _ Tenant/Owner L_ A __.��,I►Yl - ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: Wt �Y San 0 ... 3 114 -- SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing LaZi -i4-L Insulation Drywall Nailing S` t _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PAS RT FAIL PLUMBING Post & Beam Under Slab Top Out Water Service • Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Smoke e Dampers Final PASS PART FAIL \ 1 ELECTRICAL \�I Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date �� Inspector - < Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.