Permit BUILDING PERMIT �`�
ITV OF TI GARD DATE ISSUED: 06/18/96 � �
COMMUNITY DEVELOPMENT DEPARTMENT
13125 Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 ,
PARCEL: ES110CC- 15400 ��..._
SITE ADDRESS...: 12375 SW KING GEORGE DR
SUBDIVISION ° ZONING:
BLOCK LOT ° °. ° ° ° ° ° ° °
REISSUE: FLOOR AREAS - - -- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. :ADD FIRST.. ° ° : 235 sf N: S: E: W:,
TYPE OF USE ° °.:SE _ SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST °:5N °°°° 0 sf N: S: E: W:
OCCUPANCY GRP °:R3 TOTAL -- - -: 235 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR° : 0 HT: 24 ft GARAGE... : 0 sf OCCU SEP. RATED:
BSMT? : ME Z Z ? : READ SETBACKS--- - -• - -- REQU I RED - - - - - --
FLOOR LOAD— . e : 40 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET° ° :Y
DWELLING UNITS: 1 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 4000
Remarks: Re -roof
Owner: -• -• FEES
BOB AIKINS type amount by date recpt
12375 SW KING GEORGE PRMT $ 44.50 CJS 06/18/96 KING CITY
5PCT $ 2.23 CJS 06/18/96 KING CITY
KING CITY OR 97224
Phone #: 639 -8230
Contractor: --
DAVE BEARSON
1031 SE MILL
PORTLAND OR 97214 - . - - - -- --
Phone #: 503 -233 -6422 $ 46.73 TOTAL
Reg #. ° : 016 541
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REQUIRED INSPECTIONS
• This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection _ _
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started -
. within 180 days of issuance, or if work is suspended for more —
than 180 days.
Permittee Signature: _11L1/
—
Issued By: . C . sr]) rri_.Ci _ -
Call for inspection - 639 -4175
NO: 14011 P01
FAX NO • ._.
. ,.. _. .._. JAN-02- ' 00 MON 02 : 53 ID:
•;
?ost " brand fax transmittal me I
4;. Residential Building Permi7 -- _
c°. kiiietC-A
City of Tigard
13125 SW Hall Blvd. 6 9 ' Phone .4_
Fax # C Ci_ 311/
Tigard, OR 97223 Fax # 72
(503) 639-4171 •
Jobsite Address: i
123 -7S7 S'L-; - i°e''4°L1. t)4' • • . ''....',•:,:„.:-. ' ..... , '; .. .liN .: i . i . :!1) .: :;;IN: i •::::::
...H.1;6filitY Use Only '
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Subdivision: Lot # .f.: ..,... -..,. -.' • • . ":... ; .•,'::.:-.::.,-......,::`: .......,..:, : .......,..::,;.:.!,,:,'....
. ‘ar # ' . • ,
( 1 4 006 PlckfRec
•
Valuation: L B Bq6- 0 3D_
Corner Lot? Y G
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Flag Lot? Y a
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Mp&T 44 -A.511
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Owner:
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. : Plannirig
Address:
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Address /0.51 -5 /111-4-LC., '' c.i
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2_33 •- to kt 2 -2- .
Phone:
6 1"
Contractor's License # 0/6 g/ -4'
(attach copy of current Oregon license)
Contact Name & Phone: t - TI - tr) 64 i 761- Z32.
_
Subcontractors: Architect/Englneer:
., Address:
..
Plumbing:
Mechanical:
(attach copy of current OR Contractor's License)
Phone:
....‘ .
JOB DESCRIPTION: Hte■-- - rrynr
Applicant Signature & Phone number
Received by: ---60- date Received:
5/10/99 Activities for Case #: BUP96 -00322
1:53:44 PM
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA007 Application received 6/18/96 CJS RECD CJS 6/18/96
BUPA008 Permit created 6/18/96 CJS PEND CJS 6/18/96
BUPA090 (F) Issue building permit 6/18/96 CJS PASS CJS 6/18/96
BUPA770 Misc. Inspection 10/10/96 JDA 10/10/96
BUPA799 Final Inspection 10/10/96 JDA 10/10/96
BUPA090 (F) Issue building permit 10/10/96 JDA, PASS JDA 10/10/96
BUPA950 Case Finaled 8/4/98 RC DONE No Hold JT 5/5/99 completed & finaled
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Di, 9
�(�/ �, BUP .
3 1131 Date Requested 7- 7 -q ? AM PM BLD
Location (L375 ' - 4 ', Suite
Contact Person Ph 0 /Q,3 PLM
Contractor Ph 2�j ' J SWR
BUILDING i m �, _ Tenant/Owner C4- 4,442.LJS At K.-IQ/ADD 'I'J ELC
Retaining Wall ELR
Footing
Foundation Access: Fo �� I� 9C_�Vt J (? FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: _ 6u -i. t (I G Ll
Slab SIT
Post &Beam , I T V
Ext Sheath /Shear '�I l 0 / qn °'
Ina Sheath /Shear A t n n 2 o r r PE 1 D I ts
Framing ��f ,/�- /�CI� lA di
Drywall on 32.668 (ez / ` [b
Drywall Nailing � � � ` ? `7
Firewall Aakt
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final r A
PASS PART FAIL
PLUMBING ° 6 " . a , M f c,C g • 07_2r
Post & Beam /
Under Slab AK ( 6
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
S FAIL
& Beam
as -
ok e Dampers
'ASS PART FAIL
ELECTRIC_ A
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
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 D a t e I nspec t or , Z-"
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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