Permit CITY OF T PERMI B U # ILDING PERMIT : BUP96 - 0346
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/26/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 2S109DD -05200
SITE ADDRESS...: 12630 SW PRINCE ALBERT CT
SUBDIVISION • ZONING:
BLOCK • LOT • ��
REISSUE: FLOOR AREAS E'.•i�. ALL NSTRUCTION—
CLASS OF WORK.:REP FIRST • 0 sf N: U CONSTRUCT
W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:A1 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 4500
Remarks: Tear —off roof, lay 1/2 CDX 5 ply and re —roof.
Owner: FEES
MABEL SULYTER type amount by date recpt
12630 SW PRINCE ALBERT CT PRMT $ 50.50 TMP 06/26/96 KING CITY
5PCT $ 2.53 TMP 06/26/96 KING CITY
KING CITY OR 97224
Phone #:
Contractor:
GREG'S QUALITY ROOFING
12245 SW PIONEER LN #D 119
BEAVERTON OR 97008
Phone #: 503- 590 -6148 $ 53.03 TOTAL
Reg #..: 95890
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 I n s p e c t i o n
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: /'YlalierI
Issued By: l S.
Call for inspection — 639 -4175
JAN -20 -' 00 FRI 01:31 ID: FAX NO: .. .. -- — __ _ ti059 P01
.POSt -It"' brand fax transmittal memo `
Residential Building Permit S�1` •- �' °��"
City of Tigard -.
13925 SW Hal! Blvd. °hone ; '
Tigard, OR 97223 ,,e7g- 7a41 Fax # ' ,
(503) 639-4171 , - 3
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Jobsite Address: 12 4' J 3D lf�t w( 41h Cam' . :. , ` : < ::.:,
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iv' "on: Lot # - .
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Subdivision: ... .
Valuation:
Permit
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Corner Lot? Y N .> v<<
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Map' &:TL.# u .t'G :,
Owner
''AAQrov;ais: � Rea�irea<� },
Address: I Z Co 3o Pr'' Al ! 4- t Planning`` .. '
C A . - tiC I Engineerin ; ..
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Phone: '�
Contractor. 1� Items'Required
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dress: `:�<..
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Phone: (3) b ^(f'1 K 312 —$ � 6 . . . oth ...
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S'�
Contractors License # �'�_
(attach copy of current Oregon license)
Contact Name & Phone:
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Subcontractors: .
Archltect1Engineer:
Plumbing: Address:
Mechanical:
(attach copy of currant OR Contractors License)
Phone:
JOB SCRIPT1ON: iii ��� .' b
4 '' 2 )171kr ( e
Applicant Sig ' ure & Phone number
/
Received by: - � Date Received; .�x.�- as; / R e1 ('
4/24/00 Activities for Case #: BUP96 -00346
5:19:43 PM •
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA007 APPlication received 6/24/96 CJS RECD TMP 6/26/96
BUPA008 Permit created 6/26/96 CJS PEND TMP 6/26/96
BUPA770 Misc. Inspection 6/26/96 TMP 6/26/96
BUPA770 Misc. Inspection 6/26/96 TMP 6/26/96
BUPA799 Final Inspection 6/26/96 VLN VLN 4/27/99 Inspection request for research
to Hap W. 4/27/99.
BUPA090 (F) Issue building permit 6/26/96 CJS PASS CJS 6/26/96
BUPA870 Final Inspection 5/9/99 5/9/99 4/28/99 RC NOTE No Hold AKJ 5/9/99 Called contractor Gregs roofing,
left message on his machine
that we had a couple of open •
permits and please call for insp
and arrange time to meet insp
BUPA150 Expired by limitation 4/16/00 HAP DONE No Hold AKJ 4/16/00
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