Permit CITY OF TIGARD MASTER PERMIT
� �A 010 � � DEVELOPMENT SERVICES PERMIT # • MST98 -0358
•��' DATE ISSUED: 08 / 18 / 98 8
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S110CC -01500
SITE ADDRESS...: 16130 SW ROYALTY PKWY
SUBDIVISION •KING CITY NO. 3 ZONING:
BLOCK LOT •024 JURISDICTION: KIN
Remarks: Install man door in garage.
BUILDING
REISSUE: STORIES : 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED -
CLASS OF WORK.:ALT HEIGHT : 0 FIRST • 24 sf GARAGE • 0 sf LEFT • 0 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 0 SECOND...: 0 sf FRONT : 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL 24 sf VALUE-0: 600 REAR : 0
PLUMBING
SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL --
FUEL TYPES FURN ( 100K ..: 0 BOIL /CNP ( 3HP: 0 VENT FANS : 0 CLOTHES DRYERS: 0
FURN ) =100)( ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 0
ELECTRICAL
— RESIDENTIAL UNIT— — SERVICE /FEEDER -- —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — ----MISCELLANEOUS ---- — ADD'L INSPECTIONS—
SF OR LESS: 0 0 - 200 alp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 4'.i' alp..: 0 201 - 400 alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1m amp.: 0 601+amps- lwA v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 — PLAN REVIEW SECTION - -- --
Reconnect only.: 0 )=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..: 0TH: .. BOILER • HVAC • LAKE /IRRI6: PROTECTIVE SI6NL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL • OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL # SYSTEMS: 0
Owner: -----------------------------------Contractor: — TOTAL FEES:$ 42.50
WILLIAM E WELLS ROYAL REMODELING RESOURCES INC This permit is subject to the regulations contained in the
16130 SW ROYALTY PKWY PO BOX 230805 Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 97224 TIGARD OR 97281 -0805 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone is Phone 0: 684 -7873 not started within 180 days of issuance, or if the work is
Reg D..: 90746 suspended for more than 180 days. ATTENTION: Oregon law
- — requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001-0010 through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
REQUIRED INSPECTIONS
Framing Insp
Building Final
Issued
(4-
Permittee Signature: /Zeal/ . /,4/
+ + + + + + + ++ ++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + ++ + + + ++ + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
cl GARD Residential Building Permit Applicatior���� d B y
13125 SW HALL BLVD. Alteration - Interior Remodel Only Date Recd .0 0 . f
TIGARD, -OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. no`1 / c •
V503- 639 -4171 Date to DST r e/ 1311:4?
F 503- 684 -7297 Permit # / 445 7- i , 4 - 035
1 1 1 . Print or Type Called ' — � h
¥\ e / Incomplete or illegible applications will not be accepted
Name of Project �(� Name
_ " J
Job 1 ( 1 Ay , . "
" 1 � — E ' (' l I M ailin Addre
S ite Address Architect g
A
Z --7
ddress ' (0 3 a SLU ��ty
� i°1<w�,
Name q,� _ City /State ip Phone
'� r � 1 `"
Name
Owner Mailing Address --
S Arm
.
tL Ciity /State Zip , [ Phone �[ Engineer Mailing Addr• =s
Ki is 6 ` C i T y 4 -f - q6 8 - 7 City/State Zip Phone
General Name
Contractor c•jikk._. cRt4h0DG -c,,0 U— ,vL Describe work New 0 Addition 0 Alteration 0 Repair 0
Mailirfg Address _ to be done:
Prior to permit 7 D .. 3c a. - 30`3 6 -5 -
O$bS Additional Description of Work:
issuance, a copy City/State Zip Phone
-r
of all licenses &NZD 479.E) lv81 - 773
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# / -7 VALUATION 560-/- 19
database 9 01 4 to S- / - o 0 O
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- \ /' Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Corner Lot YES NO Flag Lot YES NO
issuance, a copy City/State / Zip \ Phone (check one) (check one)
of all licenses Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board\ Exp. Date Energy System Alarm
expired in COT Lic.# /
database Installation Garage Door HVAC
Plumbing Name Opener Systems
Sub - r''` (check all that Other:
Contractor Mailing Addrbs\ / apply)
Will the electrical subcontractor wire for all YES NO
restricted energy installations?
Prior to permit City/State /Z\ Phone Has the Subdivision Plat recorded? N/A YES NO
issuance, a copy
of all licenses are Oregon Const.Cont. Board Exp. Date -
required if Lic.# � Solar Compliance
expired in COT / N (Calculation Attached)
database Plumbing Lic. # \Exp. Date I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Electrical Signatu / o of Qwner /Agent / /� Date t , I �jh,
Sub- Mailing Address - - -� � L;P:$YYt ? i I�VC 13d 1 a
Contractor \ ,( Contact Person Name P ne #
City/State Zip ,/ Phone S 4//'1 /�
- nsy
Prior to permit /\\ FOR OFFICE USE ONLY:
issuance, a copy Pl #: M a 5 -#0 so�
of all licenses are Oregon Const. Cord. Board Exp. Date e
required if Lic.# / \
expired in COT Setbacks: y Zo e: Solar:
database Electrical Lic. # Exp \Date ' , (' ��� ��
\ Engineering Approval: fanning Approval: TIF:
(‘ 4 "( 1,14# 1 61C
I:SFREM.DOC (DST) 5/1/98
CITY OF TIGARD BUILDING INSPECTION DIVISION 94E-e-556P
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
(35 BUD
I
Date Requested 9� — , A PM
/ BLD
Location 430 Suite MEC
Contact Person Cl.efe on j Ph 7; �c3&3 PLM
•
Contractor Ph SWR
UILDING_) Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab �� SIT
Post & Beam u del a /
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation �)
Drywall Nailing ('`� � - .'fir✓ G77 / CA--f -/ ? ALS',C IV
Firewall
Fire Sprinkler 64..//9566 /C
Fire Alarm
Susp'd Ceiling �j�L p
Roof
is�
1-1
PASS PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
F'
PAS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
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
Other Date � y '�� Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.