Permit c; r OF T I G A R® � �r; RMIT #.... BUP96 —'102 01
- _COMMUNITY DEVELO DEPARTMENT _ . :. ' .DATE ISSUED +�;,, i / ��'
„
, 13125'SW,HaII Blvd. Tigard, Oregon' ;9722308199 1603) 8394171 : P RGEk_ 9, , ES x 9 D.a7" I Zf 1 400
Sr
' ' tS ITE- ADDRE_S3... 12635 ' SW PRINCE ALBERT CT - .
.: - _ ZONING': • ' SUBDIVISION.. '
• • BLOCK.., ... .'. _. ; LOS" , 1 ' . . n ' _ �.; -�
REISSUE.. '- 'A
A
FLOOR- 'RE'A5 -•- - R�
• ' EXTER'I WALL CONST•RUCTI ON • - '
' CLASS OF` WORK. :.ALT - ',FI . - ' ', 0' s' -f , :`N; - I S - s - 'E a_: _;,. _.:, W • TYPE OF, USE. ' • SECOND... o O. sT. 'PROTECT OP'EN'ING,," , ,
'TYPE OF CONST. 1 R- • - ' .... 0' s f', - N o i S : '• El ' ., ' G) o •
OCCUPANCY.,,GRP.: A i.` TOTAL-- ---- o , 0 '' 's f ' 'ROOF CONST'o ' -:r - IRE ' RET? i • -
' OCCUPANCY. LOAD, o , - 0 BASEMENT, "0 s,f, :AREA SEP`. RATED o • - - ",
S.T OR„ • . 0• 1-IT':' , 0 •(''L-' 'OA (iGI =. ,: . ,s ;f ' OCCU SSEP. RAT ED o . - •
`RSMT? ME,Z Z -2 i t - - - RECD SETBACKS -- ' . RF_QU 1:'RED---- -__ --- - -, --‘• ----7,-'---' 7
• FLOOR LOAD. a , .0 , r s f ,LEFT o 0 : ft R%ii-1,t,: 0 _- ft ' FIR ' SPKL SMOR, . DET'. , ^ .. -
;';-• DWELL I UNITS: • - ''0, _ FRNT: 0 ft REAR: 0- ft - FIR, ALRM: , HNDICP ACC :::•, • '
BEDRMS o 0 : BATHS.: " 0 -- .IMP SURFACE 0 • - 'PRO CORFFR'o PARK INS :- 0. . - . •
.VALUE. S. •• ' • 51:53
Refi Narks; , • • . • • - •
' •t.,m *, - • — -- - - - - -, —_ _, - -- . - - - - - - -- - - FE —
O
1ABL.E .LAUEFt = - • ty_pe - amount by date . i`e;cpt
_12635.' PRINCE AL' BERT ' • - _ , PRMT ._•$- '_ . '''56. 50 C 0Z13/20/96 KING. CIITY :-
- - _ - _ •- - , _ _ -- ,50C - ,T $- "- -83 •,C;JS, '03 •KING CI`TY-
KING C. I„ l OR 9 7,22 4 . - . _ ' 'r , - .
'Pone ,# ,,• , ,
C'o•nt'r'actoY'e , - F —, ---° - '
GO sl'C CJ, CONSTRUCTION • INC .
. '25715.' - NE, -• KATHRYN' •
l 3 a.. � - � ., 2 .. 1 .. ' ' -'' i , 1— 2' '- -1 .. .... --. -- - - -. ..- -.-. - .. -.... - -- ' ,
F
• 'HI�L— •SIQFO. 'OR )�'1,�. F ,' �` ��. - •- � ., ' .— '
Phone .'# . 0l3- 639= ,77iZllz�1 ` i v 59. 33 TOTAL:
-' - -- • RECC?UI RED I DNS.' - -- ,
• `.This'per'rit`- isissa d subject to •thie'regulistions•contained•in the, - Misr. Inspection- .' _ - '
Tigard Ylnnicipai Code, Stat ,0f Or .'9peciait,y Codes' and . - al'l other - , Final .- I•n s pest ion: _
applicable laws. Ail: €4hrk Isi'll be, ! in 'accei�dance with._.. , -- ,- - ." ' : ,
a ppi�oa;ed= p ';This .perni�� 'tai xpire if `wo ^x '•is not itai - �� _ •
'riitjltn..183`days Of iss'Jdnce, or • if..lod- 15 Sus nded for 'oar - e ' -- — . .
.than •1230- days. ' ,, 1 ' .. _' _ -_
- • Per n i;t t e:'e "6.i g n a,t,t-I : e', : - ` _ . • • ' ' ' , " - ' . ,- , - - a
w
_ - y'„ Ca 1.I•'` -for; 7.i n s°pect i an x.639'_- -'�,17a -•. '••,,,-,••• ., , • _ ��.z, - " _ •— ', • -' ,!', A. it i rt _
- FEB- 11 —'00 SAT 19:41 ID: FAX NO: __._._ • #069 P01 , _L,_
+ Post - It'" brand fax transmittal memo 7671 MEESIEll
ResidentialBL_Aurng lingraINEMINTANIARIMI
City of Tigard iiiratirWiliireill .._
13125 SW Hall Blvd. Dept. 4 Phone #
Tigard, OR 97223 Fax # Fax #
(503) 639 -4171 3e, P 01(0
•
Jobsite Address: /2 35 CS 'I /2,LtNG+- _.r.,l� e ,
•
Subdivision: Lot # Offtct ()ilk(
sly /\ ° Planck/Rec #
Valuation:
Permit # el4P96- 0//0
Corner Lot? Y N .....::: .. ...::.:. . ...
Reiissoi ::'of
Flag Lot? Y N
• Map: &:TL #• .dt�i D i 1 '/fed
Owner: 141eL Z Approvals Require >: :::. :� :: •• ::. • '-``• •
• Address: �0� 3 /YG�- - .. _
PlanniA� •
7 • Engineering
P hone:
ta0
, . : , -
Otii . •
r. L-;
�� .
Contractor ltems.Reaui�t,6l¢ � _
Address: p 7.57c 5 - -. 7 V 3ufico�i�abtors�: . ....::''::::::-'.'-b.:-
V 9 9
i
a Y
1-rus t7etalls-:- . .
Phone: 6T,3 / 7 2 !Jz%' Other' • .
Contractor's License # / �40' v2
(attach copy of current Oregon license)
Contact Name & Phone: eiz.,fir / /C% 69,3 290
Subcontractors: Architect/Engineer:
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractor's license)
Phone:
JOB D CRIPTION: _ iQ r ,o/7
2 6q
Applicant S stuns & Phone number
Received by: Date Received:
EE- 11 -'00 SAT 19:42 ID: FAX NO: 1:1069 P02
Permit # Account Description Amount Amt Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) x•83
Bldg:
PIumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb: •
Mech_
•
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality. (WOUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �� 33
5/21/99 Activities for Case #: BUP96 -00110 %
12:56:21 PM / 3S 2 yVvicC. It
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA007 Application received 3/14/96 CJS RECD TMP 3/14/96
BUPA008 Permit created 3/19/96 CJS PEND TMP 3/19/96
BUPA770 Misc. Inspection 5/3/99 RC JT 5/21/99 unable to locate contractor.
Phone number is for answering
service. Called a couple of
times with no reply. Ron Church
BUPA799 Final Inspection 3/19/96 VLN VLN 4/27/99 Inspection request for research
to Hap W. 4/27/99.
BUPA080 (F) Ready to issue 3/19/96 CJS PASS TMP 3/19/96
BUPA090 (F) Issue building permit 3/20/96 CJS PASS TMP 3/20/96 .
BUPA870 Final Inspection 5/10/99 5/10/99 5/3/99 RC NOTE No Hold AKJ 5/10/99 Unable to locate contractor, # is
for answering service I have
called a couple of times with no
reply
Ot
Cr
. � /
......■ 11111110- 110
T
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 - Hour Inspection Line: 639 - 4175 Business Line: 639 - 4171
BUP 96 – 0 //0
Date Requested AM PM BLD
Location /,,)63-C G7`. Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Lm y DLO C.1h.4 �
Foundation FPS
NOT REQUESTED
Ftg Drain 3 _ .7
Crawl Drain I FOUND DURING RESEARCH — SGN
Slab NO INSPECTION(S) FOUND IN FILE — SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear ^y�
Framing ` J
Insulation
Drywall Nailing ��i -- -�`. —' - _ ` `• o'
Firewall
�
Fire Sprinkler et_ , avi
Fire Alarm ¢ ��
Susp'd Ceiling /(�JZ�( •
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS 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 —97
Other Date ( Inspector Ext
Final
PASS PART. FAIL DO NOT REMOVE this inspection record from the job site.
•
3/9/00 Activities for Case #: BUP96 -00110
2:32:58 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA007 Application received 3/14/96 CJS RECD TMP 3/14/96
BUPA008 Permit created 3/19/96 CJS PEND TMP 3/19/96
BUPA770 Misc. Inspection 5/3/99 RC JT 5/21/99 unable to locate contractor.
Phone number is for answering
service. Called a couple of
times with no reply. Ron Church
BUPA799 Final Inspection 3/19/96 VLN VLN 4/27/99 Inspection request for research
to Hap W. 4/27/99.
BUPA080 (F) Ready to issue 3/19/96 CJS PASS TMP 3/19/96
BUPA090 (F) Issue building permit 3/20/96 CJS PASS TMP 3/20/96
BUPA870 Final Inspection 5/10/99 5/10/99 5/3/99 RC NOTE No Hold AKJ 5/10/99 Unable to locate contractor, # is
for answering service I have
called a couple of times with no
reply
BUPA150 Expired by limitation 2/22/00 HAP DONE No Hold AKJ 2/22/00
Page 1 of 1