11950 SW KING GEORGE DRIVE-1 S.W. King George Drive -- K' .g
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Rox 23397
Tigard, Oregon 97223
Phone 639-4175
Type of InspectiondnL_yy�1.� -, ---------- ... ------------
Date Requested��" �= —___ Time-- -- A.M._-.__-_P.M.
Address Permit
Owner __ Lot #----------- .�.
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _—__ _ _„—__ �i'7 Approved
Inspector _ ]� —___�_.--_....-_� _ ❑ Disapproved
Date
CALL FOR REINSPECTION
Cl YES U NO
INSPECTION NOTICE
Gity of Tigard Building Department J
^.0 Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ��� / C —_� --- ---
D<te Requested.— �U Time-- A.M-4; - ' F.M.
Andress Permit #'
Owner Lot #_------ -
Builder -------
The following Building Code deficiencies are required '.o be corrected:
p
Presented to _ _— ___ �� Approved
Inipetrtor _ 4 __-.__ [3-Disapproved
Dete
CALL FOR REINSPECTION
C1'v lea !3 ma
C c4f Y!4
rl E C,H A hi I C;A L
CITYOFTIGrARD ji;�� !DER1111,
PERMIT 0.
COMMUNrTY DEVELOPMENT DEPARTMENT P R 1:11. PE R 1111: 1' 14. M I"C 9 1) 013'
13129SW14WI Blvd. P.O.Box M. 97JIgard.Oregon 97,2 (003)�AM DATE ISSUED: (37/11/90
5 ITE A 1)D S 9'; SW KJkIG GEORGE DR PARCEL: 2SIIOCA-0,3100
SiI
U PD I VJ'91(]N.. .. . . : ZONING,
BLOCK— LOT. . . . . . . . . . . . . ..
CA-ASS OF WORK. . :ALT FLOOR FURN. . . . a EVAP COOLERSo
T'Yr-*'[-* OF US)U. . . . .S F UNIT HEATE RS. . a VENT I"ANS.
0("C U P A N C Y (3 R 1:,.. R'3 VENTS W/O APPI V E N T S Y STE11 S a
STORIES. . . . . . POILERS/COMPRESSOR'E; HOODS. . . . .. . . I
FUEL 0 -3 HP. . . . : DOME:S.
S. INCINe
/GAS/ 3- 1 5 HP. (IOMML.. INUNn
M A X I N P IFT. BTU 15-30 HP. . REV,AIR UNTT3i
F'I'RE: DAMP'E'RS'?. . : 30-50 HP. . . .. : WGIODSTOVES— g
UAS PRESSURE. . . .- 130•, HP. . . . .. CLO DRYERS. . :
N(J., Of- UNI I S AIR HANDLING UNITS OTHER UNITS. al
JRN ( 1.00K BTU: (- 10000 (:fm: GAS OUTI-F."T'S. '. 1.
TURN �=J.00K PTIJ. > 1,0000 cfni.-
Water tierate-r/gas lii-iti tc) water [i(?Atc?-r 8 rAvige
Owvle-r: FEE.':)
D 0 N RA 1)1)L tYpp 4AMOU11t by elate -r,e,��P t
1.19!7,0 SW KYNG GLORGE, P A Y 111 17. 33 JL.H 07/11/90
I.-,,R 1111 b ].(-..,. 50
KING CITY OR 97224 5 F,C11T 0. 8 13
P 11 Cr il e 0-.
(,aritr,Ac.,tor-,
MODERN PLUMPING
FIC) BUX 2.3307
OR 97223
Flfic)vie 4.- 639 3701. $ 1.7. 33 'ro*rm-
REQUIRED P EC'1`1ONS
This permit is issued subject to the regulations rontained in the Filial Irispectioll
Tigard Municipal Code, State of Ore. Specialty Codes and all other ......
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 181 days of issuance, or if *orb is s6spended for more
tha,, 189 days.
.................. ..............
J1f�-('nJJ,ttPP .................
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Call f()-(, iiispectii.(.)n 639-4175
..".I'TY OF TIGARD PPCE IPT OF PAYMENT PECE I P T NO. 1?() -.202,500
Cl-ArC.P,. AMOUNT G 1 7. 7".
IW4ML MODERN PLUMBING _;ASH AMOL-1114T I.
ADDRESS PAt'MENT DAT! J. 1 3 .
sUrl 0 1 Y 15 1 oll
T ! GARD, LIR ?"7
PUPPOSE',` OF PAYMFMT P-'iPlQLJNT PA 10 F'OPPOSE OF F,P-tYMCt,JT AMO INT' PA I V
,.0 H A N I C AL PE MEC9C 16.5C,
�;3 T . D Pr-P
TOTAL AMOUNT PA i. .1.7
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BUILDING PERMIT APPLICATION KING CITY" DAIS �'�� • ly____._
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOM"ANYING PLANS AND S'ECIFICATIONS. OWNERPHON�«
LOT NO. —
OWNER OUn R&ta[ll a JOB ADDRESS X 19�IQ ',R) K.;ny 560 x (fH6ME'ADGRESS 1 x
ng LIty
-- -- .—
v 0a, x f'ic Hi has DFSIGN R
BUILOER (•DN(�13�.'�, ��r+rTi;�C'9' .. :.+�,F,ADDRESSI � (1� Y DESIGNER_ .Y-- ---�
STRUCTURE ❑NEW ❑RFMODEL ❑ADOIII01, ❑REPAIR ❑RENE"VAL ❑F.REDAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:]CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑,;QUNCI! APPROVED ❑SIGNS
Q(CUPANCY —LAND USF LONE _BLDG.TYPE_' FIRE ZONE_: PLAN CHECK 81 _ HEAT__
fema 1.f t'+Jom mw`i.t;iiun S UGt[JS_,,am aXt4onAlun to coxiotiti1j --- -
single faintly
OCC..LQ9A.-_- --FLQ.QR-LQAn- - �� �Ft�— NQ,STQH_IE3 _AREA _'�dQ�fl PQM=—VA L�F"- • :�:rCI•
_ BUILDING DEPARTMENT SET BACKS FRONT REAR z7 LEFT SIDE—" RIGHT SIDE —
Petmil
"—`— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE F'UI+_DIF G CODE, 20NING
Pian Check 74101; REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY A.;REED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total r 000 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVL
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITU FIUSINLFS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
TotalI $,7''3.t;.
BY P)
-- -- � APPLICANT OR AGENT
Approved �+'I Receipt No
r
DATE INSP. TYPE INSPECTION REMARKS_REMARKS PLUMBING DATE
- Lontractor— --— _
rI=y�V L r► Y�. —t IS -- — Permit No. —
�n nl/t♦�i►I II d - — Raugh-in -
4-4 Fixture Final
HEATING HEATING
_ — A Cor;ractor
Permit No.
Gat or 011--- - --
— --- - - Ruupl in -- --'-
_�_�---_.--..— -- canal ----- _—
SEWER
rinsl
DRIVEWAY �-
Finel - —
Stone Dralnege
(Actin Dreln) Final
Sidewalk
Curb&Street Fine:
Approach
M")a. DEPT. FINAL TtMPORARY —~ CERTIFICATE OCC< NCY
CERTIITICATE OCCUPANCY Final
Landscaping
Zoning Final
ICITQ(3'r"ITSC -STBJ.1rTIJRAJ. GHANGF. .RFQUT,ST /
Member b"�" Date
�-�y,
Address /j' ;�5[ ,Yl-�'�/(%!t�>'�:;�r,"< Phone
i TYPF OF CHANGE
(Patio Cover, oom) Fence, etc.)
PLAN: DJEENSIONAL PJ,!D MATERIAL DETAIL:
N L k T 1
Lr.1Lu;' S b,M.,. fie;
Note
' 1) Adjacent properuy owrgrs will be informed of the requested chanf;e.
I2) If there is an objection, the objection, but riot the name of the objector, will
fbe given to the member asking for the cnange.
3) The board of M..actors of the Civic Asb^ciation will review the plans and proporty
fa: approval or disapproval and compil.anct. with the stated restrictions.
U) A building permit must be obtained from the city for all improvements costing over
4500.00
Date Notified 5 KCCA Board of Directors
President
Date to be t amploted proved ce resi.dant
Final Inspection _ Disallowed (Reasons)