12420 SW KING GEORGE DRIVE-1 12420 SW King CA-.,)rge 7r.
King City
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CITYOFTIGrARD k ITI 1. T' #. . . . .
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COMMUNITY DEVELOPMENT f)EPAF.'rMENT WT E .1 G)S U ED r 013/;31./'.10
131268WHWIRAd. ?.tl RmM97,Tigard,Oregon Q?W(03)&W4176
2 S)1.10 C l91.0 0
SI Tr W,kl t�'P) SW I<ING (3sF()1P(.-)F DF,
SUl- T—.LSTON. . . t 177 Z01,411,16".
BLOCi"%. . . . . . . . . (
. L O'T . . . . . . . . . . . . . .
........... .......
CLASS OFWORK. . :ADD F'LOOR F'URN. . . . r F'.VAF, COOLERS*
T , PL OF' USF* . r.SF;' UNIT HE VENT FONS— n
OCCUPANCY ("RP. » r R3 VEN1W/0 v I.*-'N'T SYSTE14113"
STORIES. . . B 0 1 L E RS/C OMPR 6 GOR S VIC)ODS.
J L
FJL .TYPES 0-3 IM."'. . - . -. I DOITIE:S.
:/GAS/ 3-15 HP. . . COM11L. INC."IN".
M A X 3'.11 P,Ul BTU .1.15 30 HP. UNITS:
F*I R E 1)A M PE R1)'?. 30-50 HP- WUODS"TOVES. . :
S06 PRESSURE.... 50 4. HF'. . » » » CLO J)I'.:YERS. . -
NO. OF (JINI.T. i*S------------------- AIR HANDI ING UNITS OTHER UNITS. -
FURN < 100K 1]411): 1. < 1.0000 �fql:: (3AS OUTLEIS.
FJJr-'Jq )----10(4K BTW > .10000
Ft temC�rir.�r
KAY H(.)F'I'I RF1 R type APIC)LO-It by date e p t,
12420 SW KING GE.0ROC. P R 111 $ 22. 00
5 $ 1. 1.0
KTNG C1rY Ok' 97PP4 FlAym $ P::1. 1.9 JLH 08/131/90
1-1 t r a e t a.1,v
CC)LUMBIP 1A E.0 T1 NG
;11 308 SW 90TH
I U 1:4 L()T':I H "R 97062
FII-ic)riv� fit, C,9 t 4;32 Q"p $ 23. 1.0 TOTAL
RE.C.MIRED TNSPF'(,T1G'HG
this permit is issued subject to the recilations CG,-.fA1-'*d in the Fi.1-181 Trispeeti,c)1-1
Tigard Municipal Code. State of Ore. Sr?cialty Codes and all other ...... -—-------
applicable laws, All work will be dore in accordance wite
approved plans. This oervi; will ex,)ire if work is not started ..........
within 156 day; of issuanre. of i work is suspended for more
than 186 days.
-r ni i.t t r Lt r e
13 1.
P e ......
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...........
Cal? f a-r i vispe(^ti.ovi f.,.39-•4175
ITY OV- rTGARD -- RECEIPT OF PAYMENT RECEIPT NO. n 90.-2043 6
CHECK AMOUNT I()
NAME n COLUMBIA'ISI A] tN(.-) GASH AMOUNT Q0
A U 1)R E.S5 n PAYME11T Df-'4TL-.' 00/71k1/90
SUBD I to'l S I ON
PURPOSE OF PAYMFNT AMOUNT PAID PiJkf:ltlr)E OF PAYMENT AM13JN*I' F'-ATD
rF-CZN. C:,AL. FSE:—rIFC90-01'74 22. 00 ou. PEP 1 . jr)
iI
I.A-2420 SW KING GEORGE
1070... AMOUNT PAU,,
CITY OF TIOA RD
OREGON
January 3, 1990
Columbia ing
8900 SW B r 'em E-110
Tigard, OR, Y7223
Re: 12420 SW King George Dr. Permit 0 MEC )0-01': .
Dear Sir(s),
On August 31, 1990 a permit was issued for the above project. As of this date,
there in no record of any inspection having been recorded.
Please advise the Building Division of the statue of this project as soon as
possible so that the fil- may be kept curren`,.
Please note that any permit without activity for over 1.80 days becomes void. If
you need additional time to complete the project, please contact this department
no an extension can be discussed.
Sincec,ly,
Brad Roast
Building Official
Notice.2
13125 SW Hall Blvd.,P.U.Bax 23347,ngard,Oregon 97223 (503)639.4171
T INSPECTION
KING CITY When work is completed ,
please notify Tigard Bldg .
15200 S.1V.116th Avenue,Ting City,Oregon 9 i ?4 Phone:639•4052 Inspector at 639-4171 .
COMMUNITY DEVELOPMENT
APPLICATION r'OR BUILDING PERMIT
(Instructions on reverse)
DATE ti•=�1,�Y'O
NAMF OF' APPL I CANT:)',/ L• H �L �F l —_77-77 Phone No, 4o ,3 9'3lo y
S.0",�i' iC. - -
T _ OF PROPOSED I1 'QOVE11ENZ' :741
2 'TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTEC.
DESCRIBE BRIEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT: .(�GutUd'.t/,�c.F
3. NAME AND ADDRESS OF CONTRACroR
,��q 5:10.�jn� 2!1&G t '/ PHONE NO.J,Y..)-N.3a7) LICENSE NO. G `!U
4. NEIGHBORS VN0 MAY BE AFFID-TED BY THIS PROJECT WILL BE NO'^IFIED BY THE CITY.
S. APPLICANT OR HER/HIS REPRESFENTAT,VE MUST BE PRESENT AT THE PLANNING COMMISSION
MEET1NG NEXT HELD ON —
REPRESENTATIVES NAME �1 C1 1 [ — PHONE NO.Akzi, 3 V1 l
(The Ring City Planning Commission 4111 consider only those applications receive� at least five (5) days
prior to a meeting,)/ l,{/at 6q /-na17O
SIGNATURE
**********************************************************************************
APPLICATION RECEIVED BYr✓ -- - — - DATE -�
APPLICABLE FET:: RECEIVED TOTAL____ — —
PLANNINC COMMISSION DECISION: Approved_ _ Denied -_
CONDITIC..+S _-
-
Approved applications are valid for sit months only
Signature__ / aA-,-3 _ Date__ E:., �n
NOTE: Ore n Bomebuilders baa requires that all persons who contract for work -,n their residence be
registered with the Builders Board which deans the contractor, is bonded and insured on the job site.
For your protection, be certain your contractor is registered by calling City Hall 1-h: 639-4082.
NO'T'E: A permit must also b . obtained from the City of Tigard Department of
Camxmity Development Yesv — No
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved _ —Denied-
Date
enied_Date Comments
Signature_
(RiVAtng inzpecAon. p4.en/se. AvAuA . one. (1) copy to King City)
CO 2-81
EL
cx 729
VI.-1 I R,'A)