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XNSPECTION NOTICE
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City of Tigard Building Department "
13125 OW Ball Blvd. Tigard, Oreqon 97223 i
Inspection Line (Rec-O-Phor*)t 39-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab 4ch. Rough-in Nppr/sdwlk
Found. PlLg. Top Out Gas Line FINAL:
Post/Beam Struct. San. 3e4er Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
xa;Y i Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requesteds t ' /' L�� `/ Time: AM PM a
Permit
' -darese: 'l: 3 Z -I ■
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Builder:
Q.Yak �q, THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectqr Lp
Date:
v APPROVED DISAPPROVEDAPPROVED ';UBJECT To ABOVE
------Call For Reinsp.
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INSPECTION NOTICE 4"
city of Tigard Building M=partaont
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_— 16' -1 s ' l 7 C
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg. '
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: CIL, _--T ime t AM PM -
Address:1c /3 __ ;,�[ Permit � :�/����
Builder: r� Mo ��/�'/L ��/-�C rY1��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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--------------- ------ � � ",ems - ____ ---
Inspector:., - _-- Date:_�� �
-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call
Call For Reinnp.
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° :BUP93-0251: PROJECT:RE-ROOF STATUS:I : UPD:09/02/93 : :JH
° PERMITTEE:MODEAN FRAME PRIM. . :BUP93-0251: °
° S1TL ADDRESS:12495 SW KING RICHARD DR °
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o CASE HISTORY °
° --All Actions--------- -- ------------- Req/Sent Schd/Due End/Done By Stat M °
° A007 Application received
° A010 Plan check deposit paid 09/02/93 °
° A020 Plan check by 09/02/93
° A090 (F) Issue building permit 09/02/93 JLH PASS
° A770 Misc. Inspection 09/03/93 RB PEND M °
°
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A799 Final Inspection
° C742 Roof naiing Insp
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CITY OF TIGARD
June 6, 1994
OREGON
Modean Frame
12495 SW King Richard Dr.
King City, OR 97224
12495 SW KING RICHARD DR., BUILDING PERMIT #BUP93-0251
On 9/2/93 we issued a permit for this project, however, we have no record of
any inspection being completed.
Permits become void if there has not been an inspection performed for over
180 days. In that case, the Building Division may require a new application
a and fees to commence or continue work. A notice of non-compliance against r
the property may also be recorded by the City.
Please advise the Building Division within 15 days from the date of this letter I
{ as to the status of this project.
i
Notice.b j
I
i
I
13125 SW Hall Blind., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 _ +�
9
11 PL 1- 1,.
INSPECTION NOTE
City of Tigard Building Department
13125 871 Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_, i l _
Footing P Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINA; s
r •st/Beam Struct. San. Sewer Framing -Bldg.
ost/Beam Mach. Rain Drain Insulation -Plum)-.
/ I
Plbg. Underfloor Mater Line Gyp. Bd. -Nerh. �/
Date Requested:_ C / / �3 Time: A!f Y!1
Address: /240.5 "7'l - it > -d 2
Builder: ,
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspector:
_^APPROVED DISAP:ROVED �APPROVRU SUBJNCI' TO ABOVE
i 1 _-_Call For Reinsp.
i .
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BUILDING PERMIT
CITY OF TIGARD PERMIT #. . . . . . . . BUP0 30:_51
COMMUNITY DEVELOPMENT DEPARTMENT DATE IE35UE:D: 09/02'/93
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (5VLVg•40Jt*7 1 a;'r
p,
PARCEL: 5115BC 14E00
)ITE ADDRESS. . . : 1 2'_495 SW F<I NG RICHARD DF1
c
.,UBI)IVI�,c tr
IOhI. . . . �1h/,t I �� ZONING:
BLOCK. . . . . . . . . . .
LOT.
REISSUE:T _ FLOOR AREAS _._._._ E=XTERIOR WALL_ CONSTRUCTION—
CLASS OF WORK. :ALT FIRST'. . . . : sf N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : s f PROTECT OPENINGS?-------------
'TYPE
FENINGS?—__---._____'TYPE OF CONST. :5N THIRD. . . . : sf N: 5: E: W:
OCCUPANCY GRP. :R3 TOTAL_-- ___._.__: 0 S f ROOF' CONST. FIRE RET?: ■
OCCUPANCY LOAD: BASEMENT. - sf AREA SEP. RATED:
ST'OR. : HT. : ft GARAGE. . . : sf GJ CU SEP. RATED:
Mk:Z Z? : REG1) SETBAL Ku__..___._.__ __ REC�!lJ I RED__...__....._.
FLOOR LOAD. . . . : ps f LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . : ■
DWE_L_.LING UNITS: FRNT: ft REAR: ft FIR AL.RM: HNDICP ACC:
BEDRIYIS: SATH5: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 2500
Remarl<s . Tear, off, new sheathi.ng, composition roof
Owner: _._._.____._._._________.__._.__.______ ______ FEES
MODEAN FRAME type amount by date recpt
12.495 SW KING RICHARD DR PRINT $ 38. 50 .JH 09/02/93 -- f
5PCT $ 1. 93 JF-1 09/0.2/93 —
KING CITY OR 972,:`4 f
Phone #: 6E0•-4668
Contr•actor: --•�_.____.__._.._...__...____...._._..______._._._..______
OWNER. I
Phone #: $ 40. 43 TOTAL
Rey #. . : 1,10000
REOU I RED INSPECTIONS __-----
This permit is issued subject to the regulations contained in the Final Inr;pe-:tion
Tigard Municipal Code, State of Ore. Specialty Codes and all other Roof n a i 1 n g I n s p ___� __•�
applicable laws. All work will be done in accordance with
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 S i g n a t i..r r e :
r'
Issi_red By -
Call for inspection — 639--4175
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CITY OF
mT( A "�`�� t�tuswti,uu� PLNCK/RECT #1 1�] f j►�[�. Tprtt�c 9722-1 PERMIT #
COMMUNITY DI-WELOPM ENT DEPARTMENT
(503)639-4171 DATE ISSUED
JOB ADDRESS: _-._���q�_f G� .�%� ,�C «ti-� /✓ n�^f TAX MAP/1-OT
SUB: _ IAT: _-- LAND USE:
VALUATION:
SPECIAL NOTES
OWNER
NAME: REISSUE OF: --- — - -_—
ADDRESS: /���51�_ 1 �c�Ia.= ��y��'-�_ LAST REISSUE: _ ■
FLOOD PLAIN/
PHONE: G S' _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
nn
NAME: t�wGow �1,,,, /�r.>,_ PLANNING:
_ t �o.� �
ADDRESS: _. � -�_- ENGINEERING:
FIRE DEPT:
PHONE: ^— OTHER: _
CONTR. BOARD #: _ EXP DATE:
ITEMS RE%J I RLD
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS:
MECH: _ BUS TAX: ---
/IRCH ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS: - —�--
ADDRESS: — __-- _ OTHER: --
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
I
Received By: __ _ Date Received: —
IN�IBS X Mx .»w.r w mks: ISYUIldMMO1 Nv*elR�, V- w .
I .
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PERMIT k ACCT # DESCRIPTION AM,rIIINT AMOUNT PD. BAL. DUE
iO-432 00 Building Permit Fees '
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
P umbi rig
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing _
Mechanical
10-230 06 Fire
_ 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (POC)
i
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24--445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
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CITY OF T I GARD - RPCE:T PT OF PAYMENT RECEIPT N(l. :9 a•-2.4,3828
CHECK AMOUNT a 40. 43
NAME s FRAME, MODEAN CASH AMOUNT 0. 00
ADDRESS 12495 SW KING RICHARD DR PAYMENT DATE s 09/02/93
SUBDIVISION s
KING CITY 972'.=:4-.-
PURPOSE: OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID y
BUILDING PERM 38. 50 ST. BUILD PER � 1 . 93
RE--HOOF
T'01AL AtIOUN 1" PATI) - - -> 40. 11.3 ,a
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'4
P
INSPECTION
KING k-"-,ITY When work is completed ,
I please notify Tigard Bldg .
e�iee�eO 153OU StiV 116th avenue,King City,Oregon 972214 Phone:639-41062 Inspector at 639-4171 .
COMMUNITY DEVELOPMENT 4
APPLICATION FOR BUILDING PERMIT
(Instructions an reverse) j
j DATE
1. N;%1-fE OF APPLICANT, �/,-K Phone. No. 6
ADDRESS:
� .s i.J . .rte'•- . - �.-.. -�
f A-DDRESS OF PROPOSED
2. TYPE OF CHMIT E, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - ATTAC1i TWO COP ES OF PLANS OR DRAWINGS OF
a PROPOSED PROJECT:JA
L _
3. NAME AND ALLRESS OF CONTRACTOR
PHON^ NO. LICENSE NO.
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NO`T'IFIED BY THE CITY.
5. APPLICANT CR HER/HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING CCdyB•iISSI(Aq
MEETING NE{T HELD ON
REPRESENTATIVES NAME �PHC`ME N0.
(The Ring City Planning Commission Vill ,consider only those applications rec!.�.ved it least five (5) days
prior to a meeting.)
SIGNATURE _��/_'a�
i
APPLICATION RECEIVED BY gym. i`1�� r ---PATE--2-
APPLICABLE
ATE2-APPLICABLE FEE RECEIVED
PLANNING C 2-'24ISSION DECISION: Approved Denied �r
CONDITIONS C1,(ati G ��11 4 1c� /1�F 0
✓—L-12��' _T
1+p roe applir.a s .�nvalid fo s.0 months only j
Signature %— Date
AOTF: egon 9amebuilders a Law requires that 1 persons 9ho contra for e k on their residence be
registered vith the Builders Board which means the contractor is bonded and insured on the job site.
For your protection, be certain your contractor is registered by calling City Ball ph: 639-4082,
NOTE: A permit must also be obtained fran the City of Tigard Department of
Comma city Development Yes—_--1 No
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved Denied
Date Ccmnents
Signature _
(Su.itcUi g -cn.bpa-c,ton- pjrnSe. Aztu n. on.¢. ( 1 J copy to le-i.ng Cit!)
CD 2-91
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