16490 SW KING CHARLES AVENUE �f
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"`"' 1,6490 SW KING CIiARIES AVE
CITY OF TIGARD BUILDING INS ?.TION DIVISION f��1
74-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Renuested: % ��� 67
- A.M. P.M MST: _ c
i.xati.�n:_ `t7� �r > /,7'r J'l�,1 l�,,� BUP:
Tenant: Suite:_ Bldg: MFC:_
Contractee:
Phone: 1 / rLM: _
Owner: / 7 a
--,--1� �'-:-[{■tet 1 �____—Pher.c: �CP J Z `� � J ELC:� �--
ELK:
------- STI':
$W,DING BLDG(cod't) PLUMBING MECHANICAL ELECTRICA..- SITE
Site _&omeiem Post/licam Post/Beam Cover/Service Sewer/Stun
Footing Roof UndFUSlab Rough-In Ce:'ing Water line
Slab Framing Top Out teas bine Rough-In IJ0Sprinkler
Foundation Insulation Sewer 'lood/Duct Reconnect Vault
?sort Damp Ihywall Stonn Furnace Trmp Service MISC.
Masonry Cciling Rain Thain A/C Ut;Slab
Shear/Sheath Fire Spklr/Ale Crawl/Found Dr Heat Pump I,ow Volt
` provcJ`1 Approved Approved Approved
Apprcvcd
Appr/Sdwlk o p)�ve-d Not Approved Not Approved Not Approved T of Approved
INAL FINAL FINAL FINAL ANAL
O Call for rein ction D Reinspection fee of S required hefore next inspection O Unable to inspect
Inspector: Date: J ` _ page of_ _
CITY OF TIGARD BUILDI�g INSPEC N DIVISION
24-Hour Inspection Linc. 639-4175 Busin Phone' 639-41 '1
C " �
Date Requested: ' A.M. _ P.M _ MST:�t/14�
location: , r� `
BLIP: c _J_
Tenant" L Suite: _ Bldg: MEC: _
Contractor: - - Phone: jlt - - PLM: _
i'ho me: ELC:
- - - ------ ELR:
SIT: �-
BIJU,DING Ly cont) PLUMBING MECHANICAL ELECTRICAL SITE,
Site osU13u m PostP Team Post/Beam Cover/Service Sewer/Storm
Footing Rrof..__, ondFI/Slab Rough-In Ceiling Water Line
Slab Framing Top chit Gas Lin^ Rough-In 110 Snrinklci
�suTa{ioo
Foundation � Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Dunace Temp Service MISC.
Masonry Ceiling Rain Drait, A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr heat Pump Low Volt
Approved /•pproved Appioved Approved Approved
Appr/Sdwlk rproved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
i
In
✓L '( ���+ �� �• .�.1 l��L C''J [a-v ti4. 1 / �i�� -t �. t �./l.�tom. .�,,. .
16-
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0 Call for reinspection C3 Reinspection fee of S —required b0bre next inspection C7 Unable to inspect
Inspe.:tor._--_ r,'� ?_ �_.---- Date: / L Page— of—.
C" ITY OF TIGARD MAE>Tu. ;'ERMIT
JI DEVELOPMENT SERVICES PEP-.iyiT T et. . . . . . . . Mr)T97--91459
IISSLJED: 1.0/23L' 97
13125 SW Hall Blvd,, Tigard,OR 91223 (503)639.4111 !")ATF
",Il"r APDRESE. . . : 16490 I;W 1'.ING GHARL..t 5 AVE
'11J131)I IJ I S I ON. . , . : 71'1 t4 I Nrr
^I._OCI'. . . . . . . . . . I OT. . . . . . . . J1JR1SD1CTION- 1',11+1
Remarks: Patic cover enclosure LFT RON CHURCH MAKE ALL INSPECTIONS AS HE HAS PLACE A STOP WORK ORDER ON THIS JOB . HE KNOWS WHATS GOING
9N
----------------------
-----__--._-_----------------------------
BUILDING __-_-_____----__
REISSUE: STORIES.......: I FLOOR AREAS----------- BASEMENT...: 0 sf REOU'RED SETBACKS---- REQUIRED---------
CLASS OF WOfN,.:OTR hT;SHT........: 8 FIRST.,..; 300 sf GARAGE....... 0 sf LEFT..,.......: 0 SMOKE DETECTRS:
TYPE OF USE,,.:SF FLOOR LOAD.,..: 40 SECOND...: 0 sf FRONT.,.......; 0 PARKING SPACES: 0
TYPE OF CONST,:5N DWELLING UN,TS; 0 FINBSMENT: 0 sf RIGHT.........: 5
OCCLIf'ANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL----- 300 sf VALUE..f: 9099 REAR....,.....: 36
--------------------------------------------------------------- PLUMBING ----------------
SINKS.........: 0 WATEP CLOSETS.: P ZSHING MACH.,: 0 LAUNDRY TRAYS,! 0 RAIN DRAIN ft: 0 TRAPS.........: 0
'AVATORIES....: 0 DISHOSHERS... 0 FLOOR DRAINS.. : 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS.,; 0
TUB/SHOWERS...: 0 GARBAtT DISP,.: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTP.: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
------------------ —--------------- MECI*ICAI- -_____......---_--------------_--_---------------------.-------
PJEL TYPES----------- FU1,11 t 100K ..: 0 BOIL/CMP l 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
'URN )=10 ..: 0 UNIT HEATERS..: P 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-- ---PRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L 1NSPECTIONf
1000 SF OR LESS: 0 0 - 200 alp..: 0 0 - 2@0 alp,.: 0 W/SVC OR FDR,.: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 amp.,: 0 201 _ 400 asp..: 0 1st W/O SVC/FDR; 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 6@0 amp..: 0 401 - 600 alp..: 0 EA ADDL SR CIA; 0 SIGNAL/PANEL,..: 0 IN 'PLANT...,..: P
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
.000+ amp/volt.: 0 ---- ----- _.__.________._._...___-__-.•. PLAN REVEW SECTIOfi --
Reconnect only.: 0 I=4 RES UNITS.,: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------
A. SF RESIDENTIAL---------------------------- B. COMMERCIAL----------------------------------------------------------------------------
AUDIO I STEREO.: VACUUM SY7EM,.: AUDIO 6 STEREO,: FIRE ALARM...... INTERCOM!PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: DOILER........... HVAC,..........: LANDSCAPE./IRRIG: PROTECTIVE SIONL:
rARAGE OPENER..: CLOCK........:.; INSTRUMENTATION: MEDICAL........: OTHR: ::
HVAC....,....,, : DATA/TELE COMM.; NURSE CALLS...... TOTAL # SYS•'EMS: 0
Owner-; ____------------...____..._.___--Contractor: ------------------- _------- TOTAL FEEGO 287.64
ALBERT SNEAD OUTDOOR CONSTRULTTON SERV,-':E This permit is subject to the regulations contained in the
:6490 SW KING CHARLES 16325 SW 108TH P!'c Tigard Municipal Code, 'State of Ore, Specialty Cadet and all
KING CITY OR 97224 TIGARD OR 97P24 other applicable laws. All ;+ork will be done in accordance
with approved plans. This permit will expire if work is
0: 679-58" Phont #: 624-6018 not started within 180 days of issuance, or if the work
Reg #..: 000173 suspended for more than 190 days, ATTENTION: Oregon law
_____________________ ___-..__....__ _______.__..__-___- requires you to follow rules adopted by the Oregon Utility
'latification Center. Those rules are set forth in OAR 952-001-0010 through APR 952-001-0080. You. may obtain copies of these rules or
Direct questions to OUNC by calling 150.2_46-1987,
----------- REOUIRED INSPECTIONS -------•---------- ------------------------•----•--------
Footing Insp Plusb Final
Piundatior Insp Brilding Final
Fi-asing Insp
Shear WalI Insl,
Rain drain Insp
1I5rnl.!Elci I;y ✓� F'er-mzttee 91 gnat ir,o r
_} +...+..! ) { -I ..I .)-.�. ! 1 + t r I 1 I 1 ,.+..+..-4-.{.+..+..+ 4-+4 1. ._L..}..}..+..}..}_.+-.4 11-r4,_+.+ +_; }..I_+ 1 V I }
t a ill 51:)E'!::+ 1 ii!1 Ilop-df'I F...it, Ile
Plan Check
CITY OF TIGARD Residential Building Permit Application Recd By _
13125 SW HALL BLVD. New Construction Additions or Alterations Data Recd ' 0
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to o E.
V 503-639-4171 Date to DST
F 503-684-7297 Permit*( ,
Print or Type Called i0li �,r �< _
incomplete or illegible applications will not be accepted
Name of Project — Narne ,� r
Job r,�«,�y vt�„� �o`�t - ��r'Q_ Architect Mailing Andress
Address Site ddress
-- 1-�-`y
1"J':' �- - City/State Zip Phone
Owner Mailing Aldreas f_t
i,u 1d 11 U r.
City/State Zip Phone Engineer Mailing Address
r lf ' City/State —Zip Phone
General Name-.
( I
Con tractor r,k,� t� \-;j I Desaibe work New• Addition O Alteration O Repair O
Mailing Addresa 1� '�be done: �1 If t e t'
Prior to permitj tL? t^,_ Vit' Additional Description of W rk;
issuance, a ropy amity/state Zip Phone vr. y - I
of all licenses "X,4 iiRr
are required if O gon oust Cont.Bo rd xp.D tr. PROJECT
expired in COT Lic.Br' 1 r� VALUATION $
_ database l `� / j}
Mechanical Name NEW CONSTRUCTION ONLY. _
Sub- w I n Sq.Ti. House: Sq Ft Gara_ge
Contractor Mailing Address
Prior to peimi, Corner ",; YES NO Flag Lot YES NO
issuance,a copy City/State - Zip I Phone _(check one) (check one)
of all licenses _ Restricted Audio/Stereo Burglar
are required if Oregon Conn Cont. Board Exp.Date Energy System Alarm
expired
database Installation
Lic.#
Installation Garage Door I HVAC
Plumbing Name i - - _ Opener -1 Systems
Sub- (check all t!iat Other
Contractor Mailing Address ----��—�� l apply)
Will the electrical subcontractor wire for all YES NO
_ restricted en,argy installation,-7
Prior to permit City/State _ Zip Phone
issuance, a copy Has the Supdivision Plat recorded? N/A YES NO
of all licenses are Oregon Gonst.Cant Board Exp Date I L—- ---
required if Lica Reissue of MST#: Solar Compliance
expired in COT _ (Calculation Attached) _
database Plumbing Lic a 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 — ogent of the owner, and that plans submitted are in compliance
_with Oregon State laws.
Electrical r�' f 1 Si nature of Owner/.Agent Datp
Mallin Address v �' " �c)
Sub- 9 .J. F'(', ,-�r// .;,.��L c _ �,
Contra^tor Contact Person Name Ph*({1.1e#,
Contra:;
City/State - __Zip Phone
Prior to permit FOR OFFICE USE NLY:_ _
issuance, a copy Plat#:� ( Map/L#:
of all licenses are Oregon Const Cont. Board Exp Date / 4,t
required if Lic M Setba one;
expired in COT
r
database Electrical Lic # Exp Date — — - ------
Fnginedring Appr al: Planning Approval: TIF:
I SF-EKDOC (DST) 4197
KING CITY
16300 SW. 116th Avenue,King City,Oregon 97224-2693
Phone:(603)&99.4082•FAX(603)639-3771
Notice To Con rractorq Working In King City
Due to an intergovernmental agr_ement with the City ofTigard, many building related permits
t()r projects in King City are Issued and inspected by the City of Tigard.
If your permit applicatif,n DOES NOT REQUIRF. PLAN REVIEW, simply complete the
apprc priate applicatioi; legibly and submit it to the King City staff. The King City staff will
collect all fees and fax the application to the City of Tigard. City of Tigard starwiii then cieate
the p,armit, issue the permit. and perfonn inspections. Please indicate on the permit application
whether you would lik,. the Tigard staff to call you when he permit is ready for issuance or
whether you prefer it to be mailed without any notification. Any incomplete or illegible
application will be returned to King City staff for correction and no processing will occur until a
complete, legible application is received.
If your permit application DUES REQUIRE PLAIN REVIEW. this form must be signed by a
King City staff person. King City staff will simply sign this form indicadrig land use approval.
Take this signed form to the City of Tigard Development Services Counter located at 13 125 SW
Hall Blvd, Tigard. to submit applications and plans. Development Services Technicians are
available at 639-3171 Ext. 304 should you have any questions concerning submittal
requirements. All permit fees will be assessed and collected at the City of Tigard.
The City of King City hereby authorizes applicant to pursue permits at the Ciba of Tigard
Building Department for the following project: 4�� i -�_�-___
' )cated at:
klk,L Z-11
King City Represeniative
I MMKCINST DOC
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