16650 SW KING CHARLES AVENUE-1 ......p..wca..ww wwe.�w.rvequ..i a++.w+w��r+..�+.�.+�1r«w,rni�MyIMPrM!y"�'N��*�Mwwu�aw�w+rw*a.n�tiiMTMMtw. .MRFl-•-•�s�w�wa.wa.:ya•wr+NWrrr>w+ ��+•w 7wWw�.Nr*wMf�warN�FurM11eYM�wYr�BYu ..
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16650 SW KING CiiARLES WAY
INS!KgTTloN NOTICg
City of T19&rd Bu'.ldinq Departs nt
13125 SW Rall 11Iv0. T19ai*d, crogon 97223
Inr?ection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing P11 Undarslab Rech Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Linn FINAL&
Post/Beam Stru San, Sower Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plhg. Underflo«ir Nater Line d7p. Bd. -Nec
Date Requeet.ed:__ _ ____,T7ime: ZL_AM _PN
AdIress 21_ / �Pe`rmit
Huilderq_z
THE FWAWING CORRI-TION8 ARE REQUIRED:
Inspectolrt_ � Dato:
y Appr'oVED DISAPPROVED _- APPROVED SUB.TECT To ABOVE
--call For Reinap.
IF
-----^
PERMIT
C11YOFTIOARD Mor.
r�OMMUNRY DEVELOPMENT DiEPAHTMEw
i ERMI r #. . . . . . .
13126 8W Hdl BArd. P.O.Ba.23997.1 mud,Or*j=17229(6+)M41
PARCEL a
SITE PUIJ LE jb. . . : iC,i` :o SW KIN( CHARLES WY Z()NINGc
S1J13nIVISION. . . . : Aih�5 C74y
BLOCK. . . . . . . . . . a LOT • _ .„___
FLOOR FURN : E:VAP COOLERS:
CLASS OF WORK. . :ALT . . . . VFt IT FANS.
TYPE OF USE. . - - .rip
UNIT HW/O R[.:�. .
VENTS
W/Cl AF'PL: VENT SYSTEMS:
OCCUPANCY GRP. . :R3 r HC]QDE3. . . . . . . .
STORIES. . . . . . . . : BGi0w3:�irflMFRI�SSORS DOMES. INC1N:
FUL=L TYPES--___..._.._____
3-15 HF'. . . . : COMMt_... I NC I N
:/GAS/ ' REPAIR UNI T:3:
MAX INPL BTU 15-30 HP. . . . : Y i
30-50 HF'. WQOI)aT0'JF:"
F T RE DAMb ._�..i?. . : 5�� CLO DR'r`__^S
+ HP. . .. . . l
GAS PRESSURE. . . a OTHER UNITS. : 1.
NO. OF UNITS------ AIR HANDLING UNITS
(= 1I�6?OCA c rm: GAS OUTLETS. 1 k
PURE ( 100K BTU: 1 1 . vA0 CFM.
TURN ) =1O0K BTU: '
Remarks I FEES
(:Owner'•: -__ ______._______.._._.________.______.__.. t e czrnolant' by date recpt
ROGER CHRISTIAN:iON /p
1.6650 5W KING CHARLESF'RMT f 25. 00 BLT 01 /16,'92
RLCK f 0. 00
KING CITY OR SPCT 1.. .25 BLT 01/16/92
1-'hone #a
q- 1 AIR CONDITION CO INC.: �
;ygQl SW 185TH S E
1
ALOHA OR _ r $__ 26. 25 TOTAL-
Plone #: 642-59O0
Reg #. . : 62?10.7' -.-_____ REQUIRED I NSPECT I DNS ------
Tl-i! ptr► t is issued subject to the ^eguistions contained in the Final In•.>pection
yard aunic0al Code, State. of Ore. Specialty Codes and all other ___._• -y ----- ��-
1pplicable laws. Ali work will be done in accordance with
approved plans. Th, . pore. will empire if work is not started
within lg@ mays of is.uance, or if work is suspended for more �__ ---- --than 18@ days.
p e r m i t t e e S i g n a t t_i r e :
Issued By :( _..
Call for- inspection - 639-4175
CITY OF T I OARD RF CE I PT Cli" {:'{aYME.M'T t.E t;E=: NO. s"�i��r"c:.'�0217
CHECK AMOUNT r'�t- ;2151
Cfa8l•+ AMOUNT 0. 00
NAME, A i AYR C."ONDC" tUN Go. PAYMENT DATF
logo SSW 185114, '';ill vt'E= F:' 'J1.1F�I t1�C3 T iflN
F'11Ftt'1]c+E.
ov PAYMENT' WAOUNT P4411) PURPf `11'. LIF V,$)YMF.NT F MOLIN f
M�C:NFtN 1 i,�{al�
f
WfFC14ANiC Al. PERMIT M1=:C4a-0lAl S
So E'.XNth CHARLES WY �t
E7MfllIN'1- PAID
f.6. ar)
�.••`1•.m��".:a,.•y.awLsy,;,;" ,...„;,wz.*Ywh�.iewrwlm.w�+tx�N
TNIJ 10:^i ID:CITY QEF VG ITY F;': r;0:903 539-3771 401D� rwe
J MIV-��-•�c WCI: b •cµ itJrCt I uh KINi CITY RX Nb'.W3 639-377'1 -0058 PO2
Aes
• C o17'Hie t +' •��
KING CITY , 2
I 16800$W. 114th Amu%King City,Oregon 97224 Phune.689.4082
COMMUM:TY DEVELOP'4HNT -f '
APPLICATION FOR BUILDTHO PERMIT
(111tructions an reverse)
DATF. � . -- . .2.A.....-.
1. NAME OF APya..CAtm: LS.,nr-t ra—♦ a U.z_t s r i4ti Sm-0 Phcnea Nva._,' 7S "2 0-7-1 ......,.
ADDRM:$:_//_i„ '7-0 stmJ I-//AJ G
ADDPiM OF FADFOUD IlIPRDIPJO•Q.t T `:.&L 2''-%, - -
2. TYPE OF a;At1:CPE, DVp V== OR CCAV&nWCrIOH FAR WHICH FENKIT I8 RDQUF.STQ).
DESMIBZ MUVLY ATTACH TWO OOPIE9 OF m.ANG OR DRAWIHCB OF
PROPOWD PROJECT!
1
3. W- ML; AND ADDRE88 OF 0OMi'M=12.1 ,-I iz COA2r�-/ *- , o.y,=, -'9.7
PHOCE NO �����.;.q a _ LICI16S NO. 16-S L v�
C Ta 0 4L , c_rF N 51
4. NEI*MORS WHO MAY BE AFF'W= BY THT' T WILL BE NOTIFIED BY THE CITY.
5„ APPLICANT OR HER/HIB AF.E"RESPTITATIVE K1: SSYNT t.T THE PLANNING 0CMdISSION
WTrIN O NYXT HELD ON -
RMSSOTATIVES NAhOI�._.__....�-- . �CEiE N0.
(ths Ila, Ci',1 Planning Cossiseida will cq!j4gr PGIt 1a4i0 41pJt0ft1g11 molul IC 10alt Zile (5) dllf
ptl.or to a acting.)
SICAmURE
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A011CATION V'" 1VE9 BY, � „�, �� .� 'Ii .. ,�. '1'E - .� S�.L rZ z
AM11CABLEG FEE RMMIVED - IMAI,-1P,4//D
PLRMINO Q"ISSION DECISION: Approveaci„ Denied �
epprond applications ere valid for sir soatDs oily �.
1079- Oregon Ioeebuilders barn regairea WA all persons An contrast for fork as tksir residtace be
registered 11th the loilders loard Wel seats the coot rector is bolded and iasared n the job site.
for your protection, be certain your contractor is registered by Calling City Ball Ph: 639.4012.
NOTE: A perrid rn1!it ilao be obtained from the City of Tigard Department of
c:omaasit.y D*VeloprAnt Yew„_-,
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ebave listed project hm been inmtpectled and Approved._._..,..J*dG-
pGt �eattwm ons. (1) aepy to IG:na Cwt l