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16720 SW KING CHARLES AVENUE-1 'r, �� Zo��' F" .h" CaY, Bann; aHidiKr i�P�"A° a t� S( � ti ADDRESS: 4 ., q. �r. 1,,11 rt 4p 1 1 1 f,r � 1 ' 1 i:\records\microflm\targets\building.doc :a rlrr�t. 1 LP, INfPECTION NOT?CE City of Tigard Building Departisont 13125 SN Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Roc-O-Phone)• 639-4175 Business Phone: 639-4171 Inspection: �� --_— -- Looting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Svruct. Sr.n. Sswer Framing -B1�1 a Poet/Be:m Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested:_ ' Time: AH PH Address: �I �� �l ll{ lr��PeS�U1: _6 /UZ d, ----- 1 Builder: l THE FOLLOWING C�O:tRECTLONS ARE REQUIRED: i Ii Y � Inspsctor: _A----�-- Date: - APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinap. t4 c,. d:3, .�YgVwrn w.,^,...»',•.,�amw....+w..n.. 7X� o 9. /11 a k rc j INSPECTION NOTICE /' CJS/' a{ r Cit of Tigard Building Depart e` 7,r +yid ;lam) 7 y 13125 SA Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ;c Inspection: Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Ga.. Line FINAL: Post/Beam Struct. San. Sewer Framing --Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. r���� Plbg. Underfloor Water Line / Gyp. Bd. -Mech. �\'C`) Date Rsqueetede_ -�U / Times AM 1111` Add•ess s K v ) l/) F-P.� Pert f s_9 Bu''.der:� /v^C. l5 cz r OU _ G� 3`/0(1 THE FOLLOWING OURRECfIONS ARE REQUIRED. u ry � 1 1�x , � pX �t G F { In .pector• APPROVED - DISAPPROVED - APPROVE-) SUR.-ErT TO ABOVE _—Call ?or Reinsp. 7• 4 ria Nx cc , *f t, 41;T d {{- 1 I ^' � ,J •4t Y i � �1 Z :�y: r�i 1 y .!t J'7 � � �?�w i�a• 't arc c �k��"� ���f�� � �J .p ICITYNT" mmmmsr1 1 300 S.W. 116th Avenue,King City,Oregor 97224 Phone:639.4092 COMMUNITY DEVELOPMENT APPLICATION FOR BUILDING PERMIT 1 / (Instructions an reverse) DATE. ] . NAME OF APPLT 6261 %' iYt - Phone No. C — ADDRESS: a C, ADDRESS OF PROPOSED IMPROVII40T /�7 2 O /�,y _ h a✓ S 2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED. 4 DESCRIBE BF,IEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF PROPOSED PROJECT: M-• CO(?3! 'C-15 3. NAME AND ADDRESS OF CONTRACTOR PHONE N0. LICENSE NO._ — I r 4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT W:LL BE NOTIFIED 13Y W CITY. 5. APPLICANT OR HER/HIS REPRESENTATIVE MUST BE PRESENT: AT THE PLANNING CCHMISSION MEETING NEXT HELD ON _ REPRESFMATIVES NAME PHONE _10. (The Ring City Plancin mei Sion will c nlp applications received at least five (S) daps prior to a meeting. S I GNATUP.E ' •rit�tic�t�t�tkic�c�r�k*iritic*�t�t*�Ir*�t�t*�c*�c�ryt7lt�tYr�lr**�It�t'k�c*�t�k�t�r*�t�t*�t�lc*�t�katylt*�F�l*�It71t*it�t�lrylr�lr�lt*�M�ryt*�t*"kik*iter I, APPLICATION RECEIVED BTI_" _, lt,Q Qf — -- DATE,S� APPLICABLE FEE RECEIVED $ n TOTAL. PLTMING COr4iISSION DECISION: Approved Denied_ COND I T I ON S QO.Q �.",A,N�,�,0jt$Yl1 Q Q,py Approved applicati s are valid for s.lt months only f Signature__ Date KOTE: Oregon Bomebuilders Law requires thit all persons who contract for work on their residence be registered with the Builders Board which means the contractor is bonded and insured an the job site. For your protection, be certain your contractor is registered by calling City Ball Ph: 639-4082, i i i NOTE: A hermit must also be obtained from the City of Tigard Departrrient of Community Development Xes� __ No CITY OF TIGARD INSPECTION REPORT The above listpd project has been inspected and Approved ✓ Denied_ Dated q7 `� Ccxrment�s n9 -in,6p¢.ctar, aea,&,e- " u,%m one, ( 1 ) copy .to King City l CO 2-81 Iff I 1, 4 _J CITY OF TIGARDBUILDING PERMIT 1=,E_"1+11T #. . . . . . . : BU1794-0_02 COMMUNITY DEVELOPMENT DEPARTMENT �(� "� DATE ISSUFU: 04/15/94 13125 SW HaPBIvd.Tigard,Oregon W223.9199 (560):5119.4A117 r'ARCEL: 2S 1 1`"iBC--1213600 SITE ADDRESS. . . : 16720 SW KING CHHRLES AVE SUBD i V I a I ON. . . . . win e,- e --4 q UN I NG: W.rJCl/\. . . . . . . . . . _ •,�LOT.. . `( . . . . . . . . . . REISSUE: FLOOR AREAS--_. ____.-_-_ EXTE=RIOR Wr-i:_-1-_ CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . : f N: S: E: W: TYPE OF USE. . . :SF SECOND. . . : s f PROTECT C;PEIV I NGS )--.-_._.--__..._ TYPI' OF CONST. :5N THIRD. . . . : sF N: S: F: W: OCCUPANCY GRP. : Rw, TOTAL----- : Ory s' ROOF CONST: FIRE RET? :OCC'UPANCY LOAD: BASEME:.N T. : s f AREA SEP. RATED: S'T011. : HT. : ft GAIRABE. . . : s F OCCU LF.P. RATED. BSIVIT I : M1 7 7? . REOD SETBACKS--___._____. REUU I RED.._-------_-__------_._ FLOOR LOAD . . . psf LEFT - ft RGHT: ft FIR SPVL: SMOK DET, . : ■ DWELL I NC; Uh I TS: F RNT: ft REAR- ft FIR AL.RM: HND I CP ACC: BE_DRIAS: BATHS: IMP SURFACE: PRO C(')RR: PAIRK I NG: VALUE­_ $ : 5400 Remarks : T'F_:AR OFF SHAKE: ROOFINF, RE:SHEET WITH 1/2" CDX PLYWOOD AND COVER WITH 25 M YR COMPOSITION ROOFING Owner: _.._____.____________.___.___._.____.._-_.------.__..._..___ _.______ FEES -------- -____ ROSE COMPISI type ,amot_int by elate recpt 16720 SW KING CHARLES PRMT $ 56. 50 JG 04/15/94 5PCT `l; 2- 82, JG 04/1.5/94 _ I KING CITY JR 97224 f Phone #: t FOUR STAR ROOFING 0.341 NW KANSAS CITY RD 1= UF;E:S T GROVE OR 97116 Ph rin e #: 245--B023 $ 59. 33 'TOT'AL Reg #. . : 71457 ___..__..._...._ REUUIRED INSPECTIONS - This perait is issue' yub.ject to the regulations contained in the F i na I Inspection Tigard Municipal ,de, Mate of Ore. Specialty Codes and all oth:r applicable laws. All work will be done in accordance with ............__..._..._ approved plans. This pence, will expire if work ilot started within 180 days of issuance, or if wm-H is suspended d for sore than 180 days. Perm i t t e e Bi gnat 1..i r e: ecd By • CaII for inspectirn - 639--4175 .+.avw.�+nrWkww^/,t wfMNrrrraMer�Ai�Yk:T" .�Aµ�gfl'W,MW.;.'.•wx.n".,.... .,..a.s,•iir»rM+kNWMNN4�.rrh�RdAV&4MMNMhANwhea..........„.. ..........+,a�w..r .. _Residential Building PermitApplication City of Tigard 13125 SW Hall Blvd. Tigard, OR 57223 (503) 5.39-4171 �y I �Jobslte Address: / 6% (2 Office Use Only Subdivision: Lot 0_ Valuation: Plar�dc/Rec # ■ Perrjiit# Owner: © Reissue of Address:1(�� rl�� �� G�4 /'!leir�t”�' Map& TL# .,. r `. , %h 1 ■ Approvals liequired Phone: Planning Contractor: Engineering _ Address: l ( /Vb, ^c^ry s,4:�, _��TI' Other Items Required Phone: Contractor's License # ��r'SSubcontractors (attach copy of current Oregon li(ense) Truss Details Subcontractors: Other i Plumbing: I Mechanical: _ (attac) copy of current OR Contractor's License) Architect/Engineer: Address: Phone: COMMENTS: Applicant Signature & Phone number Received by: _ Date Received: F Permit 0 Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) — ! -- Plumb. Permit (PLUMB) _ Mech. Permit (MECH) -- — State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) E�dg: Plumb: Mech: Sewer Connection (SWUSA) _ Sewer Inspection (SWINSP) as } Parks Dev Charge (PKSDC) — 41 I Storm Drainage Chg (SDSDC) I Residenti..l TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) IndustriaLTIF (TIF-1) — Institutional 11F (TIF-IS) _ Office TIF (TIF-0) --__—_-- — Water Quality (WQUAL) Wate. Quantity (INQUANT) Fire Distric-1 (FIRE) 7 TOTALS: I 70 I r 1 acceytad err, Intartt to Ilan notlu All materiel Is guaranteed to be as specified_All work to be completed In a workmanlike Ar f manner according to standard practices.Any alteration or deviation from specifications be- .e!=- / �, z —�, , low Involving extr6 costa will he executed only upon written orders,and will become an Signature ulhorized _.c._ extra chupc over and above the estlmals.All agreements contingent upon strikes,eccl- Note;This nr�opoeel may be ( f dents or delays br•;and our control.Owner to carry fire,tornado and other necessary withdrawn by us If not accepted within_ - --da',a Insurance.Our worxers are fully covered by Workmen's ;omponeallon Insurance, We hereby submit specifications and estimates for: I _ l J UG, r r Z7 / ' YPI cr (7 -� I , AraptaurP of Proposal— The abo,,e prices,specifications and conditions are satisfactory find are hereby accepted. You are authorized Signature > _.1'.r/r� — to do the work ae spncified Pny'mnnt will be made as outlined above. \Date of Anceptence. __.__. . ^IgnntUre G �o 'M ✓��. t ' i�i� 41:�1'rwa 5 ��f• cc � 1 1% m IL fp.�. L Q :: cc cc uj O 010-4 �� O NON Z t V p �CCs cn `(� w z 1"' Cl) Z 0. 0 QC O m y lil Q H H O W U. N O < di N r. aC r 0 ..� O Ma N W H r axzs 96 49 U (� o.n 04 x e.u a. 7S Na 1" A m W L N Ib .JNQ 0. � IJ :10 N z1' k�yyrr. O .j! Ao w A 1i R0 .J O MNw zW4.1 � WIt !>< 5; r1 OC = z s ) W x 71C t7 !- t+1 0 LL a IIIc s oc a Q to O F� M W N W N�j tJ d 'i f1L So r W 0) `t ; = WQ QNMA � cn wxz wN�� u. W W ►� PIP ' F M I mM, y a , a � I • G 11 Y f.)F: '13'GORD RF:'l.l.:r.V"'i' REi:UE';IP NO. :94 P51,3PB (W'S`i . '4".0e'fC f)MCIton. y n'). ;3;:1 AITIE: n F'OUR 9TAR ROOF T.NO (;i>tSH AMOUNT p N• ho VORF S8 c V"AYME::NT DATE:. n 04/1.;5/94 SUBDIV.19TON % IlFtPME OF E'AYI'IF:N1' AMOUNT 1 AJ.D PURR-1 )531 Of" PAYIVIVIAl" WM(: UN1' VIOTD _.... ............_._............................. ............... ................................_.... 1 u......i�jr•�.._........"".._...__....._._.M."_ _.. ........_. __. 1.11;L..DtN(3 PERM `;16.'50 S. .0 PER Wr?, 83 F 4'•. i sW I�.,i,h11.1 (,'NARL.F.13 IDTFII.. AMOUNT 1OID y:.),. 3,3 u �s