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15945 SW QUEEN VICTORIA PLACE-1 ADDRESS: 6.lr� cl �y i:\records\microfilm\taroets\huildinq.doc CITY OF TIGARD ,1 IIN[, . . ;.:�� . 'r'.,.,n r� �- I I', COMMUNITY DEVELOPMENT DEPARTMENT I Irl TC .^riJr )s Qlrl 4t9�i i 13125 SW Hall Blvd.Tlpard,Oregon 97223.8199 (503)839.4/71 2.3 1 1oCG i2 JSDIVISI(IN. . , „ 0NINr- 1:�5UE: f~; Ct�I'JSTRUCTIC.- A aS CF WARP'. : REF' F I RST. . . . . f• N: r3: E: W c ;PC OF J,5-, . . »X '`,Ci:CINl) . 1` PR,"jTl=(CT OPCNINC3 7?__.._...__.._..:....,�., FSE' OF CONST. -.5N THIRD. . . . : Sf N: t:;CIF'At'dC Y C;RtIT'. RDJrCONST: r,.,,.,,_. "�`CUPANCY L_OPD: DAEZMENT. : ,•f ARCA 5C:'C'. R,ATr-D 70R. . I IT. . rt s"',P CL_. . . MEZL'• w RUM SETD(-1(�`},5. .__... _OCR LOAD. , ps fI_R�r-T: ft RGIi7 ; I'z i, f;;-'I:I.. : ISMO!!. DET. . ••1E.LLING UNITS: F-RNT: ft REAR?: ft: FIR PL_RM.- HNrAcp Acc: rfr? DATI1Sn MPI ur•,rACE: „ Pi"4ril-,.'ANG; ILUE, ' : 7000 m �r'•k s,: REPLACING ROOF 1 NC AND SHI';'7 1 NCS ON I-dCR27L' THRYN (-,'C'JL)R7"Nr.Y t'r'pc- ,_smui_I t 11y dr:ate r �iT345 kaki (70FTId 1(-r0RIA R. PIRMT 1: 627. VA: 1D,"'yam I Kc os119i `.NS ;iAND YI'1i i ' ° '::'1:I�:"' i '.' 'TION r' B 0 X 1.0-,43" _LSLAORD CR-' 9712 o1,F, t4 . 1 ,{a,. r V,It 41 Ly CTnL. I7 -It.. Y)2470 REQUIRED INGV,EC"r1ONS _._ ...._... .,... i4 Isi,tej 511blect tc tre regulations contained in the Y" in 1. II i) TI ,ard Mucicipa; C.,;1F, State Lf J-',:. Specialty Codes and a;. 141"c 'icahle laws. A': w0'i4� ov �! �8P18 lli aCCO',dee C I' rici.t i, :i, i.T, 1 i O raved mars. Th:s remit sill e?'rir•e if work ilii not started Mi c,c , T i) _lift i- !: r)ri :)in 11W days of vs�anze, o- if woork is su5prpeed fer tore :i 1811 days. i,f r:. i i; T r!j;) i FPI i_r;:41 IIi: ,P," IJ0: #192 P01 Post-1t"brand fax transmittal memo 76711 O of pagoa• ^� To 5 irorn 1�0 1 KING CITI - Cn e �- _ Dept. —�4 Phone N 1;5-300 SK'. 116th Avenue,King City,Omgncn 972 71-71 (Q c a.N BUILDING VP:RMIT AP DL2CIN,I' Ir7N DA'L'E KING C TY BUSINESS LICENSE NO. _ NAME OF APPLICANT PKDHE NO. ADDRESS 42 0& l - I 4 ,f •o (� -- NAME AND ADDRESS OF PROPOSED IMPROVEMENT._ �� 1^ ei S` e i'G PHONE NO. NAME OF CONTRACTOR 6 ,A y11,LI4 A-4 L PHONE NO ADDRESS TL4 a/ CC9�LICENSE NO. C�1 2 TYPE OF CHANGE OR IMPROVEMENT FOR WHICH PERMIT IS REQUES ED. DESCRIBE BRIEFLY - ATTACH A COPY OF THE PLAN OR DRAWING OF PROPOSED PROJECT`- SIGNATURE OF APPLICANT_ *APPROVED APPLTUTIONS lCRE VA..ID FOR SIX MONTHS ONLY* *TOTE: Oregon Homebuilders Law requires that all pe:^sone who contract for work on a residence be registered with the Builders Board which mea-ts the contractor is banded and inzured on the job site. For your protection, be certain tour contractor is registered by calling the Construction Contractors Board at 1-503-378-4621 Extension 5000. FOR 0 ICE USE 02I1„Y APPLICATION RECEIVED BY_f APPLICAnLE FEF RECEIVED S_QQ� 2 S— __.,_,_C0NDITIONS/COMMENTS _ APPROVED BY DATE Note: A permit +rust also bo obtained from the City of Tigard Department of Community Development Yes No_� C1TY EF TIGA1tD INSPECTION RgPQF.T This project nae bepD inspected and Approved—,--Denied__ Comments Signature _ Date _ (Building inspector piease return one copy to KinC City) -MAY-11-'00 FR I 09:43 ID: FAX Hi i s 0192 P03 Residential Buildina Permit A nDlication city of Tigard 13125 SW Mail Blvd. Tigard, OR 97223 (503) 639-4171 A I� � � LEr Jobsin. Address: _ _ P Office Use Qnl1r Sub Lot# � • " �, PIanCWRec X # Valuatlon� .I.�� Permit # jj" :orner Lot? Y N Reissue of Flag Lot? Y N Map TL# X116 CC 12 o u a Owner: 1 + V J r M .«.. �--. Apprnvvls.RetlUlred P, 5 11'vY Address _ S Q_✓Q of f v q Planning !Jv Al •( Lngineering Phone. ; Othur _ YContnc.tor. S onone d M C, .�;: Items Fteguired 4 i' ;' F: Address: _ y411� ! b�{ Subcontrar. om _.... 14 1 J<LALo ,q3 Truss Details Phone: �� 661 _ Other Contractor's License #i © ! 410 ,wr rAa (attach copy of current Oregon license) Contact Name & Phone: Q4^ 4C S 6�1 -S84o) Subcontractors Architect/Engineer Plumbing: Address, a_ Mechanical: --•--- (att:,ch copy of current OR Contractor's License) Phone: JOR DE: RIPTION a! 'zl � -- --- - 6aL 57— F_q 9 Ap cant S�"tnature h4hone n++mher d" Received by J �jQ'� Date Received: rl,i1'-11-'00 FPI 019:47 IIi: FAX Nd 4193 P01 Permit# A.count Description Amount Amt. Q¢. Bal. Due Bldg. Permit (aUILD) Plumb. Permit (PLUMB) - -- - Mach. Permit (MECH) - State Tax (TAX) L Bldg: Plumb: Mach: Plan Check (PLANCK) Bldg: Plumb: _ Mach: -— Sewer Connection (SWUSA) -- - - -- - Sewer Inspection ISWINSPj - -- -- Parks Dev Charge (PKSDC) �_ — -- - - Residential TIF (TIF-R) ------ Mass T►�s;;r ik TIF (TIF'-MT) -- Commercial TIF (TIF-C) — Industrial TIF (TIF-1) _. Institutional TIF (TIF-IS) - Office TIF (TIF-0) ---- -- Water Quality (WQUAL) _ -- —-- - - Water Quantity (WQUANT) ---- _-- _.. Fire Life Safety (FLS) -- - --- Erosion Cntrl Permit (ERPRMT) -- --- Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) _-- r _.- TOTALS: ...�_-- CITY OF TIGARD BUILDING INSPECTION NOTICE/ Inspection Lin ec-O-Phone): 639-4175 Business Phone: 639.417 Inspection: -GO '� Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwl Foundation Plbg. Underslab Mech. Ruugh-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in.,,�; INAL: Post/Beam Mech, San. Sewer Gas Line -''r g Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Jnderflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 3Z�S" Time: ,AM PM Address:—/ �S' c/� cs�C/ Z�,ci L1Crd92i Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date:4L r- _(.A PP 1401ED —DISAPPROVED APPROVED SUBJECT TO ABOVE �J —Call For Reinsp.