16680 SW QUEEN ANNE AVENUE-1 ADDRESS:
W�o
i:\records\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Fain Drain Cover/Service INAL:
Foundation Water Line Calling Plumb.
Post/Beam Mach. Shear/Sheath Framing *MehPlbg.Un.VFlr/Slab Plbg.Top Out Insulation
Post/Beam Struct. Mach. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: z,L8�9 -- A.M.1po,.M. _ Entry:— —
Address: ��
Tenant: 1sw MST: _
BLIP:
Con/Oavn: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: oe
.�__
Inspector: _ –_ Date: ZA4,15
APt"F{OVED —.DISAPPROVED/CALL FOR REINSP, CF CO
CITY OF T"aARD wt G TNSPECTfON NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 4eplace
Inspection: �.
Footing Susp. Ceiling Sprink. Rough-in wlk
Foundation Plbg. Underslab . Rough
Post/Beam Struct. Plbg. Top Out 7ec-1 oug -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation W ch)
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: C Time: AM PM
Address:
guild r: G`�'wY %?� Permit #: Al I c, y,J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�w l Y
Inspector: _ Date:
Ai PROVED DISAPPROVE APPROVED SUBJECT 1'0 ABOVE
f. all For Reinsp.
_
CITY OF TIGARD -CHAhJICAi_ �.
��cRr�rl 1*
PERMIT 1#. . . . . . . : ME:C95-•024-
COMMUNITY DEVELOPMENT DEPARTMENT DATE I'':7UCD: 07/211"):
13125
17/C1/'3'=13125 3W Hall Blvd.Tigard,Oregon 972,3.8199 (503)830.4171
PARCEL: _:,S115BC% -17700
;,TL i^{Ui11ti a J. . . lUl• .,til ..w UUi_L.1 611'Jlvt_ r���
BDIVI SION. . . . : ZONING:
,._OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
!_ASS or WO RI-t. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
Y!-'IE OF USE:. . . . :SF UNIT HEATERS. . : VENT FANG. . . :
.;CCUF=MC : GRP. . : R3 VENTS W/O APIPL: VENT S`1,STCM5.
i
STORIES. . . . . . . . : 1 DOILERS/C011PRESSORS HOOD:3. . . . . . . :
'-'UIEL TYPES— _.- .... 0-3 Hr. . . . : 1 DOMEf3. I NC I N:
315 HP. . . . : COMML. I NC I N:
MAX INPUT: ETU 15 370 HP. . . . : REPAT.f? U!UITS:
FIRE DAMPERS?— 30--50 PIP. . . . : WOODSTOVES. . :
GAS PRE9aURL. . , . 50.1. HP. . , . : CLO :1RvERa. .
NO. OF UNITS-----.-..----- Ally HANDLING l.'NITS OTHER UNITS.
TURN ( 100K BTU: <= 1121s1?00 ,fin ; 01-45 0UTI__ETS.
FURN ) =100K BTU: 1�!Kr<91D wfm:
Remarks . Installing 1q., fir- cunditicirrer-.
caner^: _____...._._. ...__...-.- --......._.-_.___._..____...._ ._.._.._......__._.__....___._..__._..._-... .___.____. FEES .-_________.._-_--
JNr41 MCCLE-NNAN type <amal.rnt by datce r--p(:p-L-
C 68121 SW QUEEN ANNE F RMT $ 25. 00 B 07/&1/95 95--268371
5PCT $ 1. '"-5 S k7/4:1/9J 95 -268371
ING CITY OR 07EE4
lone #:
'R PRO HEATING & A/C
303 SE POWELL
-'OR T LAND OR 97rL'06
Pinonrr. #. 771--7(..)71 t 'G. '`� TOTAL
Rey it. . 7209E
_.._..___.._ _• Rc:GIU I RED I NSP,ECT I ON a -- - - -
Thi: permit is issued subject to the regulations contained in the Final 1nmN(rc tiarl _•__ _ __ _
Tigard Municipal Cod_r State of Ore. Specialty Cooes and ail other
applicable laws. All wilt:. will, be done 0 accordance with
approied pians. This permit will expi a if work is rot started
within 180 days of issuance, or if work is suspended for more
thar. 180 da;a.
F e r^nl i'L w e e S �.A L 1.1 t-p
I s 1.I a d B y ;
Call fnr inF.F ec_t Torr 63) +175
i
j -
i
City of 1•igara MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall E'lvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
escnpbon - —
Table 3A Mechanical Code OTY PRICE AMT
Job • 1) Permit Fee -0- -0• 10.00
Address; — — �----
2) Supplemental Permit 3.00
'"" Furnace to-f00;�BTU—
j)r-,7, ��,C �I[-r/rlf,! 1) incl. ducts 8 vents 6.00
••• Flimace 1100,000 8 ILI
_
Owner /l<G ,Sd,l r, ! 1 2) incl.ducts&vents 7.50
FTor u-'- mance
! + �i•I. 3) it.a. vent 6.00
`"• �`5""uspanae—Tc Tfester wa eater
4) or floor mounted heater 6.00
Occupant w --_Ve_nr_nor—im in R
5) appliance permit 3.00
Repair of heating, re ng. _
6) cooling,absorption unit 6.00
-- f
Boiler or comp, heatpump,air cond. �—
r Arc) W7 E![hit 7) to 3 HP;absorp unit to 1nOK BTU ' 6.00
•• Bo i I er or Fc) -pleat pump,air con .
r
OntfaCtOr .- li r2C'l �" 1lG 8) 3-15 HP;absorp unit to 500K BTLI 11.00
i er or comp,Fina pump,air cond.
r`7 Gx., r/f+•� �__(� t] 9) 15.30 HP;absorp unit.5-1 mil BTU 15.00
TBoiler or comp, heat pump,air cond.
�71 C h t 1 /«; > 10) 3050 HP;absorp unit 1-1.75 mil BTU 22.50
far a ge a ave rea i plication, a e Boiler or comp, heat pump,air con .
information given is correct,that I am the owner or authorized agent 11) i 50 HP;absorp unit 1.75 mil BTU 37.50
of the owrnar, that plans submitted are in compliance with State Air handling unit to —
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, ir�-u-nTt
please give reason below) 13) 10,000 CTM+ 7.50
V' on portable
14) evaporate cooler 4.50
Vent an connect
15) to a single duct 3.00
enu a on system not
16) included ii,appliance permit 4.50
_ •�- --rte— o sarveu by
�� .• __ J - i') mechanical exhaust 4.50
(Jescribe wo c new Uaddition U a t-`Iteration U repair U Commercial-cr in ustiia
to be done residential(D non-residential Q 18) type incinera,or 30.00
Existing use o Uther i.e.,woodstovo,water`
building or property ,{ (___ _ 13) heater, solar, clothos dryers,etc. 4.50
Proposed use o; 20) Gas piping one to lour outlets 2.00
building or property _ -- ---
Type of fuel -oil Q natural gas Q LPG(D electric Q 21) More than 4-per outlet
NOME-- — -- --
Minimum Fee$25.00 SUBTOTAL -)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR 5%SURCHARGE < <�
IF CONSTRUCTION OR WORK IS SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 15%OF SUBTOTAL
AFTER WORK IS COMMENCED. --- --- — --
TOTAL Z- C
Special Conditions —� --- -_
' Q�fIC
Date issued, '' � `��? by
k.WCHPMT
wardm,W�y
CITY OF" TIGARD — RECEIPT OF" PAYMENT RV.f.-,EJPT NO. :95 i:Ef3�371
CHECK AMOUNT
NAME a AIR PRO HTn- & A. C'. , INC. COSH AMOUNT s 0. 00
ADDRES ' t 7405 9F P.,nWt--'L.L BLVD. PAYMENT DATE s 07/P1/9 y
I.-IORTLAND, OR GLISD I V 16 1 ON
97806—
PURPOBF OF PAYMENT OWUNT v,cm) PURPOSE OF PAYMENT AMOUNT PA I D
MEC;HANIrAI.. VS
P.S. 00 ST. BUILD r'F-F-' 1. 25
qw; -
166A0 SW QUEEN ANNE
TOTAL AMOUNT VIAID 25
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Buuineas Phone: 639-4171
Inapectiont_ __I )-.' 1_-( '�('". (_"� - - , , ----
Footing
--
Footing / Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer �, raming -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Mech.
Date Requested: _ f�/ T imet. AH PH
Address: � 4 � �
r f r� YL yam_ Permit
Pullder•
THE FOLLOWING CORRECTIONS ARE REQUIRED2
Inspectort v, _ Date: 1 7 Z"
APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
F
CIWOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
77�
13125$W� BW. P.O.Box 23397,T4pwd,Oregon 97223(SM)6394175
SITE ODDRF-*5 3W PI.W;,
SUDD I V I EbI UN.
OLOCf%. .. . . . . . . . . V.
P.I S 5 U F FLOOR 01?r_J1!_)
',LFISS OF WQRt . FIRST. . . , : r!f' Ne S F.-
ff YOA I Fill
i Y PE F)F 1.1 F4 r-.-. S F rR07ECT W:T*N[NGT!
Y V,E: OF. C 0 1 j S T 15 N 1+4 1 RD. 19: S. Ea
)LCUPANCY GRE;. : R. V1 F ROOF C0HGT. FIRE K
ILCUPANCY LOW) f' nREO SEP. RATED:
TOR. - I H1'. Ci f I R t.'z I
f 10('CU SET". Pr-)TED:
11F.7.7 REUD REQUI
1,r.- T'. ( 1: 1:1 R 45P1-U_ TY101-IN DET.
IJ ( R 11 41,
�)WkLl_1Nb UNITS: FRITP fl; 14,j.:f')R Fr FIR OLRM: HNDIC.T-' AUC:'.,
�EDRr'ls- 13(14 1115' .' Thlr'; "-JIRFPT !� PRO CORR: 1.0 H K (1\1(i-
')ALUE. $ 17500
t e may,k s - En c I o r,e c,v:i if r)tj 1,-)a1„ to c,o v to si-tn rc)om (non-habitab.le space)
)Wrlev: , _. . __ . - - - . -- - I.....I . ... . _. FF-..r--rj d._...
ILICE- POWELL t y r)e amul.trit by date v-ecpt
.. ` ",';' r - - '�4/9,,,
0R.WFN f)1\1111F I�'HN I r, 25. 00 J I-A 0,8 -
PLLK 16. 25 J H 08124192-1
I. 2`5 J 14 08 24 9 P_
lht)ne
17V411 HENDRICKS
70,12 IiFLDK RD
HISS LJHW1-.bO OR 9 /034
W:.U.L.QHF-0 .1 N.n PE L I I U 1\1 I:i
-,)is Permit is issued sub)ect to the reoulations contained in tht F)i.;.t0ijnj4 I.nf;p
iyard Municipal Code, State of Ore. Specialty Godes and all other F .inal .......
uplicable lasts. All work will be done in iccardance with
oproved plans. This permit will excire if work iq not started
,ithin 180 days of issuance, or if worth is suspended for more
'hon 180 (lays.
t e S i
(I P
A-)
131 U 25 SW Ii, Bwa. PLNCK/RECT # 6 — �_..
CITY OF TIGARD POWx23397 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT Tip�Oregon 972D '
(W)6'¢"71 DATE ISSUED
/
A/C,
JOB ADDRESS: - �,��°[�kI, ���-�� -I Bch 417 12� TAX MAP/LOT
SUB: LOT: LAND USE:
VALUATION: f../5
OWNER SPECIAL NOTES_
���-� %�
NAME. REISSUE OF: --
C e �Gu�9�/
ADDRESS: / [���� G S(.tJ (�(L�Leh ,`; ��- LAST REISSUE:
ny FLOOD PLAIN/
PHONE: "� `j -�/ O SENSITIVE LAND:
CONTRACTOR y5 APPROVALS REQUIRED
NAME: _J") �� CLV i c k PLANNING:
ADDRESS: __ i J�1,3 ENGINEERING: _
FIRE DEPT:
PHONE: OTHER: -
CONTR. BOARD P: i - %" EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACIORS: —
MECH: _ BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS: _
ADDRESS: OTHER: _.
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: Date Received:
PERMIT # ACLi # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees —.
10-431 01 Mechanical Permit Fees — --
10-230 01 State Building Tax (5%)
Building _
Plumbing
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 TTF Fees —
25-448-03 Office TIF Fees
2.5-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees —
52-449 00 Parks System Oev Charge (PDC)
31-450 00 Storm Drainage Syst Oev Chrg
(SsoC) _ —
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
yam , .
TOTAL — —
nm/3587P.WPF
JUH-23-'92 TUE 11:38 ID:CITY OF KING CITY FAX 110:503 639-3771 #190 002 -
KING CITY
15300 S1V. 116th A%vnoe,Kin j City,Oregun 91224 Phone•639 70S2
COMMUNITY DEVELOPMENT
F,PPLICATION FOR BUILDING PERMIT
J (Instructions cr reverse)
DATE1 �c z
1. NAME OF APPLIC �._C e/�( _ Phone I40.
ADDRESS. OF 4' j C L' C r�', C�,- p
ADDRESS OF PROPOSED IMPRO�MgENT� `S O
2. TYPE OF C"GE, IMPROVD43VT' OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - ATI'ACN 'IW 0 C P I FS OF PLANS OR RAW I NGS OF
PROPOSED PROJEPT:_ + c t'.- ` 1 ' ..C
0� l ,y'e'e( ��. '� L)I c,J �� CC:'wl�/I�% ft �i7 C(v e �
3. NAME AUD ADDRESS OF COPI'I'RACI'OR 'L"
✓ ( 7 C)�f PHONE NO.6 L,;j_?L I CENSE NO. 42
4. NEIGHBORS WHO MA71 BE AFFECTED BY THIS PROJECT WILL BE 140T I F I a) BY THE CITY.
5. APPL I C7iv'V'f OR HER/HIS/NIS REPRESENTATIVE MUST BE PRESENT' AT THE PLA 414 I N G COW I S S I ON
MEETING NEXT RF:Ln ON
REPRESENTATIVES NAME_ oh c.k1i
(The Ring City Planning Co ,mission rill consider Lely those applications received at least five (5) days
prior to a neetinq,)
SIGNATURE _
APPLICATION RECEIVED BY `,Mj..-0t raA. � � - -DATE 3 -a) 9�
APPLICABLE FEE RECEIVED $ i�:5 cQ TOTAL, el?/l:)
PLANNING OU44ISSION DECISION: Approved_ Denied
CONDITIONS_____- - - -- ---
-� B coved applications a e-valid for sii months only
Signature_, L -�G C�
NO'E: Oregon Rarebuilders Lar requires ail persons Who contract fnr work on their residence be
registered with the Builders Boiri/whicb means the contractor is bonded and insured on the job site.
For your protection, 5e certain your contractor is registered by calling City ball Ph: 639-4082.
NOTE: A permit rrn.tst also be obtained from the City of Tigard Department of
Col amity Development Yes_ ( No—
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved Denied_-
Da.te----_. Cormlents__. _ --
Signature_
(BoeURing .in,5p9rf,ci,.7, ptea w- ne iArt. cmc. ( I) copy Co K4i q ('-UY)
)
rn I-At
-JUN-2 ;-'92 M 11:39 ID:CITY OF KING CITY FAX NO:503 639-3771 #199 P03
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JUN-23-192 TUE 11:40 IE:tITY OF K114G CITY FAX NO:503 639-3771 qt rn'l
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CITY OFT 1 CARD R CEI!'.'T (.IF* PFIYMEN"r RECEIPT NO, :12--23,0884
CHU':f..F; AMOUNr a 42. 50
IAME n !?t)WFiI l_. NL.If.;f: CASH AMOUNT o 0.. 00
iDDRE5S s 166817.I 5W OLWEN ANNE. OVE l,AYMr.'NT OWE x 08 E",4/90.
SUB is V I I OP•i
!(I NIG C T T'Y, OR
,UPI'.,DS_,F OF FSM MF:NT AMr.)UN'r PA T n Pl IPf,WiE OF P'AYMF:N'r AMOUNT PA 11)
FSU t!_l:?]Nfl !•!E R14 �5. 00 PI ON I.':HECY FF ]i+. 2!'r
T. A011_1) PER 1 . 25)
TOTAL. AMOUNT' PAI() 4 ' `'�ZI