16905 SW 126TH AVENUE 16905 SW 126TH
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested // �0' C Time-- A.M.
Address _ -(d f>:��� �4 G `-� ---A Permit #.
Owner __ __ Lot #
BuilderThe. following Building Code deficiencies are required to be corrected:
Presented to _ F"(Approved
Inspector /* / Disapproved
Date
CALL FOR REINSPECTION
D YEA ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection z Y
Date Requested ` /' Time A.M. c M.
Address ��� Permit
r 1
Owner 4 -- - ---- , `� — Lot #.
Builder _
The following Building Code deficiencies are required to be corrected:
Presented to
Q Approved
Inspector !�
El Disapproved
Dote
CALL FOR REINSPECTION
U YEss ❑ NO
I
CITY OF T167A RD MECHANICAL
PERMIT
PERMIT NO. : ME892140
CITY or nfARD
COMMUNITY DEVELOPMENT DEPARTMENT oxrooM TE ISSUED: 10/16/89
1312SS_W Hall Blvd..P.0 Box 23397.Tigard �:rF-,.nn���,z� (503)6++4171, P IM.PMT.NO. 8921.40
JOB ADDRESS: 16905 SW 126TH
TAX MAP/LOT SUB: KING CITY IT: BK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: ALTERATION VURNACE (100K AIR HANDL.R <10
USE TYPE: SINGLE FAMILY FURNACE 100K4 AIR HAMDLR 10K
CONST.TYPE: FLOOR FURNACE 1 EVAP.COOLER
OCCUP.GRP. : HEATER VENT FAN
VENT VENT.SYSTEM
BLR/COMP (3HF' HOOD
NO.STORIES: BLR/COMP 3-15HP TNCINERATOR(DOM
DWELL.UNITS: BLR/COMP 15-31—`' INCINERATOR(COM
FUEL TYPE DLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT BLA/COMP 50+HF' OTHER 1
FIRE DMPRS? GAS PIPING OUTLETS 2
HIGH PRESS?
LOW PRESS?
REMARKS:
Installinq qas fireplace ant; water
--heater._--
FEES.-
Fine
EES:Fine Jean PERMIT $10.00
N 16905 SW 126th Ave PLAN REVIEW
N Kinq City OR 97224 FIXTURES $12.58
STATE TAX $1. 12
OTHER
r
o SANDERSON STEVE
N COST PLUS HEATING
R 9464 N ST LOUIS ST
AP
L: crtland or 97203
T PHONE (503) 293-0986
a REGISTRATION NO. 47978 TOTAL.: $23.62
- - -
This permit is Issued subjectto the regulations rontaired In Title 14 ___-_------
RECEIPT NO.
of the TMC. State of Oregon Specialty Codes, zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby OAS LINE
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city FINAL
business tax permits This permit will expire rind become mill and
void If work Is not started within 180 days.or If work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all required Inspections are requested and approved
CA41t.�"
Permittee Signature
Is'uert By CALL FOR_INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO�VE
CITY OF T'��
RDE�l.la:l_.I:)]:NC•:
f-IF41MIT
PFAMIT NO . : HU093.931.
C117YOF 7WARD
COMMUNITY DEVELOPMENT DEPARTMENT 4lwrr%, :rssufiij): 9/141/89
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 G'1. T M. PM V .N 0
J(J13 ADDRESS : 16905 SW 126TH
TAX MAP/LOT SUB: KING CITY LT : 13K :
LAND USE :
LOT SIZE: VALUATION: I I000 SETBACKS
FRONT: MAP:
WORK CLASS : ALTERATION DWELL .UNITS : LEFT: RIGHT :
usf.-- Typic:: SINGLE FAMILY NO. BEDROOMS : EXT .WALL CONST :
CONST' . TYPIi'-: : VN NO. BATHS : N: 5 : E . W :
OCCLIP.GRP. PROT .OPENINGS :
OCCUP.LOAD N: S: E. W :
TOTAL AREA:
NO . STORIES : IST : ROOF CONST : FIRE RET7
HFIGH'T . AREA SEEPAR7 RATED:
BASEMENT'? 3PD: OCCUP. 1-111PAn'? RATED:
MEZZANINE7 13ASEM I T
f-1-00A LOAD : GARAGE: FIRE SPPM-wt ALARM'?
F'I-.('.)W(GPM) UETE*CT7
HE TYPE HDCP.ACCESS'? COPA'?
Pl-.Alq t!.PIr-CK 113
F1-"MARKS :
Skylight & witickliw Nci REISSUE OF' NU.
intructural change. LAST* REISS1.111H.
FEES :
0 4*iria jear. P LRM IT
W 16905 mw 126t1-i PLAN REVIEW
N king c.!ity or 9722-1 FIRE: DEPT
E
R PHONE.:: ( 50 ) e.)AP16-223STATE:STATE: 'TAX BE)
OTHER
DEVELOPMENT CHARGES:
C, SDC( STORM)
0 NATURAL LIGHT SKYLIGHT (-.M SIX(STPEE1
N
T (3925 SW OXBOW TE 1414 PDC 110 11
R 1:.)w4mvertotnt or 97005
A PREPAID < $P9 . let>
C PHONE.. (303) 626-0207
TO REGISTRATION NO. 40.725 TOTAL :
RECEIPT NO.
f tits permit is issued subject to the regulations contained in T itle 14
of the TMC. State of Oregon Specialty Codes zoning regulations
and all other applicable codes and ordinances, and it Is hereby
agreed that the work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and FT N A L
void if work is not started within 180 days.or It work is suspended or
abandoned for A period of 180 days any time after work has
commenced It shall be the reiponslbility of the permittee to assure
all required inspections are requested and approved
Per tea
Signature
issued By
CAI...L FOR INSPECITON 639-41. 1!
ifll�—
SEPARATE PERMIT'S REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
KING CIT
Mayor
YFre''Clagett
Council Members:
15300 SW.11Gth Avenue,King City,Oregon 97224 Phone:6, -4082 Maybelle DeMay
Hal Ennor
APPLICATION FOR Herbert Lindner
PLANNING COMMISSION PERMIT Stephen McShane
(lnstructions on reverse) *tanager.
[} f� Lenore Akerson
DATE ' / V �� Chief of Police:
J.Dennis DfcClaln
!. NAME OF APPLICANT: -� -,- Phone No.
ADDRESS:
ADDRESS OF PROPO F IMPROVE_ NT I VK 10 r 1.
2. TYPF. OF CHANGE. IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED. !
DESCRIBE BRIEF Y - TTACH T O COPIES,YF PLANS UR RP.WINGS OF R ECT.
PROPOSED:
3. NAME AND ADDRESS OF CONTRACTOR. ~ 4
PH NE NO. LICENSE NO.
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL B£ NOTIFIED BY THE CITY.
5. APPLICANT OR NER/HIS REPRESENTATIVE MUST BE PRESE14T AT THE PLANNING
COMMISSION MEETING NEXT HELD ON —
REPRESEtJTATIVES NAME PHONE NO.
(The King City Flannict Ccuission will consider only those apoiic3tions received at least IIve 6) days prior to a Rettint.)
r �—
Signature iz C42 _ ,,(al-jez
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APPLICATION RECEIVED B�' L 2G O� _DATE� _i��- —/
APPLICABLE FEE RECEIVED s_ L TOTAL, t6 c+ o
PLANNING COMMISS1014 DECISION: Approved _ Denied
CONDITIONS
Approved applications are tali !or sit Ronths only
S i g n a t ti i e ^�._ -,ate_ � -- --f---�_--
teton osebuiiders Lar requires that all persons who contract for wort oR the' tesid'ence be
re(ist red with the Builders Board which Reins the contractor Is bonded and Invited on the job site.
For your protection, be certain your contractor Is retistered by caliint City Hall Ph: 639-4052.
Note: A rermit must also be obtained f om the City of Tigard Department of
Community Development Yes__ _ No
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CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected rnd Approved---Denied
Date_ Comments -` _
Signature_ _
t8vildine insFector elea.ce return one (l) copy to Kine City)