16845 SW MONTEREY LANE ADDRESS:
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CITY OF TIGARD H IU LD1NG ! C ON NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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Foundation Plbg. Underslab Mach. Rough-in Fireplace
FINA '
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
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Post/Beam Mech. San. Sewer Gas Line
d' Plbg. Underfloor
Rain Drain Framing -Plumb,
Alarm Water Line Insulation -Mach. r
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Z ;,+WK
Date Requested: Time: AM PM
Address: 6 IR
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Builder.__ Permit
' THE FOLLOWING CORRECTIONS ARE REQUIRED: 4
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Inspector: _ _ Date: Z
_APPROVED DISAPPROVED ROVED SUBJECT TO ABOVE
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Call For Reinsp.
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INSPECTION NOTICE
Clty of Tigard Building Department
17125 SN Hall Blvd. Tigard, Oregon 972.23 �
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Tap Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. E
Date Regveoted: / J 22 ___Ti., _PH
Address: 1 CO a � /� r�_7S L !1 911-
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Builder:- ��_) ) c. � _.—_.111--
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THE FOLLOWINr, CORRECTIONS ARE REQUIRED: 1 /` / a
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V/APPROVE'n DISAPPROVED APPROVED SUBJECT TO AROVE
Call For Reinsp.
INSPECTION NOTICE
City of- Tigard Building Departneat
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buainess Phone: 639-4171
Inspection:_ ---- — --
Tooting Plbg Underslab Mach. Rough-.in Appr/Sdwlk
Pound. Plbg. Top Out Can Line FINALS
Pont/Beam Struct. San. Sewer Traminq -Bldg. ,
Post/Beam Mach. Rain nrain nsulation ' -Plumb.
4 Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested-z— `J'y��1 Tiyayle�i ] AN PM
Addreea, /6 o G 7(�5
Builders z YI'1 ke zzr. `
THR TOLIANINO CORRECTIONS ARE REQUIRED:
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Inspectors Dat*$
MPROVRD DISAPPROVRD �APPROWD SUBJRCT TO ADM
iCall For Reinsp.
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INSPECTIOK NOTICE
City of Tigard Building DePart�eent
13125 Sit Ball Blvd- Tigard, 00090 97223
Inspection Line (Roc-O-Phone): 639-4175 Buniness Phon 9-4171
Inspection:
-�T__-.-- _--
Footing plbg. Underalab Mech. Rough-in Appr/Sdwlk
Foun Plbg. Top Out Gas Line FINAL:
Post/Beam 3truct. San. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain
Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Time:
Date Roqueeted: r S_- AM PH
Address: �L PrmiE
Builder:_
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THE F3 NG CORRECTIONS ARE REQUIRED:
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1 nspect. {_ _Z _ _ _-_ _._ ._-_- Date:
APPROVED DISAPPROVED APPROVED St1B ECT TO ABOVE
call For Reinnp.
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CITY OF TIGARD PERMIIT TS#ER. . . . . ..PERMIT MST94--0154
COMMUNITY DEVELOPMENT DEPY1IRIfMENT DATE= ISSUED: 04/25/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8159 (503)639-4171
PARCEL: 2S1160D-10300
SITI7 ADDRESS. . . : 16845 SW MQNTEREY LN
SUBDIVISION. . . . . /h7 6/ 'LV, ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
_____________ BUILDING
REISSUE: DWELLING UNITS:O BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :ADD BEDRMS:O BATHS:O GARAGE. . . . . . . . . . ..0 s;-
TYPE OF USE. . . :SF FLOOR AREAS------- - REQUIRED SETBACKS----------------
TYPE OF CONST. -5N FIRST. . . . 145 S LEF`T. . :0 ft RIGHT'. :0 ft
OCCUPANCY GRE'. :R3 SECOND. . . :0 5f F RUNT. :0 ft REAR. . :0 ft
STORIES. . . . . . . . 1 THIRD. . . . :0 S REQUIRED-.________________-__
HEIGHT. . . . . . . . : 10 ft TOTAL--------:45 sf SMOKE DETECTORS. :
FLOOR LOAD. . . . :40 psf VALUE. . . . . f: 2070 PARKING SPACES. . :O i
Remarks : ADDITION OF 45SO FT TO EXISTING HOUSE PATH I
--------------------------------------- PLUMBING __.._.__w_______._._...-----------.--.-_.---_
E31NKS. . . . . . . . . . :0 FLOOR URAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :0 WATER HEATERS. . . :O TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CL03ETS. . :0 SEW'�h !_INE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 WATEJI LINE (ft) . 10 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . :O RAIN DRAIN (ft) . :0
WASHING MACH. . . -.0 SF RAIN DRAINS. . :O
----------------- MECHANICAL --__-.----_______._._______.__._._______ FEES
FUEL TYPES-___..._____._ UNIT HTRS. . :O type amount by date recpt
VENTS . . . . . :0 BPRT $ 38. 50 SW 04/22/94 94-251567
MAX INPI T.-O BTU VENT FANS. . -0 BPLC $ X5. 03 SW 04/2'2/94 94-251581
FURN <. i OOK . . :0 HOODS. . . . . . :0 B5PC $ 1. 93 SW 04/22/94 94--251587'
FURN ) =1160K . . :0 WOODSTOVFS. :0
FLOOR F URN. . . . :17_I CLO DRYERS. : 0
Boil-/CMP ( 31-11=':0 OTHER UNITS:O
GAD OUTLETS:O
Owner,. _..-......__-_______-__-._-___-_-___.___-_-
HAZE:L HARRISON
16845 SW MONTF_RY LN
KING CITY OR 97224
Phone #:
Contractors --_.._.._. __.__..__. ._.__._.__.-_--._--__--
A, 'T&T CONST
26995 NW OLSON RD
GASTON OR 9 71 19
Phone #: 662-4669
Reg #. . . 50045 ._---.-______________._.------__.-___---_-_
t 65. 46 TOTAL
This permit is issued subject to the regulations contained in the -- -- REQUIRED INSPECTIONS ---- - --
Tigard Municipal Code, State of Pro. Specialty Codes and all other Foot/found Insp
applicable laws. All work will be done in accordance with approved Framing Insp
plans. This permit will expire if work is not started within 180 Insulation Ins p
days of issuance, or if work is suspended for more than 180 days. Gyp Board Insp
Rain drain Insp
Permittee Signat1.ire : Building Final
Erosion Control
issued B y :
Call for inspection - 6.:19--4175
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Residential Building Permit Application
City of Tigard
13125 SW Mall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
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Office Use Only
Subdivision: Lot#
Valuation
Permit# �"
Owner. Reissue of _
Address: � k' 11 10/-krc:•�_
Map& TL # d 3(1 t✓ �.
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Approvals RequlrEd
Phone:
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Planning
Contractor: �, �.0//C/ f A Engineering r
Address: j"95 /✓V" d/5�� �r7ct Other
_�.45�oN
items Required
Phone:
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Contractor's License # J `�� `5 ~'' Subcontractors
(attach copy of current Oregon license)� Truss Details
_
Subcontractors: l Other
Plumbing:
Mechanical:
(attach dopy of current OR Contractor's License)
Architect/Engineer:
Address.
Phone:
COMMENTS-
Applicant Signature & Phone number _
Received by: Date Received:
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Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 3�• �'� Z� _ -- ''
Plumb. Permit (PLUMB)
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Mech. Permit (MECH)
State l ax TAX
Bldg:
,1
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: —2 a .7
Plumb:
Mech:
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Sewer Connection (SWUSA)
K Sewer Inspection (SWINSP)
Parks uev Charge (PKSDC)
Storm Drainage Chg (SDgDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-(-,)
Indust.riatTIF (TIF-1)
Institutional I IF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WQUANT)
--
Fire District (FIRE)
TOTALS: ' —� ......
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PLAN CHECK FEES LISP
PLAN CHECK #� �I �. PERMIT # DATE
JOBADDRESS /`�y,�5 r,�% I�'DI'!fr'v'sL TAX/MAPi IAT
SUBDIVISION Krr�1 C� LOT #// LAND USE
VALUALATION j 17�SETBACKFRONT —REAR—LEFT—RIGHT
WORK CLASS i -�� HEIGHT / 6 TOTAL AREA
USE TYPES — FLOOR LOAD_ 1ST
CONST TYPE ` 01 HEAT TYPE 2ND
OCCUP GROUP I > DWELL/UNITS 3RD
OCCUP/LOAD # BED ROOMS BASEMENT _..
# STORIES _ # BATHS GARAGE _
LIST SUBCONTRACTORS TRUSS DETAIL OTHER
PERMIT # DESCRIPTION AMOUNT AMOUNT PD BAL DUE
BUILD PERMIT FEES
PLUMB PERMIT FEES
MECH PERMIT FEES
STATE BUILD. TAX(5%)
BIJILDING / �—
PLUMBING
MECHIANICAL
PLAN CHECK FEES
BUILDING�7�LU � e
PLUMBING
MECHINICAL
SEWER CONNECTION
SEWER INSPECTION
STREET SYSTEM DEV
STORM DRAINAGE SYS
PARKS SYSTEM DEV
TOTAL � — J'
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CXTY OF 146PFt1') RF-:CF.T.Pl OF E'AyMFIqT RF'(':F'lPIT NL.» ll94''P"A'587
CHECK AMOUNT T � f.,5. 46
I1)l`1F: n Ga 'T '1' CONSTRUCTION CHECK
0110(JNY' r 4.k)tA
1 )DkF::Ci!i a PAYPIF;NT PATV o 04/RY/94
SUPT)l VISION
ON a
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DING CITY
1x300 S,1 116th Avenue,King City,Oregon 972'_4 Phone:639.4082 I
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATE , FY9'�'
1. NAME OF APPLICANT: E S�'rll-L� G N Phone No. �- If
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ADDRESS: Q c!�;14S ^s O_[
ADDRESS OF PROPOSED IMPROVEMENT qS- S _, 4:3nYI�'
2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED. �
DESCRIBE BRIL71Y - ATTPjC, TWO COPIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT: 0 c d
_ D A
3. NAME AND ADDRESS OF CONTRACTOR
PHONE N0. ,,k 2_4Y66 SLICE 4SE NO. S or,,
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT R HER/ IS SENTATIVE MU BE PRESENT THE PLANNIN' COMMISSION
MEETING HELD ON _
REPRES ATIVES NAME _ PHONE NO.
(Th ing City Plannin mmission will con lder only those app' cations received at eas` five (5) days
p for to a meeting:)
SIGNATURE _
APPLICATION RECEIVED BY_�^f� �QQ�Qn �— DATE ��-� �!
APPLICABLE FEE RECEIVED $ 115i 412 TOTAL__9a A- —
PLANNING COMMIF"ION DECISION: Approved _ Denied
CONDITIONS_ .4s 4
Approved applicationsa�r valid for six months only
Signature �i 'L �� Date
A01E: Oregon ebui ders Law requires that all persons who contract for vork an their residence be
registered with the Builders Board which means the contractor is bonded and insured on the job site.
For your protection, be certain your contractor is registered by calling City Hall Ph: 639-4082.
NOTE: A permit must also be obtained fZom the City of Tigard Department of
Ccmmziity Development Yes----L_ No
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved— Denied
Date Comments
Signature
(ftUxting inApec xvL lteaAQ- ,tetuum one. ( 1 ) copy to K-jw_ City j