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Permit --_--_-- . BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT mom PERMIT #.......: BUP92-0068 m125 Hall Blvd. eo Box ��Tigard, Oregon 9/223 (503).639-4175 639-4171 DATE ISSUED: 03/30/92 • i� SITE ADDRESS...: 12195 SW 121ST AVE PARCEL: 251693BB-06500 SUBDIVISION....: ZONING: R-4.5 BLOCK..........: LOT.............: REISSUE: / \ FLOOR AREAS EXTERIOR WALL CONSTRUCTION– CLASS OF WORK.:ADD FIRST....: • sf N: S: E: W TYPE OF USE. ..:SF | SECOND...: sf PROTECT OPENINGS? TYPE OF CONST. THIRD....: sf N: S: E: W: OCCUPANCY 8RP.:M1 TOTAL : 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED: STOR.:1 HT. :12 ft GARAGE— :810 sf OCCU SEP. RATED BSMT?: MEZZ?:+ REQD SETBACKG-------- REQUIRED FLOOR LOAD... psf LEFT:0 ft R8HT:41 ft FIR SPKL: SMOK DET.. DWELLING UNITS: FRNT:99 ft REAR:34 ft FIR ALRM: HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: ' PRO CORR: PARK IN8: VALUE.$ 6800 Remarhs: addition of a 810 sq ft car port to existing garage Owner: --- – FEES -- OLIVER & PATRICIA KEERINS type amount by date recpt 12195 SW 121ST AVENUE PRMT $ 62.50 JLH 04/01/92 – PLCK $ 40.63 JLH 03/20/92 224945 TIGARD OR 97223 • SPOT $ 3.13 JLH 04/01/92 – , Phone #: • Contractor: -- THE GROUT CO 325 NW 21ST ST • PORTLAND OR – – Phone #: 222-5654 $ 106.26 TOTAL Reg #.. 35451 REQUIRED INSPECTIONS This percit is issued subject to the regulations contained in the Foot/found Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp applicable laws. All work will be done in accordance with Rain drain Insp approved plans. This permit will expire if work is not started •• Final Inspection • within 1:» days of issuance, or if work is suspended for core than 18@ days. _ ----- -- , • , Permittee Signature: Issued By: 7 - 4C r j Call for inspection – 639-4175 • • • • � - ^ ' ^ - ~ ' . - ^ '--' '1I , • 13125 SW Hall IIlvd PLNCK /RECT # -3 ' `� 3 0 C ITY OF T'IG D P5 SW PERMIT # o© 6,K COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Oregon 97223 (503) 639 -4171 DATE ISSUED JOB ADDRESS: \Z °1 , SL lZt TAX MAP /LOT 2S/ / i'-OISoo SUB: LOT: LAND USE: VALUATION: (70 OWNER SPECIAL NOTES NAME: it tZc �t -(1./ E__ E REISSUE OF: ADDRESS: l a l ° t ; SA; t z l S LAST REISSUE: 1 � cA_ C-7 (Z FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: T4F C-An;,; i C am, _ r - eNoby PLANNING: O/e- `?-- ADDRESS: kV 4.0 t1V/ (4 . uL ENGINEERING: Po.'c�,a -nop C:1 v17,1.o°! FIRE DEPT: PHONE: ZZ2_ - SCE S ` OTHER: N ° CONTR. BOARD #: *%56 EXP DATE: /-/6 J ITEMS REQUIRED SUBCONTRACTORS: PLUMB: tJ/ LIST /SUBCONTRACTORS: MECH: Nl`� BUS TAX: ARCH /ENGINEER CALCULATIONS: li NAME: 3 co JO i E — c TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: EZPo COMMENTS: • -4411 APPLICANT N TURE Received By: Date Received: PERMIT # ACCT n DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10 -432 00 Building Permit Fees 6:2,So 62. YAP 10 -431 00 Plumbing Permit Fees 10 -431 01 Mechanical Permit Fees 10 -230 01 State Building Tax (5 %) 3.13 S.-( 3 Building 343 Plumbing Mechanical 10 -433 00 Plans Check Fee 446 3 0.63 Building .9a.63 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 TIF Fees 25- 448 -03 Office TIF Fees 25- 448 -01 Residential Traffic Fees 25 - 448 - Mass Transit TIF Fees • 52 - 449 00 Parks System Dev Charge (PDC) A 31 - 450 00 Storm Drainage Syst Dev Chrg (SSDC) 24- 445 -01 Water Quality (Fee in lieu of) 24- 445 -02 Water Quantity (Fee in lieu of) • TOTAL 4` /66; 0,. c� .,�►. �, _ . nm /3587P.WPF INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171 r - /�i7 inspect von: ei Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. San. Sewer Framing Post /Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: C Time: AM PM Address:/ J� Q � Permit #: < Builder: THE FOLLOWINd!6ORRECTIONS ARE REQUIRED: - 4- 1-1- f4-4 . l< Inspector: ,I •■ 441 / Date: /- oC - OC - f APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. 5/10/00 Activities for Case #: BUP92 -00068 1:10:28 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPA007 Application received 3/20/92 JLH PASS BLT 3/23/92 BUPA010 Plan check deposit paid 3/20/92 JLH PASS BLT 3/23/92 BUPA020 Plan check by 3/23/92 RT PASS BLT 3/23/92 BUPA030 Check for prcl. restrict. 3/23/92 3/23/92 RT PASS BLT 3/23/92 BUPA705 Foot/found lnsp 11/25/92 GS APP GES 11/25/92 BUPA799 Final Inspection 1/22/93 RT PASS BLT 1/22/93 BUPA090 (F) Issue building permit 3/30/92 JLH PASS JLH 4/1/92 BUPA090 (F) Issue building permit 3/30/92 JLH 4/1/92 BUPA970 Case Fineled 1/22/93 BLT 1/22/93 • • . Page 1 of 1