Permit V
CtTY OF TIGARD BUILDING PERMIT
PERMIT #.......: BUP95- 04:`0
` COM UNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/13/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (6994411
. PARCEL: 2S104BA -00200
SITE ADDRESS...: 12103 SW 135TH AVE .
SUBDIVISION ° ZONING: R -25
BLOCK LOT..... ..... ... .
REISSUE: tY��' FLOOR AREAS --° -- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.: f FIRST....: sf N: 5: E: W:
TYPE OF USE...: F SECOND...: sf PROTECT OPENINGS? - - - - -_
TYPE OF CONST. :SN THIRD sf N: S: E: W:
OCCUPANCY GRP. :M2 TOTAL_ 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR.: HT.:8 ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS - -- REQUIRED - - - --
FLOOR LOAD psf LEFT: ft RGHT: ft FIR SPIEL: SMOK DET..:
DWELLING UNITS: FfiNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE° $ : 4000
Remarks: Installing an W-0" high fence
r---
Owner: ---- .- -- •- FEES .-
MAX WILLIAMS type amount by date recpt
12103 SW 135TH PRMT $ 44.50 JD 10/02/95 95- 271138
' PLCK $ 28.93 JD 10/02/95 95-271138
TIGARD OR 5PCT $ 2.23 JD 10/02/95 95- 271138
Phone #: 503 -524 -4275
Contractor: -- -
BUILT RITE FENCING & DECKING
17923 NW SYLVANIA LN .
PORTLAND OR 97229 --
Phone #: 531 -9156 $ 75.66 TOTAL
Reg #..: 103223
.- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Footing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection -- _____
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature: Paid _ _ -- -
Issued By: A ril .1 iiiLi..:. //' ' lr� _____ _ _
. Call for inspection - 639 -4175
09/19/95 08:28 12503 684 7297 CITY OF TIGARD e)002/002
,,,
.,
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 .
(503) 639 -4171
Jobsite Address: /0 if 3r i ll ° ' .
Subdivision: Lot* O ce.:Use Onlir
�_ i my Contact-Date I / Initials
Valuation: _ T Lr11 Result,
New Construction Only: S uare Footage) l ` /d --- " C)( r
� 9 9 Planckl.Rec�
Permit.# KIVIIFMTM 1
House: _ Garage: Reis of
Map & .TL # 25 i HP/A- zoo •
Corner Lot? Y O Flag Lot? Y 0 'Zone:
,(. /lam f 4/ t c.L (.9,044. it 'Plat*. . .
Owner
Address: (.)- / 6 3 Srv✓ (3,r ,4-,- Approvals Required
-Tryit/I- , al- a 2 . 3 Planni;;ng •:Ssetbacks. . Solar
Engineering;:
Phone: ( .3 1 5744— 4g 7S . •
Q Cttli 64 — , Items: Required Contractor: �-�'�` 5, ^� °' ce % ec< •
Subcontractors:
Address: / Truss Details
Other • •• • . •
Phone: CM 3 ) (q/ + //6 Not ®s •
.
Contractor's License # •
(attach copy of current Oregon license) •
Contact Name:
Contact Phone: ( )
Subcontractors: Architect/Engineer
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractor's License)
Phone: ( 1
JO: D -t. C:IPi ION: 7 c ' t�''LCe 5 auS�Y i -Q
( ! 6 0ii) 22 S S(s'ir
■A.p(can't SigAat a Applicant Phon number
Receivaid by: Date Received: /
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