Permit CITY OF Tl RD (-0-,
CITYOF WARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT /
\ /// PERMIT `T' NCD . E3U1370303
13125 S.W. Hall Blvd, P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175
DATE ISSUED: 12/31/87
p,� PRIM.PMT.NO. 87030.'!S
- / / /OO S v✓ 7 8"m"
JOB ADDRS::SS : .1128 SW 78TH AVE
TAX MAP /LOT 15136CA700 SUB: LT : 2 ILK:
LAND USE: 144.5
LOT SIZE: VALUATION: $ 65,592 SETBACKS
FRONT: 22 REAR: 9
WORK CLASS: NEW DWELL .UNITS : 1 LEFT: 10 RIGHT: 68
USE TYPE: SINGLE FAMILY No. EitEDROoMS : 3 EXT. WAL.L CONST:
CONST . TYPE : VN NO .BATHS : 2 N: S: E: W:
oCCUP . G:RP . : 113 PROT . OPENINGS :
OCCUP.LOAD N: S: E: W:
TOTAL. AREA: 11
NO . STORIES : 2_ 1ST: 966 ROOF CONST: C FIRE RET?
HEIGHT: 20 - • 2ND: A79 AREA SEPAR? RATED:
BASEMENT? • 3RD: OCCUP . SEPAR? RATED:
MEZZANINE? BASEM' T
FLOOR LOAD: X10 GARAGE: 400 FIRE SPRKLR? ALARM?
r"Lot.JtCPN) DETECT? r :::;
HEAT TYPE: GAS HDCP . AC E SS? CORR?
PLAN CHECK BY : r I t
REMARKS: - --
tr :i. r.: :i.ttj o latrt 411.4 REISSUE OF NO.
pat! tee 3.nt'.`i "r3atsc3 :L N :mooed a t erl 4L— --t LAS) REISSUE
O
W k:
N FEES:
E MORISSETTE HERB AND PAT PERMIT $331.00
R
7 /470 SW 76TH AVE..: • PLAN REVIEW $235. :L5
portl.artd or 97223 FIRE DEPT
c
PHONE ( 60..3) 246-880Z STATE. TAX $16.55
o 6 .(1-- z OTHER
N
T ' DEVELOPMENT CHARGES:
R MORISSETTE HERB AND PAT SOC(STORM) $250.00
C HERB MORISSETTE E3L_DRS . 1:NC . S17C ( STREET') $600.00
C
T 7470 SW 76TH AVE POC ( $1 ) $150.00
R ptartlw.nc1 or 97223 PREPAID < $100.00>
PHONE ( 503) 246-8003
£303
REGISTRATION NO. 6298 TOTAL: $1,'62.70
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes. zoning regulations
RECEIPT NO. r`
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 REQUIRED INSPEcTIC)NS
ordinances. The issuance of this permit does not waive restrictive FOOTING SEWER
covenants. Contractor and subcontractors shall have current city FOUNDATION WALL. RAIN DRAINS
business tax permits. This permit will expire and become null and
POST t BEAM WATER LINE
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 PLB.UNDERSLAB CITY APPRCH /SW
commen It shall be the responsibility of the permittee to assure SLAB FINAL
all required inspections are requested and epproved. PL . 'T'CIPOUT FRAMING
1
FIREPLACE
7,
f x r _.t,_-,c-L- '•� GAS L...I.NIA.
Permittee Signature . INSULATION
GYP. BOARD
Issued By: jit-lh
SEPARATE PERMITS REQUIRED FORI.W.ORK4ORIERMHAN GABSCRiBED ABOVE
5- a /9? LT ..Fd o —
� --9 - �
q
2,(7 WO'
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639 -4175
Type of Inspection R-0-- ' � � r \ - P
Date Requested `"( ( Time A.M. c P.M.
Address /1 Q 7 U Permit # ll 7 :3 Q 3
Owner / I I Uv S Lot #
Builder -��'i" ` Y ,O MQpc(. -Q-,- it
The following Building Code deficiencies are required to be corrected:
Presented to / Approved
Inspector ❑ Disapproved
g
• Date / '
• CALL FOR REINSPECTION
❑ YES NO