Permit ' �
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1 NNNN / ��� BUILDING PERMIT i TYOF �����n-����� ~~��
��� " CRYOF WARD PERMIT #.......: BUP91-0021
COMMUNITY DEVELOPMENT DEPARTMENT
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m1osmwmu/ol�.eo��o3397.ngam. Oregon u72m 71 �^ ^1 DATE ISSUED: 01/22/91
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SITE ADDRESS...: 8015 SW HUNZIKER ST PARCEL: 2S101BD-00300
SUBDIVISION....: ZONING: I—L
BLOCK .......... 3 LOT.............:
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ADD FIRST....: sf N: Si E: W:
TYPE OF USE. ..:COM SECOND...: sf PROTECT OPENINGS?
TYPE OF CONST.:5N THIRD....: sf N: ' S: E: Wr
OCCUPANCY GRP.:B2 TOTAL • : 0 sf ROOF COWST: FIRE RET?:
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR. : HT. : ft GARAGE. .. : sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS -- REQUIRED
FLOOR LOAD....: psf LEFT: ft RGHT: ft FIR SPKL: SMOV, DET..:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $: 25000 .
Remarks: Re—roof Owens Corning R3533(n) 1990 UL book page 660 item 9
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Own er: — FEES -----
HOWARD LOSLI type amount by date recpt
7635 ARBO4R LAKE CT PRMT $ 170.50 / /
FIRE $ 68.20 / /
WILSONVILLE OR' PAYM $ 238.70 JLH 01/22/91
Phone #:
Contractor: —
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GRIFFITH ROOFING . .
1 6815 SW 111TH AVE '
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BEAVERTON OR 97005
Phone #: 643-1596 $ 238.70 TOTAL
Reg #..: 925 .
, REQUIRED INSPECTIONS --
This peroit is issued subject to the regulations contained in the Framing Insp•
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This peroit will expire if work is not started Susp Ceilng Insp
within 1:-4 days of issuance, or if work is suspended for sore Final Inspect ion
than 100 days. ____
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Permittee Signature: __ _
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Issued By: L/
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/ / Call for inspection — 639-4175
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01516 150
C ITY 13115 sw Haa Bd PLNCK /RECT OF TIGARI) PO Box ?3397 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT T °"8°" 97223
(503)639 -4171 DATE ISSUED
JOB ADDRESS: k JS S w Ain 'ZIA Pt. i ?d _ TAX MAP /LOT
SUB: LOT: LAND USE:
VALUATION: ,2s 000 —
OWNER SPECIAL NOTES
NAME: go L35 A _ REISSUE OF:
ADDRESS: 76 3S sir be' L hC- _ LAST REISSUE:
IA) 41504 , 1 !e D' FLOOD PLAIN/
PHONE: C 9y - 67,2I _ SENSITIVE LAND:
CONTRACTOR n APPROVALS REQUIRED
NAME: 6 r% .1� /' reo !' �` C° PLANNING:
ADDRESS: C R/S 't') /4/ 1,4, ENGINEERING:
BeaI/eV 01�/ r- 9 vo,s -- FIRE DEPT:
PHONE: 6'/ -3 - /S - qt4 -/S-q OTHER:
CONTR. BOARD #: /.Z� EXP DATE: _
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: _ BUS TAX:
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE: Xe 1'0 i (OWt Corm"ti J 35 3 36Vj l `/D OL 4 , 1 4 4, Lc'"?
COMMENTS:
APPLICANT SIGNATURE
Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %)
Building
Plumbing
Mechanical
10 -433 00 Plans Check Fee
Building
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 -05 Mass Transit TIF Fees
52 -449 00 Parks System Dev Charge (PDC)
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
nm /3587P.WPF
INSPECTION NOTICE Al
City of Tigard Building Department
13125 SW Ball Blvd_ Tigard, Oregon 97223 11
Inspection Line (Rec -O- Phone): 639 -4175 Business Phon .. 39 -4171
Inspection:
Footing Plbg. Unde ab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
i Date Requested: / — SO ' l /
. Time: x AM PM
Address: d 0/ _ e - 4r4.t #:9 /-0-1)(71/
Builder: 10
THE FOLLOWING CO - CTIONS ARE REQUIRED: 41
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Inspector: Date: 1 ) J ✓ 1 /
1 16 APPROVED _ DISAPPROVED • APPROVED SUBJECT TO ABOVE
Call For Reinap.