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Permit • CIIYOFTIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PERMIT # ° . ° .. ° ° : MST94 -0345 639 -4171 TE ISSUED: 09/09/94 111 PARCEL: 2S103DB- IZI2000 SITE ADDRESS...: 11490 SW VENUS CT SUBDIVISION GENESIS ZONING: R -4.5 BLOCK LOT °14 - - -- BUILDING REISSUE_: DWELLING UNITS :0 BASEMENT.... .... :0 sf CLASS OF WORK.: NEJ BEDRMS :0 BATHS :0 GARAGE :216 sf TYPE OF USE...: SF FLOOR AREAS - - -- REQUIRED SETBACKS-•--- - TYPE OF CONST. :SN FIRST °0 sf LEFT. .:5 ft RIGHT. :0 ft OCCUPANCY GRP.: R3 SECOND... :0 sf FRONT. :0 ft REAR..: 15 ft STORIES °1 FINBSMENT :0 sf REQUIRED • - -- HEIGHT........ :12 ft TOTAL------:0 sf SMOKE DETECTORS.: FLOOR LOAD °40 ps $° 2500 PARKING SPACES.. :0 Remarks: BUILDING FCTCN.X. SHED 8 X 12 OK BY PLANNING - - PLUMBING - SINKS °0 FLOOR DRAINS °0 BACKFLOW PREVNTRS.. :0 LAVATORIES °0 WATER HEATERS... :0 TRAPS :0 TUB /SHOWERS.... :0 LAUNDRY TRAYS... :0 CATCH BASINS ..... .. :0 WATER CLOSETS.. :0 SEWER LINE (ft). :0 GREASE TRAPS 40 DISHWASHERS °0 WATER LINE (ft). :0 OTHER FIXTURES..... :0 GARBAGE DISP... :0 RAIN DRAIN (ft). :0 WASHING MACH... :0 SF RAIN DRAINS.. :O - MECHANICAL -• FEES FUEL TYPES-- UNIT HTRS.. :0 type amount by date recpt VENTS °0 BPRT $ 38.50 JF 09/07/94 94- 256471 MAX INPUT :0 BTU VENT FANS.. :0 BPLC $_ 25.03 JF 09/07/94 94- 256471, -- FURN < 100K .. :0 HOODS °0 BSPC $ 1.93 JF 09/07/94 94- 256471 FURN ) =100K .. :0 WOODSTOVES. :0 FLOOR FURN :0 CLO DRYERS.: 0 BOIL /CMP ( 3HP :0 OTHER UNITS :0 GAS OUTLETS :0 Owner: -- -- JACK HENDER 11490 SW VENUS CT TIGARD OR 97223 -0000 ' Phone ##: 503- 620 -0986 Contractor: •- OWNER - Phone #: Reg #..: -- 65.46 TOTAL This peroit is issued subject to the regulations contained in the REQUIRED INSPECTIONS ------- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found ,Insp applicable laws. All work will be done in accordance with approved Framing Insp plans. This peroit will expire if work is not started within 189 Rain drain Insp days of issuance, or if work is suspended for @ore than 189 days. Building F i n a l - -� - �„ Erosion Control Permittee Signature: (�� Issued By: • Call for inspection - 639 -4173 • S . • • Residential Building Permit Application -City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 . • . . . ... ........, .......,,..„.. ,., .. • • •• .......„. •••• .....„, •.• .. ... . ••• • ... • •••••• . •,. • • •••••• • •••• ... ••• •,. ..... , . .. .. ...... ... • ...... ... ., ..• ..... • • , . ,,...... .•••••••, • • • • ••• . . . . ...... . •• ••••• ••••••}••• .., ......- . .... . ............„ ........ ..... . • .• • .• • • . • • •• •••••••••• ., . • ••• .............• . ,. • .... .. • ............... • . Jobsite Address: 1/6 - 61■V yiJ-6-/s 07— :(iffke.i,sitInlii:::*E„...s.!T;::-1..:;:i:::.::•:::•.',... :-.:*:.::: •.' / Lot # ( 1 ..-.,..• • ,......,.. .:::::.• s ••,.:i.:ff.:i::.. ,;',.:,,ii,..44..:;k7::""...:.:..:.:•...,.:::::-::: i'• -: Subdivision: Oepit< Pi anCk/Re.0 # 7. . ... ...:.,.....s.:::::, .. ...E ::. Valuation: c ::..:... ::::•::::. :; :2 § $M Corner Lot? y 0 Reissue of Flag Lot? y Cr ' ..': • : '" .::.:::'......... ' .' ..81C,P-011°.. •••• - : ...: •••••••.-:•-:•.: - :••: . t : : : :: % :: • ::r : ::•::?•::::.i:: .:1 :::: • ':,:::::,-;;'1::":''•::::::::•• Owner: .--1ar k g Appro 1.1104,td .z.....::': ...:.::: :.:•::::.- :::: . . .. ...... ,........ Address: cd,h . • Plarining:':'.• .-:. : . ,..,.: ...::•..: „,:. . . :::::::::::::: • :••.::ErOilOrif.tt•:........:. • : •• ., : : :!::••:: . • :; : i :••••:• , ::.::::-...x•••-••.: , :::::.1:::-:'?:::: : : K. :'::::' . . i : : . i..... :. .• -?.. ''.:: ':-.:*•...... 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Contractor: •• • • •• •• •••• . • • • • • • ••••• ,. -.••• .:.:„.••••-.... .• :• „.:.:.....„•:.• , .. . . .........•.......:••• .••••• :,......,:,.....:,•„:„.•:::„....::•••••.,• ••••:•••••• ,,••••••••••••••••,-•••, Address ,':.:;:::eiiiiatilit**Its;';.,:.‘..':.:::: :':::.:..::::::::.:.::::•.:.:•: : : : ...: • ..:... : ....: :,:.: :::!::,...- • ..,: ..., . ,:.:::::::::.: • • , .:•:-.Trilds:Detaqs_ '..: • .:::: ::.,......::.... ..-•;•.. -...1.::::•;:j:.:,;::•.:.,.. -...:.:::::- ::;n.f. :: K. . :::::::::::'!,;::::::::::ii?:.,:..:::::::::::•;::::::.,.::::::".:E:::;7;:::::::::-;::••'!':?•:':::::..:...: Phone .!!:1:":Othe : .. • Contractor's License # ...:; , .,. ; ,..... • ....*.. . - - .-- - -... i.; : • - . • .-• (attach copy of current Oregon license) Contact Name & Phone: Subcontractors: Architect/Engineer: Plumbing: Address: Mechanical: (attach copy of current OR Contractor's License) Phone: JOB DESCRIPTION: 1 & I I _ < AI i ..h.,.,..,A.L., _,_ , - 1, I `• A/ -nt Signature & Phone number eceived by: Date Received: NAWORIACOMDEVViESAPP Permit # Account Description Amount Amt. Pd. Bal. Due /17 51 - 9V -- ry 3 gy ' Bldg. Permit (BUILD) .3 °sz rzi _ Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) / -q 3 if 3 Bldg: 1,9 3 Plumb: Mech: Plan Check (PLANCK) 02 7 G3 50 Bldg: P. D 3 Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF -C) Industrial TIF (TIF - Institutional TIF (TIF -IS) Office TIF (TIF -O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: c,446 6 ?