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Permit
C11YOF TIGA BUILDING PERMIT CRYOFWARD PERMIT # ° BUP881745 COMMUNITY DEVELOPMENT DEPARTMENT ° 111494 " PRIM. F•'ERMIT O.: 881745 13125 Svv Hell elvd. P.O. Bar 23397, Tigard, Oregon 97223 (r -A 7 i DATE ISSUED: 03/09/90 SITE ADDRESS...: 1.2'90.1 SW WALNUT ST PARCEL: 2S1 4AD- 3400 SUBDIVISION ° /2-1-14" ZONING: BLOCK ° LOT REISSUE :BUP FLOOR AREAS -- EXTERIOR WALL CONSTRUCTION - CLASS OF WORK. :NEW FIRST 1629 sf N: S: E: W: TYPE OF USE... :SF SECOND...: 1162 sf PROTECT OPENINGS? - - -- TYPE OF CONST. :SN THIRD ° sf N: S: E: W: OCCUPANCY GRP. :R3 TOTAL------: sf ROOF CONST :C FIRE RET ?: OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED: STOR.: 2 HT.: 22 ft GARAGE...: 286 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED - - - -- FLOOR LOAD ° 40 psf LEFT :15 ft RGHT :36 ft FIR SPKL: SMOK DE:T.. :Y DWELLING UNITS: 1 FRNT :34 ft REAR: ft FIR ALRM: HNDICP ACC: BEDRMS: 5 BATHS: 4 IMP SURFACE: PRO CORR: PARKING: VALUE.$: 142542 Remarks: need contractor number Owner: - - - - - -- - - - -_ ----- - - - - -- -- FEES - - - - -- - - - - -- BRIAN LEWIS type amount by date recpt 12902 SW WALNUT ST PRMT $ 540.50 MAN / / PLCK $ 351.33 MAN / / TIGARD OR 97223 -0000 5PCT $ 27.03 MAN / / Phone #: 503-684-6841 PAYM $ 100.00 MAN / / SSDC $ 250.00 MAN / / Contractor: -- -- STDC $ 600.00 MAN / / CONTRACTOR NOT ON FILE PDCF $ 250.00 MAN / / PAYM $ 1918.86 JLH 04/18/90 Phone #: $ 2018.86 TOTAL Reg #..: - - REQUIRED INSPECTIONS ---- -• - - -• This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other _ 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: _ Issued By: Call for inspection •- 639 -4175 'I i t,,// C OF Cait,cff,:c..Ra....._„,,....}...A. PLAN CHEC K APPLICAT ION _ GA R COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK # - S 7 R I3' 25 SW Han Blvd. P.O. Boot 23397, rid, Oregon 97'223 (503) 639-4175 PERMIT # �ij 9; I t ¢s / y�z l uJ a. i DATE ISSUED JOB ADDRESS: 1 - S l/ d � (A f TAX MAP /LOT AS /- 118 35/0 v SUB: LOT: 2 SS I LI IA t) ' LAND USE: VALUATION: /i/ Sy L OWNER SPECIAL NOTES NAME: ' - Br`I P N 5 C F12 IS )� I C L C LkU 1 S REISSUE OF: ADDRESS: q ©� ; ) ) (,LJ O k)0( LAST REISSUE: ` ' - FLOOD PLAIN/ SENSITIVE LAND: PHONE: : - .11111Ne . rAn !r!Z!_-ll® CONTRACTOR 225 - s/6 APPROVALS REQUIRED NAME: 0 'Jd N �AN / /� �x� U� � ING EERING: ADDRESS: FIRE DEPT OTHER: PHONE: ITEMS REQUIRED ARCH /ENGINEER LIST /SUBCONTRACTORS: BUS TAX: NAME: A fl '1r)11 � ' pp ) 'e I o CALCULATIONS: ADDRESS: e)&y (,)-0 TRUSS DETAILS: 171 GI /1 - 7((I 1 -k (N PARKING PLAN: . LANDSCAPE PLAN: PHONE: •© — 6p43--C-5--2 OTHER: COMMENTS: .g 1p NO 153u e. u) ■. 4-ft VC( n In ■ n el / )pr j "u a l 1? . , _ _ — r�r� �s'1� " I f 4 \ ,4 ,1 , .PA €. i ! - -- PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 88/7E0 10 -432 00 Building Permit Fees 5 ...57/U• So e ioios' 10-431 00 Plumbing Permit Fees .o) /70,",o R90/0? 10 -431 01 Mechanical Permit Fees 6... .0 a ,{lfj'au 10 -230 01 State Building Tax (5%) ],9 ,3 37. 93 Building 7,U 3 Plumbing S O Mech a (1 4) 10-433 00 Plans Check Fee 363 33 / Op &3.33 Building - 5 S /. 3 3 Plumbing ��0� (� Mech /9-0 c /, J 30 -202 00 Sewer Connection _ 30 -444 00 Sewer Inspection _as 3i - 51 -448 00 Street System Dev Charge (SDC) OG 6.&() _ 52 -449 01 Parks I System Dev Charge (PDC) a S v , ,-,1-5 52 -449 02 Parks II System Dev Charge (PDC) t i- 31 -450 00 Storm Drainage Syst Dev Chrg (SSDC) 4 cVSO - 10 -230 09 TRFD \ 10 -230 06 Washington County Fire #1 (95%) 10 -220 00 Amart /Wedgewood -'1 4.0k TOTAL Wit s /!) <)• -X , /o L REC # /OD / /? A LICANT SIGNATURE i"` Received By: cl /kStC) Date Received: d IA 30 /S' F' 1 ht/3587P/18P T/ C " /rr Ti o rl/ `� a �� .9-2 L ,.... , i ..." �vER_ CITY OF TIGARD BUILDING INSPECTION NOTICE iospet;tion Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Mech. Rough -in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough -in QUO Post/Beam Mech. San. Sewer Gas Line -:Idg. Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: V�ZZ /n Time: AM PM Address: `2� b 2 `-7 AV 1/∎3 2- 0 Q 1 Builder: P: b t \ - 14 / THE FOLLOWING CORRECTIONS ARE REQUIRED: �c‘-fr V Yfr: I, /, 1' cJ ...whil ■ NI •V . I Insp Date: 1 7/ 4 1 S PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ( ---- a o _Call For Reinsp.