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: I Y• 'OF T LGARD RH T it .. e ° . S. - NS P 9 =t f, ,- ' ' . COMMUNITY DEVELOPMENT DEPARTMENT - 13125•SW Ha11 Tigard, Oregon 9722368199 , (503) :839.41171' 1 ,DATE :ISSUED: +Z15 / i-'20 /' sit E (WD EbS. ., . 111.01 SW 78Th AVE • PARCEL: 1 Ci, - SUBDIVI : SroN ° • ' . - . ZONING: R - 5 '- . , BLOCK 6 LOT :- REISSUE 4 . , ' • FLOOR ' AR E AS•-• -' , --- • EXTERIOR WALL CONSTRUCtION- - ; CLASS -.OF', WORE. :ALT - . _ FIRST °' sf - N: 3 :.. ,E: , b,b.s: . TYPE CIF 'USE. . R s SF . SECOidD.:... ; - 5 f . PROTECT . OPEN I NGS'?°'---- ,. -TYPE QF' GOks 5N-' :iEV : • . THIRD , - -' :' • sf N: . 5: E: ' • - W: , ' OCCUPANCY t3RP. : R..3'' : • , ' - TGi"AL ,9` 0 s f • ROOF COAST, - r I RE. -HET? : , • OCCUPANCY LOAD-: EASEMENT °' a , s f AREA SEP. ,RATED : t • 5" Si ORo• :1 ' I IT ' :ft' • - GARAGE— ...a . , sf - • OCCU •SEPW'', RATEOo , ' .' .• BSMT? : ME.?Z ?: REOD SETBACKS-------;--- - • RE,Qu'IRE•D- : -� - -- - -- --- _.,_-- - - - -.- •, FLOOR • •L'OA_ D° °',; ps'f` LEFT: ft RGH i : ft • FIR `' 5PKl�.'e •t.' .. SMOR DE e . : DWELLING UNITS', : :' FRNT:.' ft - :REAR: ft FIR ALRM: HNDICP ACC: • 8ED'Ri S :: BATHS.: ' . IMP SURFACE : ' ' PRO • CORR ::' ' „PARK NG a ' - ., - • • LU AE,: , f 400 " • • , r . , •• ',Re' s : ENCLOSE ' GARAGE DOOR OPENING,: 'ADD WINDOW '.' • y ,, . ,, - ' ,•O WP eri • --- -.-- -L _- -_ -. -_ -- ..n._- , ---- ..-.r. -- FEES • ' '- _ 1 • _ L • _ OAu VCGT _ type amount by. date . ,•r�ecpt , 11 - - 00 - SGi' - RVE - -- • _ - - • F'la T --- - ' - '=_5. 11Q@ - JIB" - G5 /i1Ur93 - -• = -- - -- i • .2 PLCK $ _ 16.25 JH 05/20/93 - • •.' -' . T' i.0 A RD ' OH • 9 72'2;3 -=.1 bob_ 5PC T' $ • ' : 1.,25► , JH • 05/ - • _' Phone , #' . Ccn - - -' - -- - ' -- = • OWNER : . , • • . ' • . . ' ' Phone,• #: . '. .. .Z' 42.58 TONAL ,'. 'R'a,tg 4.. , 00 @oo . • - -• -. -- -- REG!IJ I RED • • INSPECTIONS ' i'his• oernit ii , i s sued subject to the regulations contained in'the Framing I n s p _ ''° Tigard iiuriicipal Code, State of �Ore.'Specialty Codes, and ail' other ' Insu.i,at ion Insp ° -_ t applicable laws. All work will be done; in' accordance with ,. Gyp • Board. •insp• ; :'•,. ': _ _ ' ' �` a pproved plans.., This 'per•=oet :a:ill "expire if i,1ork is not' starteo F • ' i•na:1 In.spect - ' . _ „ . within 160 dais of issuance,• if work is suspended for more • , , , ' : than 180 days.' • . , • , `' . ,,, Perhit ,Signature ."'1` _e• - - ---.- '. . ;,.• - . . ' -,Call for inspection -• 639=4,175 �- . . CITY T 13125 SW Hsu Bl PLNCK/RECT # COMMUNITY DEVELOPMENT DEPARTMENT Orc 97223 PERMIT # r, (503) 639 -4171 DATE ISSUED JOB ADDRESS: (t 0 O S cAO � (- $ Ut.(L TAX MAP /LOT SUB: LOT: LAND USE: VALUATION: # • OWNER SPECIAL NOTES NAME: q-cA TY \/OC2 r REISSUE OF: ADDRESS: t 1 ba Sc-0 r ] ` La-e LAST REISSUE: -- 71(1 1 2 Ptir4-0 ,(:)a 9 r( 2.23 -21 ((o FLOOD PLAIN/ PHONE: c.c39 - b� SZ{-- SENSITIVE LAND: CONTRACTOR t APPROVALS REQUIRED NAME: 5.1c_ PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: • CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS: MECH: • BUS TAX: • - ARCH /ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: • OTHER: • PHONE: PROPOSED BLDG. USE: E .Qi OSQ O A-t2 Pres DooR o kt N (7,--' o 0 -0 pk -e e& v.-, Stir � COMMENTS: - - . L 1 v.D LA.) ' • LA-Nn--a /00 APPL CANT SIGNATURE Received By: Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAIT. 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 0ev Charge (PDC) 31 -450 00 Storm Drainage Syst 0ev 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 R./ City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Plbg. Underelab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line Poet /Beam Struct. San. Sewer Framing Poet /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: b - Z1.0 - 13 Timm /— AM PM Address:,! I O - 71:1 - r - PefmiC #:93 X13 Builder: -SSSY THE FOLLOWING CORRECTIONS ARE REQUIRED: k \. (rrjf � C R mil, x_. r.J o r d l am► l /-\ 1 ■- - e "P( C.c.f.r fie_ a- -e. A, N 2_ \ ■ S \ - z`: k • (Coac.,e___--L-,,..z._ _ „\ Inspector: (! Date: V 2 4 ` J APPROVED DISAPPROVED /APPROVED SUBJECT TO ABOVE `P Call For Reinep. , • •• ; ' „ „ . , ' • . . ,' • , 1,;`,'“,•.. .. .. .. •:;:';':•;•;•:::•, . ■ .. :::;;•:::•;', • % • • •••■••,:::•:.•:• :" • ••••••••■•••11,-;..." "'•• , .. . ,.` , • • •• • . • . .' , •• • ffi 's••••••••, , .... ••••••••••,...,,,• • \ . ;:•:*:'•• ..... ;‘,.;".." • ......;;; :' ••••• . . •.,•• . • . . , •• 10%•■•:.% ..."••••••,‘•• . . \"'",,,, ......... ""•`\•,•••■ ..... ''' ' '''' '''' :•::,.... . 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