Permit - . .
C
F WARD . COMMUNITY DEVELOPMENT DEPARTMENT REOON i� u r t_D I i�1G. i"�E Rfr I T . .. ,‘ ., 13125 SW Hell Blvd. P.O._ Boot 23397, Tigard, Oregon 97223 (503)639 -4175 - P E R f I T . i1:. e ,.. . F1 U P 9 2 1Zk :3 3
. ' 639- 4171 , DATE ISSUED ° 1218./11/92
SITE ADDRESS.. 12130 SW SUNNE_R ST . • - PARCEL e 1.5134CB- 0I800
SUPD- IVISION,... n's SUMIYiER HILLS - PARW - . •, ZONING R -4e 5
- ..... . L_OT .. ........ e i .
REISSUE: ' • FLOOR AREAS--;','- - -.. - -_ ExTERI • WALL CONSTRUCT ION= ,
_ - =CLASS- -OF., WORK, e �?DD - -- ' FIRST... ° : - sf = • N: _ s Es------- '- -L! • -
TYPE OF .USE...' g SF - SECOND. -. . : . ' s f ' PROTECT - OPEN I NGS'' °-- . - - -__. __ -
_
TYPE OF - CON5•T. o 5N _ THIRD....: s f N o S o ' E: W:
OCCUPANCY GRP.-s TOTAL---- -_ -__s - -0, sf • ROOF CONST: FIRE RET ?: • '
. OccU1='AN Y LOAD , ' . BASEMEN!, T.., e , , sf • AREA' SEP. 'RATED: :
' 'STOf2.= :,1 . Fit:, - : 10 ft GARAGE...:280.. s OCCU SEP -. RATED: ' • - • '
BSNT? o MEZ:c ?.: - • REG?D SETBACKS- __ -__;_- ' REDO' RED - -
FLOOR LOAD... :4121 psf LEFT: ft RGHTs - . ft FIR SPKL ' SMOK DET..: -
DWELLING UNITS: - FRNT: ft'REAR: ft FIR ALRM: HNDICP ACC:
- BEDRNSo BATHS :. - I r +iP 'SURFACES i.% , - PRO CORR: PARKIN G
VALUE. $ : • 1 400 • • Reni�rr�k , :,. 282 -sq Ft deck - •
:Owner. - -
- -- - --- - - - -__ - FEES, - . '
_ -- f.ni- IK1_,'_ 11,i r4P` c;_ _ . . = - t y e -' - am - - =t�Y- - r_i ?t e - - -; r'-ec pt-..
12130 SW SUMMER - DR - . - - - . . PRMT $ 28 3L1-1,08 / 11001 92 23121382 ,
. - - PLCK $ 1.6e 25 . JLH Q18/ 10'1'92,230382 ,..
T IGARD -OR 97223 ." 5PCT 1.25 JLH +218/1121/92' ?5121 8'
• Phone #1: 624 -2788 - _ .
'2.0980 MC 'CORM ICK HILL ' - ' - '. ' ' -
1- HILLSBORO OA 97123 • - - _ _
Ph on e ; : 538-401.3 - <$ 42.50 TOTAL • Reif #R.. . • 59803- , •
. REQUIRED INSPECTIONS
This peroit is, issued subject to the' regulations contained in the Framing I n s p • _ .
Tigar•d.Aunicipal Code. State of Ore. Specialty. Codes and all other , Final , Ins,pect ion _
applicable lads,. i111 ;wank, will be done in accordance with ,
approved plans.- This peroit will expire' if wail is not started
within 180 days of issuance, or if waist( is ,suspended for mire_ - . _
than 186 days. - A
' P e -r•m i t t e e S i. g n a t l.i r•• a ,. ' -_ •- - -
Call for inspection -- 639 -4175 - •
, .
C ITY OF TIGAIRD 13125SwHaB PLNCK /RECT # 3 3 1 1'O Box 7ll3397 lvd. PERMIT # 13 P 92- U
COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Oregon 97223
(503) 639 -4171 DATE ISSUED
JOB ADDRESS: 1;),\ 3U CL ' �v w. wv,. S TAX MAP /LOT /6/ 31 C B - 0 (S0 0
SUB: 6timmev iji %/ Par "C LOT: 2-/ LAND USE:
VALUATION: 1 /yU0
OWNER SPECIAL NOTES
NAME: 17(>■ (+:3c5, REISSUE OF:
ADDRESS: la k.30 S ) S u w, S r LAST REISSUE:
FLOOD PLAIN/
PHONE: (r=,�cl � -) C& SENSITIVE LAND:
CONTRACTOR (iii/ APPROVALS REQUIRED
NAME: `� i i►S PLANNING: 0/4" ��
ADDRESS: 2-O' kcre, hi ;" ENGINEERING:
l Skcor o Cae FIRE DEPT:
PHONE: S3&- 4 013 OTHER: 600 74e Nee-
,
CONTR. BOARD #: EXP DATE: S - 9 13
5 ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX:
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: / 2-D '..e/,�
')!;
APPLICANT SIGNATURE
Received By: Date Received: 4P---,,C2-9.2_.
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
Ap92.0233 10 -432 00r Building Permit Fees
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) /•LC
Building /• Z
Plumbing
Mechanical
10 -433 00 Plans Check Fee ' / zS
Building /6.z5
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
L/2" .5 O
nm /3587P.WPF
1 1l3a • Uw, , P
IJe 1-
2.0 O \ Rea v-
c :, 6-0 R e
•
LIABILITY: I L_ The City of Tigard, Oregon, Pr
employees, shall not be responsible for
discrepancys which may appear hereon: ..
APPROVED FOR CONSTRUCTION:. I
CITY OF TIGARD
PERMIT NO$Pil -023 SITE ADDRESS b2:3.v'St✓ 5q44,# Sat
BY ?'r DATE F- 9z_
•
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: d _
Footing Plbg. Underelab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing 4111,
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: /2- /0 Time: X AM PM
,c/ 2_ -
.� (3 wP Z-�3
Address: _ 13 0 _- /iG/L_ -1 4 C Permit #: b -
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
6
(-
inspector V L Z. Date: -'/ -- /2
APPROVE D DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.