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Permit c ITY , O T I /4RD MRSTER PERM IT '' _ - e • - - COMMUNITY' DEVELOPMENT DEPARTMENT " DC,TE "•ISSUED': , 0 / :.:1, 9 /9 13125'SW "Hall 'Blvd. Tigard „Oregon 07223.8199 ' (503) 830 -4171 ”- J I' EXPIRED PARCEL : a s i l.�l4Ct t0 ,6t� ; • S f= DI}RESS.:.. 13674 SW WHITE CEDAR iI_ _ SUBDIVISIONS . , . i1I[_LSHIRE ESTATES . - - ZONING R =7_ ,PD . • __-- --- . - - - --- - . - -- E�UiLDING __. � - - , - - : R E > - DWELLING UN I TS : 0 - BASEMENT , .,. a . • :0 „. • 4f h , ' CL ASS OFD WOPK.: P'::W : • BEDRMS: 2t BATHS: 2' - ' ' GARAGE e . ... • : - ' ` ' 's f - ■ ' • ',TYPE OF 'U SE, . , :'SF FLOOR'- AREAS . - - - -- . REDU I SET L31-,CKS,:.'• --.••_ - -_. • ' ' : TYPE, OF CONST. 45N FIRST— .. :0 ' s f LEFT. •. •:0. f t R I GHTa 0 , ft ” . . ; OCCUPANCY: t;P.P.: - - SECOND. .. .20 ' sf, FRONT. :�21 ft " FEAR.. - ft ' :STORIES: . ... :,0 ' • ' F I NBsI' EN :0 ' • s f : REQU I RED -;---:- . HEIGHT. . ... .., . 0 ft TOTAL- -__- - - -- s 0 s f _ 'SMOKE DETECTORS. ' , ` FLOOR LOAD— .. :0 p'sf VALUE..... $: 20000 ' PARKING - SPACES. .' :,0 - , ' ' - . , ' Re'n-af^ks: _: INS ALL INCi -_ SW INNING POOL.. THIS PERM I T ;TS FOR P -OCIL AND, GAS HEATER ONNfi -. , - -. S I NKS n . „ ..: 0 FLOOR DRAINS.... :0 BPPCKFLOW T~'REVNTRSa •d' a 0.. , - r.a '9_:AVATORIES.. o .. :''0' . WATER HEATERS— :0 • - TRAPS- ....... .. 1. y!?►'' ' UB /SHOWERS. -... a0 LAUNDRY TRAYS. ...:0 CATCH BAST iwfS.,...'. e •.:!Z► • - WATER ,CLOSETS. . , :O SEWER LINE (ft)'.' : 0 ' - GREASE' TRAPS_ .. : 0 DISHWASHERS. — :0 WATER LINE ( ft :,-. : 0. OTHER - FIX- TURES... . a " , GARY..-AGE DI SP. ...0l PAIN DRAIN (ft). :U . Wf SJ- 1.I'l'G MACH... - 0 SF RA,IN ' DRAINS..:0 ' _.�,__ _�,�:,_'',_ - -.__ MECHANICAL.-- . -, - - -.- - -- •- •-- ,- .� _:.° __- ��.- '_ . „. ' i - . - _._,__- - -: UEL TYPES' - - - -- , UNIT HTRS.. € 0 -, ' type iit_tn aot ,by- a e r. „_ _ p 't - /-GAS/ , / . ' - -/ , VENTS t .... BPRT 4 1'40. 50 JSD .09/1''9/0.5 957-270705' . • MAX I NFU. T_o[l-' :BTU' VENT FANS.. :122 ' BPLC •$ ' 91. 33 ....MD ' 09/19:'9 5 ,95• -a71 7705 • - -FURN ( 100r- . : HOODS.. - . :0 B5 ,C 4. . 7..1213 JSD 09/:19/95' 95-270705-:' • FURN ) -100Ky,:.: 1 WOOD` i•OVEz::. t 0' MPRT $ ' 25,. 00 ..,T D 09/19/95 95-270705, • , . , : FLOOR FURN— :1' CLO DRYERS'.. 0 _ M5PC • $ 1.:_5` JSD '09 /19/9•5.- 95 a70 7 05 • BOIL, /CMP. ( 3HP :0 , OTHER UN I TS : 0 ERGS $: ,_c TJG ;in /1,,y.` V4.95-2707105” -1 ' - ' GAS OUTLETS 1 ERPC t • • 8. • 45 -JSD 09'4.9/95 95- 270705 ' ,- ,ti - r . 4 6 c ? 5 - 7 z c tat�n er� __ -_� _ _ - •- - -- - - - ERPC c1 :JaI)' 4'l9'/ !.'3 f. f r ,_ r 1c.17o r . - SAM AND JUDY , COPE - . . . . 1 .';6 74 IN ' �sq *t I'i E 'CEUA - .. ” " . - TIGA'RD 'i.; R 97224 '- ° 7 - - #.., 5247.0679 -_ - - - - - - -_ : - .- - • Cont'r�act pr ._,_: - , ' : NEPTUNE SWIMMING, POOL CO 1 3785' SE. AMBLER RD • • ; • C1_A0F'AMG-1S OR 9701.5-0000 Phbne # 5O3• -659- 1,3.:,5 - ., ; Rag „ff.. 1l'11E;10' ' - '- • - - -.- ,_,_.- - -. _ _._. _�:_ • • ; . ' -,. S0 01 TOTtaL ' ,.. - ,. „- This_'pe� s is'eued,: subject to the r in the- ' ---',7;=-,' G?U - - - -- REM R INSPE.CT'IONS, - - - - - ' ': •Tigai'� �9uni_ipal,;Code1 State'of Sp!cialty, Codes and all; acnex Ft1Dt�i.n_g 'In - ; ' , . . • • '- - •' ' • applicable laws. Al work W'iti be done :,t 'at__rrdait_e with approved , G t Line in`sp _ •` plans. This per 'pii wil1 e4 -ire if work is rot.' tarted•withia i80 B'_tii Fina_1, _ q days of :E Or , Sunrce, if i,s •st :spe :,for, nose : thai, 1 - days: Ero -s -i -i}n. Cont - o_1 ' P Lev , , .. -' , -- - ' C •1 1 f'o'r7 inspect -ion -- '�•S9-- 75' • - • Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 ��A N Q1 (503) 639 -4171 Jobsite Address: /367Y S W ! WHrr& (2, a Subdivision: 1 .) �5 6� f� 7 Lot # Office Use Only 11 Valuation: vZ> , '2O Contact Date I / Initials Result New Construction Only: (Square Footage) p Planck/Rec # House: Garage: / /r/ l eb Permit # r?►5t�/� �G� j e/7 � �SA� Reissue of Map &TL #. V$It -(C 0-- ci 6C6 c° Corner Lot? Y N Flag Lot? Y N Zone Owner: 5AM if fuDi Cafe Plat # Address: Jo 43S/74' Approvals Required Planning Setbacks Solar Engineering Phone: (SQ3 ) 5 2 y 71 Other ���� J Items Required • ,•ntractor: � Vo i ch— (✓ p , c�l,Wusnar"+ iI co U Iu Address: ✓ J/v�, 78.E s l� I`- j Subcontractors Truss Details ( (//J �1`�/i-1 0 , '70/5— Other ��•• Notes rticti `lb - r .47q-etio I tv iA Phone: (3) h5- /335 Contractor's License # /6/0 111; ;1 frr (attach copy of current Oregon license) l h lcrr I /ncz.s/ ,+ �� r. r` �i�- • ��c�Q �- Contact Name: 'q;C'/ ��" /7�'t,+ J 4 Contact Phone: ( Subcontractors: Architect/Engineer: Plumbing: Address: Mechanical: (attach copy of curre t OR Contractor's License) 0 ici.e Phone: ( JOB D SCR4ION: $ P1p1)A 7 9L /l Mt 675 mitre- 6-9 3 3 Applic nt Sign Applicant Phone number Received by: 0111 Date Received: Cf is-(eis Vmloa ogtsVeaaop Permit # Account Description Amount Amt. Pd. Bal. Due r l/ i- o 3 c. Bldg. Permit (BUILD) /90. i-7) / V Q �U Plumb. Permit (PLUMB) Mech. Permit (MECH) C �j t "` J Sd/� State Tax (TAX) , Z D , D ' Z6 Bldg: '7- d 3 Plumb: Mech: Plan Check (PLANCK) q1.33 9433, Bldg: 9/• ,3 3 Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF-C) Industrial TIF (TIF-I) Institutional TIF (TIF -IS) Office TIF (TIF -0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrt Permit (ERPRMT) ,,2 �o, �✓� - �— 1 1 "v Erosion Planck/USA (ERPLAN) .. V , / Erosion Planck/COT (EROSN) v J TOTALS: 36D. 0/ 3Uiff U — • ix)