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CITYOF TIGARD ../
Cny TMRD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT Oftsm
13125 SW HWI Blvd. P.O.Box 23397,TlpM,Ormpn 97223(603183rD-4176
4.. L)FItE ISSOEM: 7471.30197,
`iil'E ADDREG73. . . .- 13643 15W BENCHVIEW PL PIARrf.-I— 2G104DC--01A00
BENCHVIEW ESTATES ZONJNG: R-4. 5
PLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . . 18
PE I SSUE: FLOOR AREA- EXTERIOR WALL iTRUCTION
('LASS
LASS OF WORK. .ALT FIRST. . . . .-OOOO Sf N: , S, E: WS
I YPE OF USE. . . :SF SECOND. . . :0000 s-F PROTECT
IYPE OF CONST. :5N rHIRD. . . . :0000 5f N: S: Et We
OCCUPANCY GRP'. - R'-" 0 r F ROOF CONST: FIRE RFT'' :
OC CUPAr-rY LOAD: BASEMENT. , s AREA SEP. RATED
,.*FOR. :i i Hl. . 30 f t GAFAGE. :0000 s f OCCU SEP. RATED-
13BMT?i MEZZ" : RELID SLT RLUIJI
I-*'L-OC)R LOAD. . . . : 40 psf LF-'FT:00 ft RGHT:00 ft FIR SPKL: SMOK I.N.-I" ,
DWELLI'4G UNITS- I FRNT:00 ft REAR:00 ft FIR ALRMs HNDICP ACC:
PEDRMS:0 DO THS:0 IMP, SUPPOCE: PRO CORR: P"ARKING).
VHLUE. $ i 1000
RqmiAv,ks , REPLPCING WINDOW NEW j,)nop
Ownev,: FEES
i:-L) MUELLER ypp amo!jnt by date r,ec:pt
13643 SW HENUHVIEW LL PRMT $ E5. 00 JLH 07/29/9;L 229976
PLCK $ 16. 25 JLH 07/2:9/92 229976
[C?PPD OR 972E3 J . J'S JLH 01/29/9il' 976
lotle #:
contr-actor—
OLWEN CONST. INC
1 ,3472 SW 1-71H
P�AVE.R'FON OR 97005
Vhone 646-5736 $ 42. 550 TOTAL
77985
REUUIRLL) lNSPFC'r1()NS
:r1is pervit is issued sub)ect to the regulation! contained in the Vraminq Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Inso.tlat, ion Irit;p
applicable laws. All work will be dont in accordancp with Gyp Board Insp
approved plans. This pervit will expire if work is not started Fitial Inspection
within 188 d!vs of issuance, or if work is suspended for erre
than IN days.
f-,Pl-mjttee
1 -si-ted By .
Call for inspect ian 639-4175
r GARD
u�u Sw 11au owd. PLNCK/RECT( IZ Y O rI ���;L,J97 /1
1'(iMM11Nl'll' 1)1'VI;LO1'�11sNT 1)ETARTMEINT Tigard.Oregon9rV3
PERMIT #
(503)6'L'"1 DATE ISSUED
JOB ADDRESS: /31 .3 5 �" ��'/✓F'`` ��i�ly �/ _ TAX MAP/LOT
SUB:we,4) - 2C� LOT: — LAND USE:
VALUATION:
OWNER SPF_CIAL NOTES
NAME: / � �u� �� v�' Q.�/ _ _ REISSUE OF: —
ADDRESS: ---,�Mpe LAST REISSUE:
FLOOD PLAIN/
PHONESENSITIVE LAND:
CONTRACTOR_ �f APPROVALS REQUIRED
NAME: — E� ✓ PLANNING: .
ADDRESS: -2 /2 — ENGINEERING:
FIRE DEPT: --
PHONE: _ —7 --- — OTHER:
CONTR. BOARD #: 77� 5� EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: — LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: --- _-- OTHER: _---
PHONE: ca
PROPOSED BLDG.AWE: _
COMMENTS: ellxCSP
107
APPLICANT SIG ATUREt — —
Received By: ' __ __ ___ D3te Received: 10,7
PFRMII N ACCT a DESCRIPTION AMOUNT AMOUNT PD. DAI.. WE
10--432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building 'rax (5%) /1 4
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 Inspectionw-
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIE 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
11m/358I11.W11E
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
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