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DRAWING IS LESS CLEAR THAN
THIS NOTICE;-IT IS DUE TO
THE -QUALITY OF THE ORIGINAL
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9840 S.W. olMara Street
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iN6p.cr o _.Zir�I�
City of Tigard Bni1dL'ig Deparlonnt
1.3125 BN Hall Blvd. Tigard, Oregon 977.23
Inspectior Line (Rec-o-Phore): 639-4)75 Business Phone: 639-4171
Inspection: ------
Footing Plbg. Unda.■iab Mech. Rough-in Appr/PAwlk
Found. Plbg. Top Olt Can Line FSAALt
Poet/p"rm St •uct, San. Sewer Frpming '
Post/Beam Mecl,. Rain Drain
Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
-Hoch.
_Time AM _PM
Oates Requested- --- -- n
Permit #: Pt,
Address• — '-
Builder:
THE FOLLOWING CORRECTIONS ARE RSQUIRED:
I
i
Dnte:�_9-��
Inspector: _
APPROVED DISAPPROVED APPROVED SUBJECT TO '+BOVE
gall For Reinsp.
CRYOFTIOARD
GiYOFTWAW BUILDING PERMIT
COMMUN"N DEVELOPMENT DEPARTMENT oReooa PE RM IT #. . „ . . . ,. DUP91 02'0 1
13125 SW Hail Blvd. P.O.Box 23397,Tiqud,Oregon 97223(15W)&1%,4175
639-4171 DATE ISSUED: 08/12/91
II1'I.. ADDREGS. . . : 1270840 SW 01 MARA ':31 F='(�RCEL.: 2S102CD k�2'r r71c)
SUBDIVISION. . . . : TWALITY HILL ZONING: R•--4. c;
BI-OCK. . . . . . . . . . .. L.OT. . . . . . . . . . . . . .
REISSUE: FLOOR 4AREAS---------- -- EXTERIOR WALL CONSTRUCTION
CLASS OF WORT',. :NEW FIRST. . . . - 196 s f N: 13: E: W:
TYPE OF USE. . . -ACS SECOND. . . : sf PROTECT OPENINGS?--.-------._-
1YPE OF CONST. :5N THIRD. . . . : sf N: S: F: W:
t.1:CUPANEY GRE,. -R3 TOTAL-------- 196_ S f ROOF CONST: FIRE PET ):
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
STOP. : 1 HT. - 10 Ft GARAGE. . . : 5f OCCU SI F'. RATED:
LAswr' : MEZZ? : REDD SETBACKS_--._------- REQUI
F"LOOP LOAD. . . . : ps f LEFT: Ft RGHT:5 ft FIR SPKL: 5MOK Df_`T. . :
DWLL-L I NG UNITS: F RNT: `'t REAR:5 ft FIR AL RM: HND I CP PCC.
BE DRIAS: BATHS: IMF, SURFACE: F'RO CORR: PARKING:
VOLUE. $ : 1500
F?emarl{s : storage Shed replacing old shed
014ner. FEES
WILLIAM WILSON JR type amol.int by date recpt
9840 SW 0' MARA ST PRMT f 25. 00 JL H @8/09/91 216214
PLCK $ 16. 25 JLH 08/09/91 2162:14
TIGARD OR 972:24 5PCT $ 1. 25 JI_.H 0A/09i91 '16214
Phone #: 598-0972
Contractor:
OWNER
--------------------------
I 'hone #e t 42 50 TOTAL
FZP.9 #. : --
_______._.. REQUIRED INc_PECTIONS - ---This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other F inaI InSpect i nn �—
applicable lar,;. All Mork will be done in accordance with
approyed plans. This permit will expire if work is not started
witnin 180 days of issuance, or if work is suspended for more
tnan 180 dans. -- — —
i =s1_led By :
Call for inspection - 639-4175
w w Iff
13125 SW Hall Dlv& PLNCK/RECT # v2 CITY O TI GARD 1'O Box 27397 PERMIT # _&F it-
COMM[1NI11'DI;VI?LOI'MF,N'f DEPARTMENT 7igard,Orcgon97M — —
(503)619-4171 DATE ISSUED
-JOB ADDRESS• -� Lei J�'1- �;-> �_ �,- TAX MAP/LOT a�)--2eb- .%0-1 j
SUB: r Y' LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTEr'
NAME:
J .� REISSUE OF:
( � ll�k-.r�- � ! f�� ���
ADDRESS: L�' ��� (� 1'� 1 LAST REISSUE:
- - fir --- ---
FLOOD PLAIN/
NI")NE: Z—Al SENSITIVE LAND:
CONTRACTOR APPROVALS REgUIRED,
NAME: JZ Lgjjj_ :�� LANNING: (916_ /� "�
ADDRESS: ENGINEERING: _
FIRE DEPT:
PHONE: _ OTHER: --
CONTR. BOARD #: _ EXP DATE:
ITEMSREQUIRED
SUBCONTRACTORS: PLUMB: W LIST/SUBCONTRACTORS:
MECH: _ _ BUS TAX: --
ARLH/ENGINEER CALCUL.ATIONS: —___—__
NAME: _ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE: _
PROPOSED BLDG. USE:
COMMENTS: IGS' �� T �l/� I s L/XA;5� j142 pt
crvl�-
APPLICANCT SIGNATURE
Received By: Date Received:
PERMIT # ACCT N DESCRIPTION AMOUNT AM09NT PD. BAL. 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 4
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 T^'ustrial 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
(SSC►C) __-
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantify (Fee in lieu of)
TOTAL _ = ,. L� • �l-1 �-f
nm/3587P.WPF
CITY OF TIGARD -- RECEIP,"r OF PAYMENT RECEIPT NO. t)1 62.1
CHECK AMOUNT 42. 550
N 0 M W11-SON, V I Ll.I AM CASH AMOUNT' ti 0. 00
9840 SW OMARA PAYMENT DATF. c 08/09 191
T IGn-PD, 13 P 1)7 22 3- SUBDIVISION
PURPOSF OF PAYMENT nMO►.INT Pt-.,I D PURPOSE OF PAYMENT AMOUNT PA I t)
BUILDING PERM 25. LAO PLAN CHECK FE 16. P-5
AU11-0 PFR 1. 25
TIOTAL. AMOUNT PAID 4c.l. 50
s Iwr ■r
Transamerica -')KETCF, OF PROPERTY SE OUT IN ATTACHED ORDER
To assist in locating the premises. It i.t not based on a survey, and tt a company
IIII 'Assumes no liability for variations if any, in dimensions and location.
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s r. 4000
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