11665 SW 72ND AVENUE i
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C11Y®F TIGA RD
TWRD) BUILDING PIERMI'r
COMMUNITY DEVELOPMENT DEPARTMENT 011100N ERMI #. . . . . . . : BUP915
1F.1-011
13125 SW HWI Blvd. P.O.Box 23397,T4pM,Oregon 97223(503)&V4175 7/ T
L,34-41 /1 .1 S S Lj L U: 04/30/92
SITE ADDRESS. 11665 SW *72NE, AV PARCUL: I5136DC-006110
SUBDIVISION. . . . : ZONING: C-0
EILOCK. . . . . . .. . . . : LOT. . . . . . . . . . . . . .
----------
RE::I SSUE: FLOOR AREAS EXTERIOR WPLI CON'b FRUCTI ON
CLASS OF WORK. :DErv1 F I RST. . . . s N: S. E: W:
TYPE OF USE., . . ;Sr- C3ECOND. . . rf PROTECT OPENING5?---------
TYPE OF CONST. :5N THIRD. . . . Sf N: S: E; W:
OCCUPANCY GRP. : R3 TOTAL-------: 0 ,f ROOF CONST; FIRE RET .,
OCCUPANCY LOAD: BASEMENT. s sf AREA SEP. RATED:
GTOR. : HT. : f t GARAGE. . . : Sf OCCU SEP. RATED,
BSM-( '): MEZZ? : REOD SETBACKS----------- REQU I RED---------------------
FLOOR LOAD. . . . ps f LEFT': I RGH1 ft F I R 7)PK L -.3 m o K DET.
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDPMS: BATHS: IMP SURFACE: PRO CORR: PARK I NG-
VALUE. $ : 0
Remarks : Demolish existing SFD. All debris to be removed. Pump and fill seoti (
or- cap sewer. Insp. reql..tired for filled septic tank or capped sewer.
Owner: FEES
STANLLY GEORGE (W COAST GPOCE'RS REP. ) type amoj.tnt by date recpt
10910 SW 79TH PVE PRMT $ 25. 00 JLH 04/30/92
e'J'PCT fi, 1. 25 JLH 04/30/92
-rIGARD OR 97,11;--3
P"hone 0. 624-8901
Contractor; --
EMMERT INTERNATIONAL
Ii l 1 CE HWY C212
CLACKAMAS OR 97015 ------------------------------------
Phone #: 6"J5 I 11)1 26. 25 TOTAL
Reg #. . .- 00805
REOUIRED INSPECTIONS
This permit is issued subliect to the regulations contained in the P'.Amp/F i 11 Sept is
Tigard Municipal Code, State of Ovp. Soecialty Codes and all other Final InsF)ec:ticvn
applicable laws. All work will be done in accordance with ........
approved plans. This opreit will expire if work is not started
,mithip IN days of issuance, or if work is suspended for more
than 180 days.
Permittee
By - ........
Call for ins.opetion 639-4175