11945 SW 72ND AVENUE •
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COMMUNITY DEVELOPMENT UEPARTMENT rA114" �
13125SWHW1Bled. P.0.Baa 233Q7,TigaM,0r"w 97213 (IMAd"4A7 I DATE ISSUED: 12/ 1&/91
SITE ADDRESS. . . : 11945 SW 74-I\IE, (4 V PA,"RCFL,. 15136DC-0:, '0
SURD I V IS ION. . . . . ZONING: C--G PD
PLOCK. . . . . . . .. . . : LOT. . . . . . . . . . . . , .
------------------------------
REISSUE: FLOOR EXTERIOR 14,,),LL CONSTRU(UTJ0N--
LLASS OF WORK. :DEOI F I PST. . . . : 5f N: S.- E: W:
TYPE OF USE. . . :SF SECOND. . . : i, f 1--lPf-TECT OPE=NINGS"'_____....____
TYPE OF CONST. :SN THIRD. . , . : s+ NI: S: E: W:
OCCUPANCY GR1 R3 TOTAL .—: 0 s f R C'j F CC)N r3 T i7TRE RE.-I '?:
OCCUPANCY LOAD: BA1,3EMENT. - s AREA SE.P. RATED.
';TOR. I.-I T. ft GARAGI:.. . . - Sf OCCU 3EP. RATED-
BSMT?: MEZZ?. REND SETBACKS
FLOOR LOAD. . . . : psf LEFT-. ft R H T f t FIR SPKL: SI1OK DET. . -.
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEL,RMS: DATHS: IMP SURFACE: PRO ("ORR: P !RK I 4A G
VALUE. � : 0
Remarks: Demolish exisiting SF'L). All debris to be t-(-,mcjvpd. Primp and fill septic
tanl(, or cap ;ewer. Insp of filled septic tank or', capped sew(.,v, req,.Aired.
Owner: -------------------------------------- FEES
STANLEY GEORGE (W COAST GROCERS REP. ) type ar,,o i.t n t by',, date re
10910 SW 79TH AVE PRMT $ 2,5. 00 JLH 12/16/9,1.
5PCT $ 1. 25 JLH 12/16/91
TIGARD OR
Phone #: 624.-6901
cuntractor:
EMMERT INTERNATIONAL
11811 S. E. HWY 212
CLACKAP1AS OR 97015
Phone #: $ 26. 25 1 OTAL
Req #. . : 00805 REOUIRED INSPECTTONS
This pet-sit is issued subject to the regulations contained in the 'PLimp/Fill Septic,
Tigard Municipal Code, State of Ore. Specialty Codas and all other Cap sewer line
zipplica�lp laws. Ail work will to done in accordance with
approved plans. this otrvit will expire if werk is not started
within 186 days of issuance, or if work is suspended for more
than IN lays,
Permittee Vi i q?I At'.Ir e
IS31-ked Dv :
C A 11 for i ns pect i or, 639-4175
MECHANICAL PEIRMIT
CITY, OF T167A RD �O1M�0NII:IM:E*T' NO. : ME882,e475
IF-'
COMMUNITY DEVELOPMENT DEPARTMENT DATE 1551JEM : 1.21!2 1./Be
13125 S.W.Hall Blvd..P,0.Box 23397.Tigard,Oregon 57223,(50)6394175
--%JOB- ADIA"Ir."65 : 1.19A5 1-514 72ND AVE i:)m'r.NO. Q 8 2A 7 5
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UGU' 1'Y!::+': : 11t.M.A.A. FAWELY FIJANAC'E 1.00:0- ASP HANDLA-4 1.01<
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This permit Is Issued subject to the r9gulations contained in Title 14 N.E(:".F:.T r-1.•I Ncl
, 00 3 W
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes arid ordinances. and It Is hereby A) INSPEA"I'lOW4
agreed that the work wilt be done In accordance with the plans and l(1!ii 1._I'NE::
specifications and in compliance with all applicable codes And 1,11.11511, 11, t!'t"All
ordinances The issuance of this permit does not waive restrictive 1401[161-11 I.N
covenants Contractor and subcontractors shall have c-irrerit city 1:
business tax permits This permit Will expire and become null and
void If work is not started within 180 days or if work is iuspondedor
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to Assure
all required inspections are reque-ited and approved
, 1,
Pertnittee Sigrature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE