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CITY OF TIGA,RD BUILDING PERMIT
P,E R 11 IT t#. . . . . . . : BUF-194--.-019,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/20/94
13125 W FAH 84d.Tigard,Oregon 97223*8199 (5 "il T 7 1.
PARCEL: 2SI0IAD-00801
�ITC ADDRESS. . . ; 12360 SW 72NO AVE
'JUBD I V 1 S I ON. . . . : ZONING: R---E5
BLOCK. . . . . . . . . . .. LOT. . . . . . . . .. . . . . .
REISSUE: FLOOR AREAS------- ------- EXTERIOR WALL CONSTRUCTIC.
CLADS OF WORK.(�1Z414 FIRST. . . . . S f N: S: E: W:
1-YOL OF USE. . .4-SF.,-, SECOND. . . : 5 f PROTECT OPENINGS?--------
FYPE OF CONST. -� THIRD. . . . : s N.- S: E: W:
OCCUPANCY GRP,. : R3 TOTAL-.._.___.__ - 0 Sf ROOF CONS F: FI PE RET? :
)CCUP(4NCY LOAD: BASEMENT. : 5f AREA SEP. RATED:
�.JGR. : HT. : ft GARAGE. . . : Sf C')CCU SEP. RATED:
BSMT'.' : MEZZ? - REOD SETBACKS-------- REQUIRED--------.-------__----__.--
'LOOR
ED-------------------
VLOOR LOAD. . . . : p s f LEFT: ft RGHT: ft PIR SPKL: SMOK DET. . :
[.)WELLING UNITS: FRN*T.- ft REAR: ft FIR ALRM.- HNDICP PLC:
DFDRMS: BATHS: SURFACE: PRO CORR: PARKING.
�)ALUE. $ : 0
Remarksi : S17.1-:1TIC 'TANK 'TO BE REMOVED
Owner: --------------------------------- ----------------- FEES -------------
TRITERION EUUITIEG type amount by date recpt
16325 SW BOONES FERRY RD, 0203 PRMT $ 25. 00 JG 0-7/20/94
5PC T $ 1. 25 JG 07/20/94
AKL OSWEGO OR '.4703,5
,hone 0:
I ant ract or i
AESP PACIFIC,
,1777 SE 215T AVE
PORTLAND OR 97282 ——————————-
Phone #: 238-3772 t 26. 25 TOTAL
Reg #. . : 63103
------- REQUIRED JNSPECTIONS
This persit is issued subject to the regulations contained in the Pump/Fill Septic
Tigard Municipal Code, State of Ore. Specialty Cedes and all other F inal Insi,ppcLion
applicable laws. All work will be done in act rOance with
approved plans. This perait will expire if cork is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
r1prinittee Signature :
seued By :
Call for, in�:,pect ion 639-4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /Z 3&C 4h/. 7 G^!Q A Y . _
Subdivision: Lot# Office Use Only
Valuation:
Planck/Rec #
--
Permit#
Corner Lot? Y
Flag Lot? Y Reissue of
Map & TL# _
Owner: GSI RIDS (_U Tl -5 — Approvals Required
Address: 3Z5 -sC5 Fe7k! `1 RP, Planning
I ,I-),ic 05"JeGO, CCS. cl 1035 Engineering
Phone: 7 Z Other
Contractor: ME6r� P-Aci r,G Items Required
Address: 7-02 77 5-E, 21 r Suhcontractors
FOETLAN D . 62- Truss Details
Phone /2,9`j q q% Z. Other
Contractor's License # C� ? /(_- 5, —
(attach copy of current Oregon license)
Contact Name & Phone: _ /�lF/C� 22�06�2seAAl
Subcontractors: Architect/Engineer:
Plumbing Address:
Mechanical: _
`" (attach copy of current OR Contractor's License)
Phone:
J
JOB DESCRIPTION: UE�MC�� I V OF F' F Xt �E5X—:"CC,
7
Applkiritr
ture & Phottd'number
Received by: _ Date Received:
N 1W0RMC0MDEV\RE SAPP
Permit 9 Account Description Amount Amt. Pd, Bal. Due
Bldg. Permit (BUILD) ,
Plumb. Permit (PLUMB) —
Mech. Permit (MECFI)
State Tax (TAY.)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) y
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: