11716 SW PACIFIC HIGHWAY J '
i
i
11716 S.W. PACIFIC
C17Y OF TIA RD
CrIFYOF 1TnWA RD BUILDING PE RMI
COMMUNrrY DEVELOPMENT DEPARTMENT as �--I--.FRMIT 1i. . . . . . . BUP'9 1 31.
13126 SW W BW, P-0.BOX M97,Tigard,Orogon 9722'1 '-:31630-4175 Z 16
u—A 1 -7 1
SITE ADDRESS. . . : 11716 SW PACIFIC HWY P,ARCEL: I S 1 36CD--0c:100
!-aUBDIVISION. . . . : ZONING: C—G P'D
BLOCK. . . . . , . . . . LOT. . . . . . . . . . . . .
REI SSUE: FLOOR EXTERIOR WALL. CO!'.'CTRucrION--
CLASS OF WORK, :DEM FIRST. . . . 8 N: 5: W:
l'YP,E OF USE. . . :5F SErOND. . . Sf PROTECT OPENTNGS?------ - _.-_.—
TYPE OF CONST. :5N "rwl RD. . . . s s N: S: E: W:
OCCUP'ANL Y GRP'. :RTOTAL S f ROOF CONST: FIRE PET? :
OCCUPANCY LOAD: BASEMEN'r. : 5f AREA F;FP,. RATED:
3 TO R. : HT. ft GARAGE. . . Sf OCCU SEP,. RATED:
HSM'(?: MEZZ? REDD sETBACKS— REQU I RED--------
FLOOR LOAD. . . . : psf LEFT : ft RGHT: ft FIR SPKL: SMOK DET. . -
DWELLING UNITS. F R NT: ft REAR: ft FIR ALRM: HNDICP' ACC:
BEDRMS: BATHSIMP, SURFACE: P,RO CORR: F,A RV,ING:
VALUE. $ : 0
Remi-.,t-kF, : Demolish existing SFD. All debt-is to be r-emoved. Septic, tank mast be
pi-imp,?d and -filled or if on sewer, cap sewn- line. Inspection v,eq1-tit-ed.
Owner: FEES'
STANLEY GEORGE (W COAST GROCERS) REF') type amol.knt by date r-ec.,pt
10910 4 79TH V-,Rm,r s 25. 00 JLH 12/16/91
1. 25 JLH 12/16/91
TIGARD OR 97,223
Phone #: E24-8901
Conti-actor-1
EMMERT 1NTERNiaIIONAL
11811 S. E. HWY
CLACKAMAS OR 97015
phone #: t 26. 25 TOTAL
Req #. . : 00805 REQUIRED INSPIECTIONS
This permit is issued subject to the regulations contained in the P�.tmp/Fill Septic,
Tigard Municipal Code, State of Ore. Specialtv Codes and all other Cap sewer, line
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 osys.
P'er,vnittee Siqnat I.t
LSSIAed BY :
for, inspection C,39-4175
CITY OF TIGAPD RECELIT OF 17,AYMF,"f,!-I IRECUrPT NO. r 91-i:PO'777
CHECK AMOUNT 1015. 00
NAME tt EMMERT INTF*RNATI nNAL. CASH (AMOUNT 0. 00
ADDRESS tt 118'. 1 SE: HIGHWAY 212 PCWMENT DATr:
SURD IVISION
CLACKAMAS, OR 97015-
PURPOSE OF PAYMENT AMOUNT PJTD PURPOSE OF P'AY'MENT AMOUNT PAID
------------
BUYL.DING PERM 100. 00 ST. BUILD VIER 5. 00
DEMOLITION PERMITq
TOIAL. AMOUNT PPID tos. 00