13400 SW 76TH AVENUE-2 !! ALNWEN
-- 1340D ai 7Gffi Ave. ---
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INSg ON NOTICF.
City of Tigard &IIJdlL-ig I>ErpartwA,
131:25 SW Hall Rl.vd. 'Tigard, Oregon 37223
Inspection Line %Rec-O-Phone): t.39-4175 Business 4171
.../
Footing Plbg. Underelab Koch. Noiiyh--in Appr/Sdwlk
Found. Plbg. "op Out Cas Lino �� �\
/r.NAL:
Po9r_. 'leam Struct. San. Sewer. Ft,ami ng j -Bldg.
Post/Beam vpev Re Ln Drain Insulation -Plumb.
Plbg. Underfloor cWaat/er/ Line / gyp. Bd.
Date Regiaste/t__ / / / L� Time:
Permit I=
Ru H der:
riz P^LLOWINC CORRRCTloNN ARE REQUIRED:
— l r^"'
Inspector: _ — Dater_ _
APPROVRD - DISAMOVED APPRCIVSD SUBJECT TO ABOVE
-Call For Relnsp.
�Y
INSP$CTIO__N NOTICE _
Citp of Tfqard Building DeP+Lrtsent
r
13125 BW Ball Blvd, Ti
InePe, tion Line (Rec-o- Tigard,
Oregon 97.23
Phone); 639-417; Business Phone: 639- i(
In.PPction; 4171
C t 1 — —
Plbg, Underslab Hech Rough-in
Found. APFr/Sdwlk
Plbq• Top OuC Cas Line
Poet/Beam Struct. FINAL:
San. S�wwer Framing
Mech. -Bldg.
Rain Drain
Insulation
Plbg. Underfloor -Plumb,
Nater Line
GYF+• Bd. -Mach.
Date RequeetAdr _ �.-- _�
1_2 __7 imer
Address:Z 7 / /�` — —am --__PN
Permit
Builder;
TNR FOLLOWING cORRECTIONB ARE RRQUIRED i
inspect- -_ 7
APPROVpr)
-`ItTSAPPROVRn
APPROVRD BUBJRCT TO ABOVL
ReinaP.
CI1YOF TIAR® BUILDING PERMIT
C"YOF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT FERMIT #. . . , . . . : BtJPq 1.-002!5
13126 SW Hall Blvd. P.O.Box M. 97,Tigard,CNegon 972..' (SM)6304175
C
L A T E
1GUED. 01/2'
.�l
-j 1311,00 Jkl-j 7STH (AVE PARCEL: 2S I I I)
FLIED ION. . . . ZONING.
SUB I VIS
BLOCK. . . . . . . . . . LOT. . . . . .
RE I L-3'3UE FLOOR EXTERIOR WALL CONSTRUCTION
CLASS OF' WORK., :NEW FIRST. . . . : sf N. S: E: W:
TYPE OF USE. . . :SF SECOND. . . - 7a f PROTECT OPENINGS?-------------
TYPIE OF CONST. :,'�N THIRD. . . . Sf N: S. E- Wo
OCCUPANCY GRP. :M1 I OTAL s ROOF CONST: FIRE RE-T9 :
OCCUPANLY LOAD: BASEMENT. : s AREA SEP. RATED:
STUR. : 1 HT. . 12 ft GARAGE. . . :370 s f OCCU SEP. RATED:
SSIYJ'?-. MEZZ?. REDD SETBACKS----------- REIaIUI
FLOOR LOAD_ . : Psf LEFT:42 ft RGHT :00 ft FIR SPIKL: SMOK DET. . -
DWELLING UNITS: FRNT:7;' ft REAR453 ft FIR ALRM: HNDICP ACC;
BEDRMS.- BATHS- IMP SLJR-ACE: PRO CORR: PPRKING:
VOLUE. $ : 2000
Remarks : boat storage open on th-ee sides
-- - ----.--------- - -- - FEES
RAYMOND AND PHYLLIS EMS type amount by date recpt
131400 SW 76TH AVE FIRMT $ 32. 50
PLCK $ 21. 13
5P
CT OR q7224 5P
0000 C T $ 1. 6 -1
Phone #: 503-639--1258 PAYM $ 55. 26 JLH 01 /25/91
Contractor.:
CONTRACTOR NOT ON FILE
---------------------------------------
$ 55. 26 TOTAL
ReC3
REQUIRED INSPECTIONS
This nervit it issued subject to the requlations contained in the Foot/fol,.ind Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing I n s p
applicable laws. All work will be done in accordance with Rain drain Insso
apprcvedl plans. This vervit will expire if cork is not started Final Inspection
within 180 days of issuance, or if work is suspended for acre
than 180 days.
Vlermittpe Sioneture !,
Issued By :
Call for inspection 639-4175
CITTY OF* TIGPIRD RECEIPT OF P(WHENT RECEIP'l 9 1 -1119044
CHECH, AMOIJ4VT fS13. 6
NAME CMS, ROYMOND CASH AMOlffi.T y (71. 00
ADDRESS PA'YMEN'T nwrE r 01/25/91
GIJBD I v 191 jr%l
13400 SW 76TH^nVE
PURPOE33E OF' PAYMENT AMOUN T' PAI D PURPOSE OF PAYMENT AMCUNT Pr,10
1. 62!
PLAN CHEC',f", FE 21. 13
BOAT C0VL..jq
ftll'AL AMOLIN'T V�All) 55. .:116
e s
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utas SW Hall 10W. PLNCK/REC1 #
CITY OT T GARD P013oc23397 PERMIT # C/- Z �,
COMMUNITY I)1NE1,01WENT 1)EPARTMEN'T 7igard,Oregon 972Z3
(503)6344171 DATE ISSUED
JOB ADDRESS: � � ---- TAX MAP/LOT
SUB: _W _ LOT: --- _ LAND USE: _
VALUATION`�'!` CL '• _-- _-_
WNER
SPECIAL NOTES
LrAME: _ c�L1�'1`�1L' yy �-�-►5 �'/`�}S REISSUE OF:
ADDRESS: _�� %CSOC-c� �� — LAST REISSUE: -
FLOOD PLAIN/
PHONE: _ SENSITIVE !-AND: _
CONTRACTOR APPROVALS RL
QU.IRED
- � �iuicwEll
NAME: PLANNING: %po l
�lw�t
,J
ADDRESS: _ _. _. ENGINEERING: � L
FIRE DEPT: _
PRONE: — _ — _ OTHER: _
CONTR. BOARD #: _ EXP DATE:
ITEMS EQUIRED
SUBCONTRACTORS: PLUMB: _ _� �__ LIST/SUBCONTRACTORS:
MECH: �T __ --- ---------- ---- BUS TAX: --- -- - ---
RRCH/ENG.INEER CALCULATIONS:
NAME: __�__-- __-- --_---.____-- _. TRUSS DETAILS:
ADDRESS: OTHER: _-----_-----
PHONE: -- - - -------- -
PROPOSED BLDG. USE:
COMMENTS:
-- - -
. 7
rS-i
APP .ICANNATURE
Received Uy: _ Date Received:
i
PERMIT ,# ACCI # DESCRIPTION AMOUNT AMOUNT PD. HAL. DUE
,teQLOJ2i TO-432 00 Building Permit Fees _
10-431 00 Plumbing Permit Fees
10-431 Ol Mechani:.al Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing �.
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-44f-02 Commercial TIF Fees
25-448-04 Industrial 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 atorm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
lOTAI-
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