11785 SW 79TH AVENUE ADDRESS:
11736. SII ' 79AIvAqUE
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i:\records\microflrn\targets\building.doc
BUILDING PERMIT
CITY OF T IGARD PERMIT #. . . . . . . : BUF194-407d
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: iz#/0*/94
13125 SW Hall Blvd.Tigard,Oregon 97223o81gg (503)0$0-4171
PARCEL: I.S136CD-03700
L)IIE fiDDREL:iS. . . : liibtj SW !')]-!i AVE
SUBDIVISION. . . . : TWIN Of4KIS LANE ZONING: C--G
CLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .. :5
REISSUE: FLOOR AREAS------------- EXTERIOP WALL CONSTRUCTION-
CLASS OF WORF'%. :DEM FIRST. . . . : 5f N: S: E., W:
T1T'L OF USE. . . :SF SE=COND. . . : sf PROTECT OPIENINGS )-
TYPE OF LONST. :5N THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP,. :R3 0 s-F ROOF CONST: FIRE RET? .
OCCUPANLY LOAD: BASEMENT. : sf AREA SEP. RATED:
s-r()R. : HT. : ft GARAGE— : sf OCCU SEP. RATED:
BSMT'I : MEZZ'') REDD SETBACKS------ REQUIRED---------------------
FLOOR LOAD. . . . : P5f_ LEFT: f t RGHT . 17t F I R S P K L: SMOK DET. . :
DWELLING LNITS: FRNT: ft REAR- fr, FIR ALRM: HNDiCP ACC::
BEDRMS: BATHS: IMP, SURFACE: PIRO CORR: PARKING:
VALUE. li : 0 - AND
Remar-ks : SEPT .�C TJ BF PUMPED, FILLED & INSPECTED. SEWER MUST BE CAPPED OF-F
INSPL-TED
Commer,cial/Planned
Development-. ) . (W[:TM I(SI 36CD, tax lots 2200, 2300, 2400, .2500, 2600, 2700, LB00,
,goo, 3�1�0(?1
)
10(4, 3200, 3300, 3400, s- 00, 3600, 3700, 3BO10, 3()00, 4000, 4100, L'S
,
1
IBA, tax lot 200 and 251 IBB, tax lot 1201.
Owner-. FEES
COSTLJ WHOLESALE type amount by date reept
10809 12,01+J AVENUE. NE PRMT $ 25. 00 JH 03/08/94 -
5PICT $ 1. 25 JH 03/08/94 -
K I RILAND
KIRKLAND WA 98033
Phnne #: 2
Contlr-actur-
L
L. LEL RUBI b(JN LO ST RUCT ION
7320 SW 1AU1qZlK1LR ST . SUITE 300
TIGHRD OR 97E:2'3 —---———————————————---—--————————————-
-
Ptione 645-8531 $ L6. 25 TOTAL
Reg #. b 3147 REQUIRED INqPECTIONS
This permit is issued subject to the regulations contained in the C:'LkMp/Fil1 Septic ,.__•_._.•_.._
Tigard Municipal Code. State of Ore. Specialty Codes and all other Cep 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 wore: is suspended for more
than 160 days.
W
__j
Permittee Signati-it-e
I Is s I-led By I,
Call for inspection 639--4175
-7 00
Residential Building Fermit Application
City of Tigard
13125 SW Hall Blvd.
Ti,7ard, OR 97223
(50) 639-4111
Jobsite Address:
Subdivision: lot
Offlce Use Only
# � �"
Flan-*JlIec# _
Valuation:
Pergat#
Owner: I r r r' C OST(- v Reissue of
Address: i 0 �0'] 1 d v A Y L N A Map &Tl#
r r W A V 5'0,2 3 - 9 LZ r
Phone:
_a 0 - �/0 4 — Approvals Required
Planning _
1 I _I ,
Contractor: ,n s o„ C on.41-u c_ 1 lei 1 LO , Engineering
Address: ),36o N w Cor n e u riff . Other
Items Required
Phone: S?"_ .3 �
Contractor's license # Y SuL�:ontractors
(attach copy of current Oregon license) Tn.ss Details
Subcontractors: Other
Plumbing:—
Mechanical:
(attadr copy of current OR Contractor's License)
a
Architect/Engineer:
A41res ,:
cc
LL Phone:
COMMENTS:
'2Y- 64/
c
Applicant Signature & Phon,i number