11810 SW 79TH AVENUE •a
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CITYOF T � BUILDING PERMI- BARD T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . 13UP94—OV16 :
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 DATE ISSUED: OY/01V/94
6,O-41. 71
PARCEL: 1 S 136CD.-029001
SITE ADDRE:3S. . . : 11810 SW 79TH AVE
SUBDIVISION. . . . : TWIi'J G;a►-:S LANE . ZONING: C-G
BLOCK. . . . . . . . . . ,
LOT. . . . . . . . . . . . . : 13
REISSUE: FLOOR AREAS----------- EXTERIOR WALT_ CONSTRUCTION--
L:LASS OF WURK. :Dt.M r. IRST. . . . : sf N: S: E.: W:
'-Yr-,E OF USE. . . :SF SECOND. . . : sf PROTECT OPENINGS'?--_-_.-_--__.
TYPE OF CONST. :SN THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :R3 TOTAL.---------: 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
STOR, : HT. : ft GARAGE. . . : s` OC:CU SEP. RATED:
bSMT:': Mf._Z Z?: REQU SETBACKS— -_-__- REQU I RED--.---___.-_-__.-.-_-
FLOOR LOAD. . . , : ps- LEFT: ft RCS, fit FIR SPKL: SMOR DET. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
PP-DRMS: BATHS: IMP SURFAC;L: PRO CORR: PARKING:
VALUE. 3 : 0
Remarks : SEPTIC TC BE PUMPED, FILLED & INSPECTED. SEWER MUST BE CAPPED OFF AND
I:NSPE-'TED
Commercial/Planned
Development ) . (WCTM 1 S 1 36 CD, tax lots 2200, 2300, 2400, 2500, 2600, 27010, 2.800,
,"100, 30100, 3100, :200, 3300, 3400, 3500, :3600, 3'7009 38001, 390+12, 4000, 4100,
; b", tax tot 200 and :_Si IBB, tax lot 1201.
Owner,: --____.___________._..__.___________ _ __._____._____ _______.__ FEES
COSTC9 WHOLESALE type a.iount by date recpt
10809 120TH AVENUE. NE PRMT $ 25. 010 Jhl 03/08/94 -
5PCT $ 1, 25 JH 03/08/94 -
K I RKLAND WA 980,J
Phone #: 2016-826-•8100
Contractor-:
E.. LEC-. ROBINSON CONSTRUCTION
7320 SW HUNZIKER ST. SUITE 300
f IGARD OR 972 .:3 ____-- ___________________.__-_--_
1='hone #: 645-8531 t 26. 25 rOTAL
Reg #. . : E3141
REQUIRED INSPECTIONS - -----
This permit is issued subject to the regulations contained in the Pump/Fill Septic _
NTigal-d Municipal Code, State of Ore. Specialty Codes and a,l other rap sewer- line
applicable laws. All work will be done in accordance with F l na 1 Inspection
approved plans. This p,,rmit will expire if work is not started —
within 188 days of issuance, or if work is suspended for more —
than 188 days.
Permittee Signatures �7�IrL�W�
Issued N y :
Call for inspection - 639-4175
Residential Building t=ermit_ApOcatien
City of Tigard
13125 5W Hall Blvd.
Tigar'c , OR 97223
(5031 639-4171
Jobsite Address:
Subdivision: # C Office Use Only
Valuation: PlancklRec#
Perr�ii #
Owner: C Uc c,
Reissue of
Address: 10 E n 2 ) a Q �l� A ✓, N k^ Map TL # -----
��vats Required
Phone: 4d� -- C�.�- �._.�1._p��
Planning
Contractor: ] S , , leu ns��ucT,o:, + Engineering _
Address: 13 6 G N Lei �n r n c I I c+�. Other
, I
Phone: 0 A y S 3 Items'Required
Contractor's License # 6 :_3 1 y ';1 _
Subcontractors
(attach copy of current Oregeo license) = Truss Details
Subcontractors: Other
Plumbing:
Mechanical:
(attach copy of current OR Contractor's Licens--;
Architect/Engineer: _ F
Address:
Phone:
COMMENTS: 0A A I ' 4
ApplicantSig toe & n nu r