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i:\records\microllm\targels\building.doc
BUILDING PERMIT
CI1Y OF TIGARD PERMIT #. . . . . . . : BUP94 -0076
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: ¢►�j{i�l�/g4
13125 SW Hall Blvd.Tigard,Oregon 97223.8199
PARCEL: 1S136CD-03600
SITE ADDRESS. . . : 11815 SW 71)TH AVE
ZONING: C-•G
SUBDIVISION. . . . : TW I I` OAKS LANE
LOT'. . . . . : '-6 `
IUN
REISSUE: FLOOP. ARF_AS___________ EXTERIOR WALL COIVSTRUW:
CLASS OF WORK. :DEM FIRST. . . . : s f N: S:
E: W:
TYPE OF USE. . . :SF SECOND. . . : Sf PROTECT OPENINGS?----_-__._._._
1 YF'E OF CONST'. :5N
THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. : R3 TOTAL--------: 0 s f ROOF CONST : FIRE RET? :
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
:.TOR. : HT'. : ft GARAGE. . . : sf OCCU SEP. RATED: _-
BSMT? : M'�-ZZ? : REQD SETBACKS---------- REQUIRED-_--_-----_------
FLOOR LOAD. p'_>f LEFT: ft RGHT: ft FJ R SF'KL: SMOK DET. . :
DWELLING UNIT': F'RNT: ft REAR: f- FIR ALRM: HNDICF' ACC:
BEDRMS: BATT: i• IMP SURFACE:
PRO CURB: PARKING:.
VALUE. $ v 0
Re mar-k s: SEPTIC To BE: PUMPED, FILLED & INSPECTED. SEWER MUST BE CAPPED OFF AND
INSPECTED
Commercial/Planned
Development ) . (WCTh 1 S I 36CD, tax lots 2200, *'300, 2400, X500, 2600, 2:71110, c 13kti0,
2900, 3000, ,100, 3200, 3, 00, 3400, 3511109 3600, 3700, 3800, 391210, 4000, 4100,
1
IBA, tax lot 200 and 2Si 1BB, tax lot 1201.
Owner: .___-______________.__
FEES --- -•-----_.___..__
L:OS-1'CO WHOLE;ALE type amaunt by date reept
101309 1201 H AVENUE. NE PRIvIT $ 25. 00 Jft 0?,/08/94 -
5F'CT $ 1� 25 JH 03/08/94 -
K I fil,L IaND WA 98033
Phone #: 2:06-828-13100
Cont Tactor __-
E. LEE RUD I NSUN C ST PUC i I ON
7320 SW ►IUN Z I KE:R ST. SUITE: 300
1 .lGARD OR 91223 --�-- -
Phone #: 645-135,"1 $ 26. 25 'TOTAL
Reg #. . : 63147 _-_--- _--_-
- REQUIRED INSGECTIONS
This permit is Issued subject to the regulations contained in the Pllb;O/Fill Septic
Tigard Municipal Lode, State of Ore. Specialty Codes and all o`.her Cap ,ewer 1 ine _
applicable iaws. All Mork will be done in accordance with Final Inspection _
approved r.lans. This permit will expire if work is not start@,!
within 180 days of issuance, or if work is scspended for tore
than 188 days. ^-
C:
Permittee Signature : - ----
I s s r-red By .
Call far 'inspection - 639-•4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigwd, OR 97223
(503) 639-4171
Jobsite Address: U 6 W
Subdivision: Lot !!
Office Use Only
PlanddRec# _
Valuation:
Pen-pit # _
Owner: f OSIr- n Reissue of
Address: J 0 X 0 rf 1 a C�. ✓e- /V — Map& TL#
Lj.A `(.19133 2777
Approvals Required
Phone: ��06 - g � `( •- 9)0 0
Planning
Contractor: I C, 0(NSEngineering —_
(1 �
Address: '_&Q A) l.V` Other
lterr s Required
Phone: 'I.)_3 - ��,$ �� ,j %
Subcontractors
Contractor's License # • �/J
(attach copy of current Orecon license) Truss Details _.
Subcontractors: Other'"'
Plumbing:
Mechanical:
(attach copy of mrrent OR Contractor's License)
d
Architect Ingineer:
V)
Address. -- _
LL) _-
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COMMENTS:
Applicant Signature & Phone rr imber
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