11850 SW 79TH AVENUE •, d
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CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PER1,11T #. - - . . . : BUP941006,3
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (5T_V?_')+'1'-7 1 DATE ISSUED: 0f/0f/94
;ITL ADDRESS. . . : 11850 SW 79TH AVE PARCEL: IS136CD-03000
'-
SUBDIVISION. . . . : TWIN OAKS LANE ZONING: C--G
BLOCK. . . . . . . . . . . LOT. . ., . . . . . . . . . . : 12
REISSUE: f '-OOR AREIIS----------- EXTERIOR WALL CONSTRUCTION--
CLASS OF WORK. :T)EM FIRST. . . , : sf N: S. E: W.
TYPE OF USE. . . :GF SECOND. . . . sf PROTECT OPENINGS?
TYPE OF CONST. :5N T;41RD. . . . : sf N: S: E: W:
OCCUPANCY UPP. :R3 TO 1 '.L-------: 0 sf ROOF CONS] : F I RE: RE I
LICCUPANCY LOAD: Bi')SEMENT*. : sf AREA SEP. RATED:
E3TOR. - HF, : ft GARAGE. . . : sf CCCU SEP. RATED:
13SMT?: MEZZ':' : REOD SETBACKS---------- REQUIRED—
FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT; ft REAR: ft FII' ALRM: HNDICP ACC:
3EDRMS: BATHS: TAYIP SURFACE: PRO CORR: PARK I NG:
'),'ILUE. *: 0
Remarks : SEPTIC TO BE PUMPED, FILLED & INSPECTED. SEWER MUST BE CAPPED OFF AND
INSPECTED
Lomlnpr-cial/P) anned
Development ) . (WCTM 1S1 36CD, tax lots 2200, 2300., 2400, 2500, 2600. 2700, 2800,
90+21. 3000. 31001 3200, 2300, 3400, 3500, 3600, 3.700, 380121, 31)iW:;. 400Q1, 4100, r'_-'E
tBA, tax lot aOO and 251 IBB, tax lot 1201.
Ooiner-. FEES
LOSi'CO WHOLESALE -type amount by date t,ecpt
10PIP9 12011 AVENUE. NE P R M 1 $ 25. 00 JH 03/08/94 —
5PC'r s 1. 25 JH 03/08/94 —
. ARK%LAND
ARK%LAND WA 98033
Phone 0: 206-828-8100
f:'". LEE ROBINSON CONSTRUCTION
1;14 HUNZT;(ER ST. SUITE 300
riGFARD OR 97223 ----------------------------------------
17.1hclne #: 645-8531 f 26. 25 TOTAL
HPq 63147
REQUIRED INSPECYIONS
This pervit is issued subject to the regulations contained in the Pump/Fill Septic
Tigard Municipal Fade, State of Gre. Specialty Codes and all other Cap st-kqet- line
applicable laws. All work will bt done in accordance with Final Inspection
approved plans. This pewit will expire if work is not started
within 180 days of issuance or if work is suspended for, sore
than 180 dam
cc
f-le—in itt ee S1 gnat ur-e
L� I 'k,
Issued P y
Cail `ar inspection 639-4175
Residential Building Permit Application
City of Tigard
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 63y-4171
Jobsite Address:
Subdivision: Lot ll�!(CQ Office Use Only
Valuation: P landdRec#-- —
f rrrpki #
Owner: lt` �. ����c z�_ ---
Reis;ue of
Address: )ml l q l a o Ave , .N I Map R TL #
Phone: ' O ,� - �)O C Approvals Required
Planning
Contractor: e n STru r• e„ co Engineering
Address: 13 Q N i.AJ Cornell GOther-
Phone:
Items Regia
�..���3 - 6 '� 5- - � S-.� � —
Subcontractors
Contractor's license # ��3 /y I —
(attactr copy of current Oregon li(vnse) Truss Details
Subcontractors: Other
Plumbing:
M echanica!:
(attach copy of current OR Contractor's License)
Architect/Engineer.
Address.-
Phone:
ddress:Phone:
OMMENTS: ����� �1LJN" �04 '^' —
All L /im
, I,pd, ),),;
icant SigMturd & Phone number
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