11905 SW 79TH AVENUE ADDRESS:
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1:lrecordsVTiicroflm\targotslbl tllding.doc
CITY' OF TIGARD PERMIT
f='F_RMI T T ###.. .. .. .. .. . . : :-:iUf-94-0075
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0*/,.►�/94
13125 SW Hall Blvd Tigard,Oregon 87223.8188 (50,3)Vt*.4471
PARCEL: 1S136CD-03300
SITE ADDRES: , . . : 11')05 SW 791[1 AVE
c'AJBD 1 V l S I Ota,. .,. . : T W; N OAKS LANE ZONING: C—G
BLOCK. . . . . . . . , . . I_OT. . . . . . . . . . . . . :9
REISSUE: FLOOR AREAS— -------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK , :DEM FIRST. . . . : sf N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : s f PROTECT OPENINGS?-
TYPE
PENINGS?—__.___.___-TYPE OF CONST, :5N THIRD. . . : sf N: S. E: W:
OCCUPANCY GRP. :R3 TO-'.HL— --- —: 0 5f ROOF CON,�T: FIRE PET? :
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. FATED:
STOR. : HT. : ft GARAGE. . . . sf OC:CU SEP. RATED:
BSMT? : MEZ:Z? : REDD SETBACKS-------•—
FLOOR LOAD, . , . : psf LEFT: ft RGHT: ft FIR SPKLSMOK DET. . :
DWELLING UNITS: FRNT: ft r<EAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR- PARKING:
VALUE. $ : 0
.lemarks : SEPTIC TO BE PUMPED, FILLED & INSPECTED. SEWER MUST BE CAPPED OFF AND
INSPECTED
Commercial/Planned
Development ) . (WCTM 1S1 36CD, tax lots 2200, 2300, 2400, 2500, 2600, 2700, 2900,
2900, 3000, 3100, .3200, 3300, 3401), 3000, 3600, 3700, 3800, 3900, 4000, 4100,
1
IPA, tax lot 200 and 2S1 ISB, tax lot 1201.
l_)wner^: ___.__.___ ___________.__ _._____._.____..._._...___._ FEES
L:OSTCO WHOLESALE type amount by date recpt
1.0809 120TH AVENUE. NE F'RMT 1=5. 00 JH 03/08/94 — l
5PCT f 1. 2'5 JH 03/08/94 —
KI13KLOND WA 98033
Phone #: -06-828— 100
Cont r^actor - ----------------
L'.
L'', l_EE ROBINSON CSN TRUCTION
': 0 SW HUN, I KER ST. SUITE 300
1 16HRD OR 97223
1='t-one 1!: 645--8531 t ;=6. 2:5 TOTAL
NE q #, . : 63147
-------- REQUIRED INSPECTIONS
This permit is issued subiect to the regulations contained in C,a Pump/Fi 1 1 Septic _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cap sewer line
N applicable laws. All work will by done in accordance with Final Inspection r
approved plans. This permit will expire if wtrk is not started _ y
within 180 days of issuance, or if work is suspended for more
than, 160 days.
e :
Isscred Rv :
Call for inspectinn — 63,i--417;1
_Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR .97223
(50.3) 639-4171
Jobsite Address:
Office Use Only
Subdivision: _ Lot # 2'2x—k_
PlancktRec#
Valuation:_ -
Pc.r�it #
II
Owner: pl- Reissue of
Address:--L)'' ) 02 D ,Q d cs N l Map& TL#_
7 7
Phone:
Approvals Required
- 0 y � X - X l0 0
Planning
Contractor: f��' �I T+` tJ �Gt���IL�1(�T1 _ Engineering _
Address: _N«' C Q r 0 i 11 ft�c�, Other _
0&
S�
Prone: \ ��� ti c> — Items Required
J ' -
Subcontractors-__ ___
Contractor's License #
(attach copy of current Oregon license) Tniss Details
Subcontractors: Other -
Plumbing: _
Mechanical: _
(attach copy of cun-ent OR Co,dractor's License)
Architect/Engineer:
Address:
J
`' Phone-.
COMMENTS:
Ar4)Iicant Signature & Phone number
On.-n.'"A 1... n,�n D.... ....1•