12135 SW 123RD COURT YID . . ��,• c. �t., .. • � � .r �., ` a
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ITYOFTIGrARD
COMMUNITY DEVELOPMENT DEPARTMENT 74 RD EAUILDING PERMIT
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(SM)63"175 PUP
,7,TF. ISSUED: OB/20/92
I I [---. HL-DRESS. 1 135 SW I 2.3RD 01 P A R C*E L QIP B 15 1 1
'-UBD I V 15 1 ON. . YE OLDF W I NDM I Lt- ZONING: R-ip. 5
pt-OCK. . . . . . . . .. . LOT"
REISSUF:: F-i.OrR EX"r1-'R I OR WALL.. COt-,1`7,T RUCT
ULOSS OF WORK. :ADV FIRST. . . . :54 5f N: S: E: W
TYPE OF USE. . . :S F SECOND. . . : S f PROTECT OPENINGS'?-
TYPE OF CC)NST. .*5l\J THIRD— . : Sf N; S; E: W,
(Y.CUPANCY GPV. R-3 I U-T S f RODF [,ONST. F"I R1 RE T '
UCLUPANCY LOOD BASEMENT sf nREA SEP. HATED;
STOR. . L t 1-1 . . 1 17" ft. GARAEVE. . 1~f '�'EP. RfITED:
USMT'-) . MEZZ"': RE, RECOU I
FI-0014 LOAD. . . , :40 f L I.-'-'F T: ft RIGHT Ft FIR SPIKL: St:7jK DFT—
DWELLING UNITS: FR1qT -. ft REAR: ft FIR ALRMr Hlqrll(*-'P ACG�
BEDRMS: TAPTHC' IMP SURFACE: [.-IRO (',ORR P10 QK I 1\16:
VAI UE., $1 1886
Remarks : ODD I TI 01,1 (.117 t)4 50
Owner: FEES
DAVE FLAMING type G1 in 0 1-4 h Y i'*%t P
121 3tj RW 123RP UT PRMT $ 31. 00 JH od/'20/9i"
PL(-K t 2V+» I.'.I jp 013/1-.10/92
FIGAPI) tjR 9ii�%.n'3 5 PC T 1. 1-5 5 JH 0'q 0 9.:.-,
Phone #0 639-558?4
FPnNK GfJNTR,`J'.-r1til( ING
9440 SW WILIHIRE [,,'I
WOR II.BIND OR 9iLP13
5," 0 101'nt-
This iiervit is issued subJect to the regulativs contained in the Foot/fosand Insp
T yard Municipal Code, State of Ore. Specialty Codes and all sther Framing Insp
applicable laws. qII wv*- will be derli in accordance 04 InsLilation Insp
300t,oved plans. this oernit will v,qire if work is not started Gvfi Board Tn4;p
within IN days of issuance, o-- if work ii suspended for evre Final Inspection
than 'Q days.
CLI
11 f 0 L,L i o n 639 41
INSPECTION NOTICE
City of Tigard Building Department
13175 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rer.-O-Phone): 639-4175 Bunineas Phone: 639-4171
Inspections
Plbg. Underslab Hach. Rough-in Appr./Sdwlk
F7urd. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. �h.
date Requested: �� _Time: AM PM
Address: X17 /7
Permit #t C/�7
Builder: vv�
THE FOLLOW'AG CORRECTIONS ARE REQUIRED:
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Inspector: /1—� Dates /5 'Zj"'
APPROVED DISAPPROVED _^ APPR WED SUBJECT TO ABOVE
Call Fa: Raicap.
0
CITY OF T:IGARD RECEit","r OF PAYMENT RECEIPT NO. 92-830,5187
CHECK AMOUNT 70
NAMENAME so FRANK CONTRAA rINC, INC CASH AMOUNT 0. rAo
ADr)R LSS PAYMEN-r DA7'F:- 08/14/90.
SUBT)I V 19 1 ON
PURPOSE OF` PAYM17'.1\11' AMOUNT' PAID PURPOSE OF' PAYMEN' f)MOUP.1 PQ D
1111—DINO PERM .31. 00 PLAN CHECK FE 20. 15
+'T SU SUILD PEP 1. 55
121.35 SW 123RD (...t
TUI AL AMOUNT PAID 52. 70
r 131B SW 11au lltvd_ PLNCK/RECT #
CI TY O 1� TI GARD PO[lox 23197 PERMIT # RU P-I 2 –O z y
COMNIUNII'N' D[:VBI.OI'M1iENT DEPAR'rNIENT 7igard,Orcgon97M
(503)639-417? DATE ISSUED
JOB ADDRESS: / c� 3 5:�l!�/�2_ �� C �k�q el TAX MAP/LOT .2.S 1 0 3 Q 13 /l3
SUB: -__ LOT: LAND USE: _
VALUATION:
OWNER SPECIAL NOTES
NA ,j: '►e_ �.2»v �„�� REISSUE OF:
,ADDRESS: /.2 /-s� 5�1��Y�t LAST REISSUE:
�_�R 7•�-� FLOOD PLAIN/
PHONE: 4/ r SENSITIVE LAND:
CONTRACTOR APPROVALS RE4UIRED
NAME: IA c_�r�,v PLANNING:
ADDRESS: y O
y S , C ENGINEERING:
I a r0e -2 -1 FIRE DEPT: ----
PHONE: C�q l p 6= OTHER: /UD -r/r-
CONTR. BOARD #: / 3 Z2 EXP DATE: _ .
ITEMS_REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
,TECH: — BUS TAX: _
ARCH ENGINILR CALCULATIONS:
NAME: s�� � _ TRUSS DETAILS:
ADDRESS: O C> -SWAIbrIli4 OTHER: —
PHONE:
> PROPOSED BLDG. USE: --
COMMENTS: —
s
w — —
n Ll ANI SIGNATURE
Received By: Date Received: -LY�_�
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building /
Plumbing
Mechanical
10-433 00 Plans Check Fee ,''
Building
Plumbing —
Mechanical
10-230 Ob Fire
30-202 00 Scwcc Lonnect.ion
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDQ
31-450 UO Storm Drainage Syst Dev Chrg
(SSDC) -- -- ---- ---
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
r
TOTAL D
nm/3587P.WPF