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C'TYOFTIGARD BUILDING PrRMIT ✓
MYOFTWARD
Commt;NrTY DEVELOPMENT DEPARTMENT 001290H PERM I T #. BUP'9 1. -0'-07
13-,15 SW Hall BNJ. P.O.Box 23397,Tigoid,Oregon 97Z!3(603)6394176
SITE ADPR,"F
.)S.
. 16855 SW 1,16TH AV PARCEL.- -:�ISIIGAD-06800
SUBDIVISION. C:'4 y ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. : REPI FIRST— . -. sf N: S: E: W:
TYPE OF- JSE. . . .MF SECOND. . . - sf PROTECT OPEN
TYPE OF CONST. :5N TH I RD. . . . sf N: 5: E: W:
OCCUPANCY GRP. :R1 0 s ROOF CONST':B FIRE RET?. -Y
OCCUPANCY LOAD: BASEMENT. , sf AREA SEP. RATED,
STOR. : HT. : r i" GARAGE. . . : s f OCCU SEP. RATED:
BSMT? ,. ME Z Z? REQD
FLOOR LOAD. . . . : ps-F LEPT.- ft RGHT: ft FIR SPI-IL: SMOV, DET. .
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATF-IS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 14100
Remarks : Remove and replace roof covering with Class B System
Owner: FEES
KING CITY GARDEN VILLAS type amount by date recpt
SERVICE ASSOC. P R MY 11 1. 10. 50 JLH 06/,28/91 c:14865
16800 SW 126TH AVE F'1._CK $ 71. 83 JLH 06/25/91 214x'.92
KING CITY OR 972,:24 5PCT $ 5. 53 JLH 06/25/91 21461-)
Phone #:
Contractor:
GRIFFITH ROOFING
SW 111TH AVE
BEAVERTON OR 97005 ____._____.______--._----_._____________....
Phone #: 64,.-;-- 15')6 $ 187. 86 TOTAL
Peg #. . ! 925
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Roof nailng Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Ins.pec:tiaii
applicable laws. All work will be d,..e in accordance with
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for more
than 180 days.
1-7-lermittee Sipnature.
Issued Bv :
Call for inspection 639-4175
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Cl"ly OF '11GARD -- RECLIPT OF PAYMENT REC;FIF,"(' NO. 91-;x:1486`5
CHECK AMOUNT 570. 16
NAME t GRIFFITH ROOFING CASH AMOUNT 0. 00
ADDRESS : ('81S SW lilTH PAYMEN'F DfiTE: t 06/;'E3191
SEAVFRTON, OR S(.DD I V I ISION
C)700rt--
PURPOSE 01' PAYMENT AMDUN-r v,wtt) PURPOSE OF PAYMENT OMOUNT PAID
'543. 00 ST. BUILD PER w�wP7. 16
GC
stio-DING' PERMJT
TCJTPL. AMOUNI PAID 570. 16
A
CITY OF' I*lGnP[) RECEIPT OF PAYtIENT P E"CE i PT NO. c 91--c-14692
CHECK AMOUNT c 352. ': 6
NAMF' c GRIFFA'TH ROOFING CAF31-4 AMOUNT 0. Q .
. 711A
PAYMENT DATE 06/2,5/91
GAJBD I V 19 1 ON
PURPOSr OF MYMENT MOUNT PA 1,D PLJRP0!.3+-- 01 PAYMENT AMOUNT PAID
Ply AN CHECK FE 352. 96
MING ci-ry RE-4430FINCS FLAN REVIEW FEES
TOTAL AMOUNT MID 352. 96
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