15670 SW HALL BLVD 15670 SW Hall _
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COMMUNrr'Y DEVELOPMENT DEPARTMENT oaeooN P'R I M.. F'E Fi 111'.T N. - D U F,9 0 0 273
13126 SW HWI Blvd, P.Q.Box 23397.Tigerd,Oropon 97223(sox)6W-1175 DATE ISSLA-D-, 09/18/1.3k�
70 SW HALL A R C E L.% 2 S 112("1 C--0 0 7 0 0
SUBD I V I S J 01,1 ZONING,., R-12.
RE I SSUE C FLOOR APVAS...... EXTERIOR WALL CONSTRUCTION
CIJASS OF W C)RK »1)F.::11 FIRST. . . . C.f S. E» W.
'T'YP'E OF USE:. . . »SF SECOrlll). F-1 R 0 TE.UT (7 1:1 E N I N 6 S'
OF: CONSI*,. -!5N THIRD. . . . .. Sf ISI: S. Ea W
1*)C11CUP,AN(.`,Y GRP,. , R3 T0TAL. 0 !1i f R 0 0 F C;1)N ST FIRE RE,J?,.
O(X1Jl0NC'Y LOADr BASE,M ENT. : sf AREA SEI-1. RATE-D.-
S`TOR, » H*T. » ft GARAGE. . . : f OCCU SEP,. RATE.D:
--ZZ?- C If,S---- R E U U I R E 0 ..................
HSM'T?,. 11F.- R E 0 1) 1;E.
FLOOR LOAD. . . . » psf L.EFI': ft PGHJ'-. ft FIR SFIKL,. SMOK DE1'. .
DWEI L 1146 U lq 1:TS- FRNI ., ft REAR ft F)"R 0 L R 11. 1-4NA''NTCr, A(`C. -.
D E:*1)R V1 S B A F HS- 111U, SURFACE -.9 PORO CORRPIARK I lq(3 i
VALUE. 0
R Pni a-r k.s GUITIC rIUST BE. V11VIED, FILLED AND J.*NGF1ECTED. AL.L. DEBRIS MUST' BE
REMOVED.
JACK BRISTOL type aMOU)lt t)Y (J'A t e reept
BRIS1,01. HUIME:S V1 A Y 11 $ 1.5. 75 JI.J4 09118190
V, 0 B 0 X I3,4 F,R"1 1 $ 115. 0(A
WEST' LINN OR 97068 0. 75
JACK BRISTOL_
URTSTOL rIOMES
1�-, 0 P()x !34
WEST' L iHN OR 9*7068
P1ic)iie It 503---6,38 -6640 15. 75 'TOTAL
Reg #. . 3 999
REQUIRED INSPECTION"i
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes ve all other llisc.. lrlspec.�tic)vl
Applicable laws. All work will be done in accordance with
approved plans, This permit will expire if voi., is not started
within 188 days of issuanc;,, Or if worl+ is susionded for more
than 189 days.
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CoAll i'..i-r iiis;pectiari .— 6:3` —4 175
-ITY OF TIDARD RECElPT OF PAYMENT RECEIPT NU.
90-204880
CHED,: AMOUNT z 0.00
NAME a EtR I GTOL., JACK' CASH AMOUNT a 15.75p
ADDRESS a FAYMENT DATE a og 1a go
800D I V i S I ON
PUR 'OSE OF PAYMENT AMOUNT rAfl) r'URPOSE OF rAYMENT AMOUNT PA I D
BUILDING PERM SLJP9(.')--027'-1 15 SY. BUILD PFR
15670 9W HALL BLVD DEMOI, I I I ON PERMIT
T07AL AMOUNT PAID
15. 75
As