Permit CITV OF TIGARD MASTER PERMIT
PERMIT # : MST95-0162
COMMUNITY DEVELOPMENT ^^^^^^^
� � � SUE 04/17/95
1o1oaavv*mxe*u. Tigard, Oregon mrouo°",~" (541w3��41r1 ������ 0����0��o��/E ISSUED:
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PARCEL: 1S125DC-00600
SITE ADDRESS...: 09777 SW 74TH AVE
SUBDIVISION....: BOULEVARD HEIGHTS ZONING: R-4.5
BLOCK..........: LOT.............:30
---- — -- BUILDING — -----
REISSUE: DWELLING UNITS:0 BASEMENT........:0 sf
CLASS OF WORK. :NEW BEDRMS:0 BATHS:0 GARAGE... ..".... :684 sf
TYPE OF USE,, :ACS FLOOR AREAS---------- REQUIRED SETBACKS----------
TYPE OF CONGT.:5N FIRST....:Q sf LEFT..:0 ft RIGHT.:0 ft
OCCUPANCY GRP.:111 SECOND...:0 sf FRONT.:0 ft REAR.. :0 ft
STORIES.......x1 FINBSMENT:0 sf REQUIRED-- —
HEIGHT........:13 ft TOTAL------:0 sf SMOKE DETECTORS.:
FLOOR LOAD....:50 psf VALUE.....$: 11129 PARKING SPACES..:0
Remarks: 684 SO FOOT DETACHED GARAGE
---------------- -------- PLUMBING -------------------
SINKS.... ... .. . :0 FLOOR DRAINS-0.20 BACKFLOW PREVNTRS.. :0
LAVATORIES.. . .. :0 WATER HEATERS. .. :6; TRAPS. .. . .. . . . . . . . . :0
TUB/SHOWER8.. .. :0 LAUNDRY TRAYS. .. :0 CATCH BASINS... . . .. :0
WATER CLOSETS..:0 SEWER LINE (ft).:0 GREASE TRAPG.......:0
DISHWASHERS....:0 • WATER LINE (ft).:0 OTHER FIXTURE8.....:0
GARBAGE DISP...20 RAIN DRAIN (ft).:0
WASHING MACH...:0 Sr RAIN DRAINS..:0
------ MECHANICAL ------------- • --- FEES ----------
FUEL TYPES ---- UNIT HTRS..:0 type amount by date recpt
VENTS .....:0 BPRT $' 92.50 JD 04/17/95 95-264310
MAX INPUT:0 BTU VENT FANS.. :0 BPLC $ 60. 13 BON 04/04/95 95-263721
FURN < 100K ..:0 HOODS......:0 B5PC $ 4.63 JD 04/17/95 95-264310
FURN >=100K ..:0 WOODSTOVES.:0 EROS $ 26.00 JD 04/17/95 95-264310
FLOOR FURN . . . . :0 CLO DRYERS.: 0 ERPC $ 8.45 JD 04/17/95 95-264310
BOIL/CMP < 3HP:0 OTHER UNITS:0 ERPC $ 8.45 JD 04/17/95 95-264310
GAS OUTLETS:0
Owner: — ---- • — —
ALLEN CHAMBERLIN
09777 SW 74 AVE
TIGARD OR 97223
Phone it 244-6832
Contractor: ------- ----------------
J RULE CONST
20933 SW 86TH
TUALATIN OR 97062
Phone #: 692-5408
Reg #..: 30386 -- --------- ---------
$ 200.16 TOTAL
This peroit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -------
TiUarf Municipal Code, State of Ore. Specialty Codes and all other Footing Insp
applicable laws. All work will be done in accordance with approved Framing Insp ____ _ � __
plans. This pernit will expire if work is not started within 180 Rain drain Insp
days of issuance or if work is sospende' for than 80 ays, Building Final ____________ .
Erosion Control
Permittee Sign ure: L~
- _______
Issued B 0~7 ^�~ -_-__- _
Call for inspection — 639-4175
. „ \ ., ,,. ,.4,
4„k,t\Lik*,_ -I'.
Residential Building Permit Application
•
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
77 t 2
Address: f
4site Ad S dv
/, 3 U e U
Officse Only
Subdivision: _gocc /e(Javc /7"/i p' / Lot #
•ei Cont D ate / / : Initials.
Valuation: ` , er" Result
Pl # � .. - t I .
New Construction Only (Square Footag Permit # 'h , 5t U/ G Z -
House Garage Reissue of
.Map 8.i TL # I S >I Z5 IaC .:000Q :OO
2orie i-I;:S
Corner Lot? Y N Flag Lot? Y -1'= Pfat #
. v rc1 !! tom+
/
/ . f Z A.x. P✓' /4. val's Appro Required
Owner:
Planning Setbacks Off(;, . Sofar d ...
Address. 7 77 7 ` i - cd 7 62, 1.1 e ,� En of
-- 7;:56....40# , , 7 2 �� Other I.�P $- 1c��rvro`. E1
',,) - - m
Ites Required
Phone: ( ,5 - 0\7 ) -2 y Y .- 6 19j -
Subcontractors
7‘ntractor: :Tr o_d (c) l T G=am - Truss D
' Other
Address: 24.33 Sc.' g6-6
7:40--4 704 Z Notes 9
l�
Al . it y
Phone: (S ) 44 .5
Contractor's License # 3a S` 0 10 -2q '" '
-(attach copy of current Oregon license)
Contact Name: ' R`l Le-
Contact Phone: (Sv3 ) 531' - / 4 19 5
Subcontractors: Architect/Engineer: _7 ��c fe _
Plumbing: --"/----\. i''� Address: 2 .og? ��
Mechanical: ' � W. f%Aa.C' 0377 �J 0 � '�--
(attach copy of current OR Contractor's License)
Phone: ( S° 3 ) 61 - Y S
JOB DESCRIPTION: 1 - 4.G,I# / la 'c
- ce--"( (Si 1 ) 69z- -s k'
Apr - nt igAature Applicant Phone number
L'_q �15 s
Received by: P �'- Date Received:
H:Vo es app
...
I
Permit # Account Description Amount Amt. Pd. Bal. C.ae..
/2151'75 -i9/ &Z Bldg. Permit (BUILD) g2. s U 92. SI /
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) C/.4 3 • 4 3
Bldg: 2.6 3
Plumb:
Mech:
Plan Check (PLANCK) 60./3 5 • L 3. f o
Bldg: 66• /3
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPRMT) .2 6 Gv G,vv
Erosion Planck/USA (ERPLAN) ff . U r 8 j
Erosion Planck/COT (EROSN) s'0' Y: C�
TOTALS: c 9° 0' / ‘ 56 ? ,j • 3