Permit '_
'
BUILDING PERMIT 1,..--
CI T Y � T IGARD
DATE ISSUED: 01/04/96
�^ 'COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd Tigard, Oregon 97223.8199 (503) eou��r�
� ' ' PARCEL: 2S112CC-04600
SITE ADDRESS...: 15830 SW 80TH AVE
SUBDIVISION....: BOND PARK NO. 3 ZONING:R-12 '
BLOCK....... ^ LOT. ....... .....:74
— . _
REISSUE: ~— FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
CLASS OF WO FIRST ^ 0 sf W: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS? —
TYPE OF CONST. :5N .. . : 0 sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL : 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED ---
FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPRL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE.$: 0
Remarks: Repair due to storm damage. No plans necessary per Building Official.
Fees waived per City Administrator.
Owner: FEES
LEVEL, CINDY type amount by date recpt
BOWES, GERALD PRMT $ 0.00 B 01/04/96 WAIVED
15830 SW 80TH DR
TIGARD OR 97224
Phone #:
Contractor: ----
JACOBS CONSTRUCTION CO
ROSE ANN PFLOMM
13900 SE HWY 212 #31
CLACKAMAS OR 97015
Phone #: $ 0.00 TOTAL
Reg #..: 110447
REQUIRED INSPECTIONS -------
This permit is issued subject to the reaulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. _
__ �
Permittee Signature: A' - -- -- ^�`� ___ --- _____
142 ^ ___
/�`
Issued By: � i �w-�4r\&t�'~~-^ ___ ___. ______ _
Call for inspection — 639-4175
'
----
•
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
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•..••. • •••• •. ••••.•..„..........„................................,_...,...........................„
Dffit& Use:::;01iliP::::::::::::::"0:::::i:::'
Subdivision: Lot #
i Date .•.'./ " / Initials:: '••• . •••••.•:.:::
Valuation: ,
Result:•:•• ,'•••••-••-... - .--.-:: :: • .,-•:,•:',--------. .::••
New Construction Only: (Square Footage) e'
0.eefriit*::....i:;:i.ii:'„60V.:41i../701 :, .'
House: Garage: ReiSSi.le•of
•••••••• •••••• •• • ••••
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M aP . .:8,:TL.# 1 *-,. .... .• •• ' . :••• : •.:.,
Corner Lot? Y N Flag Lot? Y N Zone
Owner: (C/11-/(iy L,-, / (6, 1 ,-) )0w i.lai ::.:4p.,:. .„ %.,..,..,.,.. ... ... . ., ..., ..
)
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Address: 3 I/1
/6 R 0 ,5e-(J c °P . ApprovaliReitiiiited:':::::::':'ih)--'::,•.:,::::„:...:::•:••:::::::-;:::::::::::::::::::::::::m::::::::::::::
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- 7 -- ; (J? a r C) C) • : '...'''':•••••• ••Solar .."--`'..."•!..:'••••'•:• -:,..-
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Other
Phone: ( )
Contractor: j Ob" C Iteiiii:::Recidifed:::::::::0:::::::::0:::::::::::::::':::::::::::::::::::::::::::::::::-.0:::::.;::::::::::::::a:::::••::::::.pii
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:'•::::::::ii:SUbtorittadtorsii::::'
Address: 10!) Sg 14 LOCI Z IG , j 1 :::::::"-..,..:,........::::".:......:.:.:.•:.:..:::::::::,.:.,....,„..;:.-..,..:.;.:.:...:,............::,.....;.::....,,,.....:.„.::,...„....::::::::::
(1Ofecury)as
Phone: (308 ) ( 06fri NOt.'::::•'!'ki.:ii•-•:A:::::!::';a1,.b]:4.g.:?::•q•'N.'•;;:•:,'.k]:::•g?;:.;0::::•44:i:::::11:::
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. . .. . ... . . .......... ..... .,.
Contractors License # 1/ 01U)7 .. - - • •• - - •• --...• . • ---- • -
....., . .,.. ... .• . .. :
(attach copy of current Oregon license) .:::'::::i...:,:yli :.:::Vgi:citik
Contact Name: Arx,e_. Prvornry)
Contact Phone: (\.i0(3) L066:7 - 36) 9 (
Subcontractors: Architect/Engineer:
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractors License)
Phone: ( )
,s ,,, .■
JOB DESCRIPTION: /:?ictct:- / x 6 a , - , 8- Le Ock r-e- C1‘'ICk \Ce•-g
____ - P147 - -- ---- ( .603) to6LP -..e_oc-,,
Applicant Signature Applicant Phone number
Received by: Date Received:
Permit * Account Desc ipdon Amount
Amt. Pd. Bal.
1
Bldg. Permit (BUILD)
Plumtr. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
1
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TiF (T1F -R)
• Mass Transit TIF (TIF-MT)
Commercial TIF (T1F -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 (ERPRNIT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: