Permit .
.
CIIYOFTIGARD I ^
COMMUNITY DEVELOPMENT DEPARTMENT
8UILDIN3 PERMIT
1u125ow Hall Blvd. Tigard, Oregon 97223°8199 (503) 639-4171
PERMIT ;........: GUP93-0262
DATE ISSUED; Z9/14/93
I
639-4171
PARCEL: 1S135DB-04108
�I'.'E ADDRESS—; 11330 SW 92ND AVE
5USDlVISION....: DOGWOOD RIDGE ZONING R-4.5
BLOCK..........: LOT.............:14
--------------- ----- ---- ________ ---------
Q:IS3UE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.:ALT FIRST....: sf N: S: E: W:
TYPE Oc: USE...:SF SECOND"".: sf PROTECT OPENINGS?---------
TYPE OF CONST.:5N THIRD....: sf N: Sc E: W:
COCUPriKCY 3RP.:K3 T[)TAL------; N sf ROOF CCNST FIRE zlET?c
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR. :0 HT.: ft GARAGE...: sf OCCU SEP. RATED:
BSNT?: MEW: REQD SETBACKS REQUIRED----- ---
i-QQn LOAD....: ps� LEFT: ft R8HT: ft FIR SPKL: SM8K DET..:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BE3RMS: BATHS: IMP SURFACE: PRO CQRR: PARKING:
UALUE.$E 55@0
Remarks: 5' 3" RETAINING WALL UNDER THE HOUSE
[)y.nert -- --'-'---- ---'-------------------- FEEG -------------''
JOSEPH BUI type amount by date recpt
11330 SW 92ND PRMT $ 46.50 JH 09/14/93 -
PLCK $ 36.73 JH 09/14y93 -
TIGARD OR 972E3 5PCT $ 2.83 JH 09/14/93 -
Phone +>: 684-8096 I
1
Contractor: ---- ----------- -
ADRlnK CUSTOM CARPENTRY
29474 S. SALO RD |
I
MULINO OR 97042 -------- -------
Phone #: 829-9476 $ 86.06 TOTAL
Reg #..: 76833
------- REQUI RED INSPECT IONS -------
This percit is issued subject to the regulations contained in the ' Insp _____
Ti;e,rd Municipal Code, State of Ore. Specialty Codes and all other 1:inal inspect ion I
applicable le:s. Al} work will be done in accordance with
approved plans. This penzit :ill expire if work is not started _
within 1a; days of issuance, or if work is suspended for ooro _ __ _ __
thar :80 days. ----------
--L ' -----
__ ___
��eraittee Signature: ^�~ A;1 ____ __ ___ _
� ~ ____
Issued 8y: __ _____ _______� 1/
Call for inspection - 639-4175
/
> �
[
1-1
\ .
. - .
CI TY OF TIGARD mis Sw HA Bl PLNCK/RECT
COMMUNITY DEVELOPMENT DEPARTMENT Tigard. Oregon 97223
(503) 639-4171
DATE ISSUED
JOB ADDRESS: /13 30 SW 7 2 Al p , TAX MAP/LOT
SUB: LOT: LAND USE:
- VALUATION: --5 .5 -
/
OWNER SPECIAL NOTES
NAME: ci .5 pi/ aevi REISSUE OF:
ADDRESS: /13 30 _5 tA- ' 7 2 41 LAST REISSUE:
• (/ 6 /9-/t 0/Z - FLOOD PLAIN/
PHONE: 6 LI - 30 7 6 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
f NAME:
/41 111 Cvs To ' al i C1/7 fr PLANNING:
ADDRESS: 2-9 9 7<,/ .5 , .5,4 e_ o r y 11 ENGINEERING:
" L-1", ,e, 0 ig . C 97o V2-) FIRE DEPT:
PHONE: g 2-?'"? et? e OTHER:
CONTR. BOARD #: 76 5 3 EXP DATE: /0 - a -? 3
ITEMS REQUIRED
111-
SUBCONTRACTORS:. PLUMB: 0 LIST/SUBCONTRACTORS:
MECH: - BUS TAX: - •
ARCH/ENGINEER , S CALCULATIONS:
NAME: /Er e...'/5 A4 ,--)? 8 E., -.TRUSS DETAILS:
ADDRESS: 5 2-? .5 tA) Y ril 5 - r . 2 OTHER:
C OAV4 CI 5 ' ' C / Q 9'7 j
PHONE: 793 — VW 7 -
a..
PROPOSED BLDG. USE: RE, . i P 7
COMMENTS: . ..
- / fi J . ■./ ' '. / / / - ---
i .
i
....z
APPLICANT IGNA RE •, I . -
_.. -
Received By: I Date Received: .2,/1..3
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. RAL. 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 06 Fire .
30 -202 00 Sewer Connection
30- 444 00 Sewer Inspection f
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 Oev Charge (PDC)
31 -450 00 T- Storm Drainage Syst Dev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of) -
24-445-02 Water Quantity (Fee in,lieu,of)
TOTAL
nm/3587P.WPF \
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639- . 4 1 175 Business Phone: 639 -4171
& Inspection: l?Q ( , ' l t I x
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line de
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: / o - Time: Q AM / - PM
Address: I t3 1 Permit #: 601913 - O C 2./ 2_
Builder: �y '0 2 7 (�2
THE FOLLOWING CORRECTIONS ARE REQUIRED: 1
Inspector: L / Date: lb -5 - - /
L , APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Depar+znt
- 13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: !1 I /Cfl h ) ,-) C (4x
1 Plbg. Unnderslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing fl�`•`� ?. ,'�
Post /Beam Mech. Rain Drain Insulation ' - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Z3-y 3 /:�
Date Requested: 91- B // Time: AM PM
Address: //330 .5(.....) 97 'i r /f v-C /y Permit #:,860 " W 7--
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Cc r;47 o af - q (/ 7(,o N-e-ed ( k- d-e (6
Inspector: Date: ,2 Z. — , 3
4 /APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
.
CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO :93-244149
CHECK AMOUNT : 86.06
NAME : ADRIAN CUSTOM CARPENTRY CASH AMOUNT : 0.00
ADDRESS : PAYMENT DATE : 09/14/93
SUBDIVISION :
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
--- - -- ' ---- --
BUILDING PERM 46.50 PLAN CHECK FE 36.73
ST. BUILD PER 2.83
11330 SW 92ND AVE
TOTAL AMOUNT PAID - - - -> 86.06