Permit BU ILDING PERMIT
-CITY OF T DATE I ISSUED: 06 / 10/9: -OOJ
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 2S1 10CB -02900
SITE ADDRESS...: 12020 SW PAR 4 DR
SUBDIVISION ZONING:
BLOCK • LOT
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.:REP FIRST 0 sf N: S: E: W:
TYPE OF USE.. ° :MF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ...: 0 sf N: S: E: W:
' OCCUPANCY GRP.:A1 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 SPKL: 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. $ : 20000
Remarks: This permit is for buildings 12020, 12040, 12060 and, 12080 SW Par 4 Dr
Tear -off old shakes & lay down new shakes.
Owner: - FEES
KING CITY PAR 4 TOWNHOUSES SER type amount by date recpt
12020, 12040, 12060 &, 12080 PRMT $ 140.50 CJS 06/10/96 KING CITY
SPCT $ 7.03 CJS 06/10/96 KING CITY
KING CITY OR 97224
Phone #:
Contractor:
GREG'S QUALITY ROOFING
12245 SW PIONEER LN #D 119
BEAVERTON OR 97008
Phone #: 503 -590 -6148 $ 147.53 TOTAL
Reg #. • : 95890
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
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: tr a_iled
Issued By: rhor /es Sc)-1 - ;dt -
Call, for inspection - 639 -4175
- _ --�, JUN -03 —' 96 MON 00:38 • ID: FAX NO: #120 P01
?ost -ltTM brand fax transmittal memo 7671 # of
•
To Pages •
- eside tia Bui din • Permit A � ��`
City of Tigard _At,
r
Dept. " -,
13125 SW Hall Blvd. Phone , y , e
' ,
Tigard, OR 97223 Fe: ft 'G •- 7aq Fan #
(503) 639 -4171 . ' '''7 /
Jobsite Address: `W W l 20 I ?1) bO,i 2A VO "a et r T _ • . . r ,
Off e. Use Only . i,, i ` 3 ; `: a: 1e:= . .s ; : 1 n
Subdivision: Lot # . ::`= ;y�' =`z� `: � µ
Valuation: Oi c � Planclt/Rec #
Permit it a 0 p -0•,30
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Address: 1 ! Y7 Olt 0 1?.o, c) I t7� M :': ; , �:,;...
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Engineering
Phone: : z:ex <3::5:=t; =,;hZ
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Contractor. r.. `` f ":
Items R equired ' ` 1,; �' , ' .
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Address: 12 21-k `� Pr � v ' ,,., , d; ,
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Phone: (5775) S5 i7 eo I4f ;... :. <, ., • :! :!..:. • .
O th e r'
Contracor's License # -�s'qS »., F `s R v ° <<r"_ °:` ::`:: >;<:,- .4 ::
(attach copy of current Oregon license)
Contact Name & Phone: 6,re, Leg- 312- 1Sfr'
Subcontractors: ArchitectlEngineer:
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractor's License)
Phone;
• JOB SCRIPTION:. / PCft ,pf1� arf't k4 5 f j (4g, VC 4 -) s k 5 4 .5' —6p ( 4fir' -
Applicant > ature //mi&�� Phone number p
Received by )l, `4J Date Received: . e " 3— 16
JUN- 03 -'96 MON 00:38 ID: FAX NO: 1:1120 P02
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 1 NO
Plumb. Permit (PLUMB)
Mech. Permit (MECH) •
State Tax (TAX) - 14.03 7 03
Bldg:
Plumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (11F -
Mass Transit TIF (TIF-MT)
k
Commercial TIF (TIF -C)
Industrial TiF (TIF -I)
Institutional T1F (TIF -1S)
Office T1F (TIF-0)
. Water Quality (WOUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
• Erosion Planck/COT (EROSN)
TOTALS: Ltisa / 7.5 3
.