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Permit T BUILDING PERMIT PERMIT # • BUP96 -0023 CITY OF TIGAkRD DATE ISSUED: 01/08/96 L� COMMUNITY DEVELOPMENT DEPARTMENT ��� • - : 2S 110CD -00700 S I TE13125Sd 4Wi IIiBN_ d. TJgard, '. OFspoff�722918419 71($b3)1119- 4f1[ S i i-1 UBDIVISION • ZONING: BLOCK • LOT • J /5 y 40 e — —� -- REISSUE: FLOOR AREAS EXTERI R WALL CONSTRI TION— CLASS OF WORK.:ALT FIRST • 0 sf N: 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 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. $ : 5678 Remarks: roofing Owner: -- FEES PAULINE CHAMBERLAIN type amount by date recpt 15440 SW ROYALTY PKWY PRMT $ 56.50 CJS 01/08/96 KING CITY SPCT $ 2.83 CJS 01/08/96 KING CITY KING CITY OR 97224 Phone #: Contractor: DAN BURTON CONSTRUCTION CO 10110 SW NIMBUS AVE B -10 TIGARD OR 97223 Phone #: 503 -625 -3272 $ 59.33 TOTAL Reg_ #..: 68356 REQUIRED INSPECTIONS This permit is issued subject to the reoulations contained in the Roof nailng Insp — Tioard 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: O,/7 a , — - _,__ I s s u e d B y : _ r /�^ Ch Vii._ al - - -- — — — --- Call for inspection — 639 -4175 JAN- 27 -'00 FRI 16c26 ID: FAX NO: #050 P01 Residential Building Permit Ap -- - • city of Tigard " "� t "0' P 13 125 SW Hall Blvd, post-lt'" brand tax tran sm ittal mem , Tiga OR 97223 To 2)51- CO. n - (503) 639 -4171 ��� Phone Ol ' • Dept- ' , w� : •. . .D r • x ,24 Jobslte Address: (5�'� t O k4 4-r4 rte-Ar fax ' !�- Subdivision: rr ::a:;; z : < ?< > `R �u ry Lot # y . >. -..<..:.:.:o' W F` ,n. .. • Corner Lot? ..Eer>'ni ; •.:.:...:..-',.:'::• 4 ? ! i X .3. :'' ' : <: : : : ` i i > Valuation: Flag Lot? Y ; .� ^�> ^` 9 4; r':c w " k c:r�if :.Ma pp��,, yt f. . Owner: S:Ssa.�:: a ti >� ` . :5a. . d 111/1.6 • C 444k144 d L P/L. W A Tess: �W 4, IV Phone: t. � � � l � . • :� <�Y�� <�::, - � < ;:�.' : :,, :'i<.. i:�: f. ",`. v,�y, �:5� � d� s �sl� f`:tai Ark) sx . 1 Contractor: { 1 � � �� 1 • t� - 1 i ems�4te`� U r d e W ci ` : s, Address: 3 `f ?: . G .O �I' GL �: �E� xs�' av�•�s:. 3.33 �•:�.: .: « :: .,:� 9-1 // »4 :.?; cT.. - <.r >:. -:: ... . T:•<`.`. K _ Co �� Phone: w 'Other S 4; A r .. . • . . max: Contractor's License # iii >i ;�r L attach copy o c urre nt ( py Oregon license) Contact Name & Phone: mt � • 1114 -. L. � Z7 L Subcontractors: Architect/Engineer: Plumbing: Address: Mechanical: (attach copy of current OR Con tractor's License) Phone: JOB DESCRIPTION: o�t A J P.r- — T 744 - -- r� el �q r / 1 Yn pi IT If" 5 /b/� 5 I.ihdG -v,3 r�r ,. ., to � S- 3 Z7 7- Applicant S ignature // Phone number / Received by: �h e r ��'S , s - c/ 7 ")' �� 1 Date Received: I - r9 96 4/19/00 Activities for Case #: BUP96 -00023 5:47:29 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPA007 Application received 1/8/96 CJS RECD CTR 1/8/96 BUPA008 Permit created 1/8/96 CJS PEND CTR 1/8/96 BUPC742 Roof nailng lnsp BT2 8/12/96 BUPC799 Final Inspection BT2 8/12/96 BUPC100 (F) Issue permit 1/8/96 CJS PASS CTR 1/8/96 BUPC798 Misc. Inspection BT2 8/12/96 BUPA150 Expired by limitation 4/12/00 HAP DONE No Hold AKJ 4/12/00 • Page 1 of 1