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Permit 4 i~// CITY ��� � TI N��� � BUILDING PERMIT �m��� � � ���"�' PERMIT #.......: BUP95-0257 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/10/95 13125 SW Hall Blvd. Tigard, Oregon 9722308199 (503) PARCEL: 15125DA-00100 SITE ADDRESS...: 06500 SW TAYLORS FERRY RD SUBDIVISION....: ZONING: R-4.5 '� BLOCK..........: LOT.........,...� ----- — ----- —. — ----- — REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK.:DEM FIRST....: sf N: 3: E: W: TYPE OF USE. . . :SF SECOND...: sf PROTECT OPENINGS?— TYPE OF CONST. :5N THIRD. . . . : sf N: S: E: W: OCCUPANCY GRP.:R3 TOTAL------: 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED: STOR. : HT.: ft GARAGE...: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS --- REQUIRED— -------- FLOOR LOAD....: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET.. : DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE.$: 0 Remarks: Demolition permit for existing house and garage. Must cap sanitary sew er line and have inspected. Owner: ---- ------------- ---- FEES -------- NDC LTD type amount by date recpt PO BOX 1985 PRMT $ 25.00 B 07/10/95 95-267790 5PCT $ 1.25 B 07/10/95 95-267790 LAKE OSWEGO OR 97035 EROS $ 26.00 B 07/10/95 95-267790 Phone #: 697-3801 ERPC $ 8.45 B 07/10/95 95-267790 ERPC $ 8.45 B 07/10/95 95-267790 Contractor: — ---------- NDC LTD. PO BOX 1985 LAKE OSWEGO OR 97035 --- ----------- Phone #: 697-3801 $ 69.15 TOTAL Reg #..: 99813 -- REQUIRED INSPECTIONS -- This peroit is issued subject to the regulations contained in the Cap sewer line ________ ______ Tigard Municipal Code, State of Om. Specialty Codes and all other Final Inspection _ applicable laws. All work will be done in accordance with _ ___ approved plans. This pernit will expire if work is not startpd __ _________ _____ ____ within 180 days of issuance, or if work is suspended for oore _ _ __� _ than 180 days. -- ------' — ---- — _ �������__ _ _ ___ __ Permittee Si t ____ __ _ ___ Issued By : �-/ M _ ____________ Call for inspection — 639-4175 ' w Residential Building Permit Application City of Tigard , 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 Jobsite Address: (c.6 S/v j 4 s .�., ' ffice Use ^Onl `::: > >_ :` z. :<: ` >` .:! ::: 'r :'.:j`;; ion : Lot # /S / S 0 0 : ; : ;:.:::. ;;;:::; : : : :: >::::: :: >; ... : >::::<::: >:: >: : :; :: >: ;: .•;: : :: > : : : : :: <:: ;;< :::: :::; : : Cont Date:::» . : ' j . `:.: I : . . • ' Valuation: ' 0 '"y ; • '' R esu lt : > ; :: :::;..::;;: :::: .... ••• ... . New Construction Only: (Square Footage) .... Permit : . nt.i --" l ° OZ. House: Garage: • _ Reissue .of' .. '.':a::::. : Map: & TL• #;::``:.. • . Corner Lot? Y N Flag Lot? Y N . Owner: -/- Q d /� Approvals Required :3 : ::; ;;.:. .. Address: P. 0- c),/ ma's A ,4- ke 1)5 k) o Pla i Se tbacks : : ` , ` . : Sol ar E ng in eering ; :::; :<, > <::, ..: . ..: : :. .. •:....::::.:.... Phone: .� u 17 O j .:. Other; -; :.::<:'::: ; ( 3 ) 3 . :Items :'Re �� uirea ' <; :; : > >< : : :,: : :; ;': <: : ` : :: '+' q Contractor: 0 C Subcon tractors =< ................................ ` > z < Address: :: : '` A I -� °;.T .u.ss eta s .. . o >:. Other::!:; > > : > >` .:_ >? > > < « ` . A ,.... © (). Phone: ( ( ) c9 -.720 / Contractor's License # or c et 5 \ VP 1 3 an / /� Ore on license) .. Contact Name C LA , ( ��i attach � s co pY o f u nK Contact Phone: ( S ) 3) 6:, 2 3 c 6/ A T 3 2D, a q Subcontractors: Architect/Engineer: Plumbing: Address: Mechanical: (attach copy of current OR Contractor's License) Phone: ( ) JOB DESCRIPTION: d, •/ ` „, ' _....0...,....._ 1 P ,. 4/G e 41 ( ,S - c,3) 0 -i- 73 PD/ Applicant Signature Applicant Phone number Received by: Date Received: H:Uogn\ ts,esapp Permit # Account Description Amount Amt. Pd. Bal. Due .. f — `'L - Bldg. Permit (BUILD) 7S PD ,r Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) jam_ Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: 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 Cntrl Permit (ERPRMT) 71 .60 Erosion Planck/USA (ERPLAN) iLI Erosion Planck/COT (EROSN) ng TOTALS: 1 O�