10417 SW TITAN LANE-1 L.!" LO L� tj U 1_1 L1 (-I I Ll 1 -.1
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i:\recorls\microflm\targets\building.doc
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W TIM
SNS ErJON NOTICE I
City of Tigard Building Department
1.3125 SN Ball Blvd. Tigard, Oregon 97223 d
Inspection Line (Rec-O-Phone): 639-4175 Business PhantA1659-,�y71
InepwrtLon:�__
Rooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Lina FINALS
Post/Beam Struct. San. Sewer Framing Bldg.
Post/scam Mech. Rain Drain Insulation <•Plumb.J
Plbg. Underfloor water Liffe Gyp. Bd. -Koch.
Date Requestedt II f V __Times x_�11M �PN
Addreses.11 ( + L I Il i l.lh� �iC. Permit /jM�T q' (V
Builders �` r'(/� Co U "( Jt�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Datet
APPROVED DISAPPROVED APPROV!D 8081ECT TO AHOVE
_�Ca11 For Reinap.
CITY OF TIGARDPERMIT J#FH. 1-1.kiylIYh1S194-0�iz;,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/09/94
13125 SW Hell Blvd.Tigar i,Oregon 97223.6199 (503)639.4171
PARCEL: 2S 1. 14BB-1 1700
SITE ADDRESS— :; 10417 SW TITAN LN
SUBDIVISION'. . . . : SWANSONS GLEN NO. 2 ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :58
_----- BUILDING
REISSUE: DWELLING UNITS: 1. BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. s ADD BED RMS:QI BATHS:0 GARAGE. . . . . . . . . . :QI s f
TYPE OF USE. . . :SF FLOOR AREAS -_--_- - - REUU I RED 5k.TBACI:S-•-•------•--- .
TYPE OF CONST. s5N FIRST. . . . :216 sf LEFT. . :8 ft RIGHT. :6 ft
OCCUPANCY GRP. :R3 SECOND. . . :O Sf= FRONT. -29 ft REAR'. . : 17 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 S f REQU I REI)---_-----.__.-__-_--
HEIGHT. . . . . . . . : 13 ft TOTAL- - -- -: 16 sf SMOKL DETECTORS.
FLOOR LOAD. . . - :40 psf VALUE_•. . . . . $ : 9936 PARKING SPACES. . :0
Remarks : ADDITION OF 216 SO FEET PATH I
PL.UMBINh -___.__.___._____-.--,-------------.-----__.
S I NKS. . . . . . . . . .-:0 - -_--FLOOR DRAINS. . . . :0 BACKFLOW PREVNT•RS. - -.0
LAVATORIES. . . . . :0 WATER HE:ATERS. . . :0 TRAPS. . . . . . . . . . . . . .
TUB/SHOWERS LFILJNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WA-'LR CLOSETS. . :0 SEWER LINE (ft ) - :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :Qi WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . :'�7
GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :O
WASHING MACH. . . li.i SF' RAIN DRAINS. . :0
MECHANICAL -___..._.------- --- ----___.._______..________. FEES
FUEL TYPES---•-•-_-.__-_ _. UNIT HTFiS. . :0 type amoI_int by date *`ecpt
VENTS . . . . . :0 BPRT $ 80. 50 JH 02/O9/94 -
MAX INPUT:O BTU VENT FANS. . :0 B P L C $ `.'i2. 33 .IEI 02/09/94 -
F URN ( 1O0K . . :0 HOODS. . . . . . :0 S5PC $ 4. 03 JH 02/09/94 -
FURN ) =100K . . :0 WOODSTOVES. :0
FLOUR T=URN. . . . :0 CLO DRYERS;. : 0
BOLI._/CMr,l ( 3HP-0 UfHER UNITa:O
GAS OUTLETS:O
Owner: _._. ._....____...._._.._----.......__._._.._..____._. __... . ..
LUTHER ROBERTS
10,417 SW TITAN LN
TIGARD OR 97222
Phone
Contractors _..____---.-_---•--------_.____..______
K. M. G. CONSTRUCTION
6505 bW 179TH AVE
ALOHA OR 97007
Phone #: b42-3827
Edey #. . : 47468 -----__ _____._ ---------•----------- __
$ 136. 86 TOTAL..
This permit is issued sdb)ect to the regulations contained in the ---- -- REQUIRED INSPECT TONS - -
Tigard Municipal Code, Qate of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All week will be done in accordance Math approved Fust/Llleam Struct Gas L_irie Insp
plans. This permit +sill expire if work is not started within 180 (:'ost/Beam Mechan Insulation Insp
day, of issuance, or if work is suspended for core than 188 day s• / F'1 m/ands 1 a b In-,p Gyp 1:loard I r.s f'
R'I_M/Llnderf .Cor Rain drain I+i�ip
Permittee Si natAA1'f? : �.`'. /-`_ - Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
I S C;u e d B y : _ ��_�__..---____-.__ Framing Insp Mechanical Final
Call for inspection - 639--4175
City of Tigard _Residential Building Permit 1' pplication �41
131 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
.lobslte Address: L2 A)
Subdlvislon: ( Xg' Lot# S S Office Use Only
PlanWRec#
Valuation:
Pergrit # '0 3, �"_�
r1 ��
Owner. L Reissue of
Address: /0 V17 -5(—( ? 7 TP\ - �. Map & TL #
_i L �l .
Approvals Required
Phone:
Planning
Contractor: Engineering
�nNs �R����y�� _ Engineering _
1 f,ddress: Zy� / 'C', Other
Phone:
"12 z /")'Yc ; _ a C Items Required
Contractor s License # ��' Subcontractors
(attach copy of current Oregon license) Truss Details
Subcontractors: Other
Plumbing:
Mechanical.
(attach copy of current OR Contractor's License)
Architect/Engineer:
Address:
Phone:
COMMENTS:
Applicart Signa ure & Phone number
Reco-ivec by: _ Date Received:
Permlt # Account Description Amount Amt. Pd. Bel. Dt,:e ti
Bldg. Permit (BUILD) �b o Z 4 V
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech.-
Plan
ech:Plan Check (PLANCK) Z j :r1 ✓
Bldg: _
Plumb-
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWiNSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIP: (TIF-IS) _
CNfice TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS: �„�,
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