10634 SW TITAN LANE ADDRESS:
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1 is\racords\micmflm\targets ,uilding.doc
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07 N NOTICE Q'(�
City of V+,A Building Department U` J
13328 SW Rail Blvd. Tigard. Oregon 97223
inspection Line (RPL;•-O-Phonw)s 639-4175 Business Phone: 639-4171
Inspection: �) /t L l e_
Footing Plbg. Underelab Mach. Rough-in Appr/8dwlk
Found. Plbg. Top Out Gas Lino 1INALt
Poet/Beam struct. Saq. Sewer Framing -Bldg.
Post/sells Koch. Rain grain Insulation -Plumb.
Plbg. Underil Water Line Gyp. Bd. -Mach.
Date Roque edt_ ./ = Timet pAM __--
Address:
Permit t t fiq/
Builder:,_
THE FOLLOWING CORRECTION, AR- REQU'.REDt
Inspcctor:�� - -_.__ Date: 3 ��
APPROVED -` DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
BUILDING PERMIT
CITYOFTIGrARD /�
i;�� PERMIT #. . . . . . . .. BLfP9a- 0257
Cr rYOF TW,ARD
COY MUNITY DEVELOPMENT DEPARTMENT1 i 1. macro DATE I SSt IED: 08/28/92
13125 SW Hell Blvd. P.O.Box 23397,T4wd,Oregon 97223 (503)SN 4175
SUBDIVISION. , . . o /fJ(v•3`/ 5W 7'r 44n Lh ZOIV,i\IG:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
REISSUEe FLOOR AREAS------ -- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ADD FIRST. . . . : sf Ni S: F;: W:
TYPE OF USE. . . s SF SECOND. . . s s f PROTECT --
TYPE OF CONST. e5N THIRD. . . . o sf Ne Sa Es W:
OCCUPANCY GRP. :R3 TOTAL------e 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOADe BASEMENT. : sf AREA SEP. RATEDo
STOR. ti HT. : 19 ft GARAGE. . . -.440 sf OCCU SEP. RATEDs
PSMT?: MEZZ?: REQD SETBACKS--------- REQUIRED---------_—_—____--.._
FLOOR LOAD. . . . :40 psf LEFT!-.5 ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT':20 ft REARS ft FIR ALRM: HNDICP ACCO
BEDRMSs BATHS: IMP SURFACE: PRO CORRs PARKINGe
VAL UE. 4 s 7556
Remarks : 440sq ft attach garage
Owner: -___.__._._.___.__..__._..._.._.___._______._..__.__.___ ___.______________. FEES .---•--_._____.___..___._.
"TUM MILLER type amount by date rer,pt
PRMT f 68. 50 JLH 06/24/92 ,
PL.CK $ 44. 53 JLH 08/24/92 ,
5F."CT $ :.3. 43 JLH 08/24/92
Phone #:
Contractor: ------_ .___--•--__._..____________
TOM MILLER BUILDER
1478 NO. SHERWOOD BLVD.
SHERWOUD OR 97140 ---•----------•--------___—____.___.______..
Phone #g 625-616Y $ 116. 46 TOTAL
Fag #. . : 3785
-------- RE9UIRED INSPECTIONS ------
This permit is issued subject to the regulations conta-ned in the Foot/found Insp
Tigard Municipal Code, State of Ore. Specialty Codas and all other Framing Insp
applicable laws. All Mork will be done in accordance with Insulation Insp
approved plans. This permit will expire if work is not started Gyp Board Insp
within to@ days of issuance, or if work is suspended fr- more Rain drain Insp
than 180 days. /. F=inal Inspection _ ��-----_._... ._.......
Permittee Signature ;oel
I s s u e d By
l_al 1 4 nr inspection — 639-4175
13175 SW 11au 11lva. PLNCK/RECT #
CIT)� OT Z IGARD 110lkx23397 PERMIT # 5&
COMMUNITY 1)FV ELO I'M ENT 1)ETARTMFNT 7igarrLOregon 97223 -77
(503)639-4171 DATE ISSUED
JOB ADDRESS: I L/ GJ �A) a - FAX MAP/LOT
SUB: Oe vtk�kUATION-
_ W_ LOT: LAND USE: !- -_--
- 5
OWNER nn,^, SPECIAL NOTES
NAME: _ �c51+� 'Yl f ���~ --_ _ REISSUE OF:
ADDRESS: _L��Is�/ S,L'o, OtF-70(5, w,i � _ LAST REISSUE:
_ / 4'� ,c� - _--- FLOOD PLAIN/
PHONE:r_ QL - v `y im=7?/ __ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: ------��` vn �//�t �- �1 --- — PLANNING: 0/- --
ADDRESS: _ �r4�y1 -c_ _ — _ ENGINEERING:
FIRE DEPT:
FHWE: _—^ -- —_-- — 01-HER: VU.
CONTR. HARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS.: PLUMB: �_— w ~ � _ LIST/SUBCONTRACTORS:
MEW: _ BUS TAX: —_-- _--
ARCH ENGINEER CALCULATION`i:
NAME: —�_—_ / TRUSS DETAILS: _----
ADDRESS: 1A OTHER:
PHONE:
PROPOSED BLDG. USE: G a-.2.a Q,
t.OMMLNTS:
`f
•' n
AP LICANI SIGNATURE
I deceived Ry: ''' ` __ Date Received:
PERMIT N ACCI N DESCRIPTION AMOUNT AMOUNT I'D. BAL. DUE
10-432 00 Buildinq Permit fees -1-0 -
10-431 00 Plumbing ,Permit Fees _ --
10-431 01 Mecha.,ical Permit. F::es
10-230 01 State Bui' J ng Tax (5%) _—
Building 3. Y3 _
Plumbing
Mechanical _
10-433 00 Plans Check Fee 3 ---
Building
Plumbing
Mechanical
10-230 06 Fire --- r—'
30-202 00 Sewer Con,.ectior. ---- — — —
30-444 00 Sewer Inspection -- ——
25--443-02 Commercial TIF Fees --
25-448-04 lndiistrial 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 Dev Charge (PUC) _-
31-450 00 Storm Drainage Syst Oev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) —
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL
nm/3581P.WPI-
INSPECTION NOTICE
City of Tigard Building Department C
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Linc- (Rec-O-Phone): 639-4175 Business Phonet 639-4171
inspection:_ — —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Voy Out Gag Line FINAL:
Post/Beam Strutt. San. Sewer ' Framing -Bldg.
Poet/Beam Me. h. Pain Drain Insulation -Plumb.
Plbg. Underfloor Water ;.Ina Gyp. Rd. -Mech.
Date Ret;ueatedt ,57- �1 ,— -- Timet
it--
Addreaat„1L ermi.t ft
Bulldert
THE FJLLOWING CORRECTIONS ARE REQUIRED:
i
Inepecto t
APPROVED DISAPPROVRD APPROVRD SUBjvCT To ABOVR
Call For Reinap.
it
SEWER CONNECTION
CITYOF T'rARD PERMIT
7C=C0FTWRD
(W PL RM I ( 0. . .
COMMUNITY DEVELOPMEW* DEPARTMENT MOM
13126 SW Hell BW, P.O.Box 23307,TjgeW,Oregon 97223(SM)6304175
PP16
lck, 311 5u-) T; 4e4n
PARCEL: 2SI15PA—BEA
':3UBD I V I S I ON. . . . : j6 er*hov elf ZDNING-
BLULK. . . . . . . . . . : LA] . . . . . . . . . . . . .
'TENANI NAML. . Fix,ruRE UNITS. . . 3
USA NO. . . . . . . . . .
CLASS OF WORK. . . -NEW DWELL I NU UN I I'S. . : I
VYPL OF' USE. . . . . :SF NO. CF BUILDINGS:
INSTALL TYPE. . . . :BUSWF� IMPF RV SUPFACE. .
Rema t-ks z
Owner-.- FEES
f0M MILLER v P In 4M01-111t by date
PRMT 300. 00 JI-H 06/25/92
I :tj. V10 JLH 06/2b/91-"
Phone
Lantr,actarl
CONTRACTOR N01 UN
rDhoiie #: 00 TOTAL.
Rena #. . - REQUIRED I NSPECI IONS -------
This Applicant agrees to comply with all the rules and regulations Sewer- InspciLtiot.
of the Urifipd Sewage Agpncv. The permit expires 180 days from ........
the date issi ed. The total amount paid will be forfeited if the
permit expirts. The Agency does not quarantee the accuracy of the ------
Gide sewer lateals, if the sewer is not located at the stasureeent
qiven, the installer shall prospect 3 feet in all directio-c ...... ......
the distance civen. If not so located, the i,11ll,r lhal'
0 ADO
'Tip and Side Sew' Permit and the 11 Inst r. a 1. .1. .......
i1cwl"ittee
C,,zkl I for- j.,jsr)ect on 63'x-•417 ;