11665 SW 79TH AVENUE r
ADDRESS:
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CIT' OF TIGARD PERMITUI#L. . . . . .
F': BCF94--006C:
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 1/040/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 150L%*59.41711 1 1
PARCEL: 1 S 136CD-•-041 OO
SITE ADDRESS, . . : l i6f :_; SW 79TH AVE
SURDiVISI ON. . . . : TWIN OAKS LANE Zr)N1NG: C-G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ... I
REISSUE.: FLOUR AREAS- ------- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :DEM FIRST. . . . : sf N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : s f PROTECT OPEIV I NGS'?---•--------
TYPE OF CONST. :5N THIRD. . . . : s f N: S: E: W:
OCCUF!ANCY GRP. :R3 TOTAL- -----: 0 s f ROOF CONST; F I RE RET''
OCCUPANCY LOAD: BASEMENT. : s f AREA SEF'. RATED:
S 1 OR. : HT. : ft GARAGE. . . : s f OCCU SEP. RATE G
BSMT"' : MEZZ7 : READ SETBACKS--•-----•- REQUIRED-- ------•----
FLOOR LOAD. . . . : ps f LEFT: ft RGH•T: 1't FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDiCP ACC:
13E.DRMS: BATHS: IMP SURFACE: PRO CORP: PARKING:
VALUE. $ : 0
!?emarks : SEPTIC TO HE PUMPED, FILLED & INSPECTED. SEWER MUST BE CAPPED OFF OND
1 NSPECTE:D
i'(.mmer,ci.a1 /Planned
UeN e.jpment ) . (WCTM 151 36CD, tax lots 2200, 23OO, 2400, 25OO, 2600, 2700, 28O0,
3000, 31.00, 3LOO, 3300. 3400, 3500, 361210, 3700, 3800, 3900, 4000, 41041,
t
IBA, tax lot 200 and 2SI IBB, tax lot 1201.
Owner,: FEE5
i..UST'CO WHOLESALE type amor.tnt by date r,ecpl
10809 120TH AVENUE. NE P R M T E 25. 00 Jlt 03/08/94
5PCT $ 1. 25 JH 03/08/94 -
KTRKLAND WA 98033
Phone #: 206--828-8100
Conti-actor: ---_____.__.___.__-----.___.-_-_-__-•-
E. LEE ROBINSON CONSTRUCTION
7:�i2O SW HUNZ IKER ST. SUITE 300
I IGARD OR 97223
11h o n e #: 645--8531 $ 26. 25 TOTAL
Reg #. . : 63147
------- REQUIRED INSPECTIONS
!his perch I� issued subject to the regulations contained in the F'r.tmp/Fi 1 l Septic
Tioard Muntc,,pal Code. State of Ore. Specialtv Code, and all other Cap sewer, lino?
applicable lams. All work will be done in accordance with Final I n s pect i o.1
approved plans. This permit will expire if work is not started
within 1PP days of issuance, or if work is suspended for more
:- than 18Q days.
J
LL' e •mittee Sign atr_Ire •
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i. s s r_t e d B v :
Call for- inspection - 639-4175
iR
Residential Buildina P:?rmit_Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: ^�
Subdivision: Lot # 1V Office Use Only
Valuation:
Ptanck/Rec#
-
Reissue of
Address: F5 0 9 _ 12 C Ave- MV Map&TL# �^
� 'I;'-Idan A 9Y03.3
Approvals Required
Phone: 020 6 -- � I,K - 8i C5 O
Planning _
1 1
Contractor: a P n S c ., C t �i c I r;t 1.r'_- Engineering
Address: 13 6 U /J L Qo r n e I I c� —_ Other _
13 j- 09 9 7/�
Phone: SO_3 - 6 Y S- - Items Required
Sul:xmtractors
Contractor's License # 7 - -
(attach campy of current Oregon license) Truss Details
Subcontractors: Other '
Plumbing:
Mechanical. _
(attach copy of current OR Contractor's License)
ArchitectlEngineer.
I_r
Address:
COMMENTS: _ {[�� {CEJ!►�� A _ --
a ��
/��icant Signature & Ph,hne number