11690 SW 79TH AVENUE ADDRESS:
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BUILDING PERMIT
CITY OF TIGARD M
COMMUNITY R'EVELOPMENT DEPARTMENT PERMIT : BUF-'94 -006 +
13125 SW Hall Blv:.l iperd,Orapon 97223+6199 (503)639.4171 DATE ISSUED
: 0�/0IV/94
C,3 4171
PARCEL: 1S136CD-02500
:::SITE ADDRESS. . . : 11690 SW 79TH AVE
SUBDIVISION. . . . : TWIN OAKS LANE ZONING: C—G
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . : 17
---------------------------------------------
RrISSUE: FLOOR AREAS----------- EXTER109 WALL CONSTRUCIION—
LLAbS OF WURK. :DEM FIRST. . . . : s f N: S. E: W:
TvP'E OF USE. . . :SF- SECOND. . , : s f PROTECT --
TYP'E OF CONST. :5N THIRD. . . . : sf N: S: E: W:
OCCUF='ANCY GRP'. : R3 TOTAL— - 0 s f ROOF CONST: FI RE RET?
OCCUPANCY LOAD: BASEMENT. : s f AREA SEP. RATED:
5TOR. HT. f t GARAGE. . . : 5f OCCU SEP. RATED:
IVIEZZ?. REGD SETBACKS—.--------- REQUIRED--------
FLOOR LOAD. . . . : p s f LEFT: ft RGHT : f t FIR SP'KL: Sly1O; DET. . :
DWE=LLING UNITS: FRNT: ft REAR: f% FIR ALRM: HNDICP ACC:
BEDIRMS: BATHS: I IhP TURF ACE: P'RO CORR: PARK I NG:
VALUE. $ : 0
ire m ar k s: SEPTIC TO BE P'UMP'ED, FILLED & I NSP'ECTED. SEWER MUST BE CAP'P'ED OFF AND
r.; ISF'F'CTED
Coi,m ..^cial/P'lavined
1)e\'eIopment ) . (WL:TM 1S1 36CD, ta)( lots 2200, 2:300, 2:400, 2500, cc 00, 2700, x'_800,
290,Z1, 3000. 3100, x200, 3300, 3400, 3500, 3600, 3700, 3800, 3900, 4000, 41,0k1, ii-
1
113A, tax lot 200 and Eiji IBB, tax lot 1201.
Owner: - ---- --_.-------------___________..._..___.___.__.___-.----_-•_-- FEES
COSTUO WHOLESALE type amoi_int by date recpt
10809 120TH AVENUE. NE P'RMT $ .2:5. 00 .JH 03/08/94 —
5PCT f 1. 25 JH 03/08/94 —
KIRKLAND WA 98033
�'hone #: `06-828-8100
E. LEE= ROBINSON CONSTRUCTION
7:320 SW HUNZIKER ST. SUITE 300
TIGARD OR 97223 -----.----_ _------.--------------------
Phone #: 645-85:.31 i 26. 25 TOTAL
Ileg #. . : 63147
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the F='1-imp/Fi l 1 Septic
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cap sewer line _-_-•
^ applicable laws. All work will be done in accordance with 'sinal Inspection
} approved plans. This permit will expire if work is not started _
within 188 days of issuance, or if work is suspended for more _
than l80 days.
JIJ
Permittee Signature : '
1 Sued By • �' ��
Lail far^ inspection — 639-4175
o:Mi�
Residential Buiiding-Permit Application
City of Tigard V _ �-
13125 SW Mall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 1100
-, Office Use Only
Subdivision: Lot a
PlancWRec#
Valuation: —
O-:+ner. i" i C N 0 d.S 1 C c) _ Reisst nl
Address: ) 0 go q 1 0 At/e N F
Map& ',1. ---
zL ) 3 - () 77Z
Phone: h $ - t(1p Approvals Required
Planning-__
Contractor: nb,nS o 6 LcL),o Engineering
Address: �_[1/ bJ C 0 f !1 e 11 ot Clther
0�3 - `/ - S J ! Items Required
Phone: __
Contractors License # 3 I SuLcontractors _
(attach copy of curren, Oregon license) Truss Details
Subcontractors: Other .
Plumbing:
Mechanical: _
(attach copy of current OR Contractor's licerme)
Architect/Engineer: —
1-- '
Address:
_J
Phone: �— —
COMMENTS:
�41 stq (LAA Oy�-15 '71
Applic; urb & Phone oumber