11695 SW 79TH AVENUE ADDRESS:
IIG95 SW 7qTNAvmua-
i:VecordsVnicrolfrii\targels\])Uilding.doc
C11Y CSF T 1 GARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : BUP,94-0070
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 ;503)639-4171 DATE ISSUED: 0'Y/0+f/94
PARCEL: IS136CD—IZ14000
SITE ADDRESS. . . : 11695 SW 79TI-I AVE
SUBDIVISTON. . . . : TWIN OAKS LANE ZONING: C—G
BLOCK. . . . . . . . . . . LO T. . . . . . . . . , . . .
REISSUE: FLOOR A EXTERIOR WALL CON5TRUCTION—
CLASS OF WIFIRK. DEM FIRST. . . . : st N: S: E: W:
TYPE OF 'JSE. . . :SF SECOND. . . : s f PROTECT OPENINGS'?
TYPE OF :ONST. :5N THIRD. . . . - s N: S: E: (l-
J(','CUPAI\IC,V GRP. : R3 TOTAL----------: 0 S f ROOF CONST: FIRE HE , ? %
OCCUPANCY LOAD: BASEMENT. : s PREA SEP. RATED:
S TOR. : HT. - f t; GARAGE. . . : s f OCLSEP. RATED:
BSM I ':, : M E Z Z? REUD SE',_BPCKS--------- REUUIRED----------------------
FLOOR '_OAU. . . . : psf LEFT: ft RGHT: ft FIR SPIKL: SMOK DET'. . ,.
DWELLING UNI 'rS: FRNT: ft REAR: ft FIR ALRM. FINDICP ACC:
BEDRMS: BATHS: IMP SUPFACE: PRO CORR: PARKING:
VALUE. $ : 0
Remar-ks : SEPTIC TO BE PUMPED, FILLED & INSPECTED. SEWER MUST BE CAPPED OFF' AND
INSPECT'ED
Lommet,cial/wIanTIed
Development ) . (WCTM 1S1 36CD, tax lots 2'200, 2300, 2400, 2500, 2600, 2700, 2800,
2900, .300171, 3100, 3200, 3300, 1-3400, 3500, 3E.00, 3700, 3800, 3900, 4000, 4100, 2S
1
18A, tax lot 200 and 2S1 1BB, tax lot 12'01.
Owner-: FEES
COS TCU WHOLE")oALE type amol-int by date t-ecpt
10809 120TH 01.11v_NUE. NE P 13 MT $ 25. 00 iH 03/08/94 —
5PCT $ 1. 25 JH 03/08/94 —
K I RI.LAND
KIR1,LAND WA 98033
Pnone #: 206-828-8100
Contractor:
E. LEE ROBINSON CONSTRUCTION
732`121 SI.1 HUNZIKER ST. SUITE 300
TIGARD OR 97223
Phone #: 645-8531 $ 26. 25 TOTAL
Rep #. . : 63147
-------- REQUIRED INSPECTIONS
This permit i! issued subject to the regulations contained i.n the PUM p/F i 11 Sept is
cc Tigard Muricijy'il C.0e, State of (Ire. Specialty CLIes; and &.1 other- Cap sewer- line
applicable laws. All work will be done in accordaice with Final Inspection
approved plans. This permit will expire if wnrk is i.ot started
within 180 days of issuance, at, if work is suspended fir more
than 180 days.
ff
[Det-mitteee Signati.tt-e .
d 13 y
Call for iriopection 639-4175
M
Residential Building Permit Application
City of Tigard
13125 SW Mall Blvd.
Tigard, OR 97223
(503) 5:39- 1171
1
Jobsite Address:
Office Use Only
Subdivision: _ Lot #
PlancktRec # ,
Valuation:
Perglii# _—_--
Owner: f�C'i c e co.s 1 i-r o Reissue of — —
Address: 10 &-)2 ) A 0 A ✓C N>` Map&'TL# -- —
\ `ir 'IAncf 977
Approvals Required
Phone: ��(� d o�$ - 9 / 00
_
Planning
Contractor: 1 rlcn ci l�nLa�r — Eng"neering _
Address: 3 60 Al u-1 Cor oy i Rcl, Other
terns Req sired
Phone: ;0,3 .IL
Sutx;ontractors
Contractor's License # _31 y`7
(attach copy of cxment Oregon license) fuss Details_ --
Subcontractors:
Plumbing:
Mechanical:
(attach copy of current OR Contractor's License)
o.
rx ArchitecUEnglneer:
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V)
} Address:
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Phone:
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COMMENTS: -
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