11750 SW 79TH AVENUE .
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CITY OF TIGARD EUILDING PERMI
COMMUNITY DEVELOPMENT DEPARTMENT F"ER1111- #. . . . . . . : BUP1:, r-0077
13125 SW Hall Blvd.Tigard,Oregor 97223.8199 (5031639-41"1 DA FE ISSUED: 4/0+ /94
PARCEL: iS1,36CD -0 '700
SITE ADDRESS. . . : 11750 SW 79TH AYE.
SUBDIVISION—'. : 'TWIN OAKS LANE ZONING: C—G
BLOCK.. . . . . . . . . . . !_f?'', . . . . . . . . . . . . . : 15
------------------------------------
REISSUE% FLUOR AREAS--- _ EXTERIOR WALL CONS 1RUCI101V—
CLASS OF WORK. :DEI',I FIRST. . . . : sf N: S: E: W:
TYPES OF USE. . . :wF SCCOND. . . : sf rROT-ECT OPENINGS?-------- -
TYDE OF CONST. :5N THIRD. . . . : sf N: S. E: W:
OCCUPANCY GRP. :R3 TOTAL.-----: o s f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: BASEMENT'. : sf AREA SEP. RATED:
STOR. : HT. : ft GARAGE. . . : sf OCCL1 SEP. RATED:
BSMl ?: MEZZ?: REUD SETBACKS-------- REUUIRED_____.___-- -------• ---- --.._
FLOOR LOAD. . . . .. ps f LEFT : f t RUNT: ft F I R 5IJKL: SMLOK. DET. . -
DWELLING
ET. . :DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
I?EDFIhS: BATHS: IMP, SURFACE: F'RO CORR: PAR1'.I NG:
VALUE. $ : 0
Remarks: SEPTIC TO BE PUMPED, FILLED & INSPECTED. SEWER MUS-t' 11E CAPPED OFF AND
INSI'E_C'TED
L(.mme cial/Plar-ned
DeNelopment ) . (WCTM 1S1 36CD, tax lots 2:200, 2300, 2400, 2500, 2600, 2:700, 2300,
2901), 3000. 3100, 3200, 3300, 3400, 3500, 3600, 3701171, 3BON, 3900, 4000, 410v,,
1
ILIA, tax lot 2600 and 2'S1 IBB, tax lot 1201.
Owner: -----------------------------------------------------— FEES
CUSTCO WHOLESALE type amount by dat9 recpt
1.0F0(L 12=01H AVENUE. 14E PRMT $ 25. O0 JH 03/08/94 -
5PCT $ 1. 25 JH 03/08/94 —
K I RKLAND WA 98033
Phone #: c'Ob— c8-810ir
Contractor: '0�
E. LEE ROBINSON CONSTRUCTION
7320 SW HUNZIKER ST. SUITE_ 300
TIGARD OR 97223 .-.---------------_-----_—_._------_—_
Phone #: 645-8531 $ 26. 25 TOTAL
Rey_ #, . : b314i
------- REQUIRED INSPECTIONS
- -
This preit is issued subject to the regulations contained in the PLIMp/Fill Septic M
Tigard Municipal Code, State of Ore Cpecialty Codes and all other Cap sewer line
applicable laws. All work will be done .n accordance with Final Inspection
F approved plans. This pereit will expire it work is not started
within 158 days of issuance, or, if work is sus;endcd for sore
than IlYh days.
M
Permittee S i g n a t i-r r e :
Issr_red Py: .�F i�'
Call for insDPLbion — 639-4175
Residential Building Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: E
— -��
Subdivision: Lot # Z CG Office Use Only
Planckfflec 0
Valuation:
Permit #
owner. Reissue of---- __
Address:���(�� `Z( 't�� �. 1� Map'& TL # -- ----
Approva!s Required
Phone. Cf� -� o
Planning_—
r
Contractor: � i��71 �`�� �-c�`T��yCT�C1��C, Engineering
Address:
IU1770120 (L h
Phone: - a0?� ` L" yS ' � 5j J I / Items Required
Contractor's License # �� �ubcvntrac tors
(attach copy of cr,;rent Oregon license) Truss Details
Subcontractors: Other'"
Plumbing:
Mechanic.,ti:
(attach copy of current OR Contractor's L cense)
Architect/Engineer:
Address
PI ror;e:
COMMENT:;: 1,Ai
f
Applicant Signv ur" Phone number