11780 SW 79TH AVENUE • ��'�• ,. � i� _ r �• , - .t ,� ISA • Ii
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CITYOF TIGARD
BUILDING PERMIT
PERIfil'T' #. . . . . . . . BUP94--IZl0Eb
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 4/04f/94
13125 SW Hall Blvd.Tigard,Oregon 47223.8199 (50,3)_009-4171
PARCEL: 1S136CD-02800
SITE ADDRESS. . . : 11780 SW 79TH AVE
SUBDIVISION. . . . : TWIN OAKS LONE ZONING: C-G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14
REISSUE: FLOOR AREA+----------- - EXTERIOR WALL COhdSTRUCTION-
CLASS OF WORK. :DEIM FIRST , . . . sf N: S: E: W:
TYPE OF USE. . . :SF SE.�OND. . . : sf PROTECT OPENINGS'?-•----------
TYPE OF CONST. :5N THIRD. . . . . sf N: S: E: W:
OCCUPANCY GRP. :R3 TOTF;L - --: o sf ROOF-_ CONST: FIRE RET"' :
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
aTOR. : HT. : ft GARAGE. . . : sf OCCU SEP. RATED:
BSM'1"? : ME:Z Z? : REOD SETBACKS---------- RE00I RED-------_----_----.-----
FLOOR LOAD. . . . : ps f LEF 7: f t RGHT: ft F I R SPIKL: SMOI', DET, . :
DWLLLlIVG UMTS: FRNT: ft REF-1R: ft FIR AL-RM: HNDICP ACC:
BEDRIMS: BATHS: IMP SURFACE: F'RO CORR: PARKINr;:
VALUE. $ : 0
Remar•ms : SEPTIC: TO BE PUMPFD, FILLED R INSPECTED. SEWER MUST BE CAPPED OFF AN[)
I NSI='F_`CTE:D
C:ominer-cia1/Plmnned
12 ► o p/1�P�TLt ) . (WCTM 1 S 1 3GCL a x lot 5 2 00, 300, /+IZIIZI. . 50Q1, c.'E+17 , : 70111, 2'811210,
c , I , 3100, .3,200, 3310, 3400, 3,500, 3600, 37001 3800, 39011, 4000, 4100, L!
1
ILA, tax lot 200 and ?S1 1BB, tax lot 1201.
Owner,: FEES
COSTCO WHOLESALE type amoLtnt jy date recpt
10809 120TH AVENUE. NE F'RMT $ 25. 00 JH 03/08/94 -
5F'CT $ 1. 25 JH 03/08/94 -
K I RKL_AND WA 981333
Phone #: 206-828-8100
Conti-actor': ----•--------------------------
E. LEL ROBINSON CONSTRUCTION
7,320 SW HUNZ IKE.R ST'. SUITE 30L
TIUARD UR 9722;, ---------------._.- -_-------._.-_.___.__-_...
I Phone #: 645-8531 $ 26. 25 TOTAL
Reg #. . : 63147
--_-------- ---- ---__
ihis pervit is Issued subiect to the regulations contained :n the REQU I REll I N9PFCT I ONS
Pe_Imp/Fill Septic
Tigard Municipal %ode, State of 11-e, Specialty Codes and all other Cap S e W e`" line
_
N applicable laws. All worn will be done in accordance with Final Inspection _
aporo+ed plans. This permit will expire if work is not started _
within 188 days of issuance, or if work is suspended for more
J thin 18N days.
w
Permittee 5i gnaturer fj �j
Call for inspection - 639•-4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-41 '1
Jobsute Address:
Subdivision: _ Lot # t)00 Office Use Only
Pian,*lRec#
Valuation:
Pergfd # _
Owner: fr
b,S°I c. c� Reissue of
Address: ) Q $ 0 a 0 L; N(; Map&'TL#
K —, i'_)A ?777
Phone:
J06 - K - `tS/0 4 Approvals Required
Planning
� c� 1 Uo dJContractor: ST -L.u
Engineering_ --- –
Address: Q)36 o Cor n c 1 t I1 J Other
. tl, ►sbo (0 P, 97 / -Z v
1'hon3: Items Hequlred
S0-1 - 6 YS s 3 )
Contractor's License # Z :3 / g Subcontractor-,
(attach copy of current Oregon license) Truss Details
Subcontractors: Other .
Plumbing:_
Mechanical:
(attach copy of current OR Contractor's License)
a
NArchitectfEnglneer:
Address:
J
GJ _
CD
J Phone:
COMMENTS: ----------
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Applicant SiqnatKre 9 Phone numbe.-