11845 SW 79TH AVENUE i
ADDRESS:
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i:\records\rnicrollm\larges\[w!Iding.doc
CITY CSF TIGARDBUILDING PERMIT
PERMIT #. . . . . . . . BUF 94-•0073
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: IV/06f/94
13125 SW Hell Blvd,Tigard,Oregon 97223.8199
PARCEL: 1S136CD-03500
SITE ADDRESS. . . . 1. 1.E_144i EW 79TW AVE
�3UBDIVISION. . . . : -TH,TN OAKS LANE ZONING: C-G
BLOCF. . . . . . . . . . . LOT. . . . . . . . . . . . . :7
REISSUE: `FLOOR^AREAS------------ EXTERIOR WALT_ CONSTRUCTION-
CLASS
ONSTRUCTION-
CLASS OF WORK DEM FIRST. . . . : sf N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : sf PPOTECT OPENINGS?-•------
TYPE OF CUNST. :5N 'THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :R3 TOTAL--------: 0 5f ROOF CONST : FIRE:: RE['? :
OCCUPANCY LOAD: BASEMENT. : sf AREA SEF'. RATED:
STOR. : IiT_ : ft GARAGE". . . � sf OCCU SEP. RATED:
BSMT? : MEZ Z? : REOD SETBACKS,---- REQUIRED---------------------
F-LUOR
EQUIRED---•----------------
FLUOR LOAD. . . . : ps f LEFT: ft RGHT: ft FIR SPKL : SMOK DET. . :
DWELLiN6 UNITS: FRNT: ft rlEAR: ft FIR ALRM: HNDICP ACC:
BLDRMS: BATHS: IMP, SURFACE: PRO CORR: PARKING:
VALUE. $ : 0
Re mar^k s: SEPTIC' TO BE PUMPED, FILLED R• INSPECTED. SEWER MUST BE CAPPED OFF 0,a11)
ail
INSPECTED
Commercial/PIanned
Developmen,; ) . (WCTM ISI 36CD, tax lits :=:200, 2300, 2400, 2500, 2600, 27'00., 2800,
2900, 301410, 3100, 3200, 3300, 3400, 3500, 3600, 3700, 3800, 3900, 4000, 4100,
1.
i13P, tax lot ._'00 and 2S1 1BB, tax lot 1201.
Owner : ___ _ ___ _ _ _ --____.-------•----___- FEES
COST'LO WHOLESALEr_-- - y _ type amount by date recpt
10809 120TH AVENUE. NE PRMT $ 25. 00 JH 03/06/94 -
5PCT $ 1. 25 JH 03/08/94 -
K I RKLAND WA 980,3
Phone #: 206--6='6-8100
Contractor-: -
E. LEE ROBINSON CONSTRUCTION
732:0 SW HUN-IKER ST'. SUITE ::,00
T I CARD OR 97223 _----------____._________--_•---___________
P' ione #: 645-6531 $ 26. 25 TOTAL
Reg #. . : 63147
------- REQUIRED INSPECTIOiVS -•_••-----
This permit is issued subject to the regulations contained 1n t4e r'i_rmp/Fill Septic
n Tigard Municipal Code, State of Ore. Specialty Codes and all 0-her Cap sewer line
V) applicable laws. All work will be done in ao:ordance with Final Inspection
approved pla-is. This permit will expire if wirk is not started _.__•____ ___ __—.__ _��-------
within 180 days of issuance, or if work is suspended for more ------
-' than 188 days. --- -
LD
LL
F'e r m i t t e e
1 s l_i e d By :
Call for inspection - 639-4175
Residential Building Permit Application
City of Tigard
13125 SW Hall R;vd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address:
r Office Use Only
Subdivision: __- Lot !t �>�)
PiancktRec #_
Valuation
Perrirt #
Owner: r C t` G c- �' _ Reissue of
Address:1 S.U . U J L N Map&`TL #
d < Z 06-3 - ') 777
Phone:
Approvals Required
JON - �0�'1� - xlOo _.
Planning,_.____
Contractor: L n b I O S r1 n Cln��� Ir u CY,n 0, Engineering
Address: 0 NLA) C 0 r n e I( Other
Items Required
Phone: -� =mss ."�
/ �7 ,Subcontractors
Contractor's License # L
(attach corny of current Oregon Trus,Details
Subcontractors: _---
Plumbing:
Mechanical: __
(attach copy of current OR Contractor's 5l e-m;jf
` Architect/Engineer.
Address:
J
Phone:
COMMENTS:
licant i-g .a re & hone number