11965 SW 79TH AVENUE I Y
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RUILDING PERMIT
CITY OF TIGARD PERMIT #. . . . . . . .. LAUP194-0069
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0y/0q/94
13125 SW Hall Blvd.Tigard,Oregon 9722:1.8199 (500yiW-*-A
PARCEL: IS136CD-0310LA
SITE fa)DRESb— 1 196 5 SW 791'14 (4VE
SUED I,)ISION. . . . .- IWIN OAKS LANE ZONING: C--G
BLOCK. . . . . . , . . . LOT. . . . . . .
REISSUE' FLOOR AREAS------------ EXTERIOR WALL—CONSTRUCTION—
CLASS OF WORK. :I')EM FIRST. . . . : sf N: S: E: W:
TYPE OF USE. . . : 3F SECOND. . . : s PROTECT
rYPE OF CONST. ;5N THIRD. . . . - s N: S: E: L-F
OCCUPANCY GRF-,. -.R3 TOTAL—_-- 1-11 s ROOF CONST: FIRE RE-1'',' -
OCCUPANCY LOAD: BAS)EMENT. s A9EA SEP. t1ATED:
STOR. : HT. : ft G A R f-i,-j E. . . s f OC",U SEP. RATED:
BSMT?: MEZZ?.- REDD SETBACKS--------- REQUIRED----------------------
F-LOUR 03AD. . . . : Psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PIRO CORR: PARKING:
VALUE. $ . 0
Remarks : SEPTIC TO BE PUMPED, FILLED & INSPECTED. SEWER MUST BE CAPPED OFF AND
INSPECTED
Commercial/Planned
Development ? . (WCTM ISI 36CD, tax lots 2200, 2300, 2400, 251210. 2600, J'700, -'800,
2900, 3000, 3100, 3200, 3300, 3400, 3500, 3600, 3700, 3800, '3-900, 4e'V30' 41.1210.
1.
tbA, tax lot 0-100 and ESI IBB, tax lot 1201.
Owner,: ------------------------------ --------------------------- FEES
COSTC0 WHOLESALE type amoL(nt by date t-eept
1.121809 120TP AVENUE. NE PIRMT $ 25. 00 JH 03/08/94
5PCT 11 1. 25 JH 03/08/94
KIRKLAND WO 98032"
Phone #: 206-828- 8100
Concr-actor-:
E. LI-.E ROBINSON CONSTRUCTION
7320 jW HUrl7lKER ST. SUITE 300
11GARD OR 97223 ----------------------------------------
Phone #: 6/45-8531 111 26. 25 TOTAL
Reg #. . : 63147
REQUIRED INSPECTIONS
.his permit is issued subject to the regulations conk�ined in the PLIMP/Fill Septic
Tigard Munic;pal Code, State of Orr. Specialty Codes ani all other Cap spweir, line
LA applicable laws. All work will be done in accordance wit, Final. Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 160 days.
i 'et-mittee SignatLIV-
Issi.teL' By .
Call for, inspection ( .39-4175
Residential Building hermit_ Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 57223
(503) 639-4171
Jobsite Address: q Til-11 AV,
Subdivision: _ Lot # 3 Office Use Only
PlartckJRec#
Valuation: -`
perrpit
Owner. frt ,_c c7L4,(__a_ Reissue of
Address: ) 0 pyo I a C, i� Map& TL#
Approvals Required
Phone: _ 0 h - �' ;t k - X 10 n
Planning
CoContractor: �So i 1,C),l ,�tr�c o .1 CEngineering
Address: _G U �cCor iC �
- Other
Phone: Items Required
Contractor's License #_er
.5 3/ yZ_ Subcontractors
(attach copy of current 0,egon license) Tnlss Details
Subcontractoks: Other
Plumbing: _
Mechanical:
lattach copy of current OR Contractor's License)
ArchitectlEngir►eer:
Andress:
Plx)ne.
COMMENTS: �
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in UYI)i 1 16).
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