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CIN OF TIGARS -7
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PERMIT 4. . . . . . . . M5T940441j
r:39-4171 DATE ISSUED: 12/30/94
PARCEL: 25103AD-03400
TE ADDRESS. . . 13025 514 107TH CT
J131)I V 1 S I GN. . . . : CX ZONING: R-4. 5
1_-�_OCH. . . . . . LOT.. . . . . . . . . . . . . :24 xPliffel)
BUILDING
REISSUE: DWELLING UNITS:O BASEMENT. . . . . . . . :0 S-F
CLASS C),'- WORK. :ADD BEDRMS: 1 BATHS: 1 GARAGE. . . . . . . . . . :0 S f
FYPIE JF USE. 5F FLOUR REQUIRED
I YPE OF' CONST. :5N FIRST. . . . :0 f LEF'r. . .o ft RIGHT. :7 ft
OLCUPANCY GRP. :R3 SECOND. . . :300 s F:'RONT. :27 ft REAR. . :3 7 1�t
UR1ES. . .. . . . . :2 FINBSMLN,r:o S f REQU I
I Gill.. . . . . . . . :22 ft TOTAL----:300 S f SMOKL DETECTORS.: Y
OCJR LOAD. . . . :40 psf VALUE.. . . . . 1.9398 PARKING ISPACES. . :0
2mar-ks : 300 SO FT ADD TT IN ABOVE- GARAGI-
PLUMBING _.._._-__--------------------------._
1 NKS. . . . . . . . . . :0 1.71—OCIR DROINS. . . . :0 BACKF-LOW PREVNTRS. . :0
_HVATORIES. . . . . :2 WATER HEATERS. :0 TRAPS. . . . . . . . . . . :0
TUR/SHOWERG. . . . ;121 LAUNDRY TRAYS, :0 CATCH BASINS. . . . . . . :V,
WATER CLOSETS. . : 1 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . .0
D I SHWASHERS. . . . :0 WATER L. TNE ( ft ) . :0 OTHER FTXTURES. . . . . :0
GARBAGE DISP. . . :0 RAIN DRAIN (ft ) . :0
WASHING MACH. . . :0 SF RAIN DRAINS. . :0
MECJAANICAL F'Ei-S
FUEL TYPES—------ UNIT HTR3. . .0 type amok.tnt by ciat e t-ecpt
IL
1 �pb/ VENTS BPIRT $ 140. 50 JF 12/30/94
MAX INPUT;0 BT IJ %)EN T r ANS. E BPLC $ 91. 33 JF 11/1'7/'34 4-25 B E
FURN < 100K . . :0 );DODS. . . . . . :0 B5PC $ 7. 03 JF 12/3171/94
I:URN 1 =100K ,. . :0 WOODSTOVE4-). :0 MPRT $ 25. 00 JF 12/30/94
FLOOR VURN. . . . :0 C.LU DRYERS. : 0 M5PL $ 1. 25 JF 12/30/94
B01L/CMP ( 3HP.-171 OTHER UNITS:O P P R T T 45. 00 JF 12/30/94
GAS OUILETS:0 P5PC $ 2, 25 JF 12/30/94
fawner:
PAUL WISER
]_�025 SW 107TH CT
'TIGARD UR 97223
Phon? #: 620-4,ff86
Contv-ac:tot-:
DAVID LEARY I-,ONST CO.
10020 SW JOHNSON S)T
l'IG(IRD OR 97223
PhOne 639-6255
Rep #. 47.22--F
$ 312. 36 T(ITAL
This pereit is issued subject to the regulations contained in the REOUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialtv Lodes and all other Mechanical Insp bi.tilding Final
applicable laws. All work wilir done rdanc with approved Pll.tmb 'FOP OUt Erasion Control
e a pqr d
��c
pians. This peroit will expire if work is of star Framinq Insp
or if work is suspen the 6 day
5r Of is AM, Ins Ltlatian lnsp
Gyp Doav-d Insp
- tiatm.r . R,,iin (Jr-airl Insp
I-,ev-mittee Si.i-
Mechanical Final
I ssi-ted 13 y P I 1.t m b Final
t"I A
C iJdCG.rx ��''ti FL
• t`� `Y
Residepitial Building..Permit Application
City of Tigard
13125 StV Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
� Office Use Orgy
Subdivision: Lot#
_ r
Planck/Rec #
Valuation: ��cl, 3 y� _
Corner Lot? Y
(Nib Permit # M 5� y y W
Flag Lot? Y Reissue of�)
Map & TL# �
Owr�� ,`I ��UL L-iNt>A �ist '� Approvals Required
Address: 13o2S Planning
f ! N --V 012 y Z a __ Engineering ----
Phone: 20- yr/0, -- Other
Contractor �A/.f/ OGcJ ' V&- ��q Items Ree uired
Address: � ��, D� _ — Subcontractors
Truss Details
Phone: — — Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Arch itect/Engineer: b0AeZH L)26 4-36-C
; \v Plumbinq: rG' �%IAddress:
~ Mechanical: _
(attach copy of current OR Contractor's License) � Z - G
Phone: 6, 2-10
w:
J
JTDIPTION: =A _
� z� Y V
Applicant Signature & Phone number
Received by: _ ,Y_ Date Received:
N itiVORMCOMDMRESAPP li/
Permit# Account Description Amount Amt. Pd. Bal. Due.
r r f yc-0 y Y 7 Bldg. Permit (BUILD) v. 5 C _ 5
Plumb. Permit (PLUMB) ys,L-J 4-5, i/
Mech. Permit (MECH) 7_S•vo � � •�� �
State Tax (TAX)
Bldg: —L 3
Plumb. L `�
Mech: �: t �✓ ,✓
Man Check (PLANCK) `��•3-�_ s U
Bldg: I j
Plumb:
Mech:
Sewer Conrection (SWUSA)
Sewer Inspection (OWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
rt
N Water Quality (WQUAL)
ti
H
J Water Quantity (WQUANT)
m
' Fire District (FIRE)
w
J
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: � 7/ - 33
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