10560 SW 121ST AVENUE ADDRESS:
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1:\rec ords\microllm\targelslbuilding.doc
C17YOFTIOARD
M TWAR�D BUILDING PERMIT
C
dCMMUNffY DEVELOPMENT DEPARTMENT ORIGM PERMIT #. . . . . . . : BUP92-0324
13126 SW H891 Blvd. P.O.Box 73397,Tigard,Oregon 97223 (SM)&W4175
659 4t DATE !SSUEDe 111147132
SITE ADDRESS. . . : 10560 SW 121E-r AVE PARCEL: IS134BD-00100
SUBDIVISION. . . . : ENGLEWOOD NO. 2 ZONING: 'R-12
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 158
--------------- ------------------------------------------------------------------- --
REISSUE: FLOOR AREAS------------ EYTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :REP FIRST. . . . : sf N: S: E: W:
TYPE OF USE. . . :MF SECOND. . . : sf PROTECT OPENINGS?-----------
TYPE OF CONST. :5N THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP,. .-R1 TOTAL-------, 0 sf ROOF CONST':B : IRE RET? -.Y
OCCUPANCY LOAD: BASEMENT. - sf AREA SEF'. RATED:
STOR. .-2 HT. : 18 ft GARAGE. . . sf OCCU SEP. RATED:
BSMT?:N MEZZ? :N REDD SETBACKS---_—___. REQUIRED-------------------
FLOOR LOAD. . . . 140 p s f LEFT: ft RGHT: ft FIR SPKL:N Siv,0:; DET. , -Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N H14DIEP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PIRO CORR:1\1 PARKING:
VALUE. $ .- 8255
Remarks: ReL,.tild 24 apartment decks, 2 gnd fIr, 22 upr f1r.
Ovner: ---------------------------------------------------------- FEES ---------------
GLENSOROUGH PROPERTY MNGMNT type amount b,p date reept
PRMT $ 74. 50 JLH 11/04/92 92-233406
PLCK $ 48. 43 JLH 11,104/92 92-233406
5PCT $ 3. 73 JLH 11/04/92 92-2-s3406
Phone
Contractor: ---------------------------------
RICK' S CUSTOM FENCING
4543 SW TV HIGHWAY
HILLSBORO OR 97123
Phone #c 5036405434 f 126. 66 TOTAL
Reg #. . : 50088
REQUIRED INSPECTIONS -------
This permit is issued subject to th, regulations contained in the Freso,ing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be dent in accordance with
approved plans. This permit will expire if work it not started
within 188 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature .,
V)
Issued By:
Call for inspection 6.39-4175
-J
r 13125 SWHall awe. PLNCK/RECT # ,
CITY OF I I GA RD Box 71397 PERMIT
COMMUNITY'DEVELOPMENT DEPARTMENT lloptA0mjon972D
(503)639- 171 DATE ISSUED
10-566)
JOB ADDRESS: TAX MAP/LOT
SUB: LOT: LAND USE:
VALUATION:
OWNER SPECIAL N0;ES
NAME: ( LfyI�COUC�N ,PU�F�' 6` 1 REISSUE OF:
T � l
ADDRESS: _ _ LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR(i) APPROVAL�UIRED
NOME: C'-U5 ► M GOLLI/L/L-r- - PLANNING:
ALORESS: SC 'T y mvENGINEERING: _
1Lt-4a71,23 FIRE DEPT: _
PHONE: -- C - S _ — OTHER: /V T/F ')>(,;-
CONTR. BOARD #: _,c�U0 EXP DATE:
ITEMSRCQUIREO
SUBCONTRACTORS- PLUMB: _ LISY/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH 'CNGINELR CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
C7 --
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'LICANT SIGNATURE
Received fay: ___ _ Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. RAL. DUE
c 5p J /
10-432 00 Building Permit Fees 7 / V_ L. 5U
10-431 00 Plumbing Permit Fees
10-431 OI Mechanical Permit Fees
10-230 01 State Building Tax (5q) ,7�
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee 4;3
Building
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev rhrg
(SSDC)
�t 24-445-01 Water Quali'.-y (Fee in lieu of)
CLf
2.4-445-02 Water Quantity (Fee in lieu of)
1OTALUj
_1 �h!
om/3587P.WPF
INSPECTION NOTICE
City of Tigard Building Department
13125 am Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 BuGinese Phone: 639-4171
Inspecti.ons__
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top 9*'Y"las Line FINAL-
57
Poet/Beam Struct. San. Saller Framing`JAI -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line/ Gyp. Dd. -Mech.
Date Requested%_ ^G� —Time: _ AM _PM
Address:^ ��J > �" �� �~ P�fRfit/fsL LZ Ll 32 y
Builder: t ,9
THE FOLLOWING CORRECTIONS ARE REQUIRED:
rr
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Inspector: i Dctas
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
RICK'S CUSTOM FENCING NG & DECKING INC.
Phone: r,003�
840-5434
46 3 SE TV Highway Tualatin: 8^0-881
roOri on '97123• Toll Free: 1-800-VENCE-i'1
Alt
NAME:6700 SW 105TH AV SUITE 112
LnVOTEF
ADDREW BEAVERTON OR 97005
IM92e92099161309ACITY:
(503)692-3731E: (503) 41-8035
111 -
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PRICE AMOUNT---
QTY UN DESCRIPTION -_-
--^_ -- WESTWOOD GREEN' ---------- � 240.00 3600.00
15 _ 5 X 8 UPPER LEVEL DECKS 300.00 60(b-00
2 5 X 12 LOWER LEVEL DECKS 360.00 2520.00
7 5 X 12 UPPER LEVEL DECKS
ALL DECKS INCLUDE REMOVE AND
REPLACE AS PER DRAWING ATTACHE
D ALSO REINSTALL EXISTING RAIL
I1 _ INSTALLED INVOICE
i
TOfAL AMOUNT • . . . • , , • , . 6720.00
�
Rec'd on Acct = 4 0.00
Balance now due = S 6720.00
c[
-� IF WE ENCOUNTER ROCKS OR ROOTS WHEN WE SET THE POSTS THERE
(see Installation Information)
W] -L BE AN EXTRA CHARGE
__-
W ---- -------------
-u P.S. Date: / / 1 Time: 00:00a - 00:0-- I B-
----------------- -
Comp Date: / /- I By
THANKFOR
- __ __-_-----=------==—==5
---�--_ `-YO---L F OR SHOPPING AT RICK'S -]
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CITY OF T 1 GARD -• RECEIPT OF PAYMENT RECE I FST NO. 192-233406
CHECIS AMOUNT ; 126.V,
NAMF RICK'S CUSTOM FENCING CASH AMOUNT 0,00
NDURESS ; PAYMENT DATE ; It/04/9E
SURD I V I'S I ON i
PURPOSE OF PAYMENT AMOUNT PAID PHIPOSE OF PAYMENT AMOUNT PAID
NUILI)1NG�f BERM .__ _
4.--
50 F-LAN CHECK F'E 48.421,
ST. BUIL D PEP 3.73
10650 Sal 121 ;T
TOTAL AMOUNT ESA I D — — — ► 126.66
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