16700 SW 124TH AVENUE i
ADDRESS:
A JOIC
w
J
'Arc
w
J
ty
)
3 $ * m m $ $ $ E
$ \ ® 6 ® 9
Ln § a § § § 3 #
m § n m m U) m 2
�� J d G G J J G <
M
] > \
_] )
�
�
oo n o = m W
§ \ } CL a- j
�
a.
�
§ (n U)
c J J G J =
2
@ �0
§ � /
7 § k IL
0 a § § §
�
Q w
\ j
2
� $ $
� j \
�
- k
1 2 E r
) 7 B
k $ \ \ } \
^ o \ § / \ � ® e .
o f 2 ƒ c § S E E &
ƒ \ \ R m [ / § 2 In
4 a ƒ I CL ƒ ƒI I CL
2 3 3 2 3 3 2 3 2
BUILDING PERMIT
#. . . . . . : BUP9
CITY OF TIGARD DATEPERMIT ISSUED: . 05/10/966--0237
COMMUNITY DEVELOPMENT DEPARTMENT FIARCEL.- 2S115BC-15i:-,-.V10
Tigard,Ora�q%?74 8199 (50:�MO-4171
ic,4 I I V I:-
SUBDIVISION. . . . ." 1-01 4p, ZONING:
BLOCK. . . . . . . . . . . I— K
-----------------------------------------------------------
REISSUE: FLO,--"R EXTER 10 WALL CONSO'RUCT-ION-
CLASS OF WORK. : FF—PI FIRST. . . . - 0 sf N-. S: E: W:
TYPE:. OF USE. . . :Sf SECOND. . . 0 Sf PROTECT OP,ENINGS?----------
TYPE OF' CONST. :5N 0 5f N: S: E: W:
OCCUPANCY GRP. :A1 0 S-F ROOF CONST: FIRE PET? :
OCCUPANCY LOAD: 0 BASEMENT. 0 Sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . 0 sf OCCU SEP. RATED:
BSMT? : MEZZ?: REUD SETBACi<S------------ REOU I
FLOOR LOAD. . . . : 0 p s f- LEFT: 0 ft RGHT`: 0 ft F I R SPIKL: SMOK DE--T. .
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP'1 ACC:
SEDR115: 0 BATHS: 0 IMF' SURFACE: q) PIRO CORP: PARKING: 171
VAI-.UE. $ : 3750
Remar-ks : Tear off and lay 112" CDX.
Uwnet,: FEES
DUAINE FROST type ainot.trit by date r,eept
16700 SW 124TH P R MT $ 44. 50 CJS 05/10/ 6 K'.iiGi CITY
5 P C,T $ 2. 23 cis 1615/10/96 KING CIT-f
FIGORD OR 971--22,
f1hone #:
Cont, .Actor:
GREG' S 0UAl-1TY ROOFING
12245 SW PITONEER LN #D 119
BEAVERTON OR 97008
Phone #: 503-590-6-140 46. 73 T01-AL
Req #. . : 95890
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mise. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will ne done in accordance with Final Inspe---tion
approved plans. This permit will expire if work is net started
within 180 days of issuance, or if work is suspended for onre
than 180 days.
e r-in i t t e e S i q Ti a t 1-i v-e
CL
CC
1 ,;sLied By:
V)
>- call for, inspection 639-4175
_r1AY-09-'96 THU 02:14 ID: FAX NO'" 4044 P01
RL-sidenPer
tial Bu mit A licatio�i _ —
,ost_tt'-br`andfagx transmittal m srno.o�7671
401P I*ggs
City of Tigard '
13125 SW k4a Blvd. co r
Tigard, OR 97223 �
Phan;
503) 639-4171 yep
SLA-)
Jobsite Address: �_..___ Office Use Oni "{ "
Lot#
subdivision: Planck/Rec #
Valuation: permit# / C�
Corner Lot? Y Reissue of
.�,fR.,'
Flag Lot? Y N Map tk TL#_,2-
A v s Re u4-_ire
owner:
--
Address
Engineering
may,, ,Y:N•�'9'
other
u --� '•''� pr�J ��'�'?7wftfilU" IA*MA:Y�Su1
Phone: 9 "?
i Itemg Rg_ uired
Contractor-
Subcontractors .w s
_- '`?Z, 5-- c��J rot t N�-� . - �"'"��� •«y''' Y�^r��«�'"�^�+:
Address:
Truss details
Oth?r
Phone:
W3 D 3
Contractor's I icense#_ (attach copy oC current Orr±9on license)
Contact Name & Phone:
ArchitectJEnglneer:
Subcontractors'
Of
t ddrass: — ---------
Mechanical: r_
(attach copy of current OR Contractor's Liconse) Phone: —
LU
JOB DESC IP` -)N:
APpi ant Signatu b Phone number S yam—
Dato Receiver
Recelved by' __4.