Case File IA
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CITY OF T I GAR®
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171 PERMIT #. . . . . . . : McST95--006(
DATs�: ISSUED: 02/15/95
PARCEL7:.: 1_SI11CI3--Q12300
i E HODRES13. 14885 SW I OVITH AVE.
jbDIVISION. . . . MURDOCK HILL. ZONING: R-3. 5
_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :4
BUILDING
I SISUE t DWELLING UNITS:0 F A yE M E N T. . . . . . . . :0 s f
5 P
R88 OF WORK. REP BEDRMS:0 BATHS.@ C RAGE. . . . . . . . . . :780 sf
Y;:`E OF' USE. . . :SF FLOOR REQUIRED SE*TBACK5------
JPE OF CONST. .ON F I R 1GT`. . . . :0 Sf L E+:'f . . :0 ft RIbH_I . :Q) ff.
CUFtgNCY URP. :R3 SECOND. . . :0 s FRGNT. .0 ft REOR. . .-O I
OR I L".2. . . . . . . .. I F I NBS(YIE,NT:O sf 'REQU I FRED
. 18 ft 1*01,01- 16 1: SNOKE DE rrECTORS. :
-.UtJH LOAD. . . . :40 psf V P L 1j L'I. . . . 2000 PARK I NG SPACES. . :0
-.�Mat-ks ., REPAIRINIF-, EXISTJNG CARPORI
PLUMI-AING
iNKS. . . . . . . . . . !0 FLOOR DRf'41N.S. . . . :0 RACK17:1-OW PREVNTRS. . :10
AVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . .. . . . 10
.1B/SI-1JWERS. . . .. .0 LAUNDRY TRAYS, . . :0 LATCH BPSINS. . . . . . . .0
v.jH I'PR LLUSLTS. . .0 SEWER LINE. (ft ) . :0 GREASE TRAPS. . . . . . . :0
U10"HWASHERS. :0 WATER LINE:- (ft ) . it) OTHER F I X UR\F.S. 0
UARBAPE D I SP. :0 RAIN DRAIN (ft ) . :0
WAS)HING MACH. . . :0 SF RAIN UNAINID. . :11,
MECHANICAL FEES
JEL TYPES-------- UNI V I+. '. . :0 type at m a 1.t n t by date r-ecpt
VENTS SPIRT $ 32. 50 JF 02/15/95 —
+X INPUT:0 BTU VONT FANS. . .0 B PL C � 21. 13 I.04R 02/08/95 95-26150V
,HN ( 100K . . :0 HOODS. . . . . . s B5PC 1. 63 JF 02/15/95 —
JRN ) -100K . . ,0 WOODS I OVES. :0
.UOR FURN. . . . .0 CLO DRYERS. : 0
11_/CMP ( 31AP.-0 OTH'R UNITS.0
CAE'. OUTLET5:0
tM IHLKUL
885 9W 1.0011-1 AVE
b(ARD OR 97224
,one #: -0369
!ntt,actor:
AG1:',i I C L,0111b I RUCI I ON
MUDLLINU 11\1L
;j BOX 25*1501
;0LHNL UR 97,Reb
one 0:
95! 1
35. c%'6 TOTAL
This aernit is issu:d s,!bject to the regulations contained in the REOUIRED INSPECTIONS
Tigard Municipal Code. St;,I-e of Ore. Specialty Codes and all other Footing Insp
applicable laws. All work tall be done in acctr1a,,:e o,;th approved Fir-aminly I n s p
plans This perilt will •Ypjre if work is not started within IN Rain cJi-airi ]nap -----------
days of issuance, jr it 4ork is suspended for more than IN days, Building Final
i)sion Vontrol
i t t v!e !,)i n a t ko,+
By :
67 A"ILA.—
r,m I L__+_rib- i-ic
Residential Building Permit Application
City ' Tigard
13126 SW Hall Blvd.
.Tigard, OR 97223
503) 639-4171
Jobsite Address: / y��'.� U C►
Subdivision-)
Lot # Office Use Only
?" r -�< < /`� _�__ ? r�
Planck'Rec # 2
Valuation:
Permit
Corner Lot? Y l/
Reissue of
Flag Lot? Y (N� —�
J Map & TL #
Owner: Approvals Required
Address: Planning_
Engineering
'hone: is �' `I C' 3 �' �( Other
Contractor: ��/l�f 5�c ��� _ ¢ �c� t . Items Required
Address: J1.L) �'X �+s �+� /I Subcontractors
X90 lT�14e �l 2'S! Truss Details_
Phone: 217 722� — Other
Contractor's License #
(attach copy of current Oreg-rn license)
Contact Name & Phone: J i,i, Al i e,
N',,,-- y 7,_I-- 7.3.4 7
Subcontractors: Architect/Engineer: �L
2
N Plumbing: Address:
Mechanical: _
(attach copy of current OR Contractor's License)
Phone:
J JOB DESCRIPTION: /��f�`�'` 7 �G s � ��Yr �� ex,,J ri kie
Appli a Signature & Phone number
Received by:' ( ,!Y Date Received
��
WWORDCOMDEYRESAPP
i
Permit# Account Description Amount Amt. Pd. oa,. Due
y -,-t�-LGU(r Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) _
Mech. Permit (MFCH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check ,rLANCK) _ /3 G� (2,) ---
Bldg: L /
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge iPKSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF.-I)
Institutional TIF (TIF-IS)
Office 1 IF (TIF-O)
VVater Quality (WQUAL)
f1
N
Water Quantity (WQUANT)
FirE Lh°e Safety (FLS)
.J
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
i
f:l l Y nF" 'C It prm - RUT UIT OF' PA'YMF:NT C7Erx IF''C' NCI. 1'i4��;�
C H C'I, AMOUNT Ell 1
NAMi. a OL Af*,y 7 C CONI:'j TPUC'f l 11N AND (".l iH AMOUNT t 0. 00
aUL RE1.3r; REMC.111CL INSp, INC. PAYMENT DATE' i 020F%/973
Ph BOX J151151 SUBD1VISION t
rC1RTL.AND, nPE"C)ON
� �F•; ri`.k
OV I",raYMENT MOUNT PAID PLIPPCI,-A-1 OF PAYME=NT AMOUNT 1114!D
,J
14085 SW MATH
IMAL,AL AMOUNT PAID r r!1. i
CITY CIF TIGARD RECEEIP17' OF PAYMFNT RE(.^,Fl;ll NO. 19ti—OP61737
CHE-CK i*)M(.)L!Nl' 1 34. 13
CLAf-3SIC l'::ONSTRU(..'TIC)N AND CAc3H AMOUNT g1. 00
V)DDRFs!:), REMODELING INC. PAYMENT DATu ve 15
po nw: Pssot EAR D I V 1.�)'l ON
PDRTLAND, 11RESON 97c'12rl-
PURPOSE OF PA� +IFNT AMOUNT PnAlD Pl,IRPQSF,-L OF PAYMIZNT OMOt.JN,r I)A i t)
32. 50 ST. BUILD PE. 3
ca
IFSW
148135 GW ?00TH AVE
11 IAl. AMOUNT FSA lil 4. 1;3
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