Permit (10) A- CITY OF TIGARD . BUILDING PERMIT
P ERMIT #: BUP2000 -00026
1;� DEVELOPMENT SERVICES DATE ISSUED: 01/27/2000
— - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD -01600
SITE ADDRESS: 11674 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W: .
OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Demolition of a 760 sq. ft. shed. All debris to be removed.
Owner: Contractor:
DOUGHTY, J PAUL LILLI AGGRESSIVE CONST & DESIGN
10150 SW CANYON RD 1482 NW 210TH WAY
BEAVERTON, OR 97005 BEAVERTON, OR 97006
Phone: Phone: 503 - 629 -5067
Reg #:
FEES REQUIRED INSPECTIONS •
Type By Date Amount Receipt Final Inspection
PRMT BON 01/27/200C $50.00 00- 321440
5PCT BON 01/27/200C $4.00 00- 321440
EROS BON 01/27/200C $26.00 00- 321440 ORIGINAL
ERPC BON 01/27/200C $8.45 00- 321440
(additional fees not listed here)
Total $96.90
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987. \\ .
Permitee . • \
Signature: \ ` , `
Issued By: 6. 1 , �--
•
Call 639 -4175 by 7 p.m. for an inspection the next business day
(:IF TIGARD Commercial Building Permit Application Plan Ch ,*
Recd By f7 N
131 2 . SW HALL BLVD. New Construction and Additions
Date Recd iceo
TIGARD, OR 97223 Date to P.E. rCri-l-
(503) 6394171 Date to DMA
Print or Type Permit * hi. t' ZCCC - al 2 -(c -
Incomplete or illegible applications will not be accepted Related SWR#
Called
Name of Development/Project
Job ii,1/ d. 1 - / 1 1 - Existing Building ❑ New Building ❑
Address Street Address ite
Building
Bldg # City /State Zip Data
Existing Use of Building or Property:
Name
Property 7} ` L DGr,, 3-)
Owner Mailing Address Suite Proposed Use of Building or Property:
jf)I SO S1✓ C4 11C)
City /State Z1 Phone
No. Of Stories:
l , ..lr- Cf , 911.;
Occupant Name Sq. Ft. Of Project:
U Fe L
Name Occupancy Class(
Contractor A GG k-,,, I,Z Ci,.As 1v h 1
Prior to permit Mailing Address Suite Type(s) of Construction
Issuance, a copy „,
of all licenses 16 2 iri NI, 1-10 'y'
are required If City/State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. ;� � A Yes ❑ No ❑
tS
database eY4 L 4 . 4 D7t c l- Zq - c
Oregon Const. Cont. Board Lic -s Exp. Date Americans with Disabilities Act (ADA)
- C - 1. - 7 1 0 Valuation X 25% = $ Participation
/ - C f Complete Accessibility Form
Name Project $
Architect Valuation
Mailing Address Suite
Plans Required: See Matrix for number of sets to submit
City/State Zip Phone on back
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
Si at of Own�(r/ gent Date
City /State Zip Phone A Z I- Z 7- 00 i
t ct Person Name Phone
.
Indicate type of work: New 0 Addition 0 Demolition 0 � �� . C� ; ”' 6 VC 7 c 11
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work: Map/TL# , ' - I Land Use: r
-
Notes: )l 4 t . ✓uwiJ-
Parks: Estimated *of Employees _q j ---
TIF: \ aazh.. 0.4 0./m 6-44- t 1
If the above figure Is not supplied at the time of application, the city will d,,� - �,�_B.h,d
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building ' -
Permit Application
i:ldsts%fomas comnew.doc 5/10/99 A
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) • 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
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B & F & M & P & E 3 Alt = Alternation to Existing
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hdstsVormsknatrxcom.doc 10/30/98
6/9/00 Activities for Case #: BUP2000 -00026
3:31:51 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 1/27/00 BON DONE No Hold BON 1/27/00
BUPC008 Permit created 1/27/00 BON DONE No Hold BON 1/27/00
BUPC802 Final Inspection 1/27/00 1/27/00 2/4/00 TLP PASS No Hold AKJ 2/15/00
BUPC100 (F) Issue permit 1/27/00 BON DONE No Hold BON 1/27/00
BUPC960 Case Finaled 2/15/00 AKJ DONE No Hold AKJ 2/15/00
•
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