Permit (119) CITY OF TIGARD BUILDING PERMIT
VIII ;� DEVELOPMENT SERVICES PERMIT # : BUP96 -0537
L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/10/96
c PARCEL: 1S134BC -00700
SITE ADDRESS...: 12655 SW NORTH DAKOTA ST
SUBDIVISION • ZONING:C —P
BLOCK • LOT •
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:- FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:SN .... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 14 ft GARAGE_...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 1500
Remarks: Building permit for freestanding sign
Owner: —• FEES
WINDWOOD HOMES INC type amount by date recpt
14076 SW BENCHVIEW TERR PRMT $ 25.00 B 10/02/96 96- 284597
PLCK $ 16.25 B 10/02/96 96- 284597
TIGARD OR 97224 5PCT $ 1.25 B 10/02/96 96- 284597
Phone #: 590 -4700
Contractor:
WINDWOOD HOMES
14076 SW BENCHVIEW TERRACE
TIGARD OR 97224
Phone #: 590 -4700 $ 42.50 TOTAL
Reg #..: 050196
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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.
Permittee Signature: 61 A..aff Itc14 —f
Issued By: 'g- C
Call for inspection — 639 -4175
Commercial Building Permit Application
Ci y'af'Tigard y
13125 SW Hall Blvd. A"
Tigard, OR 97223 1 ( � CJ
(503) 639 -4171 1\ . 1
Jobsite Address: /a2 $ S 40 Ai#" / 4 #04,% %A. •
Tenant: Suite #
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Valuation: /rOge. :.: :;,.:.::: :::;:; •
Owner•
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Address: G
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Phone: ho e:
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Contractor: or.
Address:
Type of const:
Occupancy class:
Phone:
Sprinklered? Yes No
Contractors License # 6
(attach copy of current Oregon license) Sq. ft. of project
Contact name & phone: pa.% ,(L /�,/�!r/G�i -76D /77r Story (1st, 2nd, k etc.)
'-,t Proposed use:
Architect/Engineer: ,aj,�.,E kit I K Gw 7�
/4411
co 134 Previous use:
Address:
I 0 Off 9703 Note: Plumbing & mechanical plans
must be submitted at time of
. building permit application.
Phone:
JOB DESCRIPTION: Se,/'1
. . 9 'ac) — 71 G • 47
i gnature & Phone number
Received by: 6,KkILLe&,,,...._ Date Received: 0 -Z-
Permit # Account Description Amount Amt. Pd. Bal. Due
•
Bldg. Permit (BUILD) 2 , °Z
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) I i Z5
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) I I - ZC
Bldg:
Plumb:
Mech:
Sewer Connection (S 4 SA)
Sewer Inspection WINSP)
Parks Dev Cha _• e (PKSDC)
Residential F (TIF -R)
Mass T nsit TIF (TIF -MT)
Corn ercial TIF (TIF -C)
I dustrial TIF (TIF -l)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �� 5L)