Permit 1 . CITY OF TIGARD
/ n� ,,,;\ DEVELOPMENT LOPMEN R SER�I PERMITI #DING PE• MIT
BUP97 -0525
DATE ISSUED: 04 /29/98
D"S- PARCEL: 2S101AD -02600
SITE ADDRESS...:-4-e6 69TH AVE
SUBDIVISION • WEST PORTLAND HEIGHTS ZONING:MUE
BLOCK • LOT •031 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:NEW FIRST • 2964 sf N: S: E: W:1HR
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL 2964 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 29 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 23 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?:N MEZZ ?:N READ SETBACKS REQUIRED
FLOOR LOAD • 50 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 515000
Remarks : Construction of a new 2,964 square foot dental office.
Owner: FEES
JOHN B MCCROSKEY type amount by date recpt
14125 SW FARMINGTON PRMT $ 1470.50 JD 11/07/97 97- 300780
BEAVERTON OR 97005 5PCT $ 73.53 JD 11/07/97 97- 300780
PLCK $ 955.83 JD 11/07/97 97- 300780
Phone #: 646 -9157 FIRE $ 588.20 JD 11/07/97 97- 300780
CDCB $ 125.00 GEO 04/29/98 98- 305356
Contractor: CDCP $ 125.00 GEO 04/29/98 98- 305356
M STEARNS CONSTRUCTION CO. EROS $ 139.60 GEO 04/29/98 98- 305356
8030 NE CLACKAMAS ST ERPC $ 45.37 GEO 04/29/98 98- 305356
PORTLAND OR 97213 Additional fees not shown here
Phone #: 256 -5502 $ 7143.40 TOTAL
Reg #..: 000446
-- REQUIRED ACTIONS or 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 Re i n f Steel Insp
applicable laws. All work will be done in accordance with Framing Insp
approved plans. This permit will expire if work is not started Insulation Insp
within 180 days of issuance, or if work is suspended for more Shear W a l l Insp
than 180 days. ATTENTION: Oregon law requires you to follow the Gyp Board Insp
rules adopted by the Oregon Utility Notification Center. Those S u s p C e i i n g Insp
rules are set forth in OAR 952 -001 -0010 through OAR 952- 00101987. Appr /sdwlk Insp
You many obtain a copy of these rules or direct questions to OUNC Misc. Inspection
by calling (503)246 -1987.
.4111(
Permittee Signaturecier offir Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
'►» E- 1 i - 11 1i
Commercial Buildi Permit Application ���
' rL9 RA � �
City of Tigard 13125 SW Hall Blvd. Tigard. OR 97223 i
(503) 639.4171 cki Qd` _ _ L _
Jobsite Address: /mil - K5 - b OFFICE USE ONLY
Tenant:. jh9l/2 e , Suite # Planck/Rec. # .•. .- 36
/ /Il /// r A..1/7) '
"Valuation: /!� �' � � `
l Permit # &Ei1 ` O ;<:„. :...:. ;
Owner ��. )Oh�'1 » 2c1,�1G Map & TL # Z I /A3 : )
Approvals Required . •,
Address: /V/025 >SGL �C0 4.) ,.
gig.-b 4/ Cie. 97ea-c" Planning 7' . • c —
y .
p y6. - 9/ 5 2
g 9
Telephone: .:. ;::.,. :•.:: . :
Contractor: / L9t e/ 6'76/ 6_ ✓,lam
Address: (QZ.SD `741 ( /sad J .
4 ,R 1L4' /1 / '2 . .9 7 /3 Type of constr: S
Telephone: g.5 - j, 2 `7 X c."2.--6-Y6 ° Occupancy Class:
Contractor's License # 00 /l ,e�c.,7, f - 2�{-`�7 Sprinkler? Yes Ch
(attach copy of current Oregon license) 1
Sq. Ft. Of Project: a
Contact name & telephone:
Story (1st, 2nd, etc.): /
Architect & Engineer: 0 /9J C/,/,r' (7 ,
/� 1 Proposed Use: Zb'77Q � 1
Address: .. q i 3 stib eet �/��
6 77, 0K _ / . 9 7MI • �3b Previous use: al i „ rG _ i�
Note: Plumbing & mechanical plans must
Telephone: cPaa i5 '� / 24(/5 92.43 be submitted at time of building permit
�lR• . 50 h r ► Z ook application.
bon.
JOB DESCRIPTION: &9 " L5 , / f D ', z ( w,
114\1)) ,1 1 vv_ v(Air-64u`
x)- ,-(- J t c C' _
( 4 z/7-60/
(Applican Signattre Telephone Number)
i IL"
received by: 7 0 -C
Y Date r
.
.`
PERMITU Account Description Amount Amt Pd. Balance Due
Ruining Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX)
Bldg.
Plumb.
Mech. 9qc Plan Check (PLANCK)
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C) •
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) 77q`
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
1 6 56 o€0
• CITY OF TIGARD •
DEVELOPMENT SERVICES 65
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
IMPORTANT PERMIT NOTICE
RE: Plan Check # e� - 5CC
MCCROSKEY, DR. JOHN
14125 SW FARMINGTON •
BEAVERTON OR 97005
Parcel ..... - : 2S 101 AD -02600
Site Address: 1'' SW 69TH AVE
Subdivision -: WEST PORTLAND HEIGHTS
Block - Lott 031
Jurisdiction: TIG
Zoning • MU.E
Remarks:
Site work permit for the construction of a 2,964 square foot dental
office.
This letter is to confirm receipt of your Site Work or Building permit appli—
cation which has been forwarded to the plans examiner //toodday for review.
As a reminder, the associate land use case(s) is /are: `fib( 17`OD06
Please be aware you are responsible for satisfying the conditions of the land
use case(s) and must submit plans directly to the appropriate staff person(s)
indicated on your final order.
Your building plans ARE NOT routed to the planning or engineering departments.
You must satisfy the land use permit conditions independent of the building
permit plans review process.
After the building plans review process has been completed, your site work or
building permit will NOT he issued without approval from the engineering and
planning departments.
If you have any questions regarding this please contact me directly at
639 -4171 for further clarification.
Sincerely,
Development Services Technician •
cc: Building Department
Planning Department Ail
•
Engineering Department "
•
. . .
'
DEVELOPMENT CITY OF TIGARD
���r��"�o omn�n�o ���on�n�����
~��� 13125 SW Hail BlviTigariCR 97223 (503) 639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT #.......: BUP97-0525
DATE ISSUED: 11/10/98
PARCEL: 2S101AD-02600
SITE ADDRESS...:12625 SW 69TH AVE
SUBDIVICION....:WEST PORTLAND HEIGHTS ZONING:MUE
BLOCK.........,: LOT...'.........:031 JURISDICTION: T1G
__________________ _______ ______________________
CLASS OF WORK.:NEW
TYPE OF USE...:COM
TYPE OF CON8TR:3N
OCCUPANCY GRP.:B
OCCUPANCY LOAD: 29
TENANT NAME...:
Pemarks: Construction of a new 2,964 square foot dental office.
Owner: - '-------------------------------
JOHN B hCCRDSKEY
14125 SW FARMINGTON
BEAVERTON OR 97005
Phone #:
Contractor: ------- ---------------
M BTEARNS CONSTRUCTION CO.
8030 NE CLACKAMAS ST
PORTLAND OR 97213
Phone #: 256-5502
Reg #..: 000446
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has bee inspected for compliance with
the State of argon Specialty Codes for the and use under
. the
the referenced permit was issued.
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BUILDING %N�PE�TOR 8UI��DING OFFICIAL
POBT IN CONSPICUOUS PLACE