Permit CITY OF TIGARD
4
DEVELOPMENT SERVICES ' BUILDING PERMIT c
!� °'� 131 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT # • BUF 98 - 0.,09
DATE ISSUED: 02/17/99
PARCEL: 2S1O1AC -01900
SITE ADDRESS...: 12615 SW 72ND AVE
SUBDIVISION • ZONING:C —G PD
BLOCK LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:DEM FIRST 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:E1 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 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. $ : 0
Remarks : Demolition permit of a 8,750 sq ft Phil Lewis School building, as
identified as building 1° on attached site plan. Two other buildings at this site
will be demolished under separate permits. All debris to be removed, utilities
capped, inspected and approved prior to issuance of new builing permit.
Owner: FEES
EAGLE HARDWARE & GARDEN type amount by date recpt
981 POWELL AVE SW PRMT $ 25.00 DLH 11/20/98 98- 310988
RENTON WA 98055 5PCT $ 1.25 DLH 11 /20/98
98- 310988
EROS $ 26.00 DLH 11/20/98 98- 310988
Phone #: 425 - 227 -5740 ERPC $ 8.45 DLH 11/20/98 98- 310988
ERPC $ 8.45 DLH 11/20/98 98- 310988
Contractor: PRMT $ 25.00 B 02/17/99 99- 312997
NORTHWEST DEMOLITION /DISMANTLI
BRIAN H SMITH
PO BOX 390
WILSONVILLE OR 97070
Phone #: 638 -6900 $ 94.15 TOTAL
Reg #.. 000482
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Misc. Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other 4.' ' ,'. ♦ 0
.
applicable laws. All work will be done in accordance with .�! 'i• „
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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature / Issued By: �v—.
572.4-1-14-
+ + + + + + + + + + + + + + + + ++ +++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call b.S'j -411D by I:14W p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
TY OF TIGARD Commercial Building Permit Application Recd
By —Dt�r�
125 SW .K'P LL BLVD. Tenant Improvement Date Recd / //L Oft ..c
Date to P.E.
111 IGARD, OR 97223 Date to DST
(503) 639 -4171 .� c MD � T Permit a* � t�P 9� �� 9
Print or Type '0(7 Related SWR #
Incomplete or illegible applications will not be accebted Called
Name of Development/Project Existing Building ❑ New Building ❑
Job gGt,.E 1-111. t LuAttx - GgQ_oEil
•
Address Street Address Suite Building
l2G,IS. S.W. 72— Data
Bldg # ' City /State zip Existing Use of Building or Property:
Name
Property . es H44Ds p/2 f Li/ Proposed Use of Building or Property:
Owner Mailing Address Suite
'let Fo'weLt_ AkJE.,S.v No. Of Stories:
City/State Zip Phone t
. V.1 wgk 96055 . 227- S 7geo Sq. Ft. Of Project:
Occupant Name Occupancy Class(es)
Name
Contractor T BE. SEL.E.LTED Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy Will this project have a Fire Suppression System?
of all licenses Yes ❑ No ❑
are required if City/State Zip Phone
expired in C.O.T. Americans with Disabilities Act (ADA)
database Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
Project $
Name Valuation
Architect Scol.rzi, 14h“- mw AkilffEG S Plans Required: See Matrix for number of sets to submit
Mailing Addres Suite on back
?(?- 120AC/" ttl.e. /o/
City /State Zip Phone act 2-5— I hereby acknowledge that I have read this application, that the information
iEUz lion. /, r p 5 . 3 , 3 given is correct, that I am the owner or authorized agent of the owner, and
W I that plans submitted are in compliance with Oregon State Laws.
Engineer Name
J.u1/4_, 6. 6,-1NEE12,S igna er Date
r r _ 2..0' ` p
Mailing Address Suite $
28(0 C:.LZMWA - 14) Zr) I Contact erson Name Phone
City /State Zip Phone SCe j tin g1ZyA iii y ys - s - 3.7_03
- KeMwocg j LL 34?933 (. 183 -2t1 �'
FOR OFFICE USE ONLY
Indicate type of work: New O Addition O Demolition Mari/TLC Land Use
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair O Other 0 Notes
Description of work: �R
MC
TIF:_
��7s"�. sti2 FT sc.1 o Rt-t c:: (3� _
Note: Site Work Permit Application must precede or accompany Building -
Permit Application 3 u / L /, 25. oz)
779 I. 25
C• 24 , o
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