Permit '
• TIRD CITYOF
=OF WARD BUILDING PERMIT
COMMUNITY DEVELOPMENT " ��°���-��" DEPARTMENT PERMIT # • BUP92-0035
13126 SW H� Blvd. Box Nmm �
~ m�omn>wn��ms �.
639-4171 DATE ISSUED: 02/18/92
SITE ADDRESS...: 16358 SW 72ND AVE PARCEL: 2S113AA-00100 /
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING: I—L •
BLOCK ^ LOT ^A
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST ^28576 sf N: 5: E: W:
TYPE OF USE... :IND SECOND... : sf PROTECT OPENINGS?
TYPE OF CONST. :3N THIRD • sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL : 28576 sf ROOF CONST:B FIRE RET?:Y
OCCUPANCY LOAD:64 BASEMENT.: sf AREA SEP. RATED:
STOR. :1 HT. :24 ft GARAGE...: sf OCCU SEP. RATED:
BSMT?:N MEZZ?:N REQD SETBACKS REQUIRED
FLOOR LOAD •125 psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET..:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:N PARKING:
VALUE. $: 10000
Remarks: Tenant Impr. Delete, add interior partitons & walls, remove tlt rm.
Owner: — FEES
PAC TRUST type amount by date recpt
15115 SW SEQUOIA PARKWAY PRMT $ 80.50 JLH 02/18/92 —
SUITE 200 PLCK $ 52.33 JLH 02/11/92 223176
TIGARD OR 97224 FIRE $ 32.20 JLH 02/11/92 223176
Phone #: 5PCT $ 4.03 JLH 02/18/92 —
Contractor:
H GREEN COMPANY, INC.
15115 SW SEQUOIA PARKWAY, SUITE 200
TIGARD OR 97224-7131
Phone #: 624-7717 $ 169.06 TOTAL
Reg #..: 41328
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Susp Cei lng Insp
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
Permittee Signature: - , ^m' ��
.
Issued By:
�
Call for inspection — 639-4175
13125 sw I18u awe. PLNCK /RECT #
CITYOF TIGAR1 I'OUox13397 PERMIT ECT #
COMM U NITY DEVELOPMENT DEPARTMENT
Tigard, Oregon 97113
(503) 639 -4171 DATE ISSUED
JOB ADDRESS: / 1i 3 7/1/40 4", TAX MAP /LOT
SUB: LOT: LAND USE:
VALUATION: D
OWNER SPECIAL NOTES
NAME: Pacific Realty Associates. L.P. (PacTrust) REISSUE OF:
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 LAST REISSUE:
Portland, OR 97224 FLOOD PLAIN/
PHONE: 624 -6300 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: H.L. Green Company PLANNING:
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 ENGINEERING:
Portland, OR 97224 FIRE DEPT:
PHONE: 624 -7717 OTHER: /06 7//
CONTR. BOARD #: 41328 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX:
ARCH /ENGINEER
CALCULATIONS:
NAME: John H. Romish TRUSSiDETAILS:
ADDRESS: 2216 S.E. 24th Avenue OTHER:
• Portland, OR 97214
PHONE: 236 -6306
PROPOSED BLDG. USE: 0� i fzt#z
COMMENTS:
28, 5 76 4 DA_C4 (9/k oi)
V
1
APP'ICAN S GNAT 'E
Date Received: J
Received By: l "
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees ts0 619
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5%) 4,03, 4.
Building
Plumbing
Mechanical
10 -433 00 Plans Check Fee 5'
Building
Plumbing
Mechanical
10 -230 06 Fire 32, zO � 30-202 00 Sewer Connection
30 -444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees
52 -449 00 Parks System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL /l g,o6 F1,i 53 84•
•
nm /3581P..WPF 0