Permit CITY OF TIGRD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # ^ BUP96-0394
1sosSW Hall Blvd. Tigard. Oregon 97223"819e (503) 839-4171 DATE ISSUED: 09/05/96
PARCEL: 2S113AD-01800 •
SITE ADDRESS...: 16640 SW 72ND AVE #B-10
SUBDIVISION : ROSEWOOD ACRE TRACTS ZONING:I—L
BLOCK ^ LOT ^11
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK.:ALT FIRST ^ 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS? —
TYPE OF CONST.:5N ...: 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: 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.$: 20000
Remarks: Tenant Remodel: add vestibule by extending new wall, doors and roof
extension
Owner: FEES
PACIFIC TRUST REALTY type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 140.50 B 09/05/96 96-283635
#3069 5PCT $ 7.03 B 09/05/96 96-283635
PORTLAND OR 97223 PLCK $ 91.33 B 09/05/96 96-283635
Phone #: 624-6300 FIRE $ 56.20 B 09/05/96 96-283635
Contractor:
H.L. GREEN
15350 SW SEQUOIA BLVD, SUITE 300
TIGARD OR 97224 -----
Phone #: 624-7717 $ 295.06 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 Susp Ceilng Insp
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.
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Issued By: _ ��u'u��� ' ' . A ---
Call for inspection — 639-4175
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Commercial Building Permit Application 0 c
-City Tigard
13125 SW Hall Blvd. • /
Tigard, OR 97223 '
(503) 639 -4171 / jii yd" /f "
, .
Jobsite Address: /64' 7 s/t 72.14 ��
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Pie - - 4/ 4/T
Tenant: �G /� /D � �it Suite # :...;::,., ..:...... .. ;.:. .
PlancklRec:. #: ' 1 IDu
Valuation: . . L4
P ermit:# 6611g6 cog
Owner: Pacific Realty Associates, L.P. PacTrust :; Map s >;TC.#
Address: 15350:S.W. Sequoia Pkwy, Suite 300
Aaoroval : Required:
Portland, OR 97224
Phone: 503/624 -6300 :.:::::..:
Engineering:
Other
Contractor. H.L. Green Company
Address: 15350 S.W. Sequoia Pkwy, Suite 300 '/
Type of const Y '
Portland, OR 97224 -7199
Phone:
503/624 -7717 Occupancy class: 6
Sprinklered ?e!. No
Contractor's License # 41328
(attach copy of current Oregon license) Sq. ft. of project 711 r-
Contact name & phone: Chris Green, 503/624 - 7717 Story (1st, 2nd, etc.) /
Proposed use: .. 9 ;if4
Architect/Engineer: John H. Romish
Previous use:
Address: 2216 S.E. 24th Avenue
Note: Plumbing & mechanical plans
Portland, OR 97214 _ must be submitted at time of
Phone:
503/236 - 6306 building permit application.
•
• JOB DESCRIPTION: J • is 419 ✓ / / /� /LL
/10' �` ✓ice
•
piicant Signatu e & one number
Received by: • 1I1.1 Date Received: ? i " ` 1
. I
Permit it Account Oescripdon Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 1 `f 0 . S o
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 7T 1, n3
Bldg: 7 a 3
Plumb:
Mech:
Plan Check (PLANCK) 7 D 33
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 -1)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) �G 5G ,-
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: aqc a�