Permit , °�-~~
�� /l ( BUILDING PERMIT
CI OF TIGARD `-~ PERMIT # : BUP96-0345
DATE ISSUED: 06/26/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 9722308199 (503) 639-4171
v� /�/^~ PARCEL: 2S1 140D-00101
��
SITE ADDRESS...: 17005 SW 92ND AVE ~
SUBDIVISION ^ ZONING: ��
BLOCK ^ LOT ^
_
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
'CLASS OF WORK.:ADD FIRST....: 77 sf N: S: E: W:
TYPE OF USE... :ACS SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? . ..: 0 sf N: S: E: W:
OCCUPANCY GRP.:? TOTAL : 77 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 ALAM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE.$: ` 0
Remarks: Installing concrete pad and wall around portable restroom area
Owner: — — FEES
CITY OF TIGARD type amount by date recpt
13125 SW HALL BLVD PLCK $ 0.00
P. O. BOX 23397
TI8ARD OR 97223
Phone #: 503-639-4171
.
Contractor:
HOWARD JACOBS MASONRY
GORSA8E INC
6210 SE 111TH
PORTLAND OR 97266 ----
Phone #: $ ID. 00 TOTAL
Reg #..: 008785
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Masonry Insp ____
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection . _________
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 lurk is suspended for more .
than 180 days. ___ __
_ ___
- .
Permittee Signature: 01/1. ---- 40-- .
__ _
Issued By: _____� ___
Call for inspection — 639-4175
. � . � _
00/24/96 10:03 $3•503 084 7297 CITY OF TIGARD I1 001 /002
,. \,q POSHI -ernd
Fax Transmittal Memo 7872 ;,.,;..... 07 P.eI s Tadayonsie TNne
143 v�.cn y fi r 0 ke
ppmpany
Locallon LMaHgn
OepL Charge
Fav # Telephpna ► Fax @ Telephone L
Comments Onginl
D paeiliDn; Ejnestfte D Rewm D Call lorpickup
Commercial Building Permit Application
City of Tigard
13125 SW Hall - Blvd.
Tigard, OR 97223
(503) 639 -4171 Ai ' n
i► s
.lo�site Address: '.. - �'� a� � 7i ,$)' ` 't.;-,-_-,;---,-...,-
Tenant A_;em, Use � ; � ' f . . }"
F -; • 's s' :
Valuation: ^ .
:.ems #._: PaV'�P : - r 7 '- - L
Offiler: (. / 4" L DE :__ 161-e—b :'! 4 - . ' - - -:',.z , '' - '
Adder /31 �!2,,t3 . l L 13(Ari) & ' - ar r.- _
/� �� ; Plariaalg! - - :Ag ,A4 r e r r,
Phone. (l/ 1 3 1 — q(7 t ; :`. ~: ° ; ••i;i: +�;
.mV Sri's _ ..- �. -..^.� _' .
- ,\ // p' `i : :xrtn' -' is y '^
Contractor �AGf1!() / li "R. =:. R ,t.: ___ i S
1
Address 6 .5 1 /I _ , )
♦ ' � Type nt Canst /v
. 419 - / - 3 a ci Occupancy class: .8 I/
Phone: c�
Contractor's License # O Sprioldered? Yes No /
(attach copy of current oregoa fceease) Sq• It. of project g - - 6
Contact name & phone: ..5.c..
G04 fEU& j1 Story (1st, 2nd, etc,)
1(1.4/2-1 f Proposed use:
Af'CllitettlEnginBkr. /'1� � ,�
, . , tt Previous use: � ----- Address: 5 ' L14 / d j
Nate: Plumbing & mechanical plans
7 q must be submitted at time of
%,2r-V--4------- Tb 0
building perm0t application.
Phone- ,� / ',,
- JOB DESCRIPTION: 997/4�./..cx �¢k� .. ) fir/ ! P - --'#
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Appfica Signatw e & Piton umber
Received by: Date Received:
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, ' l oyal ,u yu ...... _-_,..
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) • ,__.w,_.,...- -=--._ Morig Smith &bockats, Inc. 1
i ----_,=, .1 =1,- Engineers/Planners
a 7-•.7. =, ....r=^.1: • pathnitoregoo
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Project Cook go3 a ic. A I 4 Spita- eclA c....1_ Chant e r rl OF - Ft 64 .2 Job No, 9 V - ° 3 /°../L
Task $ v civAA L 1 By. ..)i-P Date: 4- 2 74 ° Chkd: Date:
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CM( OF TIGARD f.k0 Ma
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Approved - - 41Ittir 'e
Vir" 4 ' • 4.1* '
Conditionally Approved [ I , le.S10 - At
For only the work as describe in:
• PERMIT NO. - e) 3 vs
See letter to: F-oI-61 ORE ' N
I i D: . my /4-1980 , • .
Attach .............. .......... ...[ 2
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4fEs -L- tt
Job Adffress: _i 76-6 S' 6.,...)Z...-• '''."4 ,.
- 1 P Arpage" ‘-30-97
2-6 - 76
- . •
i t.e- 4. 217
10/7/99 Activities for Case #: BUP96 -00345
2:27:45 PM
Assigned Hold Updated
Activity Description • Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received 6/26/96 6/26/96 B RECD BON 6/26/96
BUPC008 Permit created 6/26/96 6/26/96 B PEND BON 6/26/96
BUPC727 Masonry Insp 6/26/96 6/26/96 GS PART GES 6/27/96 walls 4' hi
BUPC799 Final Inspection 6/26/96 6/26/97 TLP PASS - TLP 6/26/97
BUPC015 Plans routed to Plans Examiner 6/26/96 B PEND BON 6/26/96
BUPCO24 Plans Approved /Routed to DSTs 6/26/96 GS . PASS BON 6/26/96
BUPC100 (F) Issue permit 6/26/96 B PASS BON 6/26/96
BUPC960 Case Finaled 6/26/97 TLP PASS TLP 6/26/97
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