Permit BUILDING PERMIT
CITY OF TI RD
14 PERMIT NO . : E3UE38167:5
COMMUNITY DEVELOPMENT DEPARTMENT mmoN/ DATE ISSUED: 8/23/88
13125 S.W. HaII Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 - 4175 \ \\ P R :I: M .PMT . NO . 881675 •
JOB ADDRESS: 1.4650 SW . 97TH AVE •
TAX MAP /LOT 2511.AC2700 . .SUB: LT: . ELK:
LAND USE: P4.5 . , , •
LOT SIZE: VALUATION: SETBACKS t ,
FRONT:,- REAR:,
WORK CLASS : ADDITION _ DWEL.L.. UNITS : LEh LET: RIGHT:
USE TYPE : EDUCATIONAL I:ONAI... NO . I tEDROOMS : , EXT'.. WAL.L.. CONST : •
CONS'T' . TYPE: VN NO . BATHS : N: r. . E:. . W:
. OCCUP .,CRP . : E2 , PROT . OPENINGS : . .
OCCUP.LOAD 72 • •N: - 5: .E: W: i
TOTAL.. AREA: 1440 1
NO. STORIES : 1 1ST: 1440 ROOF CON ST : A FIRE PET?
HEIGHT : 2ND : AREA SEPAR'? RATED:
BASEMENT? _ 3RD.: OCCUP . SEPAR? RATED:
MEZZANINE? BASEM' T
FLOOR LOAD: GARAGE: FIRE SPI : ::KLR? YES ALARM? YES
FLOW(GPM) DE'T'ECT?
HEAT TYPE: ELEC. HDCP . ACCESS? CORR? • •
1
PLAN CHECK BY : bcr
REMARKS:
temporary modular classroom for REISSUE OF NO. .
•t,uiwiity ,jr high !school. LAST REISSUE
FEES: ,
o school district tiya.rd PERMIT a 125.00
w :1.3137 sw pacific hwy PLAN REVIEW ,
N t iga.rca . ur 9722.3 F :I :I: E DEPT I I
E •
R PHONE ( 503) 684•• -2221. STATE TAX , . $1.25
OTHER .
DEVELOPMENT CHARGES:
C SOC(STORM) .
O .
N • . SDC: (S:iT'RI :ET . . $ , . •
A PREPAID < >
C
T
O ,TOTAL: $26.25 ,
R
RECEIPT NO. . 7620 yDZ
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations, REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby FOOTING. .
agreed that the work will be done in accordance with the plans and ()'T•1••HEP*
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days, or if work is suspended or
abandoned- for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved. .
/ ■
_ r �y� L , $l»tep�i , r.Liarm '
Permittee Sign ure •li
Issued By: 75k) CAI...I:.. F C)R . :I :N : SPF;( : :.'T'I :(]N 639- 41.75 , •
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CI1YOF T PLAN CHECK APPLICATION
CITYOFTIGARD PLAN CHECK #
COMMUNITY DEVELOPMENT DEPARTMENT OREGON PERMIT #
13125 SW Hall Blvd. P.O. Box 23397, Tigard. Oregon 97223 (503)639 -4175 DATE ISSUED
JOB ADDRESS: / �// �-� e- <9 7 ` TAX MAP /LOT 2-s /-- 2 ? 0 0
SUB: LOT: LAND USE: /- 47-5
VALUATION:
OWNER SPECIAL NOTES
NAME: 2 r) ,�- �-i o` �� r 2, 5 REISSUE OF:
ADDRESS: / � / � C w � �-, J ,,, LAST REISSUE:
l i v A R -n 7J c; 72 ? 7 FLOOD PLAIN/
SENSITIVE LAND:
PHONE: 2221 ‘Jr1 - �, �r,L ran►
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING:.
ADDRESS: FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
LIST /SUBCONTRACTORS:
ARCH /ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER: •
COMMENTS : JM Po 2 i2 Ri o D I 4.c1/4I;
l raffia L_, . i _ - ).-4i
•
PERMIT # ACCT # DESCRIPTION
AMOUNT AMOUNT PD. BAL. DUE
• .88/ -695 10 -432 00 Building Permit Fees 25
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
- 10- -230 01 State Etuldng Tax (5%)
Building
Plumbing
Mech
10 - -433 00 Plans Check Fee
Building
Plumbing
Mech
_ --
30-202 00 Sewer Connection •
30 - -444 00 Sewer Inspection _
51-448 00 Street System Dev Charge (SDC)
52- -449 01 Parks I System Dev Charge (PDC)
52 -449 02 Parks II System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg (SSDC)
10 -230 09 TRFD 10-230 06. Washington County Fire #1
10 -220 00 Amart /Wedgewood
TOTAL
REG #
APPLICANT SIGNATURE
Received By: Date Received:
ht/3587P/18P