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Permit / -- • CI1 TIRD aTYOF WARD BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT it • BUP93-1Z1025 13125 SW Hall Blvd. P.O. Box 23mmr Tigard. Oregon 97223 (603) 939-4175 639—i171 .~ ~ — 130T[ Ir{%�EE>: 02/16/93 SITE ADDRESS...: 11419 SW PACIFIC HWY PARCEL: 1S136AD-06100 SUBDIVISION ^ ZONING: C—G BLOCK ^ LOT - REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :REP FIRST ~ sf N: S: • E: W: TYPE OF USE...:COM SECOND...: sf PROTECT OPENINGS? TYPE OF CONST. :5N THIRD ^ sf N: 5: E: W: OCCUPANCY GRP.:A3 TOTAL : 0 sf ROOF CONST:A FIRE RET?:Y • OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED: STOR. :1 HT. f14 ft GARAGE... : sf OCCU SEP. RATED: BSMT?:N MEZZ?:N REQD SETBACKS REQUIRED FLOOR LOAD •100 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET..: DWELLING UNITS: FRNT; ft REAR: ft FIR ALRM: HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE. $: 13000 Remarks: Re—roof entire building with Class A System R11659 (N) Fully Adhered 1. Owner: FEES MCARTHUR ROOFING type amount by date recpt 3504 NE 109TH AVENUE PRMT $ 98.50 JLH 02/11/93 93-236620 PLCK $ 64.03 JLH 02/11/93 93-236620 PORTLAND OR 97220 5PCT $ 4.93 JLH 02/11/93 93-236620 Phone #: 256-5465 Contractor: MCARTHUR ROOFING 3504 NE 109TH AVENUE PORTLAN OR 97220 Phone #: 256-5465 $ 167.46 TOTAL Reg #.. : 38741 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Roof nailng 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 work is suspended for more than 180 days. Permittee Si nature: Issued By: ' - ��r m~ fr Call for inspection — 639-4175 .v qq CITY of TIG �� sw w � n „d PLNCK/RECT # 2 3 � PERMIT I ,93 - T(�! 7 COMMUNITY DEVELOPMENT DEPARTMENT °`"°` F • " ` ` : , • (S03) 639-1171 DATE ISSUED _ . .__ EN T'�a JOB ADDRESS: /1 I f / 4 -C Pl #r- TAX MAP /LOT SUB: LOT: LAND USE: VALUATION: /3 ©00 °c OWNER / / / SPECIAL NOTES NAME: _ 1__ , / a 1I1� _j•( 0 REISSUE OF: Iv r ADDRESS: —1 LAST REISSUE: FLOOD PLAIN/ PHONE: 7 '9 ° l g / V SENSITIVE LAND: CONTRACTOR � APPROVALS REQUIRED NAME: �/ !04 /' �� ! �`�f � PLANNING: O/C — _y<-�-- ADDRESS: 7J' /..9 1/l., ENGINEERING: 1 -t- - o FIRE DEPT: PHONE: 2 56 - S `pi KS • OTHER: A20 77/ - V2C--- CONTR. BOARD #: 3 S 7 '' / EXP DATE: 7 / q 3 ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS: MECH: - BUS TAX: ARCH /ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: • PHONE: PROPOSED BLDG. USE: / - FOC-YE COMMENTS: .. j / / APPLICAN SIGNAT RE / ,', 1 ,_7, Received By: Date Received: PERMIT # ACCT ft DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE'"* 10 -432 00 Building Permit Fees • . 10 -431 00 Plumbing `Permit 10 -431 01 Mechanical Permit Fees 10 -230 01 State Building Tax (5 %) 4.95 Building Plumbing - Mechanical 10 -433 00 Plans Check Fee 6q,03 Building Plumbing Mechanical 10 -230 06 Fire 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 Oev Charge (PDC) 31 -450 00 Storm Drainage Syst Oev Chrg (SSDC) 24- 445 -01 Water Quality (Fee in lieu of) 24- 445 -02 Water Quantity (Fee in lieu of) TOTAL g nm/3587P.WPF 02/22/2000 Activities for Case #: BUP93 -00025 2:16:16 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC007 Application 'received , 02/11/1993 JHJ 02/16/1993 BUPCO20 Plan check by 02/16/1993 JHJ APPR JHJ 02/16/1993 BUPC040 Check for prcl. restrict. 02/16/1903 VRG NTIF JHJ 02/16/1993 BUPC799 Final Inspection 03/11/1993 GS APP GES 03/11/1993 BUPC100 (F) Issue permit 02/16/1993 JHJ PRNT JHJ 02/16/1993 BUPC785 Misc. InspeCtion 03/04/1993 GS APP GES 03/04/1993 PRE -ROOF BUPC960 Case Finaled 03/11/1993 GS APP GES 03/11/1993 • • Page 1 of 1