Permit --CM OF TIGARD BUILDING PER!'1IT
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COMMUNITY DEVELOPMENT DEPARTMENT 1,:ii... 4 • 7::,..727_ 7.:1.4.2
DPI,
13125 SW Hall Blvd. Tigard. Oregon 97223.8199 (503) 839-4171 TE I 05/15i=
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SUBDIVISION ZONING: C-O
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REICOUE: FLOC'?. AREAS-- -- ----- TERIC' 'ALL CCF7T5=
CLASS CF WORK.; FIRS 5f N: c..
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Tyrr :7 . :77.—:T.C 1 , 3ECCNI7:...: sf FR9TECT OPENINOS7
TYPE Cr CONST.; THIRD....: :Lf N. S: E: x;
00CU2A; ,77;1 LT:7AL -- .- 0 sf ROOF COWST: FIRE =7:
OCCUT:ANCY LCAD: BASEMEL:4 L.f AREA SEP. RATED:
'7.; ft on!7w7...: E' OCUL: MP. Rn=
BOT2 7Y17- 7EDD GETBACS---- ---
TLOCT: LOP • p_if :_EFT; F [FIT; ft FIR SPRL: SMOK OET..:
DWELLINC UNITS; FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRM:, T"r IMP OUR: PRO CORP ; PARKINC:
JALUE.$:
3'.3912
Rf,na •
..: ..-nf Class "P
____ _
WAYCIDE INN t: amcD_olt b date
11 SW PACIFIC HWY. PRMT $ 238.021 B 05/02/95 -
SPOT $ 11.90 B 05/15/95 -
T7 3'7.
'hLirle #: ,Yt34-2210
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7,H17777 ROOF IN:
SW H,T_L EL , 'D
T I E :- R 11) :W! c:-)7223
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------ REQUIRED INSPECTIONS -- ------
This ce is iss•.:ed sAject to the regulations contained th the Final Inspec i on
Tigard Y,71ca1 :cie, State cf Ore. Specialty Codes ard all other ______ ______
----- . l , ill ance with
eproie:' ,:e7L. This 2erait mill ei:.,..e if wuk is n.:t started
with:71N dais cf iszarce, or if ei:rk is s.,s:ered for 7.ire _
than :32 :tap.
at 11 e : 144. ._.._
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- -- —
Call fo,: inspction - 629-4175
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Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobstte Address: l b 9%0 5 p t\ tAIN)7
I
Tenant: Suite Teat.
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Int..) ��I D
Valuation:
3
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Owner: /•��
0 er:
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Address: " �
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dde
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68
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Ph one:
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Contractor. �� (
Address: _o_ ( (∎ Z V1
, O ^ q ( ) - 2 . 1 1 ) Type of const:
�j2 5 Z S5)-- Occupancy class:
Phone:
R — ` 11 bW i C � , � Sprinklered? Yes No
Contractor's License # � � V
(attach copy of c' rrent Oregon license) I Sq. ft. of project: 'sea - ) so r'
1,C � . f t Stor ( 1st, 2nd, etc.)
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'r'i: to Ir r,
Architect/Engineer: Proposed use:
Address: Previous use:
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Note: Plumbing & mechanical plans
must be submitted at time of
Phone: building permit application.
COMMENTS: �C — E T - (7 U - � —_ C ^`-��i AFIL3
52-5 2
Applicant Signatur e &Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 277 OD )91' 12) s•3D
Plumb. Permit (PLUMB)
Mech. Permit (MECH) o�
State Tax (TAX) J 1 '
Bldg: ) ) .lD
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
5 ' 7v
TOTALS: t s4(- - "/ 5 V G
7/27/99 Activities for Case #: BUP95 -00142
4:56:32 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC090 (F) Ready to issue 5/12/95 JDA KS 5/12/95 •
BUPC100 (F) Issue permit 5/15/95 BON • B 5/15/95
BUPC960 Case Fineled _ 2/22/96 GES 2/22/96
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