Permit CITY _ OF TIGIARD p BUILDING PERMIT
ERMIT # • BUP96 -0425
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/24/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 15136CD -1500
SITE ADDRESS...: 11660 SW PACIFIC HWY •
SUBDIVISION • TIGARD BOWL ZONING:
BLOCK • LOT •
REISSUE: FLOOR AREAS E41 LL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST • 15000 sf N: E: W:
� D
TYPE OF USE.•.:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL : 15000 sf ROOF CONST:BFIRE RET ?:
OCCUPANCY LOAD: 500 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 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. $ : 61730
Remarks: Remove existing roofing and manscord. Class B reroof with 25—year
shingles (modify manscord with metal siding).
Owner: FEES
MARTHA SHULTZ type amount by date recpt
12197 VIA LOMA VISTA PRMT $ 319.00 J *H 07/24/96 96- 282000
PLCK $ 207.35 J *H 07/24/96 96- 282000
YUMA AZ 95367 FIRE $ 127.60 J *H 07/24/96 96- 282000
Phone #: 000 -000 -0000 SPOT $ 15.95 J *H 07/24/96 96- 282000
Contractor:
TD NORTHWEST
12905 SW 107TH CT
TIGARD OR 97223
Phone #: 624 -1590 $ 669.90 TOTAL
Reg #..: 78466
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 Roof n a i 1 n g Insp
applicable laws. All work will be done in accordance with Insulation Insp
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
1,.
Permittee Signature:
`
Issued By: ��.. !..
Or Call for inspection — 639 -4175
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd. Tigard, OR 97223
(503) 639 -4171 e // 7 0)- - ,v_1, e c 2/v2,' / 71 '
Jobsite Address: 1 ( GO S� l c. c S c t-kw ,
�o �,� \ Office Use Only: - ''::;::.• ` _ :
Tenant: h e Suite # >::..::..
Valuation: to (� S
Planck/Rec # 1 . :: : :
t Permit # Uc :
Ni ..
Owner: I G- r -`�- Sc.-11 L., - E Z.. f
Map &.TL # f SlbViS
Address: 2 -- 1 q - 1 yr c. 1-'01" O'l S�4
Approvals Required
u• '4 A 2 q 3 cTi
Planning
Phone:
Engineering::: ..
Other
t�
Y .
Contractor: � Thw ts� . ...
Address: \S , r i k- 1-
Type of const: 5 IV
M. y ....,a wz i Z2 i—t
2 1 4� Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License # '? (o � �
(attach copy of current Oregon license) Sq. ft. of project: / i NiD 4—
Contact name & phone: 1, o•.rL NA- e r so.- Story (1st, 2nd, etc.) `
Proposed use: i , • I i ( _ .
Architect/Engineer: R I .1 0
Previous use: it , AL. .
Address:
Note: Plumbing & mec apical p -ns
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: N Zw.o � x‘ 5 i %), c� a a C-k, 3 &-.) ifh G,..so,.cL' , i2 e,r o oir
,� PE 30 ^/ P Z`( -1 SD
Applicant Signature & Phone number
Received by: '
y:
9 , an f1 / 4 -AtA ------ Date Received:
-7(7A(/(16
Permit # Account Description Amount Amt. PPd`` Bal. Due
��
Bldg. Permit (BUILD) 3� 9 "V 3/9: CO -
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) / ?S / 9.S
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) ,20 7. 3j �� 35
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 -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) i22. 7, 60 / Z 7 ( d
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: (0 109, v
•
4/24/00 Activities for Case #: BUP96 -00422
5:23:04 PM
• Assigned Hold Updated
Activity Description Date 1 Date 2 . Date 3 To Done By Disp. Level By Updated Notes
BUPC008 Permit created 7/24/96 JMH J *H 7/24/96
BUPC015 Plans routed to Plans Examiner 7/24/96 BON J *H 7/24/96
BUPCO24 Plans Approved /Routed to DSTs 7/24/96 JMH PASS J'H 7/24/96 JIM FUNK DID 0/C PLAN
REVIEW
BUPC740 Framing Insp 7/26/96 RB PASS . BT2 7/29/96
BUPC750 Insulation Insp J *H 7/24/96
BUPC799 Final Inspection J *H 7/24/96
• BUPC742 Roof nailng Insp 7/24/96 7/31/96 GS APP GES 7/31/96 NO. 1/2 , SO DONE
PREVIOUSLY
• BUPC100 (F) Issue permit 7/24/96 ' JMH J'H 7/24/96
•
BUPC160 Expired by limitation 4/17/00 HAP DONE No Hold AKJ 4/17/00
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