Permit CITY OFTIGARD SITE WORK.
,,,.7,,,. ,, DEVELOPMENT SERVICES PERMIT
J 'I L 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639°4171 PERMIT # S I 966 -0044
DATE ISSUED: 10/11/96
PARCEL: 2S1O2BD -00100
SITE ADDRESS...: 12645 SW PACIFIC HWY
SUBDIVISION ° NO.TIGARDVILLE ADDITION AMEND. ZONING: R -12
BLOCK • LOT °52
TYPE OF WORK: COM PAVING? ▪ N RESO. NO.:
EXCV VOLUME: 0 cy GRADING? ▪ N VALUE...$: 4000
FILL VOLUME: 0 cy LANDSCAPING? ▪ N
ENG FILL? • N SITE PREP? ▪ Y
SOILS RPT READ ?: N STORM DRAINS ?...: N
IMPERV SURFACE: 2050 sf
Remarks: Establish gravel pad for installation of modular classroom.
Owner: FEES
ST ANTHONY'S SCHOOL type amount by date recpt
12645 SW PACIFIC HWY PLCK $ 28.93 JSD 07/29/96 96- 282232
SWM $ 180.00 JMH 10/11/96 96- 285079
TIGARD OR 97223 SWM $ 100.00 JMH 10/11/96 96- 285079
Phone #: 639 -4979 PRMT $ 44.50 JMH 10/11/96 96- 285079
EROS $ 80.00 JMH 10/11/96 96- 285079
Contractor: ERPC $ 26.00 JMH 10/11/96 96- 285079
ORION CUSTOM HOMES ERPC $ 26.00 JMH 10/11/96 96- 285079
8255 SW HUNZIKER RD, SUITE 205 5PCT $ 2.23 JMH 10/11/96 96- 285079
TIGARD OR 97223
Phone #: 598 -8912 $ 487.66 TOTAL
Reg #..: 55445
REQUIRED INSPECTIONS --
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect ion
applicable laws. All work will be done in accordance with
approved plans. This peruit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
Permittee Signature: �fA/1f.QM/Il//��
Is sued By: ri/)'1/(/L
Call for inspection — 639 -4175
.
Commercial Building Permit Application
City of Tigard Si IALP-{C / VX(.1 10 a ' r 1 M0511- a A
13125 SW Hall Blvd.
Tigard, OR 97223 pam IT aio,' Blvd. , --5-
1
(503) 639-4171 2C ) P
eteiejez.zi ( - 1 (2 /
it i9
O
Jobsite Address: /Rlizis ,.,„&l.,
Tenant :Office Use Only
: :: -: ::-::::. :,•-:-..
: ( et' Lek* , . : : : • :, :::: ::., :::: :: : ::: :. :. ::::
I V/ / h Pl. _ , ,,` < z,,-, . .
anck/Rec # :' - 71 ' - -
Valuation: '-t v
:Permii.# -2- ""0 t i ( S,
Owner: 5 47)4 04/ / S -_5-402, / Map & TL #
4,Z ("cis 5 40- PA ci ''/•(' / • ApprovAa ( 7 v ired: 4-160
Address:
9 7 zz P
3 .:. , •1441 0 .31 ::
- Pla ' : - • ' : • :•-• I f: U4.1
Phone: & 39 49 7 " .: : : . : .: •
i: Engineering :::' .:::::::•.- : .: ' : : : :::. : . , ::::":-
x-/OA/ 6167,9 7 /4 Other , ' "
Contractor: ,__17 icr/ iok& f
- '0 ar 5
Address: ORION CUSTOM Hotes .26 , C.
E3285 S.W. HUNZ1XER RD. VA/
TiGARD, OREGON 97223 Type of const:
898-8012
Occupancy class: 6 —/
Phone:
Sprinklered? Yes o
Contractor's License # 65--.5-izzits- ,
j pettacl; f c, fro of current Oregon Ii -6 q. ft. of project: / ?
Contact name & phone: ri 4 a one_ Note4_ Story (1st, 2nd, etc.) /114 ( / '
G. 3er d.e_/.1
-v77P 0 (/''' / Proposed use: .L•
Architect/Engineer:
i 1 C tl 1 tc0-3, Previous use: A704/A (A/E4
Address:
• 543 ' 6 -' h Note: Plumbing & mechanical plans
Poe-7441(4) ) e%< must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: &7 /1'4 & 4 tft i bl- P42) re,e_. m.sy ...=va /
Cz4-5..ce-aetvi
39 - P ?--
plicant Signature & Phone number
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• -:%7 -/( .P.
Received by: --".... Date Received: -
.____
Permit # Account Description Amount Amt. Pd. Bal. Due
�`7`� 59
Bldg. Permit (BUILD) �l U y-4 ,51)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) X 2
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) q b • f3 "
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) /80.
Water Quality (WQUAL) / �� O
Water Quantity (WQUANT) /00 0 /o0,
Fire Life Safety (FLS) c'j7e�
Erosion Cntrl Permit (ERPRMT) cP0 gO • od
/9)4° Erosion Planck/USA (ERPLAN)
a-0 0O
),6)/ 0
Erosion Planck/COT (EROSN) / 80 •
4 1 Z 9 3
TOTALS:
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: Ci l Co — 9 A.M. P.M. MST:
Location: I , 5 64) l'" i g ■-.„11...A.,; BUP:
r ir
Tenant: sr- AO It 1 1 1 2RE§no • L_- Suite: Bldg: MEC:
Contractor: OiVirr._ C(A i ..„, / 4 Phone: 2 q8.--cii,,)-- PLM:
Owner: Phone: ELC:
nlird kc I (IA Bk.ed cf.- - ELR:
0 ot&I Nor PO/2, u l3 E-W MOO td,4k_../5E-E- 6--gp SIT: VI Mr
BUILDING BLDG (con't) PLUMBING MECHANIC ELECTRICAL
Site Post/Beam Post/Beam Post/Beam Cover/Service term
torm a-A-.124 , -
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved / u I
(4)
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not A roved
FINAL FINAL FINAL FINAL
. _
O Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: -JAP Date: 7- 0 2 ' 4gr Page of
: _