Permit CITY OF TIGARD PERMIBILDING PERMIT
T U # • MT96 - 0064
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/10/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 Elea, �. 1
,.
A PARCEL: S10LaD- 0103
SITE ADDRESS...: 12760 SW PACIFIC HWY
SUBDIVISION • FREWINGS ORCHARD TRACTS �� ONING:C — G •
BLOCK • LOT •1
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.: ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 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. $ : 1500
Remarks: security roll up door for front door only note! Signage in accordance
with NFPA 101 -5 -2. 1.4. 1 4 (a) is required.
Owner: FEES
ATG INC type amount by date recpt
515 SW 3RD PRMT $ 25.00 JMH 02/16/96 96- 275870
PLCK $ 16.25 JMH 02/16/96 96- 275870
PORTLAND OR 97214 FIRE $ 10.00 JMH 02/16/96 96- 275870
Phone #: 503 -274 -8702 5PCT $ 1.25 JMH 02/16/96 96- 275870
Contractor:
OVERHEAD DOOR CO OF SALEM
4310 TWENTY — SECOND AVE NE
SALEM OR 97303
Phone #: FX 393 -0145 $ 52.50 TOTAL
Reg #..: 012078
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 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 Signature: //)4i /er,f
Issued By: Chrri1 -
Call for inspection — 639 -4175
Commercial Building Permit Application
Cit3i of Tigard
13125 SW Hall Blvd. / 'J ) t
Tigard, OR 97223 ,) '2 /
(503) 639 -4171
02 4 1 4( C i(1 r
Jobsite Address: / 2 17 /. G 5 , G /Ivy
Tenant: /4) 1 7iia ( kk3Suite # Office Use Only
Planck/Rec # de. t q6— )/ �7
s ' d
Valuation: S/ 50a GD
C 1R-!) Permit# (13Ln0i tiG -4046 ��
Owner: 4 G
77 d S l 4 n V/
1 � � � Map &. TL #
Address: / 2 77 c 1/) , i a e /Tl L l''
Y Approvals Required
/ , a v G Y 6 Planning
Phone: h 2G - iSLI
Engineering
Other
Contractor: 0 e- r
Address: c g.,-( 6 N' `-
C)-4 Type of const:
l
r n Occupancy class:
Phone: t ��
wiry Contractor's License #
1)1 Sprinklered? Yes No
(attach copy of current 0 ion license) Sq. ft. of project:
Contact name & phone: Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer:
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION:
(IP ) ale Z4/1 2 ,q 6
App Signature Si nature & ° hone number ial
Received by: 9&Z f'J Lt �/ , ( f t t Date Received: C k
Permit # Account Description Amount Amt Pd. ' Bal. Due
Bldg. Permit (BUILD) ,Z 5- —
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 2-
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
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 -l)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL) •
Water Quantity (WQUANT)
Fire Life Safety (FLS) l r1 J
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �j L `�� S Z �✓ / '
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RIGHT HAND OPERATION SHOWN-LEFT HAND OPPOSITE
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RECEIVED
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Hi -ALUM.
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TYP \ -ALUM. GUIDE ITYP) FEB 6 1996
SEE DETAIL °A'
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C DEVELOPMENT
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4/19/00 Activities for Case #: BUP96 -00064
5:51:52 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received 2/7/96 J'H RECD CJS 5/10/96
BUPC008 Permit created CJS 5/10/96
BUPC010 Check for prcl. restrict. JHF 2/7/96
BUPC015 Plans routed to Plans Examiner JHF 2/7/96
BUPCO24 Plans. Approved /Routed to DSTs 2/7/96 JHF APPR JHF 2/7/96
BUPC799 Final Inspection • VLN 10/16/98 Inspection request for research
to Hap. W. 10/16/98. VLN
BUPC798 Misc. Inspection • 2/7/96 • JHF 2/7/96 this is a modification to sec.
3304 (h) see NFPA
101 -5- 2.1.4.1, Exception 4 and
5- 2.1.4.5. nothing has been
typed to the file other than this
• note because of work and time
restraint.
BUPC090 (F) Ready to issue 2/7/96 JMH PASS J'H 2/7/96
BUPC100 (F) Issue permit 5/10/96 CJS PASS CJS 5/10/96 •
BUPC160 Expired by limitation 4/16/00 HAP DONE No Hold AKJ 4/16/00
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