Permit CITYOF TI RD ..411 BUILDING PERMIT
CITYOFTWARD PERMIT #.. „ ....: BUP90 -0191
COMMUNITY DEVELOPMENT DEPARTMENT \ OREGON / PRIM. PERMIT #.: BUP90 —@191
13125 SW Hell Blvd. P.O. Bar 23397, Tigard, Oregon 97223 (5,0311439:4_ 471 71 ` / DATE 1 S S U E D : 07/27/90
SITE ADDRESS - 11440 SW PACIFIC HWY PARCEL: 0500 —
SUBDIVISION. ....: ZONING:
BLOCK LOT °
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST -1900 sf N: 5: E: W:
TYPE OF USE. ..:COM SECOND...: sf PROTECT OPENINGS?------ - - - - --
TYPE OF CONST.:2N THIRD sf N: S: E: W:
OCCUPANCY GRP„ :B1 TOTAL------: 1900 sf ROOF CONST:A FIRE RET ?:Y
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR.:1 HT.:14 ft GARAGE...: sf OCCU SEP. RATED:
BSMT?:N MEZZ ?:N READ SETBACKS--- - -• - -- REQUIRED
FLOOR LOAD °125 psf LEFT: ft RGHT: ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:N
BEDRMS: BATHS: IMP SURFACE: PRO CORR:N PARKING:
VALUE.$: 49500
Remarks: Remove existing circle canopies, erect new rectangular canopy.
Owner: - -- - - -__ - -- - — - _ - - - - -- FEES
JERRY FULLER type amount by date recpt
11440 SW PACIFIC HWY PAYM $ 297.15 JLH 07/12/90 202581
PRMT $ 283.00 / /
T]:GARD OR 97223 PLCK $ 183.95 / /
Phone #: FIRE $ 113.20 / /
5PCT $ 14.15 / /
Contractor: - - .___.______.__- •__ —•_ PAYM $ 297.15 JLH 07/27/90
RAY• F BECKER CO
2345 N ROSS ST
PORTLAND OR 97227 - _______
Phone #: 288 -5341 $ 594.30 TOTAL
Reg #..: 07605
REQUIRED INSPECTIONS ---
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Struc Steel Insp
applicable laws. All work will be done in accordance with Slab Insp
approved plans. This permit will expire if work is not started Framing Insp
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
P e r m i t t e e Signature: : ;' %.�,, ' kVL ,T, -- -- —._ —_ -- ^_._____
/ �-r?�
. �
issued By �_._ ��._..—
Call for inspection — 639 -4175
1
:Mt u rns . So tam 97 PLAN CHECK APPLICATION
.#r TIGA RD r43"437:371;7717223 PA.W7 PLAN 3
� PERMIT / A/A0 - 0/9/
OMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED
JOB ADE : 11110 S.i . o .:t vi L N-w y/ . P 5erJ1a * MX MAP /wr %S /.. 6 7.5 0 0
SOB: IO►r: LAND USE:
VALUATION: `f vOa
CWNER SPECIAL NOTES
NAME: ��t/r"/ F■M ( P,✓' REIN OF:
ADS: // 5 , ...J- / c /P /L ffwi/ IASr RELSSOE:
// FIOOD PLAIN/
SaISITIVE W:
PHONE:
APPROVALS REWIRED
oXITRACIOR PIANNfliG: OK po
NAME: y •• DESK e no . :
Ate: a 3 4 S t -i . 20 s S pr-v-'_ - FIRE DEPT
,:r -eT: i nrr , 9 72 2 7 OTHER:
PfENE: F1 Q - •31/ XTEMS
BUILDERS BOARD #: 07 D.S' EXP DATE: - LSr/ •
SOS TAX:
ARCH/ENGINEER / ✓� GG CALaJ ATIC S:
NAME: /f��r c Iez c /1'Aq / �Ler2 � D • DEIAIIS:
•
ADDRESS: 2? 31 Axe ED sc 66
PrryT.' / d72 . e 7.2z 7
PHONE: SrS(5"34 /� �/ •
COMMENTS: 57Te na ri a i / ge C�t/SvGT //'I, 7-Tic ff
/2 2 5. 4 _2 7 _ ,e%'4 r' / e • 97 2/1 6g r -34 -- 71,145) 1/4/7.r//e-1
I 900 ,27 PIIIB: MEM:
•
PIIdTT I ACCT I DESCRIPTION Amour Air PD. BAL. DUE
10-432 00 Building Permit Fees 2$ co 0 2,-3,0 0
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees •
/¢, /s /4 1S 10-230 01 State Building Tax (5%)
Building
Plumbing
Meth / � 3 y.
10-433 00. Plans Check Fee /'3.95 5 —
Bui.ldirg
Plumbing
Meth
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chr'g : (SSDC) I /3 -,Zv //g,
10 -230 06 Fire
101AL ,79 /s 7• /S
RDC/
/,
CANT c T far' /fl .c i co .
o aC7 Received: Date Reoe-/a - c/ O
Received By: v� •
ef/3587P.WPF
GRADING/EROSION CONTROL INFORMATION
CONTRACTOR NAME & ADDRESS: CASEFILE NO.:
. r "K PERMIT NO.:
rv, rez s - G_
„ T" . e 2 - APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR TA 1+r r,S C Q-nl f i 2 A � 1 r.J Co-T n� �V L
NAME &ADDRESS: 122.. _ '7 1 I . 2 7 ` "�
ND aI �. Lae v\ o -� P te` • ) the • cf 7 2
OWNER NAME AND ADDRESS:
�" t; j2✓L� �) LL e l/
11`1:90 H
TELEPHONE NUMBERS: 6 O � / 6
APPLICANT: 2 3 G O PROPERTY DESCRIPTION:
OWNER; c 2-3 g - g�, STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR: Sl) - S'3 4 /
EXCAVATION CONTRACTOR: NO IV lv 1 1 k ri S , kI . o�. c F L H 5 G ✓Y',, a
SITE/JOB:
LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.:
CONTACT PERSON, TITLE, TELEPHONE 1/4 SECTION: -
SIIE SIZE, ACRES:
• DISTURBED/WORK AREA, ACRES:
LOCATION & ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO: (CIRCLE ONE)
(NOTE: PERMITS MAY BE REQUIRED) CATCH -BASIN DITCH PIPE CREEK
(CIRCLE ONE) PRIVATE PROPERTY
PUBLIC RIGHT OF WAY
• EROSION /SEDIMENTATION CONTROL (ESC) MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT.FACILITIES
CONSTRUCTION SEQUENCE OTHER
OTHER
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH 'TECHNICAL GUIDANCE HANDBOOK ".
EROSION CONTROL PLAN DRAWING, AS REQUIRED, HAS PLAN CONSTRUCTION NOTES COMPLETE, INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES, AND
APPLICABLE STANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE NSTRUCTION SITE.
Svc,7lh5 iVC
OWNER SIGNATURE APPLiLe17%--1PF-4614+;/7--
NT SIGNATURE
OFFICIAL USE ONLY.
RECEIPT DATE ACCEPTED
FEE NUMBER RECEIVED BY
7/27/99 Activities for Case #: BUP9O -00191 .
2:42:04 PM
-- Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA007 Application received 7/12/90 - JLH RECD JHJ 7/27/90 •
BUPA010 Plan check deposit paid 7/12/90 JLH PAID JHJ 7/27/90
BUPA020 Plan check by 7/24/90 JHJ PASS • JHJ 7/27/90 .
BUPA030 Check for prd. restrict. • 6/29/90 7/12/90 JO PASS JHJ 7/27/90
BUPCO30 Fire-District review 7/24/90 EWB PASS JHJ 7/27/90
BUPC096 (F) Ready to issue 7/24/90 ., JHJ PASS -JHJ 7/27/90 .
BUPC799 Final Inspection 6/1/94 GS APP GES 6/2/94
BUPC100 (F) Issue permit 7/27/90 JLH PASS JLH 7/27/90
BUPC705 Foot/Found Insp 9/13/90 TP PASS NM 9/18/90
BUPC950 (F) Issue Cert. Occupancy 6/1/94 SKW PASS SW 6/8/94
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, INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet /Beam Struct. San. Sewer Framing -Bldg.
Poet /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor \ VII'ater Line // Gyp. Bd. -Mech.
Date Requested: O — c2 6 - Time: AM PM
•
Address: I Ll U 0 PQ,cJI C C.. 1W9 Pe .it #: - 4O v I I
Builder: 1 c_k_ Imo. p 3 D_O d— 53LI I
THE FOLLOWING CORRECTIONS ARE REQUIRED: 9 I ( `o^
11) --- c b "° LIA ..
Inspector: A i f Date: C. - if- 94/
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.