Permit CITY OF TIGARD BU PERMIT
PERMI # • BUP96 -0507
DATE ISSUED: 09/`5/96
k, COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 29 102CC -01000
SITE ADDRESS...: 13660 SW PACIFIC HWY #3
SUBDIVISION 1■ � NG:C -G
BLOCK - • LOT
REISSUE: FLOOR AREAS EXTERIOR WAL NSTRUCTION-
CLASS OF WORK.:QTR FIRST • 0 sf N: S: E: W:
TYPE OF USE...:MF SECOND...: 0 sf PROTECT OPENINGS? - - --
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R1 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. $ : 8400
Remarks: RE -ROOF
Owner: -- FEES
NORRIS & STEVENS • type amount by date recpt
520 SW 6TH #400 PLCK $ 48.43 JDA 09/12/96 96- 283893
PRMT $ 74.50 B 09/25/96 96- 284368
PORTLAND OR 97204 SPCT $ 3.73 B 09/25/96 96- 284368
Phone #: 223 -3171
Contractor:
GRIFFITH ROOFING
6815 SW 111TH AVE
BEAVERTON OR 97005
Phone #: 643 -1596 $ 126.66 TOTAL
Reg #..: 000925
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Ponding before t
approved plans. This permit will expire if work is not started Dryrot after tea
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature: NPA4AYj_ Z24d'
Issued By: MAJ-1A.C4/
Call for inspection - 639 -4175
To PE 1 - I���
Commercial Building Permit Application
City' of Tigard
13125 SW Hall Blvd. )
Tigard, OR 97223 ) 9 0
(503) 639 -4171 9 /10 l
#3 - NITS 3 - 3
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Jobsite Address: 13(o(0() SIN PriC(FIC H1�V� T t(ARD
Tenant:FIR. GRAVF VIVICIAE APTS Suite #
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Contractor: or:
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Address: tpRlci SW 111TN \VErIUE
j Type of const: WOOL
( � �,tiL � F)E.AVER - M Ia. nR GI
Occupancy class:
Phone: ( 503) 643 - 15 q (,
Sprinklered? Yes No
Contractor's License # (Y a 5
(attach c o p y of current Oregon l i c e n s e ) Sq. ft. of project . 1 5GIS
Contact name & phone: CN ERANDAW Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer: N I A
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: T. k R' OFF : • E PL A' hi ; . E
PECAFICAT►O•l - CLASS A (SE-E AirAcI4F11>
s 5 ) //70 .4 an 6 - /59e
pplicant Signature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 7 y 0 1
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 3 73 8 • 3.
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) 4.43 5 . q3
Bldg:
Plumb:
Mech:
L.-
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit T1F (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)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: l� 13 / �3