Permit .;CITY OF T I GARD DATE I B UILDING 09 ERMU 9E 6 -0508
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard. Oregon 97223.8199 (503) 639 -4171 PARCEL: 29102CC -01000
SITE ADDRESS...: 13660 SW PACIFIC HWY #4
SUBDIVISION • Xpj •
� NG : C -G .
BLOCK • LOT
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:OTR 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 Mi sc. 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.
P e r m i t t e e Si at u r e: AIYVI
Issued By: i .--
Call for inspection - 639 -4175
PE ' H g '
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 1
(503) 639 -4171
? UY 4 -- UN ITS 40 - 41
`.
J obsite Address: 131,1,e) 51,k) P P C ( Nw Nl , T ► � F� RD ;; .; ,; :.; >::<:> ::«;;:: :::::::::::::::::::::: >: <..;:::<:;<. >;::::: >::: <;:;.::.>:.:.:<::.: :. >.:: >:: >::.:;;:. >::: >.;:.;:.; .:.;..
fff •�`
On
Tenant FIR(-RnvE VILLR6,E #
Valuation: P y( '
i
Owner
No RR1S 5 ENS
Address: e s s:
5
an S - r
. ICI
Lo N E
Su►
T 4 OD
��' rovals>
as Re ��'
ui
�' :
4
P
Z LA 0
N
q� 4
Phone: one:
c.
�0
tea.
� 311
I
/yam■ a ..v .... .....:::..::.;<::::::.:..:::.�
Oth ...
Contractor tra r:
cto
R F
►T
nDFI .......
NG
0
Address: IoRIS 5\n) 111T4 kvENuE
l fl,l.
1% Type of const: WOO()
iyi l�oCcg ZFAuEe -v t4 hE c70cA
Occupancy class:
Phone:
(5u3) &U3 -159t.
Sprinklered? Yes No
Contractor's License # CY (a S
(attach copy of current Oregon license) Sq. ft. of project a'7 Sas .
Contact name & phone: ('NutK R RN Ak) 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: . : - a F : ; _ ' " . ; • : . P • u : , : _
�PF c.vF k c A (SEE Alt Pic }1E,11
j 11. Q/ 0)'1 4a/21, C�yj -is9
Applicant Signature Phone number
Received by: f/(s( , �/ Date Received: g//1Z)"
Permit # Account Description Amount Amt. Pd. Ba Dub •
Bldg. Permit (BUILD) 7 << 1`� �d
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) . - _i_
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) �'f U `'� J I � � L13
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-1)
Institutional TIF (TIF -IS)
Office T1F (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntr1 Permit (ERPRMT)
Erosion Planck/USA (ERPIAN)
Erosion Planck/COT (EROSN)
TOTALS: I ,64 , ic6, 1 3 �$`��
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171 I
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. ,' \
San. Sewer Gas Line Appr /Sd Reins
bi� " - - i
Other:
Date: a M - A.M. J P.M. Entry:
Address: / 3 (e l� U P Fr
Tenant: Ste: MST:
BUP: •71.W4111Cda. t
Con /Own: 4. Y 3 t' 59 (-, MEC:
PLM:
ELC:
0 T.W FOLLOWING CORRECTION ARE REQUIRED: ELR:
tk - c't, i v T / e
I el . . : I r V O `v6/
1.2-e1 S Q. 6
r a% . A tz) . z . .
' ,. , ,...--1 "ks ri
•
s :/-14-16
_ r ,
Inspector: Mat Date: i / L
e t-APPROVED _ DISAPPROVED /CALL FOR REINSP. C CO