Permit A
H CITY OF TIGARD
„,u� DEVELOPMENT SERVICES BUILDING PERMIT
�'�'� PERMIT # • BUP96 -0600
13125SW Hall Blvd., Tigard, OR97223 (503)639-4171 DATE ISSUED: 11/26/96
PARCEL: 2S110AB -00200
SITE ADDRESS...: 14385 SW PACIFIC HWY
SUBDIVISION • CANTERBUURY PLACE ZONING:C —G
BLOCK • LOT • 1 -3
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ALT FIRST • 0 sf N: Sr. E: W:
TYPE OF USE... :COM SECOND : 0 sf PROTECT OPENINGS?
TYPE OF CONST. : 5N ... • 0 sf N.:_ S: E: W:
OCCUPANCY GRP. :11 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:Y SMOK DET..:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $: 4700
Remarks: Construct sign structure for exterior sign
(false facade style)
Owner: FEES
JERRY KOLVE type amount by date recpt
14385 SW PACIFIC HWY PLCK $ 32.83 JMH 11/19/96 96- 286707
FIRE $ 20.20 JMH 11/19/96 96- 286707
TIGARD OR 97224 PRMT $ 50.50 JMH 11/26/96 96- 286990
Phone #: 620 -8087 SPCT $ 2.53 JMH 11/26/96 96- 286990
Contract or:
STEVEN BUSK
35006 SE HURLBUT RD
CORBETT OR 97019
Phone #: 695 -5325 $ 106.06 TOTAL
Reg #..: 110597
REQUIRED INSPECTIONS
This perait is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Ins p
applicable laws. All work will be done in accordance: with Sprinkler Final
approved plans. This perait will expire if work is not started
within 18M days of issuance, or if work is suspended for care
than 188 days.
Permittee Signature:
Issued By: 411,4/1, ...,1 LAIL.
Call for inspection — 639. -4175
_ . • . _ • _ . . —
Permit Application y l /�
• • Commercial Building pP , � I
City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223
(503) 639 -4171 (I 1 1 I 2 - f
Jobsite Address: / S. k/. PAC'F,& f/w y OFFICE USE ONLY
7 7
Tenant: 5eDMi42T Suite # — Planck/ # '. t ` • 4 :
Valuation: 4 f Permit # ' �?�. Z-1 -
/ /-3 Map &TL# G`1` 4Dc'
Owner: 'I eg/K- KO y E C . :
/l 3 �I I a 4(J pac, i f AB9roya is R BS�»red
Address:
e I
4- ; Plannin ;
...iffax �D
lo2D-0°
Engrreering : {
Telephone:
FAy Gb4 5811 Other
Contractor: ,$ 51/3/
Address: 35406. 5 E /i!/gz-,5v2 i
C0e,8eTT i oR. -970/ 9 Type of constr: 5 J A/
Telephone: 5' 6'g- S32 5- Occupancy Class: M
Contractor's License # // 0 S 9 7 '%0g` kprinkler? No
(attach copy of current Oregon licen e U �,vr ne-- — Pe 'rep
� A Sq. Ft. Of Project: ,z'e- is Xu7.
Contact name & telephone: „ate t o'
I
Story (1st, 2nd, etc.):
Architect & Engineer: J 1-I4 HT
Proposed Use:
Address: 3 9e 84-- ego crox 54-VO Su /Te "c "
Previous use:
SAND y o-. 97 o5 - 5 -
Note: Plumbing & mechanical plans must
Telephone: 53-- GO- GSSD be submitted at time of building permit
application.
JOB DESCRIPTION: 6 7- i e "G T 6 1 6 - / v 5 - J rueE FD/? e-)
6/ G-A/ ex mvi_ri- Li4 T (A1,TS1 '1 fhcA
)
5 - - t3e,idzir___--- 709 - /¢i ¢
(Applicant Signature & Telephone Number)
c ja4,- -
Received by: Date Received: C I' \q
p
PERMIT# Account Description Amount Amt Pd. Balance Due
Building Permit (BUILD) 5 ,30
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) „2 S� , 3
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 -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) 7,.� - )1.
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 16 , � 5 3. 0 3 �j "