Permit BUILDING PERMIT `7
_ CITY OF TIGARD PERMIT # • BUP95 -0370
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/30/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503JB394.p17,Y 1
PARCEL: 28110DB -00600
SITE ADDRESS...: 15430 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING: C -G
BLOCK - LOT -10
REISSUE: FLOOR AREAS - - - - -- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.: DEM FIRST....: sf N: S: E: W:
TYPE OF USE...:COM SECOND... : sf PROTECT OPENINGS?----- -
TYPE OF CONST.: 5N THIRD....: sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL- - - - - - -: 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR. : HT.: ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS - -- REQUIRED -• - - --
FLOOR LOAD • psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET..:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 0
Remarks: DEMOLITION PERMIT - All debris to be removed. Septic tank to be pumped
4
filled, and inspected.
Owner: --- -• -• -- -- FEES - - --
STERLING DEVELOPMENT CORPORATION type amount by date recpt
LA JOLLA CORPORATE CENTER PRMT $ 25.00 B 08/30/95 95- 269953
3252 HOLIDAY COURT, SUITE 225 SPOT $ 1.25 B 08/30/95 95- 269953
LA JOLLA CA 92037 EROS $ 26.00 B 08/30/95 95- 269953
Phone #: 619 -546 -8841 ERPC $ 8.45 B 08/30/95 95- 269953
ERPC $ 8.45 B 08/30/95 95- 269953
Contractor: - - -- - -- -.
S DEACON CORPORATION
P.O. BOX 25392
PORTLAND OR 97225 -- -- --
Phone #: 503 -297 -8791 $ 69.15 TOTAL
Reg #• .: 38138
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Pump /Fill Septic
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I n s p e c t i o n
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 sore
than 180 days.
1 Permittee Signature:
Issued By:
Call for inspection - 639 -4175
•
_ Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
•
Jobsite Address: /513 /4 /fic /id-fry 414 A/ ,
Tenant: Suite # Office Use Only •
Planck/Rec. #
Valuation:
Permit #
Owner: ‹irehn j nrue /irMrn 4 Core • Map &. TL #
Address: 12.5Z yale•da Y C4. Approvals Required
`A Job /& , GA '720. Planning
Phone: (iq Sgt - 5r6"1/ Engineering
Other
Contractor: 5 b. DEACV it) CORR
Address: P0. Bo X 2S1TZ
�Orf held � or g7ZZS Type of const: �Mc� of �lavSe
Occupancy class: res icftn/
Phone: (5643) 2q1- 87er/
6 / 3 Sprinklered? Yes (o)
Contractor's License # 8 j
(attach copy of current Oregon license) Sq. ft. of project: 175
Contact name & phone: JCiAn kQA / (s03)7 - /Ti/ Story (1st, 2nd, etc.) j Si'
Proposed use: Sr% clei.ee4on+c47
Architect/Engineer: /IUSi1, Perk-obi/1h , lev , INC •
Previous use: Anne Ave,llA,'
Address: aJ,SD Sti/ Fo/f ert Cf. STET
Note: Plumbing & mechanical plans
IAA // <co f/i •/% , g 4 must be submitted at time of
C ` 6 735-0 building permit application.
Phone: 1
JOB DESCRIPTION: reesulArs/ of AD/ife , "di 404 07074C Sy 5 -2°.01 •1 •
C/rk r % , ti b / re,, / .,2-f. ool Si i do bAr e c .
et,/ ille
Applicant ignature & Phone number
Received by: 6. - Date Received: 1. — ^/
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) zC .
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 1 • zc 1- Z C
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 TIP (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -1)
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) L 'S $ 4C
Erosion Planck/COT (EROSN) ' q
TOTALS: l ((J / S