Permit CITY OF T PERMI # LDING PER M I T95- 400
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/26/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (ti3V939411771
PARCEL: 2511ODC -00100
SITE ADDRESS...: 15570 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING: C -G
BLOCK • LOT •11
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:NEW FIRST •53862 sf N:4HR S:4HR E:4HR W:4HR
TYPE OF USE...:COM SECOND. :28O sf PROTECT OPENINGS?
TYPE OF CONST.:3N THIRD • sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL : 54142 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD:145O BASEMENT.: sf AREA SEP. RATED:
STOR. : 1 HT.: ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?:Y REQD SETBACKS REQUIRED
FLOOR LOAD • psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET.•:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 119500
Remarks: Foundation only for 54,142 sq. ft. single story grocery store
Owner: FEES -
- --
STERLING DEVELOPMENT CORPORATION type amount by date recpt
LA JOLLA CORPORATE CENTER PRMT $ 483.00 JDA 09/26/95 95- 270984
3252 HOLIDAY COURT, SUITE 225 PLCK $ 313.95 JDA 09 /26/95 95- 270984
LA JOLLA CA 92037 SPCT $ 24.15 JDA 09/26/95 95- 270984
Phone #: 619 -546 -8841 EROS $ 280.00 JDA 09/26/95 95- 270984
ERPC $ 91.00 JDA 09/26/95 95- 270984
Contractor: ERPC $ 91.00 JDA 09/26/95 95- 270984
S DEACON CORPORATION
P.O. BOX 25392
PORTLAND OR 97225 --
Phone #: 503 -297 -8791 $ 1283.10 TOTAL
Reg #• . • 38138
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 Slab Insp
applicable laws. All work will be done in accordance with Reinforced concr
approved plans. This permit will expire if work is not started Bolts in concret -
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature: .4 %.
Issued By: 4 - . � ft f
Call for inspection - 639 -4175
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd. •
Tigard, OR 97223 4- Q j )
(503) 639 -4171
Jobsite Address: ) 5J S W
/
Office Use Only
Tenant: I Suite #
f /€q ` � O Planck/Rec #
Valuation: .) n
Permit # `3 (q r` 0 `400
Owner: S GZ .� (, Map &. TL #
Address: Approvals Required
Planning
Phone: Engineering
Other
Contractor: D CCC
Address:
Type of const:
Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer:
M P K
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
-JOB DESCRIPTION: tOtt4{ J( 17' z D/ . L
Applicant Signature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Dua•'.
Bldg. Permit (BUILD) (41(3/.. Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 2 , I C
Bldg:
Plumb:
Mech: QQ��'' AA ll
M����Iv
Plan Check (PLANCK) 41r
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 Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) o� 0 . /
Erosion Planck/USA (ERPLAN) - 1 1
Erosion Planck/COT (EROSN) q
u I "
TOTALS:
1/21/00 Activities for Case #: BUP95 -00400
4:16:25 PM
Assigned Hold Updated
Activity Description Date 1 " Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received 9/25/95 JDA RECD DS 9/25/95
BUPC008 Permit created 9/25/95 JDA PASS DS 9/25/95
BUPC010 Check for prd. restrict _ 9/25/95 9/25/95 JDA PASS JDA 9/26/95
BUPC015 Plans routed to Plans Examiner 9/25/95 JDA PASS DS 9/25/95 -
BUPCO24 Plans Approved /Routed to DSTs 9/25/95 DS APPR DS 9/25/95
BUPC705 Foot/Found Insp 9/25/95 9/2/95 TLP PASS TLP 10/3/95
BUPC763 Reinforced concrete final rept 9/25/95 4/4/96 TLP PASS TLP 4/4/96 "
BUPC764 Bolts in concrete final report 9/25/95 4/4/96 TLP PASS TLP '4/4/96
BUPC090 (F) Ready to issue . 9/26/95 JDS PASS JDA 9/26/95
BUPC100 (F) Issue permit 9/26/95 JDA PASS JDA 9/26/95 •
BUPC960 Case Finsled 4/2/96 TLP PASS TLP 4/2/96
•
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