Permit ✓ CI1'YOF TIRD (.4
�_,!, PERM I T # BUILDING PERMIT BUP9 i —0`55
COMMUNITY DEVELOPMENT DEPA �YOFA�
E71 ��+� �la � ISSUED: 10/04/91
13125 SW Hall Blvd. P.O. Box 23397, Tigard, Oregon 97223 (503) 839 - 4175 `
S i I L 1=1 1/I51-LSS... : 1 0 - SLJ ! ST a i • • CEL : 2S 103DA - 03900
SUBDIVISION G : R-4.5
BLOCK LOT •
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ADD FIRST •1228 sf N: S: E: W:
TYPE OF USE... :SF SECOND...: sf PROTECT OPENINGS?
TYPE OF CONST. :5N THIRD sf N: 5: E: W :
OCCUPANCY GRP. :M1 TOTAL 1228 sf ROOF CONST:C FIRE RET ?:
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR. :1 HT. :12 ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • psf LEFT:8 ft RGHT: ft FIR SPKL: SMOK DET..:
DWELLING UNITS: FRNT:52 ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $: 20736
Remarks: Constuct garage /shop building, attached breezeway.
Owner: FEES
DENNIS. WANLESS type amount by date recpt
10900 SW PARK PRMT $ 146.50 BCR 10/04/91 —
PLCK $ 95.23 JLH 09/24/91 217773
TIGARD OR 97223 SPCT $ 7.33 BCR 10/04/91 —
Phone #:
Contractor:
OWNER
Phone #: $ 249.06 TOTAL
Reg #..: --
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 Framing Insp
_
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Rain drain Insp
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
Permittee Signature: _`J% — /
Issued By:
Call for inspection — 639 -4175
131 25 SW Hall Blvd. PLNCK /RECT # W �� 7 7,3
CITY OF TIGAIRID Box 23397 PERMIT # — 23L-+P 9i
COMMUNITY DEVELOPMENT DEPARTMENT Ti Ore gon 97223
(503) 39-4171 DATE ISSUED
JOB ADDRESS: /e 9e, D € l>6) /IRK / / 4 TAX MAP /LOT 3 D•R 03, v_
SUB: LOT: LAND USE: R -14 .3
VALUATION: 47 yy G2 U J 2-
OWNER SPECIAL NOTES
NAME: C 2414 /S ��t/ S REISSUE OF: -
1 ADDRESS: /D /9 LAST REISSUE:
/ 16 2ct r Oe •
7Z? FLOOD PLAIN/
PHONE: 62- 9 -SO? SENSITIVE LAND:
CONTRACTOR- APPROVALS R
NAME: D�/U�� PLANNING: ►1` .�y GI'2S�I
7 -ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: AO 777 l
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX: ,
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: / C - / /,S. 0
COMMENTS:
PPLICANT SIGNA ORE
Received By: ,i-' - Date Received:
j
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees /yG 50
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) 2
Building
Plumbing
Mechanical
10 -433 00 Plans Check Fee
Building
Plumbing
Mechanical
10 -230 06 Fire
30 -202 00 Sewer Connection
30 -444 00 Sewer Inspection
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
• 25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees
52 -449 00 Parks System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL q5 /S3 67'3
nm /3587P.WPF
6/6/00 Activities for Case #: BUP91 -00255 ex
p PM pi�
Assigned Hold Updated
Activity Description • Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA007 Application received . BCR 10/3/91
BUPA010 Plan check deposit paid • 10/3/91 BCR 10/3/91
BUPA020 Plan check by 10/3/91 • BCR 10/3/91
BUPA705 Foot/found Insp 12/27/91 TLP PASS TLP 12/27/91
BUPA725 Framing Insp 10/29/92 TLP PASS - TLP 10/30/92
BUPA745 Gyp Board Insp 3/15/96 KS APP KBS 3/15/96 #-1- call for final inspection
BUPA755 Rain drain Insp BCR 10/3/91
BUPA799 Final Inspection BCR '10/3/91
BUPA080 (F) Ready to -issue 10/4/91- BCR PASS BCR 10/4/91
BUPA090 (F) Issue building permit 10/4/91 BCR PASS JLH 10/4/91
BUPA007 Application received BCR 10/3/91
BUPA010 Plan check deposit paid 10/3/91 BCR 10/3/91
BUPA020 Plan check by 10/3/91 BCR 10/3/91
BUPA705 Foot/found Insp • 12/27/91 . TLP PASS TLP 12/27/91
BUPA745 Gyp Board Insp
BCR 10/3/91
BUPA755 Rain drain Insp
BCR 10/3/91
BUPA799 Final Inspection • BCR 10/3/91
BUPA080 (F) Ready to issue 10/4/91 BCR PASS BCR 10/4/91
BUPA090 (F) Issue building permit 10/4/91 BCR PASS JLH 10/4/91
BUPA740 Insulation Insp 2/23/95 KS APP KBS 2/23/95 # -1- walls insulated to R -19
value!!!? insulation not
required this occupancy M_1
BUPA138 PERMIT EXTENSION REQUESTED 3/26/96 JF 3/26/96 EXTENSION GRANTED UNTIL
AUG 1, 1996 PER DAVID
SCOTT
BUPA150 Expired by limitation 6/5/00. HAP DONE No Hold AKJ 6/5/00
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