Permit CI1YOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SITE WORK
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PERMIT
PERMIT # SIT94 -0039
639 -4171 DATE ISSUED: 10/24/94
PARCEL: 1S135DA -01100
SITE ADDRESS...: 08540 SW PFAFFLE ST
SUBDIVISION METZGER ACRE TRACTS ZONING: C —P
BLOCK LOT •20
TYPE OF WORK:NEW PAVING? °Y RESO. NO.:
EXCV VOLUME.: cy GRADING? •Y VALUE...$: 4420
FILL VOLUME.: cy LANDSCAPING? °Y
ENG FILL? •N SITE PREP? °Y
SOILS RPT READ ?:N STORM DRAINS ?...:Y
IMPERV SURFACE° °:3500 sf
Remarks: Cellular One— new building and 100' wood pole
9 P
Owner: FEES
CELLULAR ONE type amount by date recpt
1600 SW 4TH AVENUE PRMT $ 50.50 JF 10/24/94 —
SPCT $ 2.53 JF 10/24/94 —
PORTLAND OR 97201 PLCK $ 32.83 JF 10/24/94 —
Phone #: 248 -7491
Contractor: - - - - -- •
ARMES & ASSOCIATES
8083 SE 13TH #3
PORTLAND OR 97202 —
Phone #: 232 -0817 $ 85.86 TOTAL
Reg it..: 42173
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Erosion Control
Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp
applicable laws. All work will be done in accordance with F i l l Inspection
approved plans. This permit will expire if work is not started Grading Insp
within 180 days of issuance, or if work is suspended for more Strm Drain Insp
than 180 days. Final Inspection
_VA
ah
Permittee Signature: 4 0 4 _
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: I S �✓ P ra '6te
Office Use Only:
Tenant: (',' c,. 61-8 Suite #
U I
I
Valuation:
V) L/9-0 Piandc/ ec.
Owner:
r: e
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n
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Address: e
dd ss 50
SW l/�
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9
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Phone:
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Address:
y T • :'of ,const: iI
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Occupancy class:
Phone:
Sprinklered? Yes (I
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: Story 1. , 2nd, etc.)
I 601,7 Proposed use: 1 e�eco,�,y,.,,N.iG - j do4
/')1 Vim
Architect/Engineer: I • {
Previous use:
Address: !i3° S k) gekv fcvkwa,/ i Ste..1
Lake_ Note: Plumbing 8 mechanical plans
c am. d3 yD) ? 9f? d g,� mus be submitted at time of
building permit application.
Phone: V/l/ - oS3`,2
. JOB DESCRIPTION:
14
/ 1
Applicant Signature & Phone number - V
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
S T T i - 6 3q Bldg. Permit (BUILD) .C), Sb
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) g. S3
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
•
Plumb:
Mech:
•
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
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 (WQUA•T)
Fire District (FIRE)
- Erosion Cntri Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) • - -
Erosion Planck/COT (EROSN)
TOTALS: . 8'‘
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639 -4175 Business Phone: 639 -4171
Inspection: I601/6 9-- y?/(ZteA.--
Footing Plbg. Underalab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line / � Gyp. Bd. -Mech.
Date Requested: ///1 ////1' 9 [ Time: + AM �`([ PM
�S"
Address: ^ ( - / � % / 4�1i� ✓ P
, ermit #: J iT T
Builder: t ! 7 L f/ ( - 75 C U (/ ( v 3 ?
THE FOLLOWING CORRECTIONS ARE REQUIRED: "" `" / / —`'' 7 3
[ 2M 17 ,2ari) (i /,e / Pe/e), . 7?
7r //4 ( 4J ,4 1 ' -o ✓D /A/51 0<./ .
C4LL ,,, C- fie -/ S .,9 - Tic,A/ ,
Inspector: 4e rhal7M'S Date: / ' "
APPROVED ' XDISAPPROVED APPROVED SUBJECT TO ABOVE
A(Call For Reinap.
C MO J
CITY OF TIGARD BUILDING INSPECTION DIVISION 43 33 3 3 i f
24 -Hour Insp • n Line: 639 -4175 Business Phone: 639 -4171 p 01
Date 5 -M1 cv / n ,O�QQ -
i - / MST.
Location: � A. P.M. � BUP: — O s �-
Tenant: � Suite: Bldg: MEC: � - et e-
Contractor: Phone: c •-•" rig / 7 PLM:
Owner: Phone: ELC:
_ — /. " o ' 2 # ELR:
c :: ��� - -' ._ -- _ SIT: 6 6 0 3?
BUILDING B ii G con PLUMBING ' i. r le • CAL ELECTRICAL SITE
Site o§t7Seam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFUSlab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approv =. Approved Approved Approved Approved
Appr /Sdwlk +ot A..rov:. Not Approved Not Approved Not Approved Not Approved
INAL FINAL FINAL FINAL FINAL
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NS.. /S 5 c - - - - e _0.1_
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• a ll for reinspectio O Reinspection fee of $ r uired bairn nextt i ' tion O Unable to inspect
Inspector: 1 Date: 5 ( 3 Page of
cv a cam. t� -QA A..- 314r,