Permit SEWER CONNECTION -1
_OTY OF TIGAP4IRD
PERMIT r': g SWR95- 17.1240
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED g 08/24/S5
13125 SW Hall Blvd. Tigard. Oregon 97223.8199 (503) 839 -4171
P :=lRC`L g is 'i 26!ZiC -®1 11 7
SITE j - s. WASHINGTON U �, r -. E RD
S _ � �1��DF.E�.�... !Z19�� ': 7 •W � �.�,„�c� ,.a,
SUBDIVISION....:; ZONlNGo C -G
BLGC,... , .. . LOT. . . .... . .... .
TENANT ; n � r ; � i .v�/ . � = .I -•- --
�NANT N; .1 .E..... ; WRZ 1 AAN --
-
US`-1 NO........... FIXTURE UNITS.. . a 37
CLf;SS OF WORK... ALT DWELLING UNITS-22
TYKE OF USE..... oCON NO. OF BUILDINGS
INSTALL TYPE.... eBUSWR INPERU SURFACE. . . s't`
Remarks: T I for food court restaurant
Owner - - --- - -----------------------------
LAM /DAN DEVA type amount by date recat
9647 SW WASHINGTON S2 RD PR KT . 4400. 00 :?SD 08/24P)5 95-- 269739
TIGARD CR •
1- 'hone 503-2G4-02 40
Contract or - ---
C'C :`.: RACTO? NOT ON FILE
Phone Y g ': 41Zio. 01� TOTAL
Reg ';.. .
-- -- U I RED INSPECTIONS
This Fippl i :alt a..-ees to coop:y : ith all the rules and reg;.laticns Sewer t Teen ion
of the Unified SErage Agency. The percit expires 18" days froo —
the date issued. The t.tai acoant paid rill he forfeited if the
pe'oit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the oeas%re:ent
given the installer shall prospect 3 . :eet in all directicns froc _______
the distance given. If net so located, the installer shall purchase
a Tap and aide Serer` Percit and the i(eency will install a lateral.
Ps: ...a :tee Sion= t'wr — - — — - --
Issued By o VC-5 _ __
Call for inspection - 639 -4175
1 `
I
C rnmerc-ial Building Permit Application
Citk Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 .7
(503) 639-4171
0 tP `�
0
Jobsite Address: 7( .. . .. . •
Tenan /e 7 Suite #
� /
Valuation:
Planck/Rec #
Owner. '
Map S .TL. #:
Address: `- �1 ••. r , • . •• •
A .. .
pprovals Required . . .
Planning:
Phone: >: >...,
•
Other
Contractor `'..<
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:
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: Date Received:
Permit* Account Description Amount Amt Pd. Bal. Due
Bldg. Permit (BUILD)
•
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
9s - Z6
Sewer Connection (SWUSA) /740
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIP -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIP (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/CO T (EROSN)
TOTALS:
JUL -10 -1995 08:25 WASH. CNTY. OR. LUT'BLDG 1 503 681 3993 P.01
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 1350.12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 5031640.3470
OREGON
•
INSPECTION REQUESTS (24 hours): 50316404561 or
Permit 9: 05068130 Project *: P0050285 Status : APPROVED Page 1 of
Applied : 05/24/95 Issued : 05/24/95 Expires : 12/26/95 07/10/95 05::
COMELEC
•
Permit Title UAZWAN - SERVICE 20 CIRCUITS 0TH
Description WASHINGTON Std Begun:05 /24/•
Job Address 9647 SW WASHINGTON SQUARE RD TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name : TUALATIN ELECTRIC
'Phone number 682 -2955 Valuation: 0 Approved
Approval #: APPR
Inspector Comments: Rejected
iljgY
IVR-RESULTS
•
REQUEST ERR()
a
l i
2
Plumbing
•
Mechanical:
Electrical:
•
Structrual:
General _
Inspected by: Date;
Inspection_ Requested.
* Final Electrical 0499 E AP DN IVR
07/10/95 rRI PIIVIR 3 -26SC C E
07/07/95 RI RIIVR 3 -268C C