Permit t y
CITY OF TIGARD • PERMIaULDING PERMUF95104
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED : 04/27/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (5b3f 639-4117 i
PARCEL: 1612610 -01 107
SITE ADDRESS° ° ° e 09645 SW WASHINGTON SQUARE RD
SUBDIVISION ° ° ° °: ZONING: C -G
BLOCK ° ° ° ° ° ° ° °. °° LOT ° ° ° ° ° ° ° ° ° °. ° °°
REISSUE: FLOOR AREAS °-• - - - - -- • EXTERIOR WALL CONSTRUCTION -•
CLASS OF WORK° :ALT FIRST sf N: S: E: W:
TYPE OF USE° ° ° :COM SECOND. ° ° :400 sf PROTECT OPENINGS? - - -- °—
TYPE OF CONST° :5N THIRD° ° ° ° : sf N: Sc E: W:
OCCUPANCY GRP.: D2 TOTAL------: 400 sf ROOF CON ST e FIRE RET ?:
OCCUPANCY LOAD :2 BASEMENT.: sf AREA SEP. RATED:
STOR.:2 HT.; ft GARAGE,..: sf OCCU SEP. RATED :1HR
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED -- - - --
FLOOR LOAD° ° ° ° : psf LEFT: ft RGf -IT: ft FIR SPKL :Y SMOK DET° ° :Y
DWELLING UNITS: FRNT: . ft REAR: ft FIR ALRM :Y HNDICP ACC :Y
BEDRMS: BATHS: IMP SURFACE: . PRO CORR:N PARKING:
VALUE. f5: 90000
Remarks: TI
(OwnerN FEES -- - - - --
GYROS GYROS INC. 'type amount by date recpt
PRMT 403.00 JD 04/27/95 95- -264735
_1106 06 SE TAYLOR PLCK Q - 261.95 -. - 03/29/95 `
5 3 x 9
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aVv w!•.. TAYLOR �' !'" Lf \' -d/ ..i 4. 'vT
PORTLAND OR 97214 • FIRE. $ 161.20 - 03/29/95 95- 263496
Phone 1 : 503-235-61.85 SPCT $ 20.15 JD 04/27/95 95- 264735
Contract or - - - - - --
G° ;.ILSON CONSTRUCTION
13369 SE R iNNE ROAD
PORTLAND OR 97236 - __. -_ -- ___ -._ _.__..______
Phone i44: 762-0134 • $ 846.30 TOTAL
Reg ° ° ° .63438 •
------- REQUIRED INSPECTIONS ---
This perait is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable. laws. All work will be done in accordance with Gyp Board Insp •
approved •plans. This Rernit will expire if work is not started Susp Cei ing Insp
within IN days of issuance, or if work is suspended for core Final Inspection
thaD IN days.
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Permittee Signaturye
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Issued .'�G —�— — — ---- - �_
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0411 for inspection - 639 -4175
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F
Commercial Building Permit Application
City of Tigard ; : • Q
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
1l
Jobsite Address: q53 .� • • aie- .G: PD .... (-7
//JJ ::• •Office Use Only:': :; >:: > :: , :: : ::::° ::.. :: :: :....
Tenant :6 4i Roc.› C T/� Suite # Ft `
....,:
Valuation :1 Of� , e__ •'� �. Pla �� �' ` ` ' : :: : " •: ° :: :::< ... : . � . - � ���...,.:.:.;;.:: • � ::
�j , . .
• >; Per : '. :..: ; .:: '.
Owner:
y aws G J c .•:: : :::..
i �
ddress: • UM" 1 4', - �LOt2. •: :::. :.... • .. < : : ..j # :,:i,G ': >: f0 ': : :: :.
Abprovafs• Re
,PC ,-012._ `T
Phone: -r -%1'- 2 ,- X018'3 gi :�°:` . ... :i •• ' ::: :. ..
:: Other ::: .
Contractor: ; F "� N.. ............. : ...
Address: \ < - .J + ,
tl
Type of const: U /V
Occupancy class:
Phone:
Sprinklered? )CYes No
Contractor's License #
t ;
(attach copy of current Oregon license) Sq. ft. of project: �S
4Ov of oa
Contact name & phone: .)' 'O• ' , 7 ' � ,� , ,23.'--i-,..-{:) . Story (1st, 2nd, etc.) (2 r
Proposed Proposed use: PEI /i 15
Architect/Englneer: - 7 - )LI4tfl LA CL -: L(4Ai
«20 1.0 [z ti" �`f''J L 4, Previous use:
Address:
Note: Plumbing & mechanical plans
inzA�l,jf) 1 na_ must be submitted at time of
� building permit application.
Phone: -' a
JOB DESCRIPTION:
/ 2,-- --- &/e3S
K n ire & oZer
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Received by: /_.,.. r r Date Received: "1,
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 1,11 %-op U • ��
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) no - 2- 0 . 1
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) - 101,15 (1-61,7,c z
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection I (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 -O)
Water Quality (WQUAL) -
Water Quantity (WQUANT) ) /
Fire Life Safety (FLS) i1,01.20
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: / °� 3, kc L47,/'
CITY OF TIGARQ BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 -417
Inspection: �Ja v . Id: Ob
Footing u . Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -:Id•.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 62 (30 " /1,5 Time: ,1110 PM
Address: (1: ' W 5 S i+(
Pa l l ° 7 (e a- —0 1 3 (4 Permit #: C/, S-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ,,a Date: b-' - RCS`'
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone 1
Inspection:
Footing Susp. ling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line Id�
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 1 4 l.c1J p. Time: AM PM
Address: (� 47/5 (dig- 5 - "
5 -
Builder: v v
Permit #: �:
THE FOLLOWING CORRECTIONS ARE REQUIRED: 11
Inspector: Date: 7/2--11/4
LAAPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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Sewer Permit Worksheet
Fixture Unit Ratings
FIXTURE TIMES (x) TOTAL
UNIT # OF FIXTURE
FIXTURE VALUE FIXTURES VALUE
Baptistry/Font 4
Bath - Tub /Shower 4
- Jacuz/Whpl 4
Cuspidor/Water Asp 1
Dishwasher - Commer 4
- Domest 2
Drinking Fountain 1
Floor Drain - 2 inch 2 7 CO
- 3 inch 5
- 4 inch 6
Garbage Disposal
- Dom (to 3/4 HP) 16
- Comm (to 5 HP) 32
- Ind (over 5 HP) 48
Oil Sep (Gas Sta) 6
Shower - Gang 1
- Stall 2
Sink - Bar 2
- Bradley 5
- Commercial 3 `j
- Service 3 I
Washer, Clothes 6
Water, Ext I 6
Water Closet 1 6
Urinal 6
Business &I V (01V Total Fixture Value _ �L = 2-•0(0
Address '-(S 4,I-v . (04 ACJV, , 4r , F � $ divided by 16 = 2- EDU
Round EDU to nearest whole number & multiply by $2200
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