Permit CITY OF TIGARD
PUILUING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT DARE I l' S 0 /PQI��69
13126 SW Hell Blvd. Tigard, Oregon 97223.8199 (5031_839417J . DATE ISSUED: 04/10/95
-
b,39-4171
PARCEL: 191260C-01107
SITE ADDRESS...: 09659 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— ° :7338 sf PROTECT OPENINGS?
TYPE OF CONST. :5N THIRD....: sf N: S: E: W:
OCCUPANCY GRP ° :B2 TOTAL • ° 7338 sf ROOF CONS'': FIRE RET ?
OCCUPANCY LOAD :74 BASEMENT.: sf AREA SEP. RATED:
STOR° : 1 HT. g ft GARAGE. ° ° : sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED -•
FLOOR LOAD. °°°: psf LEFT: ft RGHT: ft FIR SPKL :Y SMOK DET. t Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM :N HNDICP ACC :Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR : PARKING:
VALUE. $: 42000
Remarks: TI
wrier: FEES --- - - - - --
SAM GOODY C/0 STATE PERMIT type amount by date recpt
PRMT $ 247.00 SW 04/10/95 -
PO P 0224 PLCK 0 160.55 BON 02/24/95 95--262194
KENOSHA WI 53141 FIRE $ 98.80 SW 04/10/95 -
Phone *: 800 -432 -2597 SPCT $ 12.35 SW 04/10/95 -
Contract or:
TENANT CONTRACTORS INC
P 0 BOX 1036
ENUMCLAW WA 98022 • - - - --
Phone #: $ 518.70 TOTAL
Reg # ° °: 63972
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Framing I n s p _ -_
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All r:ork will be done in accordance with Gyp Board Insp
approved plans. This pernit will expire if work is not started S u s p Ce i l n g Insp
within 180 days of issuance, or if work is suspended for Dore Final Inspection
than 180 days.
Ay' A... —
Permittee Si gnat tIr
Issued By: 6� 4
_ r ,
Call for inspection - 639 -4175
It ' •n5;2i;',r -1 12:49 $5t)3 u5-1 7Lii7 t in OF l
Z mil •UU1
Post - Fax Not 7671
Commercial Building Permit A iicati0 �- •
Phone x
City of Tigard
13125 SW Hall Blvd. �� " --
Tigard, OR 97223 :` -- " —_----
(503) 639 - 4171
'rte W .61/4.7014 4 C_ -tor• 11 m'r' c-�-- .�.�.�
Jobsite Address: � S.W . V�1 �1rJ 67or.► _ �.ta,� -� ,, 4�" a , �� , ., , � -
w� Ofiic Usenly r a e
Tenant: ( a77 Suite # _ �� �'� -<.''..` ;<�`' L �'
• t.
Valuation: _
.1 �60D - � �S `
M4 �.�� a�Ji.�qu r��3 E."'Rxr � � N � '
>4 e - 4a �
SYL3S : ",, Ys$ f 1. -.01,41„;„..,:;:.
�+� •9 A Z„"k S
Owner: 1/Ji A- t2_ c_.,,,,,, _____ „,... v R Wi . T : g tM r '}07` i �f�' �. 5! 7
X
ht nA�iV[ t S: r Y� ,, ' �Nb K
Address: �i . Gj -1--,4 g e. pod > ileCi , >, � y } :
x .� , ..exatsa4�j .. ,,F 0 f F
LF_- 4I es _ .plant` "
!? „off (Z2 - 4- Co 7 inerr --
Phone: : I�? i irr - t h a ie x.��`. . �x� ,
Contractor: �._ ,.ri - w
Address: — ,::. :,,:a _ m � VA)
ype of const_ �` '��•� 4 ,
Occupancy Bass: _ - - --___
Phone: - Sprinktered? No
Contractor's License #
(attach copy of current Oregon license) Sq. ft of project: �
Story (1st, 2nd, etc.) 2'��a f'
4 proposed use:' `I�'►'`�
ArchltectJEngit�eer: `
Address: 1■h 17 �j -("� 9-Di Previous use: - ,���
K / 1 ft_N -+ r.,) , Ut441 3 ' Note: Plumbing & mechan plans
must be sub at t ime o
t - � �� 7 i buildi perm app li catio n.
Phone: `
COMMENTS:
.4 01.111 ;,
.A __1/ / . P� - - —
• iv:� Si T tyre & Rios umber 6 /.13-z - ' - 5 2 7 >I I Zi ( p
tteceived by' _ -- —
L)ale Hcceived: —_ _ _ -. -
A-wd
fD(.6 twx
1_17 OD
•. • .
;•-•
bj7
• •'•
• •
. . .
$55 1
. .
• •
- ;-••• • ;1
.•
. . . .
. ,
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) Z n 2 . q . d�
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) \ 7. • 5 \-2- , 35
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) l0p 5ti 1 — •
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) — CO . 9' —
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
55
TOTALS: 6 ' 60. 3S
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
OffIce Use Only
•.
Tenant: Suite #
. .
Valuation: -•••
• ".•
Permit #•••.:•• • ..
Owner: • •
•••••••.:
Address: •
Planning
• . ••••:::, • :„.• • • ••••:•.••••:•,...::f.• • -% ••••••:.,••
•
Phone: ••• •••••• Engineering
•
• • •••••••,•:• . •
. .. . . .•
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:
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 1 L
- 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 3
- Service 3
Washer, Clothes 6
Water, Ext 6
Water Closet 6 1 (p
Urinal 6
Business ` f•III/l. I doll Total Fixture Value I 1 = ' _r
Address one 5 1.0A5k . . t i divided by 16 = 4440 r EDU
Round EDU to nearest whole number & multiply by $2200
ows sh
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: - _„i
Footing Susp. Ceiling Sprink. Rou• -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 -Bid•.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 4 ° 2 r 7 Time: AM PM
Address: ?CS" CA1
Builder: Permit #: 5;5= C 9
THE FOLLOWING CORRECTIONS ARE REQUIRED:
c.�
Inspector: /1 Date: 6- Z- /- `7S"
A DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.