Permit r .
8
CITY OF TIGARD - "\ BUILDING PERMIT /
• PERMIT #.'.. . .... : BUP95 -0273
" C DEVELOPMENT DEPARTMENT. ` .. • DATE ISSUED: 07/24/95
L , , f
13125 Hall Blvd. Tigard, Oregon 97223.8199 (3b3) 39 -41 1 . 71 . • ' '
. • PARCEL: 151260C -01107 .
SITE ADDRESS...: 09469 SW WASHINGTON SQUARE RD .
SUBDIVISION ZON,I,NG: C -G
BLOCK ° LOT ° .
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTI'ON-
CLASS OF WORK. : ALT - FIRST. o :1530 sf ' N: ' S : E: W
TYPE OF USE...: CON SECOND..'.: sf PROTECT OPENINGS'
TYPE OF CONST.:5N ' THIRD • sf N:' . 6: E: ' W:
OCCUPANCY GRP.: 82 TOTAL-- : - - - =- : 1530 sf ROOF 'CONST : • FIRE RET?:
OCCUPANCY LOAD : 40 'BASEMENT.: sf AREA 'SEP. RATED:
STOR. :5 HT.:32 ft GARAGE° .. :. ., sf OCCU SEP. RATED: ' '
` BSMT ?:N MEZZ ?:N . REQD SETBACKS' REQUIRED ' . '
FLOOR LOAD....: 50 ' psf LEFT: ft RGHT: ft FIR' SPKL : Y ' SMOK DET..: .
DWELLING UNITS: FRNT: ' ft REAR: ft FIR ALRM:Y - HNDICP ACC:Y
BEDRMS: BATHS IMP SURFACE: PRO CORR:Y 'PARKING: '
VALUE. $ : 21500 .
Remarks: Tenant Mad: Health Haus, interior Work only.
Owner: '- V FEES ' . .
HEALTH HAUS type amount. by date recpt
9469 SW WASHINGTON SQ - PRMT $ ,152.50 JD 07/24/95 95 -- 268399,',
PLCK $ 99.13 JHF 07118/95 -- .
TIGARD OR 97223 FIRE $ 61.00 JHF 07/18/95,— '
Phone #: .. - 5PCT $ ' 7°.63 JD 07/26/95 95- 26839
Contractor: -
ARRIS CORPORATION
4795 NW 191ST AVENUE
PORTLAND OR 97229 _ ' .
Phone #: - $ 320.26 TOTAL .
Reg #..: 58909 , ' ' .
' REQUIRED INSPECTIONS
This pernit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty 'Codes and all other Insulation In s p
applicable laws. ' All work will be done in accordance with Gyp Board Insp '
approved plans. This peroit will expire if work is not' started Susp •Cei 1ng I'nsp ' .
, within 1814 days of issuance, or if work is pended for sore .. ' Final Inspect ion - ' .
than 18t days. • •
, Permittee Signture: `11 ' , • • _. •
„sued /" -
. .2 _.
• .
. ,
Call for inspection - 639 -4175 ' • • . - - " ,, 1 • . - .. 1• •
Comme 'al - Bail :,n "erne Application Vi
City of Tigard r
13125 SW Hall Blvd. or ; ( "b' 4 o - -
Tigard, OR 97223
(503) 639 -4171 011°
Jobsite Address:
Office Use Only
/Tenant: ���1t 1440_5 Suite # r / : .
Planck/Rec # l9 " to e>
Valuation: a J Permit # 9t49 0271
Owner:
Map & TL # � c�� Z+�o �7 C � � ��3
Address: (O
Approvals Required
∎ Glke E' ti - 46142C) Planning
. 3Cor) 1o?4 q 3 ' S
Phone:
�Engineering . .:: ..
Other.
/Contractor: a
Address: ,
Type of const:
Phone:
�3� Occupancy class:
Sprinklered? - No
'Contractors License # d 5 :=)ge,
(attach copy of current Oregon license) Sq. ft. of project: 1S
Contact name & phone: -, Story (1st, 2nd etc.)
.) �, 2:514/(--
��il�L��L1'� Proposed use: .- 13 --- Z•
Architect/Engineer:
Address: -7 Z -S
Previous use:
'/ Note: Plumbing & mechanical plans
3
t- 0 !� °/ 7 2/ 7 must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: ■tJ) (0 -'226 ANT OL) L. S �„O c.
• • • cant Signature & Phone number
Received by:'I,J- C kataeL rt-.„, Date Received: L - 11 - 1 r
(
Permit Account Description Amount Amt. Pd. Bal. Due N.
Bldg. Permit '(BUILD r'Z i (S:�L 5;52
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
• State Tax (TAX) 7 7
Bldg:
Plumb:
Mech:
■
PI C �? /3 • /
an heck (PL ANCK) �� , l 5
Bldg:
Plumb:
Mech:
•
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (T1F -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
- ,Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
O v
Fire Life Safety (FLS) ! Co I .00 CJ
Erosion Cntrl Permit (ERPRMT) .
Erosion Planck/USA (ERPLAN) •
Erosion Planck/COT (EROSN)
SLY
TOTALS: ZO T 1 loo , 1.5 / /
1 (.0 -q 7
69 /i CITY OF TIGA BUILDING IN PECTION VISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / / `- 1 7 A.M. P.M. MST: /,
Location: - ! C/C 1 SO BUP: 75 -0o1 l
73
Tenant: 4f L-' Suite: Bldg: MEC:
Contractor: Phone: = PLM:
Owner: CAK40 Phone: ,,
ELC:
•9L. _ L L ._...pi .4 i . /L/ ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE .
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab 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 MSC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire S klr /Alm Crawl/Found Dr Heat Pump Low Volt
ov Approved Approved Approved Approved
Appr /Sdwlk Not A roved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
•
•
11 Call for reinspection O Reinspection fee of $ 9 required before next inspection 0 Unable to inspect
Inspector: �!�L� / Date: A 4" / re 7 Page of