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CERTIFICATE OF
CITY OF TIGARD PERMIT #OCCUPAY
. . . . . . N. :CMST93-0398]
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/26/96
13125 SW Hall Blvd.Tigard.Oregon 97223e8199 (503)1539-411711
PARCEL: 2SI04AC-09600
�3ITE ADDRESS. . . : 1,3156 SW BOUNEFF 1'
'3UBDIVISION. . . . : MORNING HILL NO 9 ZONING:R-25
13LOCK. . . . . . . . . . : LOI . . . . . . . . . . . . . :239
G,LASS OF WORK. :NEW
f'YV-IE OF' USE. . . :SF
OCCUPANCY rjRP. :,,W4,l(3
OCCUPANCY LOAD12
Remarks : PATH I
Owner: —----------------------------------
JAY MILLER BL.DR INC
P 0 BOX 23r1--,,)l
FIGARD OR 97281
whone #:
Contractor: -------------------------------
Phone #:
1�eq #. . : 3010c,
1his Lertificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance with
> he State of Oregon Specialty Codes for the group, occupancy, and use under
which the ref rend permit was issued.
L
BUILDING INSPECTOR B 0 UILDING IPL
POST IN CONSPICUOUS PLACE
11 1 WOMEN---
CITY of TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hail Blvd.Tigard,Oregon 97223.6199 (503)639-4171
l
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.'rioard,Oregon 97,!23e8199 (503)639.4171
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TIGART A13175 sw IfA nwa VLNCK/RECT #CITY OF
D T�����vnz� PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT (503)639-4171
UATE ISSUED
JOB ADDRESS: _aI p)_ Y� ���t X - TAX MAP/LOT S ( yAG 9bo 0
SUB: Mo LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: �_ �c�Y -- REISSUE OF:
ADDRESS: _. y_ �OX LAST REISSUE:
FLOOD PLAIN/
PHONE, _ SENSITIVE LAND:
CONTRACTOR APPROVALS RE UIRED
NAME:
�jC', KANNING:
— '
ADDRESS: __ ENGINEERING:
FIRE DEPT:
PHONE: 3L 1 L'_l -- —
OTHER:
CONTR. BOARD 0: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: 1`)Cn \Mnldt� (cy-)Zt LIST/SUBCONTRACTORS:
MECH: Inc LI 4 MZMc BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: — TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE: —
COMMENTS: IC P0'1 i' S DE� -�+ ,F ./.r.e. ,� pair 66m ��
�'-n�✓At c
A A,Fe i%Erna v Ac. t!,Ezt n/!
APPLICANT I NATURE
Received By: _ _ _ Date Received: 1 ��
PERMIT- k ACCT # DESCRIPTION AMOUNT AMOUNI- PD. BAF. DUE
fY�,f 10-432 00 Building Permit Fees = z -�
10-431 00 Plumbing Permit Fees ; L.So LLZ
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) [�._ _ 3
Building ��1U
Plumbing
Mechanical
10-433 00 Plans Check Fee `til
Building
Plumbing
Mechanical J0,
10-230 06 Fire
.� j.-o3✓ 30-202 00 Sewer Connection 0 _ 2uJ
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees —
25-448-04 Industrial TIF Fees --
25-448-06 Institutional TIF Fees
2.5-448-03 Office TIF Fees — _ --
25-448-01 Residential Traffic FeesU
2.5-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31 450 00 Sturm Dcainage Syst Dev Chrq
(SSMC) _CP PC)
—
24-445-01 Water Q,jality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
1
TOTAL
nm/3581P.WP(- --
CITY OF TIGAR BUILDI INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639••4171
Footing Rain Drain Cover/Service FINAL:
Foundation WAter Line Ceiling -Puimb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slat, Pibg.Top Out Insulation -Elect.
Post Beam Struct Mach. Rough-in Gyp. Bd. id
San SP!.dr Gas Line Appr/Sdwlk Reins.
Other:
Date: _ I -� ]r --- A.M. P.M.._.__ Entry:
1 — T-
Address: _— 3 �,-
Tenant: Ste:
BUP: .--
Con/Own: MEC: —�
PI-M,
THE FOLLOWIIJG CORRECTIONS ARE REQUIRE ELR: —
In�APPROVED
_ _ Date: Z Y�
__ DISAPPROVED/CALL FOR REINSP. CF CO