11725 SW QUEEN ELIZABETH STREET-1 ADDRESS:
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Commercial Building Permit Alication.
Cit,Y of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: r �( A
Office Use Only
enant: Suite#
Pfanck/Rec # 3-1 /7
Valuation:
,> Permit# LR
Owner: f�l►'t- 6 IJ - i �L
Map & TL # ,
. _
Address: � n ST —_ Approvals Reyuirgd
cTCia . n r
- ,– -- Planning
Phone: C [� < L1 Engineering
K
���� .{_ Other _
Contractor: K ii 1. C�Yl.S��r IIC��� 1
Address: t 3 All
d �r\ Type of const:
,(CJtaCCu wtCX,0. y r
�1 Occupancy class: 7i
Phone:
��jj
iS L Sprinklered? Yes No
Contractor's License # C G�
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: K l c U o n s I�p , Story (1st, 2nd, etc.)
Proposed use: _ (, CCC
Architect/Engineer:
Previous use:
Address
^� Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone.
J013 DESCRIPTION' aLi e L L la,�_ ) (L- l,Qn
Applica,,t Signature & Phone number
9 Received by: _ C 't,L Ifes--- Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mach. Permit (MESH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSUC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPRMT)
Erosion Planck;USA (ERPL4N)
Erosion PlancklCOT (EROSN)
TOTALS:
INSPECTION NOTICE
City of Tigard Building Depnrtaent
:3125 OW Ball. Blvd. Tigard, Oregcn 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phon639- 71
Inspection:___ �dwlk
-y y
Tooting Plbg. Underalab Mech. Rough-in
Pound. Plbg. Top Out Gas Line
Post/Beam 9truct. San. .,ewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Deter Requested: I[?( 1T T t AH p!1
Address: / L(ee?.v., C
` C_/`Q 7. 7 CSP rtuit�it p, 7
Builders t
THE FOLLOWING CORRECTIONS ARE REQUIREDs 7
Inspectors.` ------ ----- — --- Datet
PROVED DIS\PPROVRD APPROVED SURJECT TO ABOVE
_ Call For Reinsp.
CITY OF T I GARD► -�
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)609-4171 PERMIT #. . . . . . . : BUP93--034,_
LATE ISSUED: 12/22/93
635 41 1 /1
PARCEL: 2SIIOCD-00104
SITE ADDRE55— : 11725 SW QUEEN ELIZABETH ST
SUBDIVISION. . . . . Kip C, 4 .� ZONING:
BLOCK. . . . . . . . . . . LO . . . . . . . . . . . .
----------------------------------------------------------------------------------------
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. FIRST. . . . i sf N: S: E: W:
TYPE OF USE. . . -SF SECOND. . . : sf PROTECT
TYPE OF CONUT. z5N THIRD. . . . : sf N: S." E: W:
OCCUPANCY rjRP. :R-- TOTAL-------: lzi sf ROOF CONST: FIRE RET?:
OCCUPANC't LOnD: BASEMENT. : sf AREA SEP. RATED:
STOR. : HT. .. ft GARAGE. . . .- sf OCCU SEP. RATED:
BSMT? : ME'LZ'.' : REOD SETBACKS----------- REQUIRED-----------------------
FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR- ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Pf"IRKING:
VALUE. $: 7000
Remarks : installing new roof
Owner: -------------------------------------------------------- FEES
HOWARD THORSFELDT type amoLint by date reapt
11725 SW QUEEN ELIZABETH WY PRMT $ 62. 50 JH 12/22/93
5PCT $ 3. 13 JH 12/22/93
KING CITY OR 97223
Phone #: 620-7403
Contractor-.- .------------------------._----
INTERSTATE
----------------------------
INTERSTATE ROOFING
15065 S. W. 74Th; AVENUE
T'IGARD OR 97223
Phone #: 684-5611 $ 65. 63 TC", Al-
Reg #. . : 55485
REAL!I RED TNSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, Statc of .1-e. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspect i rii
approved plans. This permit will expire if work is not started
within 180 days of issuance, or, if work is suspended for more
than 180 days.
Permittee Si gnat itre-_XC t )"A�
Call for inspection 639-4175
Residential Building Permit Application
City of Tigard
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: �� J•S G(./ r r 2 o Y_v,l h GJa w�
Subdivision: _I' Lot 0 Office Use Only
Valuation: PlanckJRec# _
/ I Permit #
Owner: _ I�«;�� v�� G r_� ( e �c1 f -- Reissue of
--
Address: �x\ i'Y�
Approvals Required
planning
Phone: —
Engineering
Contractor: I'1 f',KX4AI- ��� r , �, Other
Address:
IC QtJ 1 v,,J Items Required
� c: r f I
Phone: � � (� 'ubcont,actors
Contractor's License #_ �?> j Truss Details
(attach copy of current Orr.gon license) Other
Subcontractors:
Plumbing: _
Mechanical:
(attach copy of current OR Contractor's License)
Architect/Engineer:
Address:
Phone:
COMMENTS:
Applicata ignature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
Ilk
'L0 3`(1--Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 3 f
Bldg: 3 1 3
Plumb:
Mech:
Plan Check (PLANCK) _
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (:>OSOC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS:
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