15340 SW ROYALTY PARKWAY ADDRESS:
hrecc rds\microflm\targets\building.doc
INSPECTION NOTICE A
City cf Tigard Building Department {�
13125 Iii/ Hall Blvd. Tigard, Oregon 47723 """"""""""'��1�••••••
Inspection Line (Rec-O-Ph e)s 639-4175 Business Phane: 619-4171
Inspection:__( / ! 7t.00L,
r-
Footing Plbg. Cnderslab Hoch. Rough-in Appr/ dwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framinn -Bldg.
PoRt/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line C Gyp. Bd. -Hoch.
Date Requenteds _ / Tidos AN PM
Address: YJ��L c i `04 Petssit#1 Uf!SS
BuildersG
THE FOLLOWI41d CTIONS ARE RR()'.'I PP:
I aS
Inspectors _ Date �-
_APPROVED �^ DTSAPPROVED APPROVED SUBJRCT TO ABOVE
--_-Call For Reinsp.
C1 N OF TWARD ',4
CITY OF TWARD
COMMUNITY D0900"EVELOPMENT DEPARTMENT 1 77 BUILDING r_11::PM1"r
13125 SW Hall 3lvd. P O.Box M. 97,Tigard,Oregon 97223(5W)839-4175 Rl" 10 P U P
G
ITE ADDREGS. 1^L)i HL7 ,I
SUBDIVISION. . . . 'ONING.,
BLOCK—
k1__I SGUE- FLUOR AREAWOU... I-ONSTRUCV10N
LLAbS 0F WORK. - REP F I RST. . . . 421,55 s f N: S. E. W:
TYPE. OF USE. . . :COM SFCONI). 5f �,r�.ur F:c n F�i---,P-i I h•1( P3,7- -
TYU.,E [_1V CONs,r. :5N TH I RD. s N« 13« E: W...
OCCUPANCY GRP. &R TOTAL 4-';"_"5 S t IRL)CiF (J'1\61 :A I RE= REM
OCCUPANCY LOAD: BASEMENT. . C,f AREA SEP. RATED:
STOP. - I. 111'. « 10 ft G A R A G F. . . f leoc"cul '1-)L;-. Pw*Ll).
REQUI RED--------------------------
bS1Y1T'.1*N MLZ'-" :N RUM SFTBACKS
!:-LOOP LOAD. . . . -517, LEFT: ft 1? 11.1 ft FIR 1.-;PKL.:N '3110K DET. . :N
DWE.LLING UNIIS: FRN*r: ft RE.PP: ft PIR ALRM:N HNDICP A(3C:Y
BURMS. FATHS: T M P U F 1� (-"A C E* .1 PRO CORP-N PARr,1 NG
W"'LUE. $ : 12000
Remay,ks: : Re-v-oof b,.iilding N011 CIA� A 5 . 5tem, R4170 (N)
11--ES
FIRST INTERSTATE BANK 0�' Elf," type a M o ktn t by date recpt
1300 SW FIRGI I D 2217;
PLCK $ 60. 1 JLH 05/22/ 32 C22.1_
P 0 R T L A H D OR r,-7 01 PG 1 $ 4. f^3 JLH 0 9 2 -
Phone #: 2,25-2301
colitt-actor-!,
GPIFFITH ROOFING
6815 SW 111TH AVE
HEOVEwrON OR 9'1001-�
Plhone C,4"1 1596 1�7. TOTAL
Rerl #. 00925
RE: OUIRLD INSPEC-TIONS
This permit is issued subJect to the reoulatiors contained in the Pouf na,ilnq 11'sp
Tigard Municipal Code, State of Ore. %prialty C04s and all other j.on ln,,p
applicable )sws. All work will bq done in accordance with Pinal Inspertion
approved plans. This permit will expire if work is not Startf.1
within 180 days of issuance, or if work is suspended for eve
than IN days.
Pet,mittev I(W44
Issuer) T-.-
AL
CITY OF TIGARD 1311sSWF1aulllvJ, PLNCK/RECT # J-5"
1'0 Mx 23397 PERMIT #
COMMUNUIT DEVELOPMENT DEPARTMENT Tigard Orcgon971Z3
(503)634-4171 DATE ISSUED
JOB ADDRESS: I'»-iL Rc_Mak,,._ P1 pttnj I(;1)( TAX MAP/LOT
SUB: LOT: LAND USE:
VALUATION:
QYNFR SPECIAL NOTES
NAME: i 11 .1 _� , \_ l 1. 1' 1 k c < � ,,_� REISSUE OF:
ADDRESS: I, C, i c _ LAST REISSUE:
Pc_ 1 A `:L I'lr r— FLOOD PLAIN/
PHONE: ackli -- 11 ►_ __ij i ! 1 Lr:i SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRSD
NAME: c� 1 1 C _ PLANNING:
ADDRESS: if 9,1-} Ill L ENGINEERING:
Etc C' FIRE DEPT:
PHONE: ! i1'I 4o _ OTHER: _
CONTR. BOARD #: 9,95 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARC ENGINEER CALCULATIONS: _
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. ;ISE:
COMMENTS: _nlratCA� kc q (I1 1C'1
c tj c, b(f A , cCti-�
J i c t.L 1- 1,
APPLICANT SIGNATURE
Received By: __ Date Received: —
PIRMIi h ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-2.30 01 State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee -
Building
Plumbing
Mechanical
10-230 06 1=i re
30-202 00 Sewer Connection
30-444 00 Sewer Inspection -
25-448-02 Commercial TIF Fees -
25-448-04 Industrial TIF Fees
25-41<8-06 Institutional TIF Fees
2E-448-03 Office TIF Fees ---
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL � 7_ �� 60.13-
nm/3587P.WPf
W 1
First Interstate Bank
King City Branch (#474)
15340 S.W. Royalty Parkway
King City, OR
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m
::ITV OF- T I(30RD PF--*CF I PT OF PAYMENT NO.
"JiECK AMOUNT 60. 13
NAME GRIFFITH 12OOFINC3 CASH Amoull-i'l, 3 0. 091
PAYMENT DATE 05/29/9i?
Sl JSD I V i Sl I ON
PURPOS'. OF PAYMENT iaMOUNT PAID V-LJ144YW- OF PlOYMC.NT AMOUNT PAID
I�IJILDTNG PERM 92, 50 TUALATIN VOL.L. 00
'J. PUILD PF-..R 4. 63
FIrST fNTERS"TATE BANK
15340 SW ROYALTY PKWnY
TOO AL AMOUNT t--'AID i CIO. 13;
cire or 'ricoku) w , f11 t,www'i, RF-,'CFir,'r NO. 4
CHECIP, Amotill4l 97 It 3
F4AMI p GPIFF ITH Rj.)Of-'TNGp tJ) CPW)l I AMOUNT IA. owl
t"Il3DPF S E 6819 c.-',14 W+1 OVENLIP PAYMENT I)()VF`
01,
PURPOW'. OF PAYMENT pijji? PAYMVN-T (111CAINT V011)
0. I..3
15,340 SW POYOL 1Y
TENANT' M00 tFUAT ION
TOTAL, WOUNT PAID T7 1 :;