11705 SW PACIFIC HIGHWAY STE K ADDRESS-
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is\records\mic roflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE �
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-41,
Inspection:__-� /1
Footing Susp. Cgilir3 Spnnk, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Pcst/Beam Struct. Plbg. Top Out Elec. Rough-in FINAi_:
Post/Beam Mech. San. Sevipr Gas Line C '
Plbg. Underfloor Rain Drain Framing Z um a
Alarm Water Line Insulation -Mech.
I Inderflr. Insul. Shear Wall Gyp. Bd.
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Date Requested:- 613-o-& Time:_—AM PM
Address: 1 7 0 .57 �I
Builder: G� �J c� q-7 S Permit #:
THE FOLLOWING CORRECTIONS ARE REQUirRE hid
y.� Inspector: a'! — Date:- _
"""ED --DISAPPROVED _APPROVED SUBJECT TO ABOVE
f
Call For Reinsp.
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DATE PLAN,;('!:Z/'•K NO..
PROJECT TITLE:
COUNTYWIDEaRe:ji:ev sMl�NA;SS /► c'N/7EG'1'4 E
TRAFFIC IMPACT FEE � AP urI\NT:ua's�_�u�Ec�aoc..
WORKSHEET
(FOR 140.N-SINGLE FAMILY USES) MAILI (NG ADDRESS:
�oo -1-11146
CITY/ZIP/PHONE:
RATE PER .SAN r,,74-VCfSCp I M_ 9
12 USE CATEaQR1 TRIP TAX MAP NO.:
RESIDENTIAL $152.00-BUSINESS AND
.QMMERQIA _ 38.00 SITUS NO.ADDRESS: (�
FIFICE 140.00 's 4A-)
INDUSTRIAL-----T—
_ —$147.00
INSTITUTIONAL
PkYMENT METHOD:
CREDIT — —_ INSTITLnIONALONLY:
BANCROFT ROMISS .ORY NOT LAND'JW Q coRY oEs+ tFrn OF USE EKDA,YJAVG TRIP RAl WEEKEND AVE TMV RAM
DEFER TO OCCIIPAIgCf �J l� t�L(� ti7'3 �-
D"SIS:
CALCULAMNS:
GC, x u&/6 x
PRO 1ECT IP GENERATION:
ADDITIONAL NOTE' [ / FOR ACCOUNTING PURPOSES ONLY:
POAD AMT.:
�A Tit �.��,��� goo T�AN;rTANi.:
PREFAREU BY:
CC: WASHINGTON C(XMM
TIF NOTEBOOK
form tif10
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f_;I I Y OF T I GARD F F C.F I F l OF- Fw AYMF.NT
F2FCE I F'T NO. a 93-24 18 17
CI-JF_CF', AMOUNT' a 304. 21 i
a OREGON BUSINESS CASH AMOUNT 0. olb
AME
C'A`�'ME�N"C DATE o �E�/�:''�/9�
DDRE"SE; a ARCHITECTURE, P. Ca. �',I1HD I V I S I ON
621 SW ALDER yTREE T #'350
PORTLAND, OR 972 05-- �
L)(4POSE: OF PAYMENT AMOUNT.�PAID PORPOSt" OF C'AYMF:NT E IM0Uri-r I-`A I D
'L AN CHECK FE — 304. � N
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11595 SW PACIFIC HWY
MAL. AMOUNT F'n I D _. ._. _.) :304.
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CITY OF TIGARD
COMMUMITY DEVELOPMENT DEPARTMENT
13125 SW Haig Blvd.Tigard,Oregon 97223*8199 (503)539-4171
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v CC"'al'+:: 1" _Irlp Sewet,
Aarj Municipal Rate 0 w S ana a :t".? L T"iR I I r I La t i ri ri
..Aicable A aw 5, oiarc v91,A '
.rcvpd pians. his pel'W S"A.,
,hin 184 days v, E, sQeroed far vale ........
an A days. . ....... ...
�•yn,
1)121 Sw fi,u obe. PLNCK/RECT # _
CITY GF TIGARD T��`��9� PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT
(M3)639,4171 DATE ISSUED
l
JOB ADDRESS: / / S7 SL's /�.4�' f �'` TAX MAP/LOT
SUB: _ LOT: LAND USE:
VALUATION:
OWNER / SPECIAL NOTES
NAME: �/�o�<Psuh� ✓U ✓ �< _ REISSUE OF: —
ADDRESS: �'/.� �� LAST REISSUE:
j or wlc n ( FLOOD PLAIN/
PHONE: _ c/is SENSITIVE LAND:
CONTRACTOR 1 '� APPROVALS REQUIRED
NAME: /r-Pr�t (f X)" SSS PLANNING: —
1 ADDRESS: kE46 SL) A10IS -� ���� ENGINEERING:
,y e o O2_ FIRE DEPT:
PHONE: _ �32. �' Ll OTHER:
CONTR. BOARD #: �L " EYP. DATE:
r,(Ar<�t-(:� Ck�'f r r `7 yrs ITEMS REQUIRED
SUBCONTRACTORS: PLUMB., LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE j
-Z>
PROPOSED BLDG. USE• ___lam �'+��� � 3 �-
COMMENTS:
APPLICANT SIGNATURE
Received ny: _ _ Date Received:
f
C-I'TY OF TIGARD RECEIPT OF PAYMENT Rf=CaETF'T NO. :93—P40192
f;hlEGK AMOUNT a C+. 25,
IAME a F RANC:ESCHT PIPOPF {7'( IES' CASH AMf.IUIV i LA. 00
�li)T)f7E,F� 600 THIRD T F,AYMF'NT DA'f►" a 05.,,18/,93
Cil1FaK)T V T S I ON e
CLAN F'RANCI�_CC'1, CA 941 1';,,..
tUPPOSE" OF' r'AYMF"NT AmOl.lti-F F'f1I1) F?CIRPC):=;E OF V-1f)YllF'Ni AMC11-lNT FSATV
BUILDING PERM 2,5) 00 ST. BUILD FUER
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C1FM0I...I'T'ICIN PERMIT
J1595 SW F" ►C:I F T C, fgwy
IfC7'I" 4I_ AMOUNT PAID
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TUA.LATII\' VAI,T.,EX FIRE & RESCUE'� �-
AND
•�►t-'e '�` " 1 BEAITRTON FIRE DEPARTMENT
-riffith)Drive• P.O. BM 4755 • Beaverton, OR 97076• (503) 526-2469 • FAX 526-2538
(Date)
-_ . _ _, .•. ,.ndersigned for o-Permit to manufacture,store., handle or keep for..,
sole in or on the premises I:no a /'(-(t
(Street address) (C ) ---- _
si soot
Hazzardous.Chemicals
the following:quantities of Hazzardous materials
i Flammable Liquids Y' _
Flammable Gases F
Describe:
W lel//�/C{.�'I-�'� CJ ,'n F � ` /� •, � � ' •
i
Conditions, surroundings and arrangements to be in accordance with the Fire Prevention Lodes and/or
Ordinances.
i This application is Mi -BPREoved insofar as
is not
Zoning and Building and/or Qrdinances
i are Co n� (Name of applicant)tl
i
(I(hspector of buildings) (Address)
(Date) — - (Cllyi
Complete plans and construction details must be filed on all mninr nrniact� ani uihnn rans e-4 4 t— L.. -�.:^r
,� .I
TUALATIN VALLEY FIRE & R.ESCUE
AND
BEAVERTON FIRE DEPART EN T
1
.11755 S.W. Griffith Drive.• P.O, pox 4755 • Beaverton, OR 91076 • (503) 52(,-2469 • FAX 526-2538
_conte) —To the-Bureau of Fire Prevention:
Appplication is hereby made by the undersigned for a Permit to manyfacture, store, handle or keep for
sale in or.on the premises kno a
CS'u�
(Street Address)
( )
LXpios;ves '
the folli�win Hazzardotis.Chemicals ---__
g:gaantities of Hazzardous materials _ -
Flammable Liquids �_-- — - -- ______
_ Flamr.-table Gases _�_ ---- -- -- _
t Describe:
—/ - cam.
Conditions, surroundings and arrangements to be in accordance with the
Ordinances. Fire Prevention Codes and/or
This application is- Ua
i; not Moved insofar as
Zoning and Buil
ding-frsd9alid/or rdinances
-�/ ��>•PERM/f C3NStp•TINC?SERVK ES INC.
are tleeln
tll/�sNecforofbulldings)--- `--
I
_ JOHN HENSON
Consultant122 S.E. 7th
r YPornd2
CoOR 97214 (503)2364()Oo
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