12470 SW MAIN STREET ,r
c,
11 all I 11,
71
g
ADDRESS: 14
1070
i
'i
i�
i
r .
i:\records\microfilm\targets\building.doc
a 5,
�',4�k�ari
f Ij I.. r 'tie-
��,�� µa �I � i��.a�yit�� r<�� e •� i, , r `L y�ry r �t
, t� �' '�'�N6� ;.'7 r. � r,••,1 X j Jr i !�'�+ v'F 1 •J /
dr'�r�TrG�: 5 r 'C .. .-..,,.. w,.• .�y! f� l tt S
irl� • �`'l<� ( / C��,//f� / ry�J
CITY OFTIG-��iD BUIL NG INSPECTION NOTICE
} Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 gr " AMe' ,.
I1n � w
Inspection: t'd
Footing Susp. Ceiling Sprink. Rough in Appr/ dwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in111_FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg. ,^
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Sh9ar Wa I Gyp. Bd. -Elect.
Y
* Ill
Date Requested: Time: AM PM
Address:
c w !
BulLder: F A' --U �� L Permit #: C
��-t 7
THE FOLLOWI "CORR�C�ONS/RE REQUIRED:
+
z t�r'r
r
�} r
Inspector:_ Date:
14PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
1 r ,I•R�,3i_
i
' Sry
"ol
� i r
r.
mill
,.. ..,• rtc ' k..,
CITY QF TIGARD F,r_ BL+iLT3tNl� F'EF3M17
..RM1'T ti'. . ,. L1tJF'9F
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUE=D. 08/23/95 �
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
1 .1 RESS. . . : 1c410 GW i+lH1N �`I
;JBDIVISION. . . . : . ONING: CSD
_OCI'. . . . . . . . . , LOT. . . . . . . . . . . . . .
REIG''Uf s �All ''LOOR AREAS—— - >AXI-F.RIOr WALL_ CONSTRUCTION
( Hp�:�r7Qt= �{URFi. :W `� FIRST. aF N: a: C: W:
i` ,- f UJC,. . . :C011 Q
31=( C]F11, s f r'ROTE:CT 0F'EN I NGS?_........_-.._._._-.
TYPE OF` CCNsT. :5N THIRD. . . . ss f
L� N; S-
E. W.
��'v rrriF ; 1 C1TAL_._.._ ...._. Ill s f rmor- CONST:
&C;L1 :'AEY1' Hit; BASEMENT. : Sf AREA Sf-r'. RATEDII RE RET*? ., �
4 ST13R. : 1 ' 4T„ ('z GAr;AE;C. . sf° OCCU •SEP. RATED:
OSMT? : JIEZZ'': __..._..._
RECTI} SE:I"8A[:I+;S-�•
FLUOR LOAD. . . . : ps f LEFT: 1"t RIGHT. fi• F.1 R Sr'I;L; SMOK DET. . ;
DWELLING UNITS: FRNT: ft REAR: ft FIZZ ALRM: t-INDICF' ACCs
BEDRMC,: F ATii : IMF' r;URF'ACC., PRO C')RR; PIWWING:
VALUE. $ . 4'I
"e RemarFiE : Dk:molition of existing buildirly c;I. t:o CIF' project to create i left-hair,
d
ti.a,n Iav)e at Mairr Sti^eet mind L:Wr-riham. ;:)ewer^ to be capped acid inspected.
i.
FEES
T
' E type amount by date recpt
25. 011) JDA 01!/E3/9 Fj "s5- 26+ ' 7@,'1
JDA 00/23/95 95 9704
ENVIRONMENTAL AL-rE.F?rIATI VEc;
PO DOX 13X.17
DONALD OR x)720
I'l r;nr? #: 503(,78---,`19 // $ ;::.,6. :_G TOTAL.
Reg #. . : 96648
REQUII?EU INSPECTIONS -
This permit is issued subject to tte regulations contained in the Carr sewer line _
Tigard Municipal Coder State of D-e. Specialty Codes and all other 1li s.c:.
applicable laws. All work will be done in accordance tial; I=in-ll 111speC_tiarl
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than lU days. — _r _ _ �_ _._ ___^•�--
C,111 for iris-pection 639---4175;
f
011111
i
`0k;',
ps _
y,r F; •I,a� ,� ' i *rv' i'` .p.. �� fr�;i 's.S1Wbi.l`r�'"' "i�" ., ', P
"y
Commercial Building Permit ARplication
City of Tigard _._._...
13125 SW Hall Blvd. — -�
Tigard, OR 97223
(503) 639-4171
Jobsite,Address: /lac,a
Tenant:
Suits# :,�OffffceUseG►nM �'> �:
PlanckiRec#
Valuation: r
Permit# {. ?4
Owner. Map&TL#`
Address: -- Approvals Required a
Planning
Phone: F.ngineenng
Other
Contractor. 1✓i t-v,I V WML rlu_ U S i
Address:
Type of^.onst
L)v"(Ict. la a,L-
_ Occupancy class:
Phone: �l�Zl ��`� 17
Sprinklereu? Yes
Contractor's License #_ I q,
(attach copy of current Oregon license) Sq. ft of project
Contact name & phone: Story(st 2nd, etc.)
Proposed use:
Architect/Engineer. -
Previous use: UQ f Vk
Address:
Nate: Plumbing R mechanical plans
must be Submitted at time of
building permit appiicadon.
f-hone:
AL
,106 DE:.CRIPTiON: L'I'ac cla Lalhl'vf '' _ c /rL r' Cl f G>_U.it►ti
Applicant Sic, tur & Phone number
Received by: Date Received:
M�ap�[r:�.aewvo...... ,,.n,.,.or 1..a'wr.i'u.. pytr s • rt . ;., ,'' #'x�i A
Permit;$ Account Description Amount Amt, Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech, hermit (MEC}{)
p
g State Tax (TAX)
Bldg: w,
Plumb:
Mech:
Plan Check (PLANCK)
■
Bldg:
J
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
k
Office TIF (TIF-0) _
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion PlanclvUSA (ERPLAN) �_•
�rosion P!anck/CO T (EROSN)
TOTALS:
ry WMI
i
I1
1
r
+
1.;1 rY 01- 11f-PRI fiy111 1',I pt t f• 'IPI 1\1 :9to.. :'►., ,,
N"ME I• AV [HONlnt'N I'I V IA I f-) 141 I 1111- I,!l')l t WINI 11.#4 f U1� Kl►l
A1')1)RF,sr1i' a 1'('i INUX !`.if, I 1'l-1Yhlt-NI OlITf > {'!'ik•1ir' /'');`e
I,l!O t V 1:, l 1 Ir4
1Wft11.1), OR ;0;:0- I
' 11411 l CIV 1'N YIvIf 141 t)I+ll 11 IN I I'i-•IJ 1.+ I-'Llltl 'I I;,t. t+I I'I 1 Y 1•I' 1 I 11f U It UV I 1-et 1 1 1►
......... _.
FAl.l 111, 1't
I
V I
�V
4u1 ',W M►l1.N i
1 01 Al ItM+.
i
� 7�+tn�1J�c, �`a� ,e"�i9•�,a'��F.' - ��, K7Rh1 rr},? t�x1X�.Ih�M1.1,f�R1N�1
"t
ti