Permit (105) - -
BUILDING PE :I: MI`T'
CITY OF TIARD
41, PERMIT NO.: 13U880692 /
aryo ISSUED: f.,/ 1/88
COMMUNITY DEVELOPMENT DEPARTMENT °""*" P`J:M. PM'r.NO. 880892
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175
DB ADDRESS. 16200 SW PACIFIC
PX MAP/LOT SUB: TIGARD TOWN SQUARE SUITE J1 LT: BK:
AND USE:
C :T SIZE: VALUATION: I •_/ rr SETBACKS
FRONT: : REAR :
WORK CLASS: NEW DWELL . UNITS : LEFT: RIGHT:
USE TYPE: COMMERCIAL NC). BEDROOMS : ExT . WALL CONST:
CONST . TYPE : VN NO .BATHS : N: ( 3: E : W:
OCCUP.GRP.: 82 PROT.OPENINGS:
C)CCUP.LOAD N: S: E: W:
TOTAL AREA: 2112
NO. STOR:I.E r : 1 1ST: 21.12 ROOF CONST : A FIRE RET? YES
HEIGHT: :18 2ND: AREA SEPAR? NO RATED:
BASEMENT? NO 3RD: OCCUP . SEPAR? NO RATED:
MEZZANINE? NO BASEM' T
FLOOR LOAD: GARAGE: FIRE SPRI<I...R? NO ALARM? NO
FLOW(GPM) DETECT? NO
HEAT TYPE: GAS HDCP . ACCESS! YES CORR? NO
LAN 1. H1r..uK t : )h j
t:MARI <S :
rauncla.t :i.on Only REISSUE OF NCI.
LAST REISSUE.
FEES-.
Washington F:'eclerta. :I. Svngs Bank PERMIT
O CLAN REVIEW / _S`�
1 =IRE DEPT
6.y3
E STATE TAX G 3 :
R T'FIEIti 71 y J
DEJVELOPMENT CHARGES :
I3DC(STORM)
:STWC)OD CORPORAT SDC ( STREET )
3'030 SW MOODY PDC ( 41: )
:#t rt].and or 9720:1. PREPAID < $1311.93>
Pi-LONE ( 503) 222-2000
I :01S RAT I( :lN NO. 3339 TOTAL:
0
R
RECE I PT NO . 31.419
This permit is issued subject to the regulations contained in Titl RIAGLU :I: RED INSPECT:I :ONS -
of the TMC, State of Oregon Specialty Codes, zoning regulationsF'OL')TI:NG
and all other applicable codes and ordinances, and it is hereby ) :"'( WAI...I._
agreed that the work will be done in accordance with the plans and SLAB
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days, or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
AAAUM
Permittee i nature
dae) CALL_ FOR INSPECTION 639
Issued By:
• SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
- - - - - -
UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY
FIXTURE UNIT RATINGS
TOTAL TOTAL
F I XTURE VALUE MAIIKTA MUMMER
BAPTISTRY /FONT 4 .
BATH - TUB /SHOWER 4 •
JACUZ /EHPL 4
CUSPIDOR /WATER ASP 1
DISHWASHER T OO 44ER 4 •
DOM4EST 2
DRINKING FOUNTAIN 1
FLOOR DRAIN - 2 INCH 2
- 3 INCH 5
- 4 INCH 6
,
GARBAGE DISPOSAL
DOM (TO 3/4 HP) 1 6
- 000I4 (TO 5 HP) 32 • •
-, IND (OVER 5 HP) 46 .
OIL'-SEP (GAS STA) 4 .
•
•
•
• GJ11lf' . f ;
— STALL 2
SINK - BAR • 2
- BRADLEY s
- COMMERCIAL 3
- SERVICE 3
WASHER, CLOTHES 6
WATER EXT 6
WATER CLOSET 6 / l •
•
URINAL 6
CIA TL �/l e3 7�8 I NSF' 4 1 .4 TOTAL
BUS INESS / / / is/tr / S / S It / !Air CPU
• ADORE SS /,20 160 `�/ 1, / / 7 ( T'TW l ✓ i/ F'I ItM I T NO . 3._5 jV�
J
COUNTED FROM
TAX MAP /LOT
1
I
s� CONSOUDATED FIRE AND RESCUE
3 (® i Washington County Fire District No. 1
City of Beaverton Fire Department
Tualatin Fire District
FIRE MARSHALS OFFICE
(503) 526 -2469 POSTED:
OCCUPANT J/f /97/./4T?/✓ l Ale ,C;4/ "/./G,s /9-i✓1
CONTRACTOR k/411//1/00 -13 BLDG. PERMIT #
PROJECT NAME (2 9je,J /owAJJ PLAN REVIEW IP
LOCATION /1CZOO �� cv•�- ��'/ /1/4-4/1/
JURISDICTION: 1= Be. 2= Du. 3= K.C. 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER SPECIAL FOLLOW -UP /REINSPECTION ATTEMPTED FINAL
E Framing 0 Separation Walls Sprinkler System
El Shaft E Fire Dampers (Overhead /Underground)
❑ Alarm System Hood "Extng Systems Conference
El Spray Booth' 0 Ceiling Cover ❑ Other
(1, UGC rpt& ( f) r( P/ 97 V y
Date : �O ` � � ' ' Inspector: ` r ' ? J o/
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