Permit (156) 1-461. BUILDING PERMIT CITY OF TIFA RD n WARD PERMIT NO. CiU(3E32001 vv
CRY OF 6
COMMUNITY DEVELOPMENT DEPARTMENT oREoo
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 DA T I_ C► SUE D ' 10/ 7/88
PPTM PMT Nn t3sac 001
JOB ADDRESS: :I.6200 SW PACIFIC HWY S . 1 0 1
TAX MAP /LOT SUB: TIGARD TOWNE SQUARE LT: BK:
LAND USE:
LOT SIZE: VALUATION: $ 12,375 SETBACKS
FRONT: REAR:
WORK CLASS: ALTERATION DWELL. UNITS : LEFT: RIGHT:
USE TYPE: COMMERCIAL. NO. BEDROOMS : EXT . WALL. CONST:
CONST.TYPE: :CIIN NO.BATHS: N: 5: E: W:
( :)CCUP . CRP . : B2 PROT . OPE NINES :
OCCUP.LOAD 31 N: S: E: W:
TOTAL AREA: 1 :130
NO .STORIES : 1 1ST: 1130 ROOF CONST: A FIRE PET? YES
HEIGHT: 18 2ND: AREA SEPAP? NO RATED:
BASEMENT? NO 3RD: OCCUP.SEPAR? NO RATED:
MEZZANINE? NO BASEM' T
FI...00R LOAD: 100 GARAGE: FIRE SPRKLR? YES ALARM? NO
FLOW (GPM) DETECT? NO
HEAT TYPE: CAS HDCr' . ACCES57 YCs CORP? NO
PLAN CHECK BY: jh j
REMARKS:
Tenant Mod : It's Country REISSUE. OF NO.
LAST REISSUE
O FEES:
W Westwood Corp. PERMIT $98.50
PLAN REVIEW $64.03
R
FIRE DEPT $39.40
STATE TAX 164.92
OTHER
C
DEVELOPMENT CHARGES:
O
SDC(STORM)
T WESTWOOD CORPORATION SDC (STI: EET )
A 3030 SW MOODY PDC: (=0+ )
C portltan< :I or 97201 PREPAID < $103.43>
O PHONE (503) 222-2000
R REGISTRATION NO. 3339 TOTAL: $103.42
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO • 0/03
of the TMC, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and SLAB
specifications and in compliance with all applicable codes and
FRAMING
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city INSULATION
business tax permits. This permit will expire and become null and GYP. BOARD
void if work is not started within 180 days, or if work is suspended or SUSPEND .CEILING
abandoned for a period of 180 days any time after work has F= INAI_
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
ermittee Signature
Issued By: -- 7t3a)
CALL FOR INSPECTION 639 -4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
•
CITY OF T1 R.D ...L. PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT I crwo nFA� D PLAN CHECK # 9 - 511f-
13125 SW Hal Blvd. P.O. Box 23397, °R +� PERMIT SUED /
Tigard, � «) 639-41 ` DATE ISSUED
JOB ADDRESS: ':LQ A Catkik_ 4‘,,, TAX MAP /LOT
SUB: LOT: LAND USE:
VALUATION: 1.9 3 3
OWNER SPECIAL NOTES
NAME: ` ( i >, 7nA CL l---, REISSUE OF:
ADDRESS: - ,3i) ".. _5 , ,1\ Via e.- A - z LAST REISSUE:
1 e, 2 of ") c I FLOOD PLAIN/
PHONE: ,a,2� ,Vj)�; SENSITIVE LAND:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: �__Zil.)c,c_` e (} Z )C C‘ U\ ENGINEERING:
ADDRESS: a)'r�: , e f, > `k K `� ' ,a 1 , . .k-. FIRE DEPT
Q ® J ri P ' q -),../) ' OTHER:
PHONE: .-9.--?.- UCH ITEMS REQUIRED
LIST /SUBCONTRACTORS:
ARCH /ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: p OTHER:
COMMENTS: •t S e Oy d\rui
//0 (.2-3 ? h31 If', 22 ", (..,,,, -K--. - -_
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
0 2 . 2 Q 9 / 10 -432 00 Building Permit Fees 5 ',50 979,50
xr Z 10-431 00 Plumbing Permit Fees
„ZOo 3 10 -431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) 4€Q'2 — 4. 92_
Building
Plumbing
Mech
10-433 00 Plans Check Fee , f,O3 647.
Building
Plumbing
Mech
30 -202 00 Sewer Connection
30 -444 00 Sewer Inspection
51 -448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PDC)
52 -449 02 Parks II System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg (SSDC)
10 -230 09 TRFD 39,4o 3 T qO ^
10 -230 06 Washington County Fire #1 (95%)
10 -220 00 Amart /Wedgewood "\
Q TOTAL JU3.y3
APPLICANT SIGNATURE
Received By: _ Date Received: 'p R'r
ht/3587P/18P
1
s „ „�
• CONSOLIDATED FIRE AND RESCUE
3 Washington County Fire District No. 1 ,
City of Beaverton Fire Department
0 V Tualatin Fire District
FIRE MARSHALS OFFICE
(503) 526 -2469 POSTED:
OCCUPANT IBS C. OU//7 P
CONTRACTOR IV 1 MV0 BLDG. PERMIT #
PROJECT NAME /, / 4,9 ) WNC' PLAN REVIEW #
LOCATION /Opo ,C w, P/3C, ' e ./
JURISDICTION: 1= Be. 2= Du. 3= K. C. . 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FOLLOW -UP /REINSPECTION ATTEMPTED FINAL
O Framing 0 Separation Walls 0 Sprinkler System
E l Shaft 0 Fire Dampers (Overhead /Underground)
O Alarm System 0 Hood'Extng Systems 0 Conference
O Spray Booth U Ceiling Cover 0 Other
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Date:_ 1 I �� - �j Inspector: ;f ?
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APPROVED .FOR CONSTRUCTION
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INSPECTION NOTICE
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City of Tigard Building Department & gp . J 47
P.O. Box 23397
Tigard, Oregon 97223
// Phone: 639 -4175 /�
.L IZ
Type of Inspection 3.1— CcUATy ;,Y `/
Date Requested 40/2 ) e Time A.M. . P.M.
Address /6 70 6 1 C / 1" ' / 0 Permit # 8a "
Owner Lot #
l/l/ c 5f dtJU I / )
Builder
The following Building Code deficiencies are required to be corrected:
WJ A ( wOUCI grip
3o 3 0 5rA..) Y c cam.(
P Cdr 1
.C3 i1[N
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(( - 15S
Presented to At Approved
Inspector � �� ❑ Disapproved
Date g
CALL FOR REINSPECTION
❑ YES ❑ NO