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13125 sw HaU t3he PLNCK /RECT # p 7 7 C � CITY OF TI Gril`D PERMIT # &'P ?3 S
COMMUNITY DEVELOPMENT DEPARTMENT Tigard. Oregon97223
($O3) 09-4171 DATE ISSUED 4
JOB ADDRESS: C 7 Q - f y TAX MAP /LOT
SUB: LOT: LAND USE: e _ __ . . *
VALUATION: _ a1 X 44 BY: t e /�o '
OWNER SPECIAL NOTES
NAME: �1 '' 0.4 VAR 0 • REISSUE OF:
ADDRESS: 3030 / 7')'9 Y111 LAST REISSUE:
`iL- g7ZO J FLOOD PLAIN/
PHONE: 222 -20co L../p7± SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIREDD
NAME: ,e,(/ A a-51 nip. PLANNING: 0 /1"VI,lr - '
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: — OTHER: �I/D A-Db I __ 7/F -NO-- CONTR. BOA #: O 1 EXP DATE: /7^ 2 - 3 /
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: • BUS TAX: - •
ARCH /ENGINEER CALCULATIONS:
NAME: • TRUSS DETAILS:
ADDRESS: • OTHER:
PHONE:
PROPOSED BLDG. USE: / er + . err t' - Ilq AEI rw ' adthy
pp D Y or
A5
: B. P. l . _ r • _ . Al ,4'da F� �1
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ANT SIGNATURE
Received By: 7 i 1- 642ee Date Received: 7/ 7 I 93
PERMIT # ACCT // DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
g(/P 5 —o)8'] 10 -432 00 Building Permit Fees .701 _s � 1.1 , C°
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) / . D � . 17
Building
. Plumbing
Mechanical
10 -433 00 Plans Check Fee /31. 3 v 5633 7s:87
Building
Plumbing
Mechanical
10 -230 06 Fire
30 -202 00 Sewer Connection
30- 444 00 Sewer Inspection
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
• 25- 448 -06 Institutional TIF Fees
25- 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 3 gil • X96,
nm /3587P.WPF
.
PAP %N v TUALATIN VALLEY FIRE & RESCUE
�j �l ��� AND
� j� `Q D ` BEAVERTON FIRE DEPARTMENT ."0
VV I FIRE MARSHALS OFFICE
'°i, L1 GJ 4 / (503) 526 -2469 POSTED:
F6 RE_� N U (� L � iv L..
OCCUPANT
CONTRACTOR BLDG. PERMIT 0
PROJECT NAME , PLAN REVIEW 0
LOCATION t )-
a o 0 -64J
11)A. ,v ii 1 C k( ( , v
JURISDICTION: 1= Be. 2= Du. 3= F . C . 5= Tu . 6= Sh. 7= W i .=- 8= CC 9= WC 0= MC
COVER / 'FINAL SPECIAL FOLLOW UP /REINSPECTION ATTEMPTED FINAL
0 Framing LI Separation Walls • El Sprinkler System
0 Shaft 0 Fire Dampers (Overhead /Underground)
•
0 Alarm System ❑ Hood•Extng Systems 0 Conference
•.LI Spray Booth El Ceiling Cover 0 Other
•
y
14 I, -•,1 • v
._
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•
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.._____-- . ..,
•
G 0 (I�/�
Date: -� - Inspector: L,v I _
i
INSPECTION NOTICE ��-----/
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639 -4175 Business Phone: 639 -4171
P
Inspection: 1 YJ (
- ( V1 / 1' IuU/100I VI
Footing Plbg. Underslab Mech. / Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line J Gyp. Bd. -Mech.
Date Requested: , -(g -13 Times AM PM
Address: Ito2tio at Ac Permit ? R�
Builder: �.c S`' mil/" v' ,55 / / l.P
THE FOLLOWING CORRECTIONS ARE REQIITRED: 4 7
l i ‘• 1 -.2 V (rit9
i (fia z ___ 7 :=•'"--/
r __-/-7 49- " (
1
„r7,7'. ,
Inspector: Date: Z q
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department 2
13125 SW Hall Blvd. Tigard, Oregon 972
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: C--0:1 \(Al
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line 4jBd' -Mech.
Date Requested: qo -) -- - (0 - ( 3 ( � Time: k AN PM
Address :) (p I ZOO -(,� ck- //�� {4ui y , ID- Permit I: 93
Builder: (Lk ( 7A)okd L(�fl/k I 7&) -1/62-0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.Q// G(/ /pole s TO / `1 / r r S' 5 /Sf-7, C
7 /',4 / fj /9 e"" / U//10 - f�-1 t6+/''W ,
QT «= /Pi. _ raw ' r' h Z
im
I-')' J e/ e e r i /\ 1 1 e-ee A
Inspector Date !o
(PR OVED DISAPPROVED - APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Lin- (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
V. r ///
Inspection: ..mw �// /. 1 ` _ . f-4 = 1 _ _ t
Footing Plbg. Underalab / Mech. - ugh -in /Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation lumb.
Plbg. Underfloor Water Line Gyp. Bd -Mech.
Date Requested: / /
q--3-g Tine: AM PM
Address: i v O - - a AWL A ' = rm_it "f : '9 -- D / /J Q -7
/271 Builder: /2713 / ' . .511./ 7 $ ~
TEE FOLLOWING CORRECTIONS ARE REQUIRED:
r 7 - 2_,-/
Inepector: Date: 47/`����
/f_/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
��+ Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underelab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet /Beam Struct. San. Sewer 44:0 -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
(J
Date Requested: —2 0 - 13 Time: AM PM
Address: Vile ,�� / - - C I • 2- Permit Lt: / 3 ? i f 97
Builde ° S(W I.OVIs` • J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector• Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.