Permit //1"!\ I
BUILDING PERMIT
4C1 1Y OF T I GARD DATEIISSUED: 05/03/99'66 -0043
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 28101 AA - 09001
SITE ADDRESS...: 12585 SW 68TH AVE
SUBDIVISION • WEST PORTLAND HEIGHTS ZONING:C —P .
BLOCK • LOT •29
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. FIRST • 4505 sf N: S:1HR E: W :1HR
TYPE OF USE... :COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :5N .... 0 sf N: S:Y E: W :N
OCCUPANCY GRP.:B2 TOTAL : 4505 sf ROOF CONST:AFIRE RET ? :N
OCCUPANCY LOAD: 38 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET.. :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 218366
Remarks: Develop a 4,500 square foot office building.
Owner: FEES
MARK DANA type amount by date recpt
PLCK $ 474.83 JDA 01/16/96 96 -274938
FIRE $ 292.20 JDA 01/16/96 96- 274938
TIGARD PRMT $ 730.50 JSD 05/03/96 96- 278962
Phone #: SPCT $ 36.53 JSD 05/03/96 96- 278962
EROS $ 88.00 JSD 05/03/96 96- 278962
Contractor: ERPC $ 28.60 JSD 05/03/96 96- 278962
J.T. ROTH CONSTRUCTION INC ERPC $ 28.60 JSD 05/03/96 96- 278962
12540 SW 68TH PARKWAY
TIGARD OR 97223
Phone #: 639 -2639 $ 1679.26 TOTAL
Reg #..: 080970
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Foot /Found Insp Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Post /Beam Insp
applicable laws. All work will be done in accordance with Masonry Insp
approved plans. This permit will expire if work is not started Framing Insp
within 180 days of issuance, or if work is suspended for more Roof na i 1 n g Insp
than 180 days. Insulation Insp
— Shear Wall Insp
Firewall Insp
0, i/ Gyp Board Insp
/
Permittee Signature: 0 '% Susp Ceilng Insp
l /� G Appr /sdwlk Insp
Issued =** �� Misc. Inspection
Call for inspection — 639 -4175
, /4 11,,
\ DEVELOPMENT ������RA�����
„,,,,, .,.. A
�*�~��~m��., omom~u� n SERVICES
/ ^���� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
/ / CERTIFICATE OF
. OCCUPANCY
PERMIT # • BUP96-60043
DATE ISSUED: 10/29/96
^^ PARCEL: 2S101AA-09001
SITE ADDRESS...:12585 SW 68TH AVE
.
SUBDIVISION.. . . :MLP95-0013 2BN%NG:C-P
BLOCK : LOT ^002 JURISDICTION: TIG
-_. ------- ----------- . -------
CLASS OF WORK.xNEW
TYPE OF USE...:COM
TYPE OF CONSTR:5N
OCCUPANCY GRP.:B2
OCCUPANCY LOAD: 38
TENANT NAME...:ROTH OFFICE BUILDING
Remarks: Develop a 4,500 square foot office building.
Owner: -------- • ---------
MARK DANA
T%GARD .
Phone #:
.
Contractor: ----
J ROTH CONSTRUCTION INC
12540 SW 68TH PKWY
TIGARD OR 97223
Phone #: 639-2639
Reg #..: 000317
This Certificate grants occupancy of the above referenced building or portAon
thereof and confirms that the building has been ins t d for mpli nce with
the State of Orgon Specialty Codes for under
which e referenced was issued.
•
i , 'aloft./ ��� -_ . -_-----------------___
BU :- @G %NGPECT mu��-��Imm OFFICIAL
POST IN CONSPICUOUS PLACE
•
' J .- -.( n %� 0et. t!Gt S Z - `l Li
h 1 ; r:, Commerci Buildin ermit Application
City of Tigard
13;:SS/RKaI2Ild. l B
Tird, 23 (`/ ' ' h 7 h-`'" • 54 v X r - q) :' 7'( L' cc' 5' - 2 14? ‘7'e'' ,
(503) 639 -4171 1 {
(2C3S -',/, ) &V 1 ,0 ''' , 1 , i
1 Soggc / MoorriX3
Jobsite Address: /o caS p.i.eo/
Tenant: Suite #
Office Use Only
Valuation: n o i c.L �o "-' Planck/Rec # 0/ — '
)- Id',1" K Permit # \ ( ' 9 6 - e7-6 `7 - 3
Owner: /14244_ 4 Map & TL # U 5/ °' — 0 0 D/
r t . Address: Approvals Required
�
77 4 1_ J Planning t`? `3 5 c-o . AIL P 9s do!)
Phone: Engineering 6 ( "( 95-- C 2. r 4 ` (')Ce; oo 3
Other S - 2 - 796 ' -- c - " 1
Contractor: --/' / • P9-7 (9 ..,4'T . . . n' p (ci /e� . c i /'e ,r
Address: /4. 4 10 SaJ 68 f ,-- ---- --
Type of const: 1) -A/
00-- - q7Z Z 3
Occupancy class: 6Q P 2-
Phone: `I -2.6347 ot / 6 4
�� c4 0 (. Spnnklered? Yes No
Contractor's License
(attach copy of curren Oregon license) Sq. ft. of project: 4
Contact name & phone: g Story (1st, 2nd, etc.) / 8 y
,� /
Ci Proposed use: 07`` c 7 2
Architect/Engineer: ac4 -
'� 5T� _Address: /a2 r-Y f4/2 Previous use: /q
' L/ //�� Note: Plumbing & mechanical plans
1 0 1 1.- - VLZ must be submitted at time of
building permit application.
Phone: p?Sy 4„292
JOB DESCRIPTION: ZC.bo e � ,.3"e,.... ?. c5 'y � �a �Scfl/
Cair
/ 7
Appli• - ignature & P mber
Received by:
1170 6 f4/L � Date Received: ilM/14
Permit # Account Description Amount Amt. Pd. Bal. Due ,
I -"� 6 - °" Bldg. Permit (BUILD) 7307 ,a
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 5=2- ... L . 4...—
53 ✓
Bldg:
Plumb:
Mech: ✓
Plan Check (PLANCK) t/74/ �� 3 `J L, s-7 (30,z_40
Bldg:
V U
Plumb:
Mech:
61, -00 'I7 Sewer Connection (SWUSA) 22 UV Z2-0P
Sewer Inspection (SW1NSP) 16 4s
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R) O --- ... -
Mass Transit TIF (TIF -MTrJ b Cf1°! 0 1 n¢&&
Commercial TIF (TIF -C)
Industrial TIF . (TIF -I) ' ¢ . r, 4b.. Mill
i
Institutional TIF (TIF -IS) .
'
Office TIF (TIF -0) R I.
� `t`eU1 1-46 L • 1
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) �9 Z i /S, a 0 7 e
Erosion Cntrl Permit (ERPRMT) e(r d'il' ✓
v
Erosion Planck/USA (ERPLAN) .2-., `- 7,4- G ° v
Erosion Planck/COT (EROSN) ZA' 9 2 ! v
TOTALS: - 5,1z/i.26 5( 77 3 ?�(p �
\ ,
Q_______________ (r)lZ ,
GATE: PLANS CHECX NO.:
06- /9-gCo cp zc
PROJECT TITLE
D -
COUNTYWIDE
TRAFFIC IMPACT FEE APPLICANT;
WORKSHEET -3, ► . /1 oTG, sr-
(FOR NON - SINGLE FAMILY USES) maureAD59771
PTV/ZIP/PHONE
RATE PER �� o / z • 3
LAND USE CATEGORY TRIP TAX MAP NO.:
RESIDENTIAL 5159.00 2 9/0 I, - D 90z) (
BUSINESS AND COMMERCIAL 540.00 SIMS NO. ADORE -C
OFFICE 5146.00 , l ; ` �5 J c' 1 -
INDUSTRIAL 5153.00
INSTITUTIONAL 566.00 9 � � 96,-oz)
PAYMENT METHOD: :
(:ASH /C}HF(;K
CREDIT tNSnTVnoNAL ONLY.
BANCROFT (PROMISSORY NOTE) 0 USE CATEGORY DESCRIPnON OF USE INEEKDAY AVG. TRIP RATI wEExENO AVE TRIP RATE
DEFER TO OCCUPANCY / G-ie. -. o FL 1 fo.31 /o
BASIS : �
%'I 0 I/7 c�-v crz, re Se S C S 77,4_, % -aY• O r 7
O ; z e / C .- s - 7:27c z s Se5 s ,n.e ;,sue
s e r7er---"•
CALCULATIONS:
) (TrrsArrni (:#
(
C-4(,) PROJECT TRIP GENERATION:
FEE: f /U . 71 c). vc
ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY:
RCAO MAT.:
-r3F 6 W 11C) ,at)
TRANSIT AMT.:
PREPARED SY:
CC. 'NASHNGTCN CCUNTY
TIF ?.OTE3OCK
fCrtn tf10