Permit CITYOFTIEARD
COMMUNITY DEVELOPMENT DEPARTMENT OREGON BUILDING PERMIT
.13126 SW Mail BMd P.O. Banc 23397, Tigacd, Oregon 97223 (603) 639 -4175 • PERMIT # ° B U P 9 3 — 00 2 0
639 -4171 DATE ISSUED: 02/10/93
SITE ADDRESS...: 10925 SW 69TH AVE PARCEL: 15136AD -06502
SUBDIVISION • WAY LEE ZONING: C —G
BLOCK LOT •1
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ALT FIRST....: sf N: S: E: W:
TYPE OF USE...:COM SECOND...: sf PROTECT OPENINGS?
TYPE OF CONST. :5N THIRD sf N: 9: E: W:
OCCUPANCY GRP. :B2 TOTAL . 0 sf ROOF CONST:A FIRE RET ?:Y
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR. :1 HT. :16 ft GARAGE...: sf OCCU SEP. RATED:
BSNT ?:N MEZZ ?:N REQD SETBACKS REQUIRED
FLOOR LOAD °100 psf LEFT: ft RGHT: ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:I \I PARKING:
VALUE. $ : 15800
Remarks: Com' 1 re— roof —add Malarkey Roofing Class A roof system, ULR4170 (N)
Owner: FEES - - --
PACIFIC COAST RESTAURANTS, INC type amount by date recpt
PRMT $ 116.50 JLH 02/10/93 93- 0236517
P'LCI( $ 75.73 JLII 02/10/93 93 QC3G517
5PCT $ 5.83 JLH 02/10/93 93- 0236517
Phone #: 684 -2803
Contract or:
GRIFFITH ROOFING
6815 SW 111TH AVE
BEAVERTON OR 97005
Phone #: 643 -1596 $ 198.06 TOTAL
Reg #..: 00925
REQUI RED INSPECTIONS
This per.it is issued subject to the regulations contained in the Roof nai ing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This periit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Si•na
Issued By: 40..'
Call for inspection — 639 -4175
1 31?SSWHa11Bwd. PLNCK /RECT # � — ' 2 ��
CITE OF TIGAIZD PERMIT # iVP93 -0O20
COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Oregon 97223
1 0 q25 w S 6 X717 DATE ISSUED
bay Rest- nub' n
JOB ADDRESS: SLIT) 6614-h (1-- Pr' c i i c. (� / TAX MAP /LOT
SUB: LOT: LAND USE:
VALUATION: 4 / 5, ACC)
OWNER SPECIAL NOTES
NAME: Pac i ( Res, -VritA anA Inc , REISSUE OF:
ADDRESS: 101,25 r,(k) fola4'1 e_. l 07 LAST REISSUE:
Para -\ exn ()k Q FL000 PLAIN/
PHONE: Lo S3 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: Co c. 'i t-1n QQt;c n q C o . PLANNING:
ADDRESS: l_of,l5 ,iA) 11 Al ?cnlae ENGINEERING:
Renkiet OP. G7005 FIRE DEPT:
PHONE: (0 1-43 - 15 9 1p OTHER:
CONTR. BOARD #: c-I& 5 EXP DATE: /
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: N LIST /SUBCONTRACTORS:
MECH: BUS TAX:
ARCH /ENGINEER CALCULATIONS:
NAME: NI a TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: R eA n i a ro r r _
flyi
COMMENTS: Rererc, , L sin Mrx\rnckn Y C,pec •Si ccA -ton --rom cia (,1 J- e)nol<,
C1 cJS r� z r,r, • ' <9 q ( P)5srs.)
7 04. •
YAO,ur 1,J9
APPLICANT SIGNATUR
Received By: Date Received: 2 43,
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees /16373
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) - ,S 3
Building
Plumbing
Mechanical
10 -433 00 Plans Check Fee -d-
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
nm/3587P.WPF
03/27/2000 Activities for Case #: BUP93 -00020
10:32:16 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPCO20 Plan check by 02/10/1993 JHJ APPR JHJ 02/10/1993
BUPC799 Final Inspection 12/20/1995 TLP PASS TLP 12/20/1995
BUPC080 All fees paid 02/10/1993 JLH PAID JHJ 02/10/1993
BUPC742 Roof naiing Insp 02/10/1993 03/11/1993 TLP PASS TLP 12/20/1995 this is for re roof dupont system
over existing roof
BUPC100 (F) Issue permit 02/10/1993 JHJ PRNT JHJ 02/10/1993
BUPC960 Case Finaled • 12/20/1995 TLP PASS TLP 12/20/1995
•
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8/22/99 Activities for Case #: BUP93 -00020
2:42:06 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPCO20 Plan check by 2/10/93 JHJ APPR JHJ 2/10/93
BUPC799 Final Inspection 12/20/95 TLP PASS TLP 12/20/95
BUPC080 All fees paid 2/10/93 JLH PAID JHJ 2/10/93
BUPC742 Roof nailng Insp 2/10/93 3/11/93 TLP PASS TLP 12/20/95 this is for re roof dupont system
over existing roof
BUPC100 (F) Issue permit 2/10/93 JHJ PRNT JHJ 2/10/93
BUPC960 Case Finaled 12/20/95 TLP PASS TLP 12/20/95
•
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