Permit BUILDING PERMIT '
-
PERMIT #.......: BUP96-025
DATE ISSUED: 05/17/96
COMMUNITY DEVELOPMENT DEPARTMENT •
PARCEL: 2S112DB-00500
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SIT� A DDRESS.. zozz SW 74|M 'AVE
SUBDIVISION....: FANNO CREEK ACRE TRACTA ZONING:I—P
BLOCK..........: LOT,..........
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_ • _ ____
REISSUE: FLOOR AREAS — in to EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK.:DEM FIRST ^ 1000 sf N: S: E: W:
TYPE OF USE. .. :AC8 SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:? TOTAL : 1000 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 1 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 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: SMOK DET..:
DWELLING UNITS: 1 FRNT: 0 ft REAR: N ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 1000 PRO CORR: PARKING: 0
VALUE.$: 0
Remarks: DEMOLISH 3 STRUCTURES-(1 VACANT RES, 2 OUTBUILDINGS) ON TAX LOT
2S112DB-00500 — WORK PERFORMED IN COOPERATION WITH TV�; & R
�.
Owner: -------- — • FEES --
INTERSTATE ROOFING type amount by date recpt
15065/15115 SW 74TH AVENUE PRMT $ 25.00 J*H 05/17/96 96-279552
5PCT $ 1.25 J*H 05/17/96 96-279552
TIGARD OR 97224 EROS $ 26.00 J*H 05/17/96 96-279552
Phone #: 684-5611 ERPC $ 8.45 J*H 05/17/96 96-279552
ERPC $ 8.45 J*H 05/17/96 96-279552
Contractor:
INTERSTATE ROOFING
15065 S.W. 74TH AVENUE
TIGARD OR 97223 '— • -----
Phone #: 684-5611 $ 69.15 TOTAL
Reg #..: 55485
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Sewer Insp ___
Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Line Insp _ .
applicable laws. All work will be done in accordance with Pump/Fill Septic
approved plans. This permit will expire if work is not started Cap sewer line
within 180 days of issuance, or if work is suspended for more Misc. Inspection _____ ___
thao 180 days. ____ ' __ _
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Permittee Si t _ _ _ ____� • ~ / � --- ----'
Issued By: / _ � � ��� � � __ ___ __
Call for inspection — 639-4175
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Commercial Building Permit Application
City of Tigard
si
13125 SW Hall Blvd.
Tig31223 ard, OR 97 I j�
(53) 71.
- - / - A/
Jobsite Address: / S1/ S 5 4) / `t
Tenant: VA fi Al Suite #
O ffice Use Only
P lanck/ Rec #*
Valuation:
�J
Owner: t f✓ / �� �/ /i /l 4 C Or 1- 7 �
_ � J � � �� � Q `��[;
Address: /50 6 C 4) 7 4 1' �o�cf proves
. Approvals Required ,;..._,
l 3 / LL /a ,90 . e :V Planning.
Phone: 6q4 6//
Contractor: AY / /' 4 / /ita,o 1Xlv
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Address: /SO 5 bi 7 7 G' k 9Z )-%
Type of const: 0Cl)Y16Lbru
�
� � � 56-// Occupancy class: j. r l ��
o FAyr��/
Phone:
Sprinklered? Yes No
Contractor's License # 1
(attach copy of current Oregon license) Sq. ft. of project: /a 00 J 2__(900)3o060)
46b}
Contact name & phone: /"11.L Moe k ' G $ 9 -c6 // Story (1st, 2nd, etc.) off. /) (,J Sjod
Proposed use:
Architect/Engineer:
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: 3 6 Lt f -L/6 c ; % k e /S Gt 6 A/6 Ci clG Gc f'(�
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Applicant Signature & Pho e n mber
Received by: Date Received: es /7 q6
6'
Permit # Account Description .Amount Amt. Pd. Bal. Due '
Bldg. Permit (BUILD) Z�
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 1 Z�
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
- 7Q0 Industrial TIF (TIF -I)
66 14' C° S )CU'" Institutional TIF (TIF -IS)
Office TIF (TIF -0)
�(� Water Quality (WQUAL)
((Oa Quantity (WQUANT)
► Fire Life Safety (FLS)
)Al + Erosion Cntrl Permit (ERPRMT) -2_1(J6
Erosion Planck/USA (ERPLAN) 7J ( C
r , /
Erasion Planck/COT (EROSN) l� ,�
011)1
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3 TOTALS: