Permit ~_ . ' e,
V /' u
BUILDING PERMIT ��
*. ��� OF TIGARD (�C�zr �L-� � l� ��� � � DATE ISSUED: 04/10/95
COMMUNITY DEVELOPMENT DEPA EN
1o`onaw*mooxm.r/mum.owmwn 9722308199 (503) 639-4171 fa/ PARCEL: 291140D-00101
SITE ADDRESS...: 17005 SW 92ND AVE
SUBDIVISION....: ZONING: .
BLOCK..........: LOT.............: '�
_____ ___ _ ______ _ _________
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.:WEW FIRST....:2024 sf N: S: E: • W:
TYPE OF USE— 0-TlR SECOND...: sf PROTECT OPENINGS?----------.
TYPE OF CONST.:5N THIRD....: sf N: 9: E: W:
OCCUPANCY GRP.:A3 TOTAL------: 2024 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD:289 BASEMENT.: sf AREA SEP. RATED:
STOR.:1 HT.:12 ft GARAGE...: sf OCCU SEP. RATED:
BSMT?:N MEZZ?:N REQD SETBACKS-------- REQUIRED -
FLOOR LOAD....: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET..:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE:2024 PRO CORR: • PARKING:
VALUE. $: 20000
Remarks: REPLACE PICNIC SHELTER #1
Owner: ----- --- • - - FEES --------------
TIGARD CITY OF type amount by date recpt
13125 SW HALL BLVD PRMT $ 0.00
PLCK $ 0.W0
TIGARD OR 97223 5PCT $ 0.00
Phone #: 639-4171 INSP $ 0.00
'
Contractor: - ---------
MICHAEL MARK LTD
15100 SW 150TH AVE
TIGARD OR 97224 ---- - ---
Phone #r $ 0. 00 TOTAL
Reg #..: 53626
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot/Found Insp _
Tigard Municipal Code, State of Ore, Specialty Codes and all other Post/Beam Insp ___ __________
applicable laws. All work will be done in accordance with Reinf Steel Insp _____ ________
approved plans. This poruit will expire if work is not started Slab Insp __ _
within 180 days of issuance, or if work is suspended for sore Framing Insp
than 180 days. Roof nailng Insp __ ____
Final Inspection _______ _
_______ _ ____ __
Permittee Signature: ----�----- --- -----
_�� ^�~�°-- - ______' ___ ___
_ � ` �_____��__
Issued By: ____ _________ __ ____
Call for inspection - 639-4175
•
.
,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: 1/
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in !�
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: ‘7 "— 7 9 S Time: AM PM /
Address: / 70 0 c — 9 2L — 6,04- ,4p4 5 �/ /g
Builder: 44/ U /1G e/ ,4' &K4 L 7Permit #: gar 4 )s -40 / 0 3
THE FOLLOW' 'i"ECTIONS ARE REQUIRE,:
IM" — V r •
Inspector Date: (O 7 7 7 4 3 ---
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Li ,5
Jobsite Address: Coo I Id. N .
Tenant: ite #
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........ ...............:..............:
Valuation:
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Address: W d
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T. a� 72 2
Phone:
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Co ra t or:
M. � d�
Gia e lrl k
LTD
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Address: /5700 Su/ /..5 /4✓e,
Type of const:
TVA. H o,. 9 7 2 2
Occupancy class:
Phone: 59 a — 4¢11
Sprinklered? Yes No
Contractor's License # 38 2 f
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: Q bbe� f G c Story (1st, 2nd, etc.) 's3
Proposed use: P.c.. S4,04zek-
Architect /Engineer:
Previous use: / c4.2/lei.
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: R1ep(4.c . F-ec eyh / sp, (.•S /iac � o•`cJ ' r . s% e. / /eI-
Aiev- 2? ‘3 , -1"'/
Applicant Signature & one number
Received by: , !� � Date Received: 3 \ -1ct
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) `Un _
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
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)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
10/7/99 Activities for Case #: BUP95 -00103
2:27:36 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPCO20 Plan check by 4/7/95 4/7/95 DS APPR DS 4/10/95
BUPC705 Foot/Found Insp 4/7/95 5/18/95 TLP PASS TLP 6/8/95
BUPC725 Slab Insp 4/7/95 5/18/95 TLP PASS TLP 6/8/95
BUPC740 Framing Insp 4/7/95 6/7/95 TLP PASS TLP 6/8/95
BUPC799 Final Inspection 4/7/95 6/7/95 TLP PASS TLP 6/8/95
BUPC090 (F) Ready to issue 4/7/95 JDA JDA 4/7/95
BUPC100 (F) Issue permit 4/7/95 JDA JDA 4/7/95
BUPC105 (F) Reprint Permit 4/10/95 JDA JDA 4/10/95
BUPC960 Case Finaled 6/7/95 JF 7/20/95
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