Permit '- '.' _ - _--_
BUILDING PERMIT �~/
TIGARD
� l� ��.��- � � ��,� DATE ISSUED: 08/20/96
r` C DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 9722308199 (503) 639-4171 PARCEL: 2S102CB-00100
SITE ADDRESS...: 12850 SW GRANT ST
SUBDIVISION....: NORTH TIGARDVILLE ADDITION ZONING:R-12
BLOCK : LOT'... ...... ...:41 ,
_ _ _ _ _
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.:ALT FIRST ^ 0 sf N: S: E: W:
TYPE OF USE...:ED SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL : 0 sf ROOF CONST:BFIRE RET?:N
OCCUPANCY LOAD: 0 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: SMOK DET.. :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR HLRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 121 PRO CORR: PARKING: 0
VALUE. $: 75000
Remarks:
Owner: - - FEES ----
TIGARD-TUALATIN SCHOOL DIST. type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 358.00 JD 08/14/95 95-269275
PLCK $ 232.70 JD 08/14/95 95-269275
TIGARD OR 97224 5PCT $ 17.90 JD 08/14/95 95-269275
Phone #:
Contractor: -
SNYDER ROOFING
12650 SW HALL BLVD
TIGARD OR 97223 - -
Phone #: 620-5252 $ 608.60 TOTAL
Reg #.. 000158
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Roof nailng Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with ___ � __
approved plans. This permit will expire if work is not _ _
within 180 days of issuance, or if work is suspended for sore _ ___
than 180 days. ---, ------- --------
' i _ _ __ _ -__
. y/ / ` . _____-__- __�
Permittee Signature: � '�&� � � ' -- --- ------ ---
- ^ .-- � ^~ _ ' -- -- _____
_ • _
Issued By: _ ____ _
d Call for inspection - 639-4175
. 011(rd S J1 /
Commercial Building Permit Application
City of Tigard - `- -
13125 SW Hall Blvd. ( ( 7 / �' 5 - I -
Tigard, OR 97223 ( / I i 1 4 w ,A,,
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(503) 639 -4171 (z-b , r >' , �O , f
Jobsite Address: r . »..
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Tenant: CiP T' w..) � asuite # Office Use O te
nly:
enant:
Valuation: / C
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Owner: 1 ^ k l.
IV 7 ,O ( 9l� ' Map' "LL :
M Address: ` � � Jtic•I Pkq
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Approvals Required:
O1
1/6 rZ, q72 3 Planning -
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Phone: 6w` 162o Engineering
Other
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Contractor: ll" -0 . .. « ... - .
Address: 1 2-Kb SA? 41k, &/J
fl re- 0\7)-1. Type of const:
60.9 - 2-57., Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License # 00(s
(attach
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copy of current Oregon license) Sq. ft. of project:
Contact name & phon-• D�NIG� N Story (1st, 2nd, etc.)
o,p C Z Proposed use:
Architect/Engin (�
1111■4 Previous use:
Address: im.
N A Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
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JOB DESCRIPTION: r - - C 4 .
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Applicant Sig 'ature & Phone number
Received by: -, I N 1 AN IZA -t.kG Date Received: / ® 1] - U' N S
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