Permit - —
-�� CITY � TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT '
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PERMIT # :
/3125SN/Ma0BA«�,�R97��/�3)0��4/7/ ^ ` ^ ^ ^ ^ ^ BUP96-0548
Tigard, ' DATE ISSUED: 10/16/96
PARCEL: 1S135BC-00201
SITE ADDRESS...: '1 GREENBURG RD #A
SUBDIVISIONd ZONING:C—G
BLOCK ^ LOT ^
_________ _ _ _
REISSUE : FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
��
CLASS OF : WORK. ���� v^o " FIRST. . . . : ` • 0. sf ' N: E W:
TYPE OF USE. ..:COM SECOND...: 0 sf PROTECT OPENINGS? . ----
TYPE OF CONST.:? ' ' ...: ' 0 sf N: S: E: W:
OCCUPANCY GRP.:U2 TOTAL : 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. ':‘ 0 .sf' ' AREA SEP. RATED:
STOR.: 0 HT: 17 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 ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $: - 0
Remarks: ' PEDESTAL AND. :STEEL LIGHT. POST FOR EXTERIOR PARKING LOT LIGHTINE;,
Owner: ---- — ----- ------ FEES
7 — ELEVEN . (SOUTHLAND) type amount by date recpt
10765 SW GREENBURG RD PRMT $ 25.00 JMH 10/16/96 96-285227
• PLCK $ 10.00 JMH 10116/96 96-285227
TIGARD OR 97223 5PCT $ 1.25 JMH 10/16/96 96-285227
Phone #:
Contract or: —
AZTECH ELECTRIC INC
P .0 BOX 11795
SPOKANE WA. 99211-0795 ' — —
Phone #: $ 36.25 TOTAL
Reg #. . : 066347
REQUIRED INSPECTIONS
This permit is issued .subject to the regulations contained in the Foot/Found Insp _
Tigard Municipal Code, State of Gre. Specialty Codes and all other
applicable laws. All work will be' done. in accordance 'with
approved plans... This permit will expire ifwork..i* not started • , ' •
withio.180 days`uf issuance, or if work is suspended- for more' ' 1 / •
than 180 days. ' ` ` ^ � � ��
` •
•
Permittee Signature: /r �
| Issued By: F�f
Call for inspection — 639-4175
• `
/
Commercial Building Permit Ap p lication / °// �s/
City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223
(503 639 -4171
Jobsite Address: 10 7 L ( ' h OFFICE USE ONLY
Tenant: ( Suite #
Valuation:
a
Owner: r:
Address:
to nt
n
2:t'• �f � G �i c: � ?:;4$::'4:
Telephone:
ne:
Contractor: PZTc - -'
Address: E - 52 ae. on-Dw A-v i
S'O KA � \V A 07q S Type of constr: U - 7--
Telephone: Occupancy Class: I�
Contractor's License # Sprinkler? Yes No
(attach copy of current Oregon license) I
Sq. Ft. Of Project: 41- LI
Contact name & telephone: �
I � F�� N �k Story (1st, 2nd, etc.): �� OVE. P -- (-(_
Architect & Engineer:
Address:
OAT 5�- -� Proposed Use: STD
U 1LIT UA(c,T C-0. •
Previous use:
�,NI� G�II( �� C� 7 ( ) Note: Plumbing & mechanical plans must
Telephone: be submitted at time of building permit
application.
JOB DESCRIPTION: �XT -W fe VI 6 POST 17 PA-2--K--( h) �5A 12 (��} -j I/�
- DC "5
(Applicant Signature & Telephone Number)
Received by: � �''�' Date /0.. I - I b
Y Received: r
PERMIT# Account Description Amount Amt Pd. Balance Due
Building Permit (BUILD) 2
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) ` 25"
Bldg.
Plumb.
Mech. ( (�d
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 Quanity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 34. a 5-
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation -Elect.
dg. ct.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. BI
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: 7 '- t'
f
Date: / L -3 Q
(� L‘e A.M. P.M. Entry:
Address:
Tenant: /6 - 70, Ste: MST: d
BUP: 'T /QS"� O
Con /Own: 2-0. ' R'90 -(2_ o MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Innspe�c r: .-,271 Date:/ 3/
"APPROVED DISAPPROVED /CALL FOR REINSP. CF CCD