Permit -, CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SI WORK
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PERMIT
PERMIT # • SIT94 -0048
639 -4171 DATE ISSUED: 12/29/94
PARCEL: 1S136DB -00500
SITE ADDRESS...: 11619 SW PACIFIC HWY
SUBDIVISION • ZONING: C -G
•
BLOCK . LOT
TYPE OF WORK:ADD PAVING? :Y RESO. NO.:
EXCV VOLUME.:100 cy GRADING? •Y VALUE...$: 24500
FILL VOLUME.:100 cy LANDSCAPING? •Y
ENG FILL? •N SITE PREP? •Y
SOILS RPT READ ?:N STORM DRAINS ?...:Y
IMPERV SURFACE..: sf
Remarks: Expand existing structure from 3,354 square feet to 4,819 square feet
(1,465 sf addition), remodel existing interior and exterior, and revise existing
site with parking and landscape changes.
Owner: •- FEES --
GALVAN GUITRAN PARTNERSHIP type amount by date recpt
11619 SW PACIFIC HWY PRMT $ 170.50 JF 12/29/94 -
5PCT $ 8.53 JF 12/29/94 -
TIGARD OR 97223 PLCK $ 110.83 JF 12/29/94 -
Phone #: 228 -3413
Contract or:
RUSSELL CONSTRUCTION
2211 N. W. FRONT AVENUE
PORTLAND OR 97209 --
Phone #: $ 289.86 TOTAL
Reg #.. : 58918
REQUIRED INSPECTIONS
This perait is issued subject to the regulations contained in the Erosion Control
Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp
applicable laws. All work will be done in accordance with Fill Inspection
approved plans. This perait will expire if work is not started Grading Insp
within 180 days of issuance, or if work is suspended for store St rm Drain Insp
than 180 days. Final Inspection
7--.
Permittee Signature: -- —
•
Issued B y:
Call for inspection - 639 -4175
� Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobstte Address: I) / 9 5lti/ PC e ;
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Tenant: 2 S
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Valuation:
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Contractor: RU5Se/ (or •ij .l AC
Address:
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R id 97�� Type of const: S N
Occupancy class:
Phone: -2 — 3
Sprinklered? Yes (■Jo)
Contractor's License # Ctg S8 7)9 A'
(attach copy of current Oregon license) Sq. ft. of project: 1 �� 9 �oeq i ► � ' 1
O ,A Story 2nd, etc.)
Archttect/Engtneer: give
Proposed use: RoST
& N/
Address: 3 ao 5(A) �l o YK 91 � � Previous use:
eid 9 rlga).11 Note: Plumbing & mechanical plans
must be submitted at time of
Phone: Zz 8 �5 building permit application.
COMMENTS:
Applicant Signature & Phone number
Received by: SG Date Received: 71 -79
4
Permit # Account Description Amount Amt. Pd. Bal. Due
S 1 T / `--0099 Bldg. Permit (BUILD) i r laS °
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 2. S3
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) 110-S3
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -1)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS: 89 e.
6/16/99 Activities for Case #: SIT94 -00048
2:06:38 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SITA007 Application received 9/1/94 MAB 11/23/94
SITA010 Plan check by 11/23/94 MB APPR . MAB 11/23/94
SITB740 Strm Drain Insp 9/1/95 GS PART GES 9/1/95 FROM STREET MANHOLE TO
FIRST ON SITE MANHOLE
SITA080 (F) Issue permit 12/29/94 JF JF 12/29/94
SITB740 Strm Drain Insp 9/11/95 GS APP GES 9/12/95
SITB800 Case Finaled 10/2/95 GS APP GES 10/2/95
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