Permit BUILDING PERMIT
CITY OF TIGARD F'FRi+I T T # ^ B F' " — 00
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/15/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503)1390171. 1
PARCEL: 1S136CA -01600
SITE ADDRESS...: 11655 SW PACIFIC HWY
SUBDIVISION • ZONING: C —G
BLOCK • LOT -
REISSUE: FLOOR AREAS - - -- - -- EXTERIOR WALL CONSTRUCTION- -
CLNSS OF WORK.: ADD FIRST • 40968 sf N: S: E: W:
TYPE OF USE... :COIN SECOND.. • : sf PROTECT OPENINGS?--------- - - - ---
I•Yr'E OF CONST.:2N THIRD • sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL-- : 40968 sf ROOF CONST:B FIRE RET?:Y
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:2HR
STOR.: 1 HT. :23 ft GARAGE...: sf OCCU SEP. RATED:
BSMT? : MEW?: REQD SETBACKS REQUIRED ---- - - -• --
FLOOR LOAD • psf LEFT: ft RGHT: ft FIR SPKL : Y SMOK DET.. : N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEGRFIS : BATHS: IMP SURFACE :90167 PRO CORR : N PARKING:
V 4LUE. $ : 112500
Remarks: AKA Business Services— addition to an existing building: Foundation
Permit Only. ONSITE WATER QUALITY FACILTY!
Owner: -- - - -• -- FEES - - -- •--
AKA BUSINESS SERVICES type amount by date recpt
PU BOX 19089 PRMT $ 465.50 BON 03/15/95 15/95 —
P'LCK $ 302.b8 BON 03/15/9b —
PORTLAND OR 97216 5PCT $ 23.28 BON 03/15/95 —
Phone *: 452 -1094 , SWM $ 3500.00 BON 03/15/95 --
Contractor: . - - - --
UR.LUN PACIFIC CONSTRUCTION
18 ► S PACIFIC HWY
WOODBuRN OR 97071 --
Phone #: 503 - 981 -8147 $ 4291.36 TOTAL
Reg #..: 37543
REG!U 1 RED 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 Foot /Found Insp
applicable laws. Ail work will be done in accordance with Reinforced concr __
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more _
than 180 days. _
Permittee Si nati -ire:
issued Sy: — � _ — �— —
Call for inspection — 639 -4175
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Commercial Building Permit Application-' L i �Q
City of Tigard
13125 SW Hall Blvd. C am ; 4,1 03/01,
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: 1 1 b 55 S Vl) 1' A_t (n C W
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Phone: e a
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Contractor:
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Address:
Type of const:
Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: Story (1st, 2nd, etc.)
Proposed use:
Archit nglnee�j: 1I& r-ogo K;12/\4) CgOu)
Address: I 1)1 0 S 1N IV ∎ rvt A u s v I � (0 Previous use:
Note: Plumbing & mechanical plans
9 T J 3 / 1 6g- q7-2 must be submitted at time of
building permit application.
Phone: 3q Ob0
JOB DESCRIPTION: 014.1f7 Q2t) 4 0,660 , 1 S47)✓ki (OvylyK. bide,
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Applicant Signature & Phone number
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Received by: D ate Received: 7/;-.) �
Permit # Account Description Amount Amt. Pd. Bal Due
6 ( % it Bld Permit (BUILD) 4" "7 SOS
e - .
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 -0)
Water Quality (WQUAL)
Water Quantity (WQUANT) 3 S�' 3S
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: z z/z9i / l
rat