Permit BUILDING PERMIT
CITY OFTIG4IRD DATE PERMIT ISSUED: 0°i/2Q1U96 —O2OJ
-COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 291 02AA -01 100
SITE ADDRESS...: 12035 SW PACIFIC HWY
SUBDIVISION • KINGSTON XICPOR ZONING:C —G
BLOCK • LOT •1 -7 �
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:? TOTAL . 0 sf ROOF CONST: FIRE RET ?:
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 ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 1500
Remarks: Precision Tune — Install waste oil tank in lube & oil pit
Owner: FEES
STAN FOX AND KAREN type amount by date recpt
7325 SW 130TH PRMT $ 25.00 JSD 04/11/96 96- 278058
PLCK $ 16.25 JSD 04/11/96 96- 278058
BEAVERTON OR 97008 FIRE $ 10.00 JSD 04/11/96 96- 278058
' Phone #: 503- 646 -8697 SPCT $ 1.25 JSD 04/11/96 96- 278058
Contractor:
OWNER
Phone #: $ 52.50 TOTAL
Reg #. • .
REQUIRED INSPECT
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other F i n a l Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for yore
than 180 days.
i t
Permittee Sian, r • G � .
Issued By: _x e----c— -
Call for inspection — 639 -4175
•
Called 5_1:7__ %6
Commercial Permit Application cT-
-City of Tigard /
13125 SW Hall Blvd. C�L V
Tigard, OR 97223 .� i (J 1
(503) 639 -4171 p'� � / 1 ��
Jobsite Address: /.0C .% i f/ /4•7 (/
Office: Use Only •
Tenant: Suite # tT
Valuation: 7,, , e r
Planck/Rec # -
Permit #• I JzPc-76-
Owner �71�ti' rET%i r U x
Map & . TL . # �J /OF-A-4— 6l iL77S
Address:
/96-----/9 Approvals Required
(� � � 7GQ Planning:
Phone: O - ?‘ q
Engineering ,444/
�v5 �,p-er Other N T L F
Contractor: Ol,.) r
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:
Architect/Engineer:
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: 2 h 7// T� Q 7-Az/Ai /& / al:36 c p
// V / oz ; / -- FO ?7
Applic na t Signature & Phone number
Received by: Date Received:
Permit it Account Description Amount Amt. Pd. Bal. Due •
Bldg. Permit (BUILD) 2 " Ort'
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State 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 -1)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) /0 -6
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
PP S
TOTALS: