Permit v
S C I TY O F T I GARD BULD I NG PERMIT
PERMIT # BUF'96 -0005
DATE ISSIUED: 01/03/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 25102BD -01503
SITE ADDRESS...: 12760 SW PACIFIC HWY
SUBDIVISION • FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK • LOT •i
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.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.: B2 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. $ : 0
Remarks: Hang drop ceiling.
Owner: FEES
ATG INC type amount by date recpt
515 SW 3RD PRMT $ 32.50 JSD 01/02/96 96- 274480
PLCK $ 21.13 JSD 01/02/96 96- 274480
PORTLAND OR 97214 FIRE $ 13.00 JSD 01/02/96 96- 274480
Phone #: 503 -274 -8702 5PCT $ 1.63 JSD 01/02/96 96- =74480
Contractor:
PORTLAND ACOUSTICAL SYSTEMS
MARK TANZILLO
10795 NW REEVES ST
PORTLAND OR 97229
Phone #: $ 68.26 TOTAL
Reg #.. : 086875
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Susp Ceilng Insp
Tigard Municipal Code. State of Ore. Specialty Codes and all other Misc. Inspection —
applicable laws. All work will be done in accordance with Final Inspection _ —
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 ��t�_ire: —�" .___ —_ —__�` _
Issued By: a (-----
Call for inspection — 639 -4175
Commercial Building Permit Application
'City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: I a7h0 5(k) 1 Le:ICT( M4)
Tenant: i+ li T (f tt Q(5 Suite # Office Use Only
oD Planck/Rec # N A C 6
Valuation: a �C Drop CZ(7 I1q
Permit # (5it ( - - 0 . S'
Owner: , /f1 F-5"---0•°.3
Map &. TL # � 5
Address: rcl AA Approvals Required
�r ✓ rfi4.ud1 C)fP 47/y- . . Planning W1 . :..
Phone: SO a7Ct 870
a. Engineering - :
�O� 1 X 4CCCI 3//CS Other
Contractor: . << ; .
Address: /d 7 7 iI/GzJ . I.QP.v,
r /14'4<- of D� 7, r79 Type of const:
c � r Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License # F FS 75 i - Z7 - '74°
-15(0 (attach copy of cure nt Orego license) Sq. ft. of project:
Contact name & phone: [� // - p • Story (1st, 2nd, etc.)
17 `I 5vf Proposed use:
Architect/Engineer: opt Q
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: K),o C2i 4'7
6 -4z fres /476 --
Applicant Signa re & hone number
Received by: Date Received: / 6' 7 �'
Permit U Account Description Amount Amt. Pd. Bat. D e
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) — G /- / 3 /
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)
Fire Life Safety (FLS) 1 �' or
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: !((2`''
r• AI) T& 6 17 ., .
r7(DO SW 4 u3H 99' 61vci C-k-- (
M .ditcA4 ct ok''
\.,
. %
.. . , s
Do
•
. kotaL44
C 1 ttcse-iS 1 K X. X_ gc
• ..
&
0-Pc Tcc "t.. ).(--'
X
_ ------ :6' r.... ; ■ - 4 . • .)‹:
• ■
. •
- . . _ . • ; :
41 1
----. : C ver S dies
A-•tes3t wIth . . X
•
-- C.-
.... •
. i
i •
• . •
.
i. . . ... . .. ... ..
..
i • ; ;- .
, •
Floor •
. ; 1 . .
floor Pki
CA+ resAced
..------)
-. lootAe i
1 ,KTri„
_ F2slyek..LOor 16 ..
CITY OF TICNT .. • .
Approve° 1-ta
For only the work as descriut • :.
PeriMIT NO. cS .5-
J Address: /q--f-c,o 5....f ra.-• • 1 4 Ali Mod
y :
,:,,,.... _... ,, p- Date:_t, .1- - < r
Pirofe eel /,r7 o,:, )
• • . GI4i
;e_rs
- • fa760 DzxvrekOi
• Stk. • t 1 - "1
• t ) 1
. 50M.Alt3To - 910-1‘ • Peda.. wro
•
. s
E.;cf)tes.S • • • PYri<Tnci •
. .
z,... : • Shy%
--- . .
- ____________ ...____
•
I. CE /c /A/6- 6,42.. /0 SI's 7:e/el 7-0 ds G
2. /,Z ►, , .LS TQ Sv i ° f 0 A 7.- 6.¢. /0 S 0 c.£n, . 7. '/ 4;43. To
MA /isi R. vivou
3. SE / Z./jl"C s' C S 7',c,vrs) Tp isz / � AILT/94. S /1- 0 AI CL,,
N o M0L 7.47,47N C ' ` Az o •-, i 4 w /TN S 5 WIR.A T /LD 17 c D
S A o A.
CZA / A7 L 7 .- de t v /A4S 7o &z T /LO Tp i9L4 TGt".S
N
0 #40,4.4- 7--A7,9"." g " f e e iv+ L✓ 4 L( AM/ 64-E
5 -.9) /r/ 4/6 % f i x 5 T o / / / 9 v . C w /# S T/ eo •A.
SAL r •
C0/2 -A aS o/ 6,c. i,o 44. O "fe S o O 19"' � a,r 4 /G4/7"
f/ X re/.e-.t
•
4/19/00 Activities for Case #: BUP96 -00005
5:51:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received 1/2/96 - 1/2/96 JSD PASS JD 1/2/96
BUPC008 Permit created 1/2/96 1/2/96 JSD PASS JD 1/2/96 Jim Funk performed
over- the - counter plan review on
this.
BUPC762 Susp Ceilng Insp 1/8/96 RB FAIL BT2 8/12/96 no one at site- no inspection
made! Noted that ceiling was
already covered- not allowing
forviewing of mech. and /or
electrical and seismic restraint.
BUPC799 Final Inspection 1/16/96 TLP PASS TLP 3/31/97
BUPC100 (F) Issue permit 1/3/96 B PASS B 1/3/96
•
BUPC762 Susp Ceilng Insp _ 1/16/96 TLP PASS BT2 8/12/96
BUPC960 Case Finaled 3/31/97 TLP PASS TLP 3/31/97
•
•
•
•
•
•
•
•
Page 1 of 1