Permit --
\ nn
ITY OF TIGARD 'f /r' BUILDING PERMIT
Opp% 1= HERMIT # BUF,95 -��1`
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED : 06/19 /95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 1 1 �
I-PCEL: 0S000XX -00000
SITE ADDRESS... : 13680 SW PACIFIC HWY
SUBDIVISION ° ZONING: ?
BLOCK LOT •
REISSUE: FLOOR AREAS-- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. : REP FIRST sf N: S: E: W:
TYPE OF USE. ..:COM SECOND...: - sf PROTECT OPENINGS? -
TYPE OF CONST.:5N THIRD sf N: S:• E: W:
OCCUPANCY GRP.:A3 TOTAL-- - -- - -: 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
STOP,. : 1 HT. : ft GARAGE...: sf OCCU SEP. RATED
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED - --- - - - --
FLOOR LOAD....: ps f LEFT : f t RGHT : ft FIR SPKL : SMOK DET.. :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 3835
Remarks: Re-roof only
Owner: • - -- FEES
TIGARD MASONIC LODGE type amount by date recpt
13680 SW PACIFIC HWY PRMT $ 44.50 B 06/19/95 -
FIRE $ 17.80 B 06/19/95 -
TIGARD OR 97223 -0000 SPCT $ 2.23 B 06/19/95 -
Phone #: 000- 000 -0000 4
Contractor: • - - - --
ALLIED ROOFING CO
140 NE 1ST
SHERWOOD OR 97140 -. ------- ----- - - - - -.
Phone #: 625 -5872 $ 64.53 TOTAL
Reg #.. : 99286
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Roof nai lng Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Final Inspect ion
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.
Perm ittee Si. ature: 14.L d .
Issued By: t vim. .. _ I i ,
Call for inspection - 639 -4175
1
Commercial Buildin • Permit A • • licatibn
City of Tigard •
13125 SW Hall Blvd.
06,1
Tigard, OR 97223 /� (1- e e
(503) 639 -4171 14 p9 '
Jobsfte Address: 1/1 50N i C —I-4-n,- /
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Tenets: X3680 Suite • 9 `' ::::. : :.. ._:..... ��'�i \:�. �::} .. �
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Valuation? 3, 8 3:C. 3 6 r:
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Phone: 1r i ] ( 1 a \ i}} t :: vr ti i:::.::', }v;:: :? ..:.:.M1:, :!: ,.: .
S 0
Contractor: 4//,..‘
'I (/ o 4 ,. ,:.. „, :. ,ti • c< , ,. , „...:::::::.:..„.:„.„,::::.,...:::...:.....:.:.
•� ■ ess: / 4 / D /V4' / 51' ,5 /ZGJ6 z1 , 0/�i�
A Type gD 0 h 1 ,,.J;
' 1 � T e of const:
Occupancy class:
Phone: � � , J — 56)72--
Q p U Sprinklered? Yes No
Contractors License # - 1 ! o1J 6
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: fE',/ /{gi✓C,C .4,2 - 1R72 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: /7O C /1 6 (J 7 .,. S R‘ivil7
c - L1 `14. i s 6 5- -�47a
Ap nt Sig ure & Phone nu er
Received by: Date Received:
ro-i(o ..0 A
Permit # e spcount Description Amount Amt. Pd. Bal. Due
o tAC S' Bldg. Permit (BUILD) • 4 ' -. U
Plumb. Permit (PLUMB)
•
Mech. Permit (MECH)
State Tax (TAX) .2- 3 l) 2
-
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 -l)
Institutional TIF (TIF -IS)
Office TIF (TIF -0) t.
•
Water Quality (WQUAL)
Water Quantity (WQUANT)
v U
Fire Life Safety (FLS) ) 7- ) 2
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: P Li 2 U h. 5-1
42
Review of our records indicate that you are the applicant
for permit number B La 9S - z 12-
at I ? (o Rb S(.0 IC t.i''l'7`C
and that inspection activities have not been c m leted.
P P
Due to the age of the project and lack of activity, the
permit is hereby expired by limitation as provided by
Oregon Specialty Codes. If you wish to continue activity
on this permit a new application- and fees will be required.
If you have qu stirzns ...lease- a11.kins, Inspection
Supervisor ^at .39 : 4L7 ,ext ..41'
•
' ;Y . ;�;:.. �' ••,, a _�.r•• � ,
City of Tigard 0 A RO `
Building Division �' • Q�`
13125 SW Hall Blvd. FEB23�0 Q 2 Q •
Tigard, OR 97223 �* a?
OR .� : ^5 U.S.POSTAU:
Tigard Masonic Lodge
13680 SW Pacific Hwy
Tigard, OR 97223
I I i r - �.--1_3_
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24 ..
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1/27/00 Activities for Case #: BUP95 -00212
5:22:30 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received JHF 6/19/95
BUPC010 Plan check deposit paid _ JHF 6/19/95
• BUPCO20 Plan check by 6/19/95 6/19/95 JHF APPR JHF 6/19/95 •
BUPCO30 FPS review JHF 6/19/95
BUPC040 Check for prcl. restrict. 6/19/95 JHF 6/19/95
•
BUPC750 Insulation Insp JHF 6/19/95
BUPC799 Final Inspection JHF 6/19/95
BUPC742 Roof nailng lnsp 6/19/95 JHF 6/19/95
BUPC090 (F) Ready to issue 6/19/95 JSD JD 6/19/95
BUPC100 (F) Issue permit 6/19/95 BON B 6/19/95
BUPC160 Expired by limitation 1/27/00 AKJ DONE No Hold AKJ 1/27/00
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