Permit CITY OF T PERMIBU # LDING PERMIT
„//
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/29/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
SITE ADDRESS...: 13660 SW PACIFIC HWY #5
tt�� EL: 2S102CC- 01000
SUBDIVISION fdONG:C—G
BLOCK LOT •
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST • 0 sf N: S: E: W:
TYPE OF USE...:MF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.: 5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R1 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. $ : 8300
Remarks: RE —ROOF
Owner: FEES
NORRIS & STEVENS type amount by date recpt
520 SW 6TH #400 PLCK $ 48.43 B 07/25/96 96- 282096
FIRE $ 29.80 B 07/25/96 96- 282096
PORTLAND OR 97204 PRMT $ 74.50 B 07/29/96 96- 282233
Phone #: 263 -3171 5PCT $ 3.73 B 07/29/96 96- 282233
Contractor:
GRIFFITH ROOFING
6815 SW 111TH AVE
BEAVERTON OR 97005 ---
Phone #: 643 -1596 $ 156.46 TOTAL
Reg #..: 000925
REQUIRED INSPECTIONS
This perait is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. 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 more
than 180 days.
Permittee Signature: 02
i /
Issued By: f34 ,
Call for inspection — 639 -4175
1- -A( .fie, i - 1 4 - lit
Commercial Building Permit Application
,City of Tigard
13125 SW Hall Blvd.
4r5
Tigard, OR 97223 f 4
(503) 639 -4171 7 y
\Q• # 5 5o -.57 �
Jobsite Address: . , • • w
Tenant: c■ C-7 rr,v-e.._ f\ k---, Suite # 1,1 I (�
Office Use Only • Planck/Rec # . 7- : tpa ::. . : :: •
Valuation: * R, )00 �"
-:. Permit #::. P °�'it :?` (j.: .:::`' .'
Owner: br \ 1 `�-
�l ��t' ) (15 Map &..TL # ZS 1 'Z= 1000
Address: 5 Sr o *\-■ �c_�� e 14
� Approvals Required:: ': ::::
P .::.
C
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� R ': P lannirig� ::
Phone: a 3 -
o a
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3
. Other:
Contractor:
r k (vn 1 C
R
5
Address: Lo �L �i Jt�) � �u
Type of const:
Occupancy class:
Phone: ( 5r ') (.P-t 15°W.
Sprinklered? Yes No
Contractor's License # Dog 5 1131197
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: C\(lu c,\-< b -r.A lc\ Story (1st, 2nd, etc.)
L 503) C.943- 1 59 Lo
Proposed use:
Architect/Engineer: 'N I (:\
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: 1 'c Ott- \-c is Apr k bole 'la" -, r k)(-)c rel
3 ply , Cap . C_10s ��Q r C rn� i��n (Ma\e rkr.t�
h 4fl . %: ?_ 11I- Y (04 - i-L594,
Applicant Signature & Phone number
Received by: i (AAIL#JC4 Date Received: 7-2,5-10
Permit* Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) '7' t;o 77
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) . "73
7 3
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) f � j . Z-11,
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)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 190/ 40 7 .2