Permit .,...--
i TTY OF T BU PERMIT
PERMIT # ° BUp9C -0450
COMMUNITY DEVELOPMENT DEPARTMENT DATE IS 1 1 /c8/9
. 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 2 S1 1 GAB -00x00
SITE ADDRESS...: 16160 SW UPPER BOONES FERRY RD
SUBDIVISION ° ZONING :I -L
BLOCK ° LOT
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REISSUE: _FLOOR AREAS EXTERIOR WALL CONSTRUCTION -.
CLASS OF WORK. :ALT FIRST ° 10559 sf N: 5: E: W:
TYPE OF :COM SECOND. ..: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :5N .... 0 sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL . 10559 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 113 BASEMENT. :. 0 sf AREA SEP. RATED: .
STOR. : 1 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: Y SMOK DET..: Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM :Y HNDICP ACC :Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR :N PARKING: 0
VALUE. $ : 50000
Remarks: Tenant improvement.
Owner: FEES - --
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA PKY 6 -300 PLCK $ 183.95 J'D 10/24/95 95- 272034
FIRE $ 113.20 .JD 10/24/95,95-272034
TIGARD OR 97224 PRMT $ 283.00 B 11/28/95 95- 273274
Phone #: 624 -6300 5PCT $ 14. 15 B 11/28/95 95- 273274
Contract or^:
H. L. GREEN
15115 SW SEQUOIA BLVD, SUITE 200
TIGARD OR 97224 -- • -• ---
Phone #: 624 -7717 $ 594.30 TOTAL
Reg #..: 41328 .
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp ,_
Tigard Municipal, Code, State of Ore. Specialty Codes and all other I n s u l a t i o n Insp
applicable laws. All work will be done in accordance with Gyp Board Insp �_
approved plans. This permit will expire if work is not started Susp Ceilng Insp ,�__ _._
within 180 days of issuance, or if work is suspended for more Misc. Inspection _ _
than 180 days. Misc. Inspection _ _________
Misc. Inspection
Final Inspection __
i
Permittee Si attire: „i / /'' = -- -_ _ _�..�___-
Issued B y: - r r� �J _ __ _ __ 111 _
Call for inspection - 639 -4175
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Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd. //.
_
Tigard, OR 97223 C \ �� , ‘ I(A�e F ,
(503) 639 -4171 I \ .111/ t i _ t _ , ---
Jobsite Address: / / lo S71/ ,w0/7/1/
/VAPiP/WE Office Use Only •
Tenant: Ilse, L ° ,/BV # Q nq
`� Planck/Rec # U I- l S - o "1 Sd
Valuation: ` �
Permit # - • ) U•— 4 C
Owner: Pacific Realty Associates, L.P. (PacTrust)
Map &.TL # Z 1 I3A6 — (pCd
Address: 15350 .S.W. Sequoia Pkwy, Suite 300 Approvals Required
• •
Portland, OR 97224 Planning
Phone: 503/624 -6300 Engineering
Other
Contractor: H.L. Green Company
Address: 15350 S.W. Sequoia Pkwy, Suite 300
Type of const:
Portland, OR 97224 - 7199
Phone:
503/624 - 7717 Occupancy class: A -2-
Sprinklered? - No
Contractor's License # 41328
(attach copy of current Oregon license) Sq. ft. �f project: • ••+• ∎ ;•:;: � '% I
Contact name & phone: Chris Green, 503/624 - 7717 Story (1st, 2nd. etc.) /49'
Proposed use: _ /G4 l
__ _�
Architect/Engineer: John H. Romish
Previous use: 4j / e / '.;
- Address: 2216 S.E. 24th Avenue
Note: Plumbing & mechanical plans
Portland, OR 97214 must be submitted at time of
Phone:
503/236 - 6306 building permit application.
• JOB DESCRIPTION: Z i mil! ✓ r i Lr/
l�l
A P g icant Signature & Phone number
Received by: / Date Received: / 01 r5c -
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Permit* Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) Z) 2 ,. c 3 ^ -
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) c-/
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) ci3'3' /,c-- "'�--
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 (T1F -IS)
Office TIF (TIF -0)
Water, Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) j ( 0 --
Erosion Cntri Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
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TOTALS: j y�� Cf cJ� /5""
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