Permit '� �
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CITYOFTIGARD
COMMUNMY DEVELOPMENT DEPARTMENT BUILDING PERMIT
1m1:5mwHeil Blvd. P.O. Box u3397. Tigard. Oregon m7223(503)w49-417s ` � '� PERMIT # ^ BUP92-0076
639-4171 DATE ISSUED: 04/06/92
SITE ADDRESS : 9300 SW WASHINGTON SQUARE RD PARCEL: 1S126C0-01401
SUBDIVISION : ZONING:
BLOCK • LOT ' ^
REISSUE: FLOOR AREAS EX TER lOR WALL CONSTRUCTION—
CLASS OF WORK. ALT FIRST ^ sf N: S: E: W
TYPE OF USE. ..:COM SECOND. ..:3842 sf PROTECT OPENINGS?
TYPE OF CONST.:2FR THIRD ^ sf N: S: E: W
OCCUPANCY GRP.:B2 TOTAL— : 3842 sf ROOF CONST: FlRE RET?
OCCUPANCY LOAD: 77 BASEMENT.: sf AREA SEP. RATED:,
STOR.:2• HT. :36 ft GARAGE—: sf OCCU SEP. RATED:
BSMT?:N MEZZ?:N REQD SETBACKS REQUIRED ------
FLOOR LOAD ^75 psf LEFT: ft RGHT: . ft FIR SPKL:Y SMOK DET..:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:Y PARKING:
. VALUE. $: 61000
Remarks: Section remodel, remove, add int partitions, uncover req'd exit door.
Owner: FEES -------
ME TER & FRANK CO. type amount by date recpt
621 SW 5TH PRMT $ 316.00 JLH 03/30/92 225362
PLCK ,$ 2@5.40 JLH 03/30/92 225362
PORTLAND OR 97204 FIRE $ 126.40 JLH 03/30/92 225362
Phone #: 5PCT $ 15.80 JLH 03/30/92 225362
` PRMT $ 316'00 JLH 04/06/92 —
Contractor —
LIBERTY BUILDERS
726 SE 20TH AVE
PORTLAND OR 97212 -- — ---------
Phone #: 235-9195 $ 979.60 TOTAL
Reg #..: 50823
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 Insulat ion Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This pernit will expire if work is not started Susp Ceilng Insp
within 18N days of issuance, or if work is suspended for nore Final Inspection
• than 180 days.
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Permittee Signature:
Issued By:
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Call for inspection — 639-4175
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CI TY 131u W Hall [31vd PLNCK /RECT # �- ,5 OF TIGARD �SBO PERMIT it /5a/
COMMUNITY DEVELOPMENT DEPARTMENT Tigard regon 97223
(503) 639 -4171 DATE ISSUED
JOB ADDRESS: g3oO 5W U 1 0540 '1 � T1(AVE Pod TAX MAP /LOT /S /3e/CO -Olk
SUB: LOT: LAND USE:
VALUATION: ( I 1 6(
OWNER SPECIAL NOTES
NAME: we 1Q'7 '('GVg REISSUE OF:
ADDRESS: "(.9 1 T LAST REISSUE:
a 2 LIA D, b2 g7 -o ``t FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR I - ,� APPROVALS REQUIRE
NAME: kt he f T k' 2u 1 \d r S PLANNING: 0e`� Y�G'
ADDRESS: 7a(c, 6,0 ENGINEERING:
Q0 O 02, 6 1 - 7a1 1 / 4 -( FIRE DEPT:
PHONE: g'35 - glQ-C OTHER: A20 '/F- i C-
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX:
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AM OUNT AMOUNT PD. BAL.,DUE
10 -432 00 Building Permit Fees 3/6,0 37‘,00 .
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) /5,9(6 i.S,30
Building
Plumbing
Mechanical
10 -433 00 Plans Check Fee ?-0 -4V 2o540
Building
Plumbing
Mechanical
10 -230 06 Fire /26,40 /2-640
30 -202 00 Sewer Connection
30 -444 00 Sewer Inspection
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees
52 -449 00 Parks System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of) •
TOTAL 60,6 O c /:011' Ji
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66,6' Y1
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nm /3587P.WPF