Permit i BUILDING PERMIT CITY OF TIRD BU891188
CRYOF IWARD
COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE ISSUED: 5 / 2 5 / 89
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 P RIM . PMT . NO . (39:1.1(38
JOB ADDRESS: 9500 SW WASHINGTON SQUARE RD
TAX MAP /LOT • SUB: LT: BK:
LAND USE: •
LOT SIZE: VALUATION: $ 8,000 SETBACKS ,
' FRONT:. REAR:
WORK CLASS: ALTERATION DWELL. UNITS : LEFT: RIGHT:
- USE TYPE: COMMERCIAL NO. BEDROOMS : EXT . WALL CONST: ,
CONST.TYPE:,VN NO.BATHS: N: S: E: W:
OCCUP.GRP.: 82 PROT.OPENINGS:, •
oCC(JP . L.OAD 9 N: S: E: 14:
.
TOTAL AREA : 588
NO.STOP:I:ES: 2 1ST: 588 ROOF CONST: . FIRE PET?
HEIGHT: 36 2ND: AREA SEPAR? NO RATED: NP
BASEMENT? NO 3RD: • OCCUP.SEPAR? NO RATED: NR
MEZZANINE? NO BASEM'T .
FLOOR LOAD: 50 GARAGE: FIRE SPRKLR? YES ALARM? NO
•
FLOW(GPM) DETECT? NO'
HEAT TYPE: CAS HDCP . ACCESS? YES CORR? NO
PLAN CI••IECK 13Y: jhj
REMARKS:
Interior addition to J C Penney Stare REISSUE OF NO..
Ac:Id Olptical. Cntr, second fir. - LAST REISSUE
FEES :• -
O J. C. Penney PERMIT $68.50
w 9500 SW Washington Sq. Pd PLAN REVIEW $44.53
E • Tigard • OR 97223 FIRE DEPT $27.40
R PHONE (503) 620- -0750 STATE TAX $3.43
OTHER
DEVELOPMENT CHARGES:
C SOC(STORM)
O
S DC ( STREET )
N • •
T POC(* )
R 5 A - PREPAID < $71.9':3
C
T
O TOTAL: $71.93
R ,
RECEIPT NO. /03 97 7
This permit is issued subject to the regulations contained in Title 14 - - - r - - --
•
of the TIM, State of Oregon Specialty Codes, zoning regulations' REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby FRAMING
agreed that the work will be done in accordance with the plans and INSULATION
specifications and in compliance with all applicable codes and GYP. BOARD
ordinances. The issuance of this permit does not waive restrictive
SUSPEND .CEILING
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and FINAL
void if work is not started within 180 days, or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all re uired inspections are requested and approved.
'
Permittee Suture
Issued By Up CALL. FOR INSPECTION 639 -4175
•
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY ®F TICS. 11)
PLAN CHECK APPLICATION
Eaj PLAN CHECK It 5 SS
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT it //.
13125 S.W. Hail Blvd, P.O. Box 23397, Tigard, Oregon 97223, (SW) 39.4175 DATE ISSUED
JOB ADDRESS: 6 /...5 - 00 _c tOris11:1,116'v S ?fie ?rC le J, LOT: T A X M AP /
SUB: � -
..
VALUATION.
OWNER
SPECIAL NOTES
/� -
NAME: ( • ( PtAfwe` (o REISSUE OF:
ADDRESS: � LAST REISSUE:
,,P m E .-1 ('-'2'' FLOOD PLAIN/
� mc SENSITIVE LAND:
PHONE: 4'20 - S 7-s 7-s a " ,, R f-L-41 P kb `" t
APPROVALS REQUIRED
CONTRACTOR /1 n PLANNING:
NAME: j - I: , P'EWA e, ENGINEERING:
ADDRESS: / FIRE DEPT
i e L. :1 OTHER:
• CAA-
PHONE: [Si ( ( CCri- V' (...“1 ITEMS REQUIRED
LIST /SUBCONTRACTORS:
ARCH /ENGINEER BUS TAX:
CALCULATIONS:
NAME:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: •
OTHER:
COMMENTS:
sF 1 04 9 , g z, .) 2240/ /7r .
PERMIT It ACCT It DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees ', .50 68,30
10 -431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees 3;9
10-230 01 State Building Tax (57) 3,9 S
Building
Plumbing
Mech L� L � r
10 -433 00 Plans Check Fee 44,5
Building
Plumbing
Mech
30-202 00 Sewer Connection
30 -444 00 Sewer Inspection -
51 -448 00 Street System Dev Charge (SDC)
52 -449 00 Parks System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg (SSDC)
10 -230 09 TRFD 2740 27. y0
10-230 06 Washington County Fire #1 (95%)
10 -220 00 Amart /Wedgewood
TOTAL /43 ,86 7( .93 7/, 93
/ R EC !# /0,4493
I�. l 3
APPLICANT GNATURE
Received By: ("7,41Ai Date Received: 6"
cn/3587P/18P