Permit CITY OF TIGARD BUILDING PERMIT
PERMIT i : BUP95 -02.01
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/05/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (03) ,1394il-l.1
PARCEL: 1S1 260C-01107
SITE ADDRESS— .: 09633 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C -G
BLOCK ° LOT
REISSUE: FLOOR AREAS -- -- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. :TEN FIRST ° sf N: 5: E: W:
TYPE OF USE... : COM SECOND... :293 sf PROTECT OPENINGS?-------------
TYPE OF CONST. :5N THIRD ° sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL . 293 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD :3 BASEMENT.: sf AREA SEP. RATED:
STOR.: HT.: ft GARAGE...: s f OCCU SEP. RATED: 11-IR
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD psf LEFT: ft RGHT: ft FIR SPKL :Y SMOK DET.. :Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM :Y HNDICP ACC :Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR :Y PARKING:
VALUE. $ : 42000
Remarks: food court tenant
Owner: - -- - - - - -- FEES --
COOL TEMPTATIONS type amcunt by date recpt
9633 SW WASHINGTON SQ. RD. PRMT $ 247.00 JD 07/05/95 95- 267562
PLCK $ i60.55 Ji-ir- 06/12/95 -
TIGARD OR FIRE $ 98.80 JHF 06/12/95 -
Phone #: SPCT $ 12.35 JD 07/05/95 95- 267562
Contractor: ------------------
NORWEST GENERAL CONTRACTOR
P.O. BOX 25305
PORTLAND OR 97225 -0305 •- - - - --
Phone ;r: 503-291-6986 $ 518.70 TOTAL
Reg #..: 89425
REQUIRED INSPECTIONS -•
This peroit 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 peroit will expire if work is not started S u s p C e i i n g Insp
within 189 days of issuance, or if work is suspended for core Final Inspection _
than 180 days.
i/
Permittee Signature: . I) l 41, f ()
Issued 2
C. _
Call for inspection - 639 -4175
- Commercial Building Permit Application
City of Tigard el) wok-
13125 SW Hall Blvd. (/t1'
T OR 97223 0-4-- ''5g --\-y
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(503) C---;(r- �� - 41 � -- .
Jobsite Address: 6 C SA I A✓c �.� S. u} .04 , �, '} .., „;; r ,...,.• \ \, \ tillage ,
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Valuation: �� }
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Address: // / .� -� ':.: ; E :; , . . : ::< t.. ':ti: •�: . . :
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ntractor:
1 �Ag ddress:
Type of const: I / re, V
Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project: 0 293
Contact name & phone: ,5 /,1/fr -t' ! .J2 Wet / Story (1st, 2nd, etc.)
u — C,3-. ":3- Proposed use: le_0 LI. t ,Y
Architect/Engineer: I E.e" (Ai) ALu Al C lr / 7 c 7 URIC �
� � Previous use: �C /�GZ.c.
Address: (3 3 A; td / 3 0,Ax.2._
Note: Plumbing & mechanical plans
) 61)/1 0.44/1 0 - 1 must be submitted at time of
�� _ a ��/ building permit application.
Phone:
JOB DESCRIPTION: -- /3&C - Lid 04J 4 4 O lezL6 ._a7 .� -� e_.c -9CL,G- 1c,Lei-.�
... a. Fes, /,1.
c _. pc) a
Applicant Signature & Phone number .,
)1 �r�� / �,C / 'C )
Received by: ,/ _ _.. / D ate Received:
Permit # Account Description Amount Amt. Pd. • Bal. Due
Bldg. Permit (BUILD) l'T V;/ 7 '
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) i 7 2- 7 -
Bldg:
Plumb:
Mech:
Plan Check PLANCK ( 0 /G' 0, cc,
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)
c� I' ✓
Fire Life Safety (FLS) (d 1 D
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: cl
"d9
A
CITY OF TIGARD BUILDING INSIW :LION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 i Business Phone: 639 -41 v
Inspection: 10 At 1L __ . • - - ' 1 4.-, r 'ii ' i, /
Footing Susp. Ceiling Sprink. Rough -in Ap ,r /'d . I.
ilie
Foundation Plbg. Underslab ech. Rough -in Firep ace
Post /Beam Struct. Plbg. Top Out El c. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas ine -:Idg. - 9-4 1
Plbg. Underfloor Rain Drain Frami 112:,
Alarm Water Line Insulatio - Mec�R:5
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: T7 1 l `? 5 Time: /6 PM
Address: �(p' 3 3 W h . S 0
Builder CAA - D--9 (- 4 (?6 Permi - 4: APAr ----C3 -CD
THE FOLLOWING CORRECTIONS ARE OUIR -4,t. ■ i �C 73
c 95' -azo
ft_ 95- 3 3
Inspector: Date: 7/2 6/ 5
C PPfi6VED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
•