Permit C !lY F TIGARD BUI O PERMIT ; LDING PERMIT
BUP9 5- -0199
'COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/07/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (5031_839;417
PARCEL: 1S1260C -01107
SITE ADDRESS...: 09637 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C —G
BLOCK LOT...... .......
REISSUE: FLOOR AREAS- --- -- - - - - -- EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:TEN FIRST °1059 sf N: S: E: W:
TYPE OF USE...: COM SECOND...: sf PROTECT OPENINGS?----------
TYPE OF CONST.:5 -1HR THIRD....: sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL 1059 sf ROOF CONST: FIRE RET?;
OCCUPANCY LOAD:7 BASEMENT.: sf AREA SEP. RATED:
STOR.:1 HT.: ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS -- REQUIRED -- --
FLOOR LOAD ° psf LEFT: ft RGHT: ft FIR SPKL:Y SMOR DET..:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:Y PARKING:
VALUE. $ : 75000
Remarks: food court restaurant
Owner: - - -- -- —. FEES
SBARRO — type amount by date recpt
9637 PRMT S 358.00 SW 07/07/95 —
SW WASHINGTON SQ. RD. PLCK $ 232.70 JHF 06/12/95 —
TIGARD. OR FIRE $ 143.20 JHF 06/12/95 —
Phone #: 5PCT $ 17.90 SW 07/07/95 --
Contractor: - - -- ---- - - -- --
OWNER
Phone #: $ 751. 80 TOTAL
Reg #.. : 000000
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 Insulation 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 Susp Ceiing Insp
within 185 days of issuance, or if work is suspended for Dore Final Inspection
than 185 days. _
Permittme Signature:
/ 6 - 1 P 'h
Issued Ey :' ._,A, , � -- —
Call for inspection — 639 -4175
• - Commercial Buildin • Pe it A • • licatio ► / . �
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171 , ...-(i! lir
Jobsite Addressr . k).' • SN 6T• N r . k ).
r %� : Office Us Only : • . ..:
Tenant .6 _, Suite # re— CO 9 -
SQ V A IZ.G . PlancWRec # -
Valuation: f ?� 0 0 0
Permit# OP .':
Owner: Sts LL , Map' & TL # .. 3 {� � P /; , .7
Address: 7603 LAR.e.. ( E. L r P A ppro val s Requir :
CO MM AGE N Ill
1 Planning : .:' :.. •
Phone: S 64,4- 0 3
• Engi
DU) k7 - - i/ (5 /t-c.) .. Other
Contractor: ! , r :.:. :.::.: .:. ::::.
-
''.--//'.. ,,i
Address:
v-
i
Type of const: It - I He.
Occupancy class: /►1 ELf AN rt LC
Phone:
Sprinklered? No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project 1 OJT ¶
Contact name & phone: Story (1st, 2nd, etc.) A
,/ /� J c.
Proposed use: F.4 STAV�.AN
Architect/Engineer: K.EN/J .L VT"T.S
Previous use: /4/E4) Foci) Covi -T
Address: 1 S r AdrEc.0AGN �-D
n Note: Plumbing & mechanical plans
I:J ELL CANYON, Ci'\ 4/1307 must be submitted at time of
a ' building permit application.
- Phone: S (S — 1 1 /� 7 .
JOB DESCRIPTION: i d= NANT r /N'1, 1.1 OF -LTALI A N AST F00
4 STAU2A/4 r I N N E w FOO a C.40 u/1.,7 AT LdASH. SQ• /1AU
----P cS4.4"4.4.„:,..a..u.) 3 gco ( 0 A'3
Applicant gnature & Phone number
, / ,mac , c -,
Received by: , Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) �'� -"''�
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
I/
State Tax (TAX) � 7 ( ) 9 v
Bldg:
Plumb:
Mech:
J _
Plan Check (PLANCK)
F3 E' x-70 V
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quantity (WQUANT) ✓ ( t�
Fire Life Safety (FLS) y � <3' /y6. 35
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
v
TOTALS: 7 S '/
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