Permit cITYOF TIGAR® ERNI01N
G PERBUP95 -0306
CO MMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/01/95 ,
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (5 71 1
- PARCEL: 151260C -01109
•
SITE, ADrD,RESS.' o : '09500 SW ,WASHINGTON SQUARE RD .
.SUBDIVIS'ION '' • ZONING: C -G ,
,BLOCK. . .......: v LOT ..............
REISSUE: , FLOOR AREAS------- - --' -- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.: ALT FIRST-...: s f N: S : E: W:
TYPE OF USE.. : COM SECOND; .. : sf PROTECT OPENINGS? - - - - . -
• TYPE OF'CONST.:5N THIRD....: sf, Ng- S: E: ' W:
OCCUPANCY , SRP. ': B2 ' .TOTAL ' . 0 sf ROOF 'CON ST : ' FIRE , RET? : .
OCCUPANCY- LOAD:, BASEMENT.: sf AREA SEP. RATED: '
' STOR. : 1 HT.: ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?a MEZZ ?: REQD SETBACKS REQUIRED-
- FLOOR LOAD....: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET..: -
' DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: • IMP SURFACE: - PRO CORR:' PARKING:
VALUE. s : ' , 0 . V
Remark - s:' Re- roofing of J.C. Penn'ey''s Main Store at Washington Square Mall
Owner; ' ' - ---.--.-- FEES -- '_ ,
BUCKAROO- THERMOSEAL, INC. - V type amount by date , recpt
P.O. ' BOX 20188 PRMT $ . 633.00 JDA 08/01/95 MANUAL
5PCT $. 31.65 - JDA 08/'12+1 /95 MANUAL
- `PORTLAND OR 97220 '
Phone #: - 50;3- 254 -5;81 ' V v.
- Contractor: - - -'- . V .'
BUCKAROO THERMOSEAL INC. -
P.,0. BOX. 20188 , .
PORTLAND OR 97220 -------
Phone'#: 254 -5881 V $ 664.65 TOTAL
Reg #:.. : 000454 . . .
. 'REQUIRED INSPECTIONS_
This perait is issued subject to the regulations contained in the Roof n a i 1 n g I n s p ,
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final, Inspection - '
applicable laws. All work will be done in accordance with
approved plan: This permit will expire if 'work is not started . .-
within 180 days of issuance, or if work is suspended for bore .
than 180 days. , - - .
P'ermittee Signature: .� ' +
Issued, By: ' '
Call for inspection = 639 -4,175 • .
it ,
• Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: 6 4S 9. ! 5OO SW Wau4'1 j t o ii oafe R4 ,
Tenant: ��i' ✓/t / �- Suite #
Office Use Only
Valuation: /tea d4D Planck/Rec # 8-1
Permit # .$kt eq f –03 °Io
Owner: Gl/ - r' , � ra , ,49, ., /.r./G ' Map & TL #
Address: 'O- ,6 'x a /S9 S ' Approvals Required
S �d4I Zg. GU, , -- 2'///- 35V ' Planning
Phone: r•–.-- z2 3 -- `f t- Engineering
Other
Contractor: �r/l.,'G4W U – 7/-W, >o ivX '
Address: ,e2. / P
Type of const: (b 1 . 5 1�
Occupancy class: 52--
Phone: c5' /– 55
Contractor's License # e-- – `f y .
8�5 – Sprinklered? Yes No
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: ;'41/r- - ,O w7M'Ci Story (1st, 2nd, etc.)
a
€R5/1- � 56g Proposed use:
Architect/Engineer: I
Previous use: f -t
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: /r°c" iL ✓
Applica nature & Phone numbe
Received by: ( �t d %4Lfifii� Date Received: 9///g5
Permit # Account Description Amount Amt. Pd. Bal. Due •
Bldg. PermIt (BUILD) 633 / ( P 33.
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 3/ • cbS
Bldg: 3/. &S
Plumb:
Mech:
Plan Check (PLANCK)
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 (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: ( 0. S