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9560 SW GREENDURG ROAD
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
1 c./
Date Requested: 1 A.M. 1/ P.M. MST:
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location: BUP:-f1J J
Tenant: Su Bldg: MEC:_
Contractor: Phone: _�C� `� PLM:
NJ
Owner: Phone. ELC:
ELR:
SIT: _
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/ficam Post/liearn Cover/Service Sewer/Storm
Footing Roof Undl'I/Slab Rough-Ir Ceiling Water Line
Slab Framing Toa Olt Gas Line Rough-In UG Sprinkler
Foundation Insulation �wcrr Hood/I)uct Reconnect Vault
Bsmt Damp Ihywail —VItM Furnace Temp Service MISC.
Masomy Ceiling Rain Dram A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pump Low Volt
Approved !( �_� —_v Approved Approved Approved
Appr/Sdwlk Not Approved NoApproved Not Approved Not Approved Not Approved
F'INAI. FINAL FINAL. FINAL FINAL
173 Call for reinspection �,/' O Reinspection fee of S_ required before next inspectitm O Unable to inspect
Inspector: �'; !�' - P e of
p� �.�_.t Date: 2 � �
,1
CITY OF TIGAR ® BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUr-,97-054,:-
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/08/97
PARCEL: IS126DC-00900
SITE ADDRESS. . . : 09560 SW GREENBURG RD
SUBDIVISION. . . . : LEHMANN ACRE TRACT ZONING:C-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..005 J1JRISDICTION:TIG
------------------------------------------------------------------------ ---------------
REISSUE-. FLOOR PREAS------ ----- EXTEri(IR WALL CONSTRUCTION
CLASS OF WORK. ibEM FIRST. . . . : 0 sf N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : 0 sf PROTECT OPENINGS?------------
TYPE OF CONST. :5N . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :R3 TOTAL------: 0 sf ROOF CONST : FIRE REI ? -
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?: REDD SETBACKS-------- REQUIh1ED--- - -- - ---- -- - - -
FL.00h
ETBACKS--------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . :
DWELL*A*NB UNITS: 0 FPNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMSi 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 111
VALUE. $: 0
Remarks : DEMO EXISTING STRUCTURES, All debris to be removed. Septic tank to be
pumped, filled and inspected.
Owner: FEES
J2MB LLC type amount by date recpt
`j30 4TH STREET PRMT $ 25. 00 BE' ' 2/08/97 97-301496
I-AKE OSWEGO OR 97034 5PCT $ 1 . 25 GEO 12/08/97 97-301496
EROS $ 26. 00 GEO 12/08/97 97-301496
Phone #: ERPC $ 6. 45 GEO 12/08/97 97-301496
ERPC $ 8. 45 GEO 12/08/97 97-301496
ontractor:
L41NCO NORTHWEST INC
PO BOX 1427
GRESHAM OR 97030
---------------
Phone #, 492-1610 69. 15 TOTAL
Rea #. . : 001075 REQUIRED INSPILL" I 1(JNb
This oervit is issued subject to the requlations contained in the 1!LC-t&)ACLMA)
Tigard Municipal Code, State of Ore. Specialty Codec and all other
applicable jaws. All work will be done in accordance with 1-4-- C. r C- C NK
-
plans. This permit will expire if work is not started
041,
within 180 aay5 of issuance, or if work is suspended for more r r
than 180 days. ATTENTION: DPqon law requires You to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in BAR 952-091-0010 through DAR 952-@0101987,
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
-57
i ,er mitt ee Signature Issued By:
y
4-4-++4+++4+++4.................................. 4-+4.........................
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
..........4.........................................4................ t-4.........
CITY ot: TIGARD Commercial Building Permit Reed By A
13125 SW HALL BLVD. New Construction and Additions Date Rec'd
TIGARD, OR 97223 Date to P.E.
Date to DST �1
(503) 639-4171 Pannit#2"""f
Pr nt or Type Related SWR#,v
Incomplete or illegible applications will not be accepted Called_
( Name of Develop menuProiect —�� Existing Building New Building L]
I--- - Job -I)EM0
Address Street Address Suite Building
CIS(00 Sw Pa:K; Lo 0 � Data
Bldg.1 CitylState Zip Existing Use of Building or Property.
T, •��� Or.
Name
Property -T 2h f� LLC Proposed Use of Building o, eroper ),
Owner Mailing Address Suite
`�30 5�(L e t- V No. Of Stories
City/State Zip Phone L
Lll�- OsV- � cl Sq. Ft. Of Project:
Occupant Name �lu-1 n II •;.j,;., k--
NLA. Occupancy Class(es)
Name
Contractor \N-TO Co 06(4 41 WF-gt T Nt, Type(s) of Construction
Prior p Mailicd Address Suite
issuance,
copy a copy �t Will this project have a Fire Suppression System?Yes of all licenses �'� V`F �y Z,
are required it City/Slate Zip Phone , I] No 0 —
expired in C O T Americans with Disabilities Act(ADA)
database �iPES�� Cc C1 10J,., so tl`!t-tutu Valuation X 25% = $ Participation
Oregon Const.Cont. Board Lic.# exp.Date— Complete Accessibility Form
to*I'Sq to jq6 Project $
-------� Name -- Valuation �
17160, -
Arcr,itc-ct _ —
Mailing s,,;te '"fans Required See Matrix for number of sets to submit
on back
City/State Zip Phone — '�—
I hereby acknowledge that I have read this application,that the information
Name — given is correct. that I am the owner or authorized agent of the owner, and
Engineer that plans submitted are in compliance with Oregon State Laws.
Marling Suite W Sigrldtu e f O ner/Agent Date r
City/Slate Zip Phone — ntac erson NameLAaee-
ne
Indir-ate typo of work New O Addition O Demolition o FOR OFFICE USE ONLY _
Accessory Structure O Foundation Only O Alteration O Map/l L# �— Land Use'.
Repair O Other O
Descriptionc lOLt L O f'
of work:
Notes.
IAau.)C , gA'`"�C out fkt�l t"T
t L TIF.
Parks: Estimated#of Empioyeos
Note: Site Work Permit Application must precede or accompany Building )Gl f L t-1
Permit Application _ /
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I\COMNEW DOC (DST) 8/97 ek PN r
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