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V d � A r a cL H J r > C cc p 0 0 U 0 �yy y N d 0 Cl �� b c a ? LL a a N (1) N Q ° Z d ii 2 — U �- N Cl) n 00 C) w 14 0 m o0 0 r- a' 0 `�, o 00 N > 0 Q 0 Q Q O Qd Q Q Q :D Q Z) m m m m m m m / \ § \A 5ELL zgo })§ z \\\ \ § 2 a) # § § § a § a \£ [ f * f { o m m ® _ }\ r 0 / 2 2 $ $ 2 o ± ± 7 / \ 7 � 2 � � \ } ty _ ) m m ri \ o \2 — � § % § $ 2 2 A A § § § ± rV / / 2 � 2 c ) 7 f B f 0 $ _$ } c § J $ \ no k } E w 4 _ = m @ $ / \ 0 ) ) E ) 3 3 m m m CITY OF TIGARD DEVELOPMENT SERVICES BUILDING FEF'MI7 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP97-02'99 DATE ISSUED: 0E./13,/97 PARCEL. I.S 13,6AD-041.0 TE. A1)DRE=S! . . . 1.0735 SW 69TH AVE # SUBDIVISION. . . . : VILLA RIDGE ZONING: R-1., h LOCK. . . . . . . . . . . LOT. . . , . . . . . . . . . : _ .TURISDICTION:TIG REI S SUE: f, -- FLOOR AREAS----------- --EXTERIOR-WALL CONSTRUCTION- CLASS e CL_A5S UF' WORK. : F P,ai F I RST. . . . : 0 s f N: S: E: W: TYPE OF USE. . . :MF SECOND. . . : 0 sf PROTECT OPENINGS?---------__.__. TYPE OF CONST. : ? . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :R 1 TOTAL----------: 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SIP. RATED: BSMT? : MEZ 7_? : REDD SETBACKS--------- --- FLOOR LOAD. . . . : 0 psi" LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM: HNDICP ACG: BEDRh1S: 0 BATHS: 0 IME, SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 0 Remarks . Gettysburg Apts. re-roof building #2 Owner: -_____.__---_.____.__________._._..___.__._ ----____________..._____ FEES CAMILLE KRICKMAR type amor_tnt by date recpt 790 HERMOSA WAY PRMT $ 25. 00 B 06/13/97 97-295955 LAGUNA BEACH CA 9'2651. 5F'CT $ t. 25 B 06/' 13/97 9"7-29 5955 Phone #: 714-494--8345 Contractor-: DUALITY ROOF INC 18750 SW �1ADEL I NE ST ALOHA OR 97007 Phone #: C-4.2-9762a' $ 26. 25 TOTAL_ Reg #. . : 009059 - ---- REQUIRED INSPECTIONS --- This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection �— applicable laws. All work will be done in accordance with approved plans. This permit will expire if wort. is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon ;Utility Notification Center. Those � �- r~L rules are set forth in OAR 952-001-0010 through OAR 952-00!01987. N You many obtain a copy of these rules or direct questions to OLINC -—by calling calling (503)246-1987. -� Permittee S i n a t r.r r e : <.�..� . ,/A'( ,�. c ,_Ied ^ 1- F i ..........4-++-h F V+F r+4...4-+-h4•.....-F....#+..4... ........} ......4.+-F..-F-F+-f•-F... i Call 639-4175 by 6:00 p. m. for an inspection needed the next bi-isiness day +++++++++++++++++++++++-L+++++++++++++++++++++++++++++++++++++++++++++++t+++++-r ,ITY OF TIGARD Recd By: 1J 131'5 SW HALL BLVD. Date Recd: ,172-�7 TIGAFG OR 97223 RE-ROOFING PERMIT APPLICATION Date to PE: V- 503-639-4171 X304Date to D§T: Incomplete or illegible applications will not be accepted permit rr F-503-08 4-7297 Called: va rie of Develop enuBusiness STEP 2. NEW ROOFING ASSEMBLY ,�209­5 Materfal Documentation UBC Appendix 1S) Street Ad ss Ste M Please fill out applicable section and attach copy of roofing Job Site ,5- b specifications. Bldg# Crty/State Zip Linted Asaem Circle&Complete A, B or C) _ / A Na ^ ' / 1. Specification#: ��11,:2 71 Owner Mailing Address 2. Manufacturer: z, I L'r Istate, Zip Phone 3a UL Classification: me Listed UL Building Materials Directory Nage (OR) Roofing Marling dress 3b Warnock Hersey Contractor 1-5-- (Prior to issuance City,State Z�i�j Listed Wamock Hersey Directory Page#: applicant must p �.� 7�7 (PROVIDE COPY OF ASSEMBLY) -rovide a copy of Phone# Fax K all contractor {! _0117Z _I B. ICBO Research#: licenses if State Constr-Contr. Board# Exp. Date expired in COT DATED: _ database) COT Bus.Tax or Metro Lrc# Exp.Date (PROVIDE COPY OF ASSEMBLY) --- --------------•------------ ------- WILDING INFORMATION r.;; ,? C. SPECIAL PURPOSE ROOFING: WOOD SHAKES' A iwlding-Type Of Use: (circle on,#.- ('review required by plans examiner) SF SFA -MF uildino - Type of Sonstruction; VALUATION OF PROJECT $ _-xisting Deck Type: Permit fee based on valuation" Combustible (Y) Non-Combustible ( ' see Chart on back S _` n RESIDENTIAL ONLY City use only: Co.WA REPAIR (MAJOR) (BUILD) �(UBUILD) Permit requir-d rNLY when spaced sheathi g is covered by solid sheathing. 5% State Surcharg-9 S City use only. WACO- 5UBMIT THREE Q SETS OF PLANS SPECIFYING. (TAX) r (UTAX) A. Roof area & nearest street. _ 65% Plan Review S B. Attit rents - Providel sq, ft. for each 150 sq. ft of attic City use only u WACO: space 8 vents shall be located in the upper 113 of the roof. (BUPPLN) (U9UPLN) Provide 1 sq ft. for each 300 sq. ft. when eaves 3 attic TOTAL 3 L S un y TEP 1. COMMERCIAL GIALY I acknowledge that I have read this application and that the :esrnbe work to be done: (check appropriate box) information given is correct; that I am the owner or authorized J RE-ROOF (circle A .B or C) agent of the owner, and that the plans (if applicable) are in i = A. Existing built-up roof covering to be REMOVED and deck compliance with Oregon State law r repaired - Signature of Owner/Agent Date B Existing bunt-up roof covering to REMAIN: note applicant I must submit an engineer's review of the roof structural ,--L road y.� elements. Review shall bear the seal 'or stamp)of the architect or engineer licensed in Cregon. Contact Person Na.ne Telephone C. Asphalt or w000 shingle/shake (PROCEED TO STEP 2) •LO 4f S �C... �Y''�G <COF 1 DOC(dsts) CITY OF TIGARD BUILDING PERMIT FEES TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT PROJECT FEES (40%) (65%) (5%) FEES 1.1500 25.00 10.00 16.25 1.25 52.50 1,501-1600 26.50 10.60 1-1' 23 1.33 55.66 1,601-1,700 28.00 11.'-U 18. 0 1.40 58.80 1,701-1,800 29.50 1180 19.1 b 1.48 61.96 1,801-1,900 31.00 1'%.40 20.15 1.55 65.10 1,901-2,000 32.50 '13.00 21.13 1.63 68.26 2,001-3,000 38.50 15.40 25.03 1.93 80.86 3,001-4,000 44.50 17.80 28.93 2.23 93.46 4,001-5,000 50.50 20.20 32.83 2.53 106.06 5,001-6,000 56.50 22.60 36.73 2.83 118.66 6,001-7,000 62.50 25.00 40.63 lj.13 131.25 7,001-8,000 68.50 27.40 44.53 3.43 143.86 8,001-9,000 74.50 29.80 48.43 3.73 156.46 9,001-10,000 80.50 32.20 52.33 4.03 169.06 10,001-11,000 86.50 34.60 56.23 4.33 181.66 11,001-12,000 92.50 37.00 60.13 4.63 194.26 12,001-13,000 98.50 39.40 64.03 4.93 206.86 13,001-14,000 10+.50 41.80 67.93 5.23 219.46 14,001-15,000 110.50 44.20 71.83 5.53 232.06 15,001-16,000 116.50 46.60 75.73 5.83 244.66 16,001-17,000 122.50 49.00 79.63 6.13 257.26 17,001-18,000 128.50 51.40 83.53 6.43 269.86 18,001-19,000 134.50 53.80 87.43 6.73 282.46 19,001-20,000 140.50 56.20 91.33 7.03 295.06 2.0,001-21,000 146.50 58.60 95.23 7.33 307.66 21,001-2-2,000 152.50 61.00 99.13 7.63 320.26 22,001-23,000 158.50 63.40 103.03 7.93 332.86 23,001-24,000 164.50 65.80 106.93 8.23 345.46 24,001-25,000 170.50 68.20 11 " 'A3 8.53 358.06 25,001-6,000 175.00 -110.00 11 , '75 8.75 367.50 26,001-21',000 '1 99.50 71.80 116.68 8.98 376.96 27,001-28,000 184.00 73.60 119.60 920 386.40 28,001-29,000 188.50 75.40 122.53 9.43 395.86 29,001-30,000 193.00 77.20 125.45 9.65 405.30 30,001-31,000 197.50 79.00 128.38 9.88 414.76 31,001-32.000 202.00 80.80 131.30 10.10 424.20 32,001-33,000 206.50 82.60 134.23 10.33 433.66 33,001-34,000 211.00 84.40 137.15 10.55 443.10 34,001-35,000 215.50 86.20 140.08 10.78 452.56 J 35.001-36,000 220.00 88.00 143.00 11.00 462.00 36.001-37,000 224.50 99.80 145.93 11.23 471.46 37,001-38,000 229.00 91.60 148.85 11.45 480.90 1 P(,CFI DOC (dsts) CIS' OF TIGARD DEVELOPMENT SERVICES BUILDTNG PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : BUP97--0301. DATE ISSUED: 06/1.3/97 PARCEL: 1S136-AD-04102 5.1TE ADDRESS. . . : 10735 SW 691-H AVE #4 �AJBD I V I S I ON. . . . : VILLA RIDGE Z ON I NG: R--12:' BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 JU R I SD I CT I ON:TI G REISSUE: FLOOR AREAS --------------- EXTERIOR WALL CONSTRUCTION-- CLASS OF WORK. :_ e" O - FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :MF SECOND. . . : 0 sf PROTECT OPENINGS?-------- -- TYPE OF CONST. : ? . . . . 0 sf N: S: E: W: OCCUPANCY GRP. : Rl TOTAL—---: 0 s ROOF CONST: FIRE RETI : OCCUPANCY OAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 41 HT: 0 ft GARAGE. . . . 0 sf OCCU SEP. RATED: PSMT" : MEZZ? : REOD SE*TBACKS-------------- REOUI FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 F R N T: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 TMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 0 Rvmar-lis : Gettysburg Apts. re-roof building 14 (11,4ner-: FEES CAMILLE KRICKMAR type al!101.Ant by date Y'e c P t ?90 HERMOSA WAY PRMT $ 55. 00 B 06/1.3/97 97-2'9595!5) IAGUNA BEACH CA 92651 5PCT $ t. 25 B 06/ 13/97 97--29395'.1 111Fione #: 714-494-8345 Contt-Actot-: ULIALITY ROOF INC 1.8750 SW MADELINE ST ALOHA OR 97007 Phone #: 642- 976-2 $ 26. 25 TOTAL Reg #. . : 009059 REDO IRED INSPECTIONS This permit is issued subject to the regulations contained in the MiSC., Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by tl,e Orpnon Utility Notification Center, Those rules are set forth in OAR 952-001-90I0 through OAR 952-00101987. You many obtain a Copy at these rules or direct questions to OUNIC by calling (503)246-1987, C-0 W I er-mittee Sjgnati_tt,.e Az t Iss'_Ied By: 4........4-+++\*.....4..........................................4.......4 Call 639-4175 by 6:00 p. m. for An inspection needed the next br.tsiness day ...............4......4+++++44...............4.............................. ......A- CITY OF TIGARD Recd Hy: '3125 SW HALL BLVD. Date Recd: I - I TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date to PE: V-503-639-4171 X304 Incomplete or illegible applications will not be accepted Date to DS�: =-503-634-7297 Permit Callen: Nar7olf Developrne i ,usrnem STEP Z NEW ROOFING ASSEMBLY Material Documentation UBC Appendix 15 _ Street Add v- Ste# Please fill out applicable section and attach copy of roofing Job Site Q ' specifications. Bag 0 City/stun Listed Assembly (Circle&Complete A,B orC) A. Na e / 1. Specification#: /pl Owner Mailing Address 2. Manufacturer. Ci Slate ZipQ� Phone 3a UL Classification: Na a Listed UL L wilding Materials Directory Page#:_ (OP, Roofing Mailing Address 3b Warnock Hersey : Contractor (Prior to issuance Cityr to Tzi Listed Warnock HerseyOiredo Page#: applicant must .f�/ �o Y�G� _ ___—(PROVIDE C_O_P_Y_O_F ASSEMBLY) provide a copy of Phone# Fax# — — —all contractor B. ICBO Research#: licenses if State Constr.Co Board# Exp. Oats expired in COT _ < ��1'�'` DATED: database) COT Bus.Tax or Metro Lac# Exp.Date (PROVIDE COPY OF ASSEMBL'0 WILDING INFORMATION 7 C. SPECIAL PURPOSE ROOFING: WOOD SHAKES' wilding-Type Of Use: (circle one)f ('review required by plans examiner) SF SFA I MF wlding- Type of Construction: VALUATION OF PROJECT $ xistnng Deck Type: Permit fee based on valuation' Combustible Non-Combustible ( ) ' see Chart on back S n, RESIDENTIAL ONLY City use only: WACO: ZI REPAIR(MAJOR) (BUILD) I (UBUILD) Permit required ONLY when spaced sheathing is covered by solid she;-,.',, 19 5% State Surcharge S City use on,r: l WACO: 51j8MLT_1YE?CE(31 SETS OF PLANS SPECIFYING. (TAX) l (UTAX) A. Roof area a nearest street. 65% Plan Review $ B. Attic vents- Provide sq. ft. for each 150 sq. R of attic City use only: WACO: space&vents shall be located in the upper 113 of the roof. (BUPPLN) (UBUPLN) Provide 1 sq. ft. fcr each 300 sq. ft. when eaves &attic 2 TOTAL S �• Z N _ STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the l— Describe work to be done: (check appropriate box) information given is correct: that I am the owner or authorize —' R&ROOF (circle A,B or C; agent of the owner, and that the plans (if applicable) are in A. Existing built-up roof covering to be REMOVED and deck Compliance with Oregon State law. u (. repaired- Signature of Owner/Agent Date -� B Existing built-up roof covering to REMAIN: rote applicant must submit an engineer's review of the roof structural elements. Review shall bear the seal(or stamp) of the _ 7 architect or engineer licensed in Cregon. Contact Person Na Telephone C. Asphalt or wood shingle/shake (PROCEED TO STEP 2) i ROOFI.DOC(dsts) CITY QE IMiARQ BUILDING PERMIT FEES TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT PROJECT FEES (40%) (65%) (5%) FEES 1-1500 25.00 10.00 16.25 1.25 52.50 1,501-1600 26.50 10.60 '17.23 1.33 55.66 1,601-1,700 28.00 11.20 18.20 1.40 58.80 1,701-1,800 29.50 11.80 19.18 1.48 61.96 1,801-1,900 31.00 12.40 20.15 1.55 65.10 1,901-2,000 32.50 13.00 21.13 1.63 68.26 2,001-3,000 38.50 15.40 25.03 1.93 80.86 3,001-4,000 44.50 17.80 28.93 2.23 93.46 4,001-5,000 50.50 20.20 32.83 2.53 106.06 5,001-6,000 56.50 22.60 36.73 2.83 118.66 6,001-7,000 62.50 25.00 40.63 3.13 131.25 7,001-8,000 68.50 27.40 44.53 3.43 143.86 8,001-9,000 74.50 29.80 48.43 3.73 156.46 9,001-10,000 80.50 32.20 52.33 4.03 169.06 10,001-11,000 86.50 34.60 56.23 4.33 181.66 11,001-12,000 92.50 37.00 60.13 4.63 194.26 12,001-13,000 98.50 39.40 64.0' 4.93 206.86 13,001-14,000 104.50 41.80 67.93 5.23 219.46 14,001-15,000 110.50 44.20 71.8.. 5.53 232.06 15,001-16,000 116.50 46.60 75.73 5.83 244.66 16,001-17,000 122.50 49.00 79.63 6.13 257.26 17,001-18,000 128.50 51.40 83.53 6.43 269.86 18,001-19,000 134.50 53.80 87.43 6.73 282.46 19,001-20,000 140.50 56.20 91.33 7.03 295.06 20,001-21,000 146.50 58.60 95.23 7.33 307.66 21,001-22,000 152.50 61.00 99.13 7.63 320.26 22,001-23,000 158.50 63.40 103.03 7.93 332.86 23,001 24,000 164.50 65.80 106.93 8.23 345.46 24,001-25,000 170.50 68.20 110.83 8.53 358.06 25,001-26,000 175.00 70.00 113.75 8.75 367.50 26,001-27,000 179.50 71.80 116.68 8.98 376.96 27,001-28,000 184.00 73.60 119.60 9.20 386.40 28,001-29,000 188.50 75.40 122.53 9.43 395.86 29,001-30,000 193.00 77.20 125.45 9.65 405.30 R 30,001-31,000 197.50 79.00 128.38 9.88 414.76 31,001-32,000 202.00 80.80 131.30 10.10 424.20 32.001-33,000 206.50 82.60 134.23 10.33 433.66 33,001-34,000 211.00 84.40 137.15 10.55 443.10 34,001-35,000 215.50 86.20 140.08 10.78 452.56 LD 35,001-36,000 220.00 88.00 143.00 11.00 462.00 36.001-37,000 2,2_4.50 89.80 145.93 11.23 471.46 37,001-38,000 229.00 91.60 148.85 11.45 480.90 1 ROOF1.DOC(dsts) CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PIERNIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 P,ERMIT #. . . . . . . : BUFJ97--0--100DATE ISSUED: 06/13/97 PARCEL: 19136AD-04102 SITE ADDRESS. . . : 10735 'SW 691-H AVE #3 SUBDIVISION. . . . : VILLA RIDGE ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .. :2 JU R I SI)I CT I ON:T I G -------------------------------------------------------------------- ----------------- REISSUE: FL30R AREAS- ­-­-------- EXTERIOR—WALL- CONSTRUCTION— CLASS OF WORK. : FIRST. . . . : 0 Sf N: S: E: W: TYPE OF USE. . . :MF" ci:Er'_)ND. . . : 0 :5f PIROTECT OPIEN I NG5?­----- TYPIE OF' CONST. . -) 0 s N: S: E: W: I)CCUPIANCY GRP. : R1 TOTAL-----------: 0 SF ROOF CONST: FIRE RET? : (_.)CCUP'ANCY LOAD: 0 BASEMENT. : 0 s AREA SEP,. RATED- STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEF,. RATED- LASMT?: MEZZ? : REDD SETBACKS----- REDU I FL OOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT. 0 ft FIR SPIKL: SMOK DET. . DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP1 ACC: BEDRMS: 0 BATI-15: 0 IMF, SURFACE: 0 PRC' CORR: PIARKTNG: 0 VALUE. $ : 0 Pemar-14s : Gettysburg Apts, re-roof building #3 Owner-: FEES CAMILLE KRTCKMAR type amol-tnt by date r,ec-,pt '790 HERMOSA WAY P,RMT $ 25. 00 B 06/13/97 97-295955 LAGUNA BEACH CA 92651. 5P,CT $ i. c,5B 06/1:3./9-1 97-295955 Plhone Contractor QUALITY ROOD 1,8750 SW MADELINE. ST I-)L-OHn OR 97007 ---------------- -_ Phone #: 642-9762 $ 26. 25 TOTAL 14eg #. . : 009059 REDUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mise. Inspect ion Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, at, if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952101-0010 through GAP 952-00101987. un You many obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. cc LO LL) J Permittee Siynatt_tr,e : Isso-ted By 4.........4.........4.............++++++++++4...................................... Cal 1 6139-4175 by 6:00 p. m. for an inspection needed the next bl-is iness Hay .............4-4-4-++++4........................4.................................. ;ITY OF TIGARD Recd By:ft-L- 13125 SW HALL BLVD. Oate Recd:-, ! r1GARD OR 97223 RE-ROOFING PERMIT APPLICATION Date to PE:- V- 503-639-4171 X304 Incomplete or illegible applications will not be accepted Date to D T: F-503-684-7297 Permit ? ' Called: Nart±e of DevelopmeptjBusines3 STEP 2. NEW ROOFING ASSEMBLY Materiel DocumentationUBC AppendIX 1 ttc Street Ad ss Stet Please fill out applicable section and attach copy of roofing Job Site /� - specifications. Bldg a► City/State Zip Listed Asser r• Clrrle&Cam tabs A,B or C A. Name 1. Specification W Owner Mailing Address 2. Manufacturer. 9AW'Slate Zip Phone 3a UL Classification: ( ' Na a —� Listed UL Building Materials Directory Page - �CL/ (OR) Roofing MailtriTAddress 3b Warnock Hersey: Contractor (Pnor to issuance City/Sta`tte�� Zip Listed Warnock Hemey Directory Page#: applicant must I �� (PROVIDE=COPY OF ASSEMBLY) rovide a copy of Phone M Fax M ------------------------------------- all contraclor 7 ? B. ICBO Research* licenses State C nstr.Contr.Poard* Exp. Date expired in CUT `> %' DATED: database) COT Bus. Tax or Metro Lac# Exp.Date (PROVIDE COPY OF ASSEMBLY) ------------------------------------- �t11L3ING INFORMiiTtON, C. �,`ECIAL PURPOSE ROOFING: WOOD SHAKES' U ng-Type Of Use: (circle one - MF—-� (•review required by plans examiner) SF SFA uiiding - Type of Construction. _ VALUATION OF PROJECT $ xisung Deck Type: Permit fee based on valuation" _ Combustible ( Non-Combustible ( ) _ 'see Chart on back S <"D RESIDENTIAL ONLY City use only: WACO: _ I 7 REPAIR (MAJOR) (BUILD) , (UBUILD) Permit required ONLY when spaced sheathing is covered by solid sheathing. State Surchargej. $ 7 t SUBMIT THREE(I) SETS Q)= City use only, WACO:PLANS SPECIFYING. (TAX) t (UTAX) A. Roof area&nearest street. 65% Plan Review $ 9. Attic vents - Providet sq. ft. for each 15(' sq. ft of attic City use only: WACO: space&vents shall be located in the upper 1/3 of the roof. (BUPPLN) �(UBUPLN) Provide 1 sq. ft. for Pach 300 sq. ft. when eaves b attic TOTAL S 2_b Z STEP 1. COMMERCIAL ONLY _ I acknowledge that I have read this application and that the Describe work to be done: (check appropriate box) information given is correct; that I am the owner or authorized RE-ROOF (circle A .B or C) agent of the owner, and that the plans(if applicable) are in WI-"-k-E Listing built-up roof covering to be REMOVED and deck compliance with Oregon State law. -- feLL) paired- Signature of Owner/Agent Date B. Existing built-up roof covering to REMAIN: note applicant / must submit an engineer's review of the roof structural P elements. Review shalt bear the seal (or stamp)of the �� ara�.itect or engineer licensed in Cregom Contact Person Name Telephone C. Asphaii or wood shingle/shake (PROCEED TO STEP 2) .ca+�1 t Pt mss'= Q�i r.RCOFI.DOC(fists) C�,'Y-_91-JIGARD BUILDING PERMIT FEES ' TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT PROJECT FEES (40%) (65%) (5%) FEES 1-1500 25.00 10.00 16.25 1.25 52.50 1,501-1600 26.50 '0.60 17.23 1.33 55.66 1,601-1,700 28.00 11.20 18.20 1.40 58.80 1,701-1,800 29.50 1180 19.18 1.48 61.96 1,801-1,900 31.00 12.40 20.15 1.55 65.10 1,901-2,000 32.50 13.00 21.13 1.63 68.26 2,001-3,000 38.50 15.40 25.03 1.9:, 80.86 3,001-4,000 44.50 17.80 28.93 2.23 93.46 4,001-5,000 50.50 20.20 32.83 2.53 106.06 5,001-6,000 56.50 22.60 36.73 2.83 118.66 6,001-7,000 62.50 25.00 40.63 3.13 131.25 7,001-8,000 68.50 27.40 44.53 3.43 143.86 8,001-9,000 74.50 29.80 48.43 3.73 156.46 9,001-10,000 80.50 32.20 52.33 4.03 169.06 10,0011-11,000 86.50 34.60 56.23 4.33 181.66 11,001-12,000 92 50 37.00 60.13 4.63 194.26 12,001-13,000 98.50 39.40 64.03 4.93 206.86 13,001-14,000 104.50 41.80 67.93 5.23 219.46 14,001-15,000 110.50 44.20 71.83 5.53 232.06 15,001-16,000 116.50 46.60 75.73 5.83 244.66 16,001-17,000 122.50 49.00 79.63 6.13 257.26 17,001-18,000 128.50 51.40 83.53 6.43 269.86 18,001-19,000 134.50 53.80 87.43 6.73 282.46 19,001-20,000 140.50 56.20 91.33 7.03 295.06 20,001-21,000 146.50 58.60 95.23 7.33 307.66 21,001-22,000 152.50 61.00 99.13 7.63 320.26 22,001-23,000 158.50 63.40 103.03 7.93 332.86 23,001-24,000 164.50 65.80 106.93 8.23 345.46 24,001-25,000 170.50 68.20 110.83 8.53 358.06 25,001-26,000 175.00 70.00 113.75 8.75 367.50 26,001-17,000 179.50 71.80 116.68 8.98 376.96 27,001-28,000 184.00 73.60 119.60 9.20 386.40 28,001-29,000 188.50 75.40 122.53 9.43 395.86 29,001-30,000 193.00 7720 125.45 9.65 405.30 30,001-31,000 197.50 79.00 128.38 9.88 414.76 31,001-32,000 202.00 80.80 131.30 10.10 424.20 L 32,001-33,000 206.50 82.60 134.23 10.33 433.66 33,001-34,000 211.00 84.40 137.15 10.55 443.10 34,001-35,000 215.50 86.20 140.08 10.78 452.56 111 35,001-36,000 220.00 88.010 143.00 11.00 462.00 36.001-37,000 224.50 89.80 145.93 11.23 471.46 37,001-38,000 229.00 91.60 148.85 11.45 480.90 I ROOF 1_DOC(dsts) CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : B1.1P97-0278 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/2'9/97 PARCEL: IS136AD—IZ14102 SITE ADDRESS. . . : 10735 SW 69TH AVE �j SUBDIVISION. . . . : VILLA RIDGE Z014TNG: R-12 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :2 JURISDICTION:TIG --------------------------------------------------------------------------------------------- REISSUE; FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION-- CLASS ONSTRUCTION—CLPSS OF WORK. : REP. FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :MF SECOND. . . : 0 sf PROTECT TYPE OF CONST. : ) . . . . 121 sf N: S: E: W: OCCUPANCY GRPI. : R1 TOTAL--------: 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RA'rED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? : MEZZ? : REDD SETBACKS----------- REG?UIRED_______----_--_--___.__ FLOOR ETBACKS--------- FLOOR LOAD. . . . : 0 psf LEFT : 0 ft RGHT: 0 ft FIR _9PKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP' ACC: BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PIRO CORR: PARKING: 0 VALUE. $ : 0 Remarks : Gettysburg Apts. re-roof building 11 Owner,: ------------------------------------------------------------ FEES CAMILLE KRICKMAR type amol.knt by date r-ecpt FIRMT $ G.,2. 50 DRA 05/213/97 97-295210 LAGUNA BEACH CA P,L C K, $ 40. 63 DRA 05/C*-'9/97 97-2952.10 5PICT t 3. 12 DRA 05/29/97 97-295210 Fah one #: 714--494--8345 Contr-actor: CRJALITY ROOF INC 18750 SW MADELINE ST ALOHA OR 97007 Phone #: 642-976r $ 106. 2:5 TOTAL Reg #. . : 009059 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than IN days. Fler-raj.ttee Siginati-At e Issi-ted By : LL! Call fat- inspection 639-4175 34 7 11:•18 Wo.3 684 —.1,17 (.ITY OF Tl ..SRU 0 o.,.,0 02, CITY (-).F TIGARD Recd By: 131125 ',"IV"HALL BLVD. Date Rec'c- ' IGARn OR 97223 liRL-ROOFING PERMIT APPLICATIA(-,N bate to PE Date to OST: 1 39-4171 X304 incom,4te ar;legible applv;, will not be a=epte,". pprmit#7 --.,u:-o64-7297 Called: NFAM 04 DevellopmenYBusiness 'NWR0')1q ASStIABLY Please hill out applicable an. .11py of roofing specifications. 7,o Usted Answn I fA.8 or bly (Cft e A. 1. spedfloallon#: 2. Manufacturer: pi,urs 3a. UL Classincation., listed UL Building Malec y Page ft (OR) 3b Warnock Hersey 3b, Li.e4ted',Vamwk Hersey Directory Page ft. Ile (PROVIDe COPY OF ASS Fax# S, S. IC80 Research W ile C ns r Cr,.-t 0 rd* & -",t DATED S Tjx or 1.',mr4's i,,t* *i- ,, E�P.Dela .7' t! 10N 11cle one) •review ltqi.lifed by plat 10-A COM n,_ f -nns,ruct ion- VALUATION OF 41A,Pok�v& 7~ nq I Yoe Permit tee Cased on ,�Mbustible N) Non-Corntijvlhlr� r �Bpm chart te; "tate Surcharge2 RrIPAIR (MAJOR) i1qbMiI reqwrel�;NL'r'when spaced sheathing is ccverc,: ,arid sheathing 65111�, Man Reviev, PLAN: -S Imaittlit t;t1VVI T07 e !,hicvents- Providel sq, ft. for enc`' '"U ,;q rtotam; I acknov-ledge it have read tt',,$ 0pr1fcRt,,)n and the; l spa 4 vents shall be lo�Atsd in the upper 1.1.1 of the roof. t�f_�lrf�,rmation i) it hat I am tne owner r.�r Pi o ,il? 1 sq, ft, for each 300 sq, ft. when eaves l authorized ag,;,rf the owner, and that the plans (it app;,,.. :C-Ipkance with the ,Fwon —iL m .—aia. P#h ombp worl, 1 (clptk o"opropriatt box� .,0 A 8 or i x1stinq LwA-up roof covering to be REMOVE7 k �r, , , I bato rpp ired- ru % Exi:tlnp Will up ruuf covering to REMAIN nu:t- C-0 must subvirl an engineer's review of the roof si!iiLl, ii, elements review shall bear the s (of �f Lir architect Q, engineer licensed in Oregon. 4'r elepnone C. Asphn't or wood shingle/shake EEC. rc S rEp I.ROOF I DOC lij>I CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: _ (0 fi f—i —_ .— A.M. P.M. _ MST: Location: / n -]j S BTJP:-'L7 I 1 Tenant:_ Suite: Bldg: MEC: Contractor: l Gl'� Gl �vr __ Phone: - Z,10, C,r d_ PLM: Owner: _ ��/ '" Phone: _ _._ ELC: _ ELR: _ srr: _ BUIII)ING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE v SitePo Post/Beant PostfBeam Cover/Service Sewer/Stonn Footing "o"of ) UndFI/Slab Rough-In Ceiling Water Line Slab raining Top Out Gas bine Rough-In UG Sprinkler Foundation Insulation Sewer IkxxL'Duct Reconnect Vault Bsmt Damp lhywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C IJG Slab SheadSheath Fire Spklr/Alm Crawl/Pound Dr I lent Pump Low Volt _ pprovcd Approved Approvcd Approved Approved �ppr/Sdwlk ed Not Approved Not Approved Not Approvcd Not Approved NAL FINAL FINAL FINAL FINAL a n. v� z. �- J G. Iy! ❑Call for re+n.Wtlon ❑Reinspection fee of required before next inspection O I Innble to inspect 1 inspector: 7^� Date: `= �'© �_ L_ Page_ of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: —/ 6 �/�� / _ A.M. P.M. MST: Location:_ [ O I _�J 7 r 1 BUR 3.Z=6 Tenant_ Suite: _Bldg: MEC: Contractor: U Phone: //�,, '� PLM: ���� /_ Owner: ti _ Phone: / ELC: EI,R: SIT: ---_— BUILDING BLDG(can't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm Fcoting UndFl/Slab Rough-hr Ceiling Water bine Slab ranung 'Top Out (las I.ine Rough-In UG Sprinkler Foundation Insulation Sewer Iloorl/D uct Reconnect Vault Bsmt Damp Drywall Storm Furnace 'Temp Service MISC. Masonry Ceiling Rain Thain A/C I ICi Slab Shear/Sheath Fire Snklr/Alm Crawl/Found Dr i it at Pump Low Volt npprovcd ' Approved Approved Approved Approved Appr/Sdwlk n rrvrd Not Approved Not Approved Not Approved Not Approved INAL FINAL FINAL FINAL FINAL a rV J C,7 LLl O Call for reinspection 0 Rv',nspection fee of S _required before next in.9pection C3 Unable to inspect Inspector:_ Date: d'�,' _ Page_ _of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: / A.M._ P.M. MST: Location: d (0 Are-, BUR c? 7— �L Tenant: Suite:/ /- Bldg: NEC: Contractor: Phone: _ 540 �P��C� PLM: Owner: L•Clt: Phone: ELC: ELR: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site PosUBeam Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof ' UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire S kir/Alm Crawl/Found Dr ticat Pump Low Volt pprov ) Approved Approved Approved Approved Appr/Sdwlk _ t—nlLd Not Approved Not Approved Not Approved Not Approved FINAII,� FINAL FINAL FINAL FINAL fl N L F�1 J CIO 0 J O Call for rein. on 0 Rcinspection fee of S _required before next �inspection 0 Unable to inspect Inspector:— ^11 _��_ _ Date: �,L' — -( � Pn of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: l (� L, A.M. _ P.M. MST: ►.tion: 1 7 - ..�SS10��/t. — �l I�I�P: , Tenant: Sultc: Bldg V _ MF,C: A— _ 7 Contractor: ��A Z)a a ! � Phone: ���;– �G'�L4PLM: Owner:_ Phone: _ ELC: ELR: sm — - BUILDING fkbG(con't) PLUMBING ME ANICAL YLECTRICAL SITE Site Post/Beam Post/Bearn Post/13cam Cover/Service Sewer/Stonn Footingoof `� lJndl l/Slab Rough-In Ceiling Water line Slab Framing 'fop Out Lias Line Rough-In UG SprinIJer Foundation Insulation Sewer Ilood/1)uct Reconnect Vault Rsmi Damp Drywall Storni Furnace Temp Service MISC. Masonry Ceiling Rain Ihain A/C IJG Slab Shue/Sheath Fire Spklr/Alm Crawl/Found Ih I feat Pump I,ow Volt _ <Approve Approved Approved Approved Approved _. Appr(SdNclk o ved Not Approved Not Approved N)t Approved Not Approved FINAL , FINAL FINAL FIN:+L FINAL CL' 1-- J ti LD 111 J Call for reins} on C1 Reinspection fee of S_ required before next insrection O l triable to inspect Inspector, ( ?'1 C— Date: ✓�' ( � ^ Page__`_of CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 Inspection: „A — —41—ctt- Footing Susp. C in9 P 9 c S rink. Rough-in r/Sdwlk PP Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plhg. Top Out Elec, Rough-in FIC Post/Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall l Gyp. Bd. -Elect. Date Requested._1 C_�(f Time: AM PM Address: Builder: Permitc•o 1HE FOLLOWING CORRECTIONS ARE REQUIRED: a w c� 11; Inspec r: Date: _APPROVED ,DISAPPROVED APPROVED SUBJECT TO ABOVE `Call For Reinsp. BUILDING PERMIT CITY OF TIGARD DOTTEyTISSUED: 01�10�9E,`' COMMUNITY DEVELOPMENT DEPARTMENT F=ARCCL° iS13�AD—IZ1410�-' 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 • •JBDIVISION. . . . . VILLA RIDGE ZONING:R-12 ..00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 ;7 ISSUE FLOOR rlPEAS--___..._.__..-._._. EXT17RIOR WAIL CQNSTRUCTI01,,' '_ASS OF WORK. REP FIRST. . . . : 0 5 N: S. E: W: YPE OF' USE. . . :MF SE'COND. . . : 0 sf PROTECT OPENINGS?_.._____..___—.. YPE OF CONST. : 0 s f N: S: E: W ,CUPANCY GRP. :R.1. TOTAL______....: 0 s f ROOF CONST: FIRE RIFT ' : i:;CUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEF'. RATED: TOR. : 1 HT: 0 ft GARAGE. . . 0 sf OCCU SEP. RATED MEZZ?: REED GETPACKS-•_._.-___-_-- REQUIRED----__ _00R LOAD. . . . : 0 ps f LEFT': 0 -Ft RGHT: 0 f t F T R SPKL: 5110K D.F.T. . .JELL.ING UNITE,: 0 FRNT : 0 ft REAR: 0 ft FIR AL_RM: HNDICr' ACC: L"DRMS: 0 BATHS: 0 IMP SURFf4CE: 0 P!?0 CORE?: PARK I NG: 0 )L.UE.. $ : 0 ,; marF<s : Gettvsbi.lrp Arats. r,e---r oof bl.lilding #3 - FEE WAIVED DUE 7U STORM DAMAGE -, CAMIL.E KRICHME"R type amol-Int by date r-ecpt 790 HERMOSIA WAY PRMT 0. 00 JSD 01/ 10/96 STORM DAMA IGUNA BEACH CA 9E651 -Ione #: 714-4`?4--A3477; CHAEL L I PE S .29 SW GHOVEwR ST 411t 1RTLAND OR 97201 __.._.___.... .._._.. -------- 'one —_____Ione ff: 41. 00 TnTAI_ 082337 - --- -- REDU I RE=D I NSF'E'CT I CIN .s pereit is issued subject to the regulations contained H the Mi r... Inspection nard Municipal Code, State of Ore. Specialty Codes and all other Final Insoection Ilicablt laws. all work will be done in accordance with .-roved plans. This permit will expire if work is nct started :hin 180 days of issuance, or if work is suspended for Bore Char 180 days. plermitte=e '.., i tl_Ir.E., �� t� � CEAI l for insoeut ion - b,39•-•417`; li l Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: ro -7 ,3 g &�y �'9 �' 1 i Permit# Account Description Amount Amt. Pd. Bal. Liu©, Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECN) �.. State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: C 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) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck LISA (ERPLAN) _ Erosion Planck/COT (EROSN) TOTALS: ' L DING V/ CITY OF T I GARD P,ERMIT #BUIL. . . . P,ERmiT . . . : BUP,95­0524 DATE ISSUED: 1`/21/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 IDARCEL: 1G13&AD-041IZ`12 .ITL 1::41)L,I,"L:a%*a. . . . i­1 ) ; i1 1+.:,.. JJBDIVISION. VILLA RIDGE 7 ON I NG: R-12 i.-OT. . . . . . . . . . . . . :2 'EISSUE: FLOOR EXI'ERIOR WALL CONS1 RUC rl0l\l--- LASS OF WORK. : REP' FIRST- -- 0 Sf W: E: W: YPIE OF USE. . . :MF SECOND,. IZI s PROTECT OPEN INGS?------------- YPIE OF CONST. :5N 0 5f N: S: E: W: )GCUPANCY GRP'. ' RI TOTAL—- 0 5 f ROOF CONST: FIRIE RET? . ICCUPIANCY LOAD- VI BASEIYIF.-:NT. : 0 Sf AREA SEP,. RATED- I. -. "TOR. : 1 1-1 T ft GARAGE. . . : IZI s OCCU SEPR(-,TED ,GMT?: MF ZZ'' REDT D SEBAci:s­­­--- REQUIRED SMOK, DET. LOOR LOPiD. . . . : 0 P�, F LEF 1-: it) ft 121 ft F-IR SPII-IL: )WELLING ouTs: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP' ACC: fflHDRmS- 0 BATHS 0 111P, SURFACE: Ir FIRCI CORR: PIARK I NG 0 !ALUL-. $ -. 0 lemalr-ksc- Gettysbttr-q Apts. r-e-r-OoF Ink.(ildinil *? ::STORM WAIVED DUE TO TORM DAMnG17 I"rEs type a in o 1-t I-)t by date V�ecpt ;ANILE KRICHMER PRMT IA. IAO JD 1;=/j:_1 /95 STORM I RM D P. Mn i9lil HERM075r) WAY _AGUNA BEACH CA 9`651 -:IhoTie #-. 714 -494-3345 .,'on t t-act ov- 11CHAEL LIP,FS .1229 5W GROVE ST #111 �IORI"LOND OR 97201 _11-ione #: 01. 1710 TOTAL Req #. . : 082337 REDUIRED INSPIECTIONS ?his aersit is issued subipct to the regulations contained in the mi Sc. InswectioYl livard Municipal Code. State of Dt'e- Specialty Codes and all other Final Inspection 113olicable laws. All work will be done in accordance with approved plans. This loe-mit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 18@ days. CL PetImittee9i 1.t e d 13 vL— C�j I I for, i ti s pect i on 6:39--4175 LD Commercial Building Permit Application City-of Tigard 13925 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: Tenant: R Office Use Only �-+' � wttiiOE` y' � Valuation: Planck/Rec # J tt Permit# ��L4 r g Sr"o 5- Owner: Owner: a(/�� t �1 (�r' l ��6 Map & TL# Address: U LJ Approvals Required pp � �USIPlanning Phone: Engineering Other_ Contractor: �/� /` �- ' rr_ `z i Address: V��'� 7726 _ Type of const: Phone: Z/ Occupancy class: ►✓ — /�/ f Contractor's Licr1nse #_ .�T ��- 3 7 Sprinklered7 Yes No (attach copy of current Oregon license) Sq, ft, of project: Contact name & phone: Story (1st, 2nd, etc.) Proposed use: _ Architect/Engineer: — Previous use: Address Note: Plumbing & mechanical plans must be submitted at time of a building permit application. Phone f- Un 1 w JOB DESCRIPTION: L� - lit AA dO blit et J k (r r �t r j m w J 4- 2- Applicant Signature 8 phone number Received by: Date Received Permit 1 Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: 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-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) ~ Water Quantity (WQUANT) 1 Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) _ Erosion Planck/USA (ERPLAN) _ J Erosion PlancklCOT (EROSN) TOTALS: J MIT NG t;ITY OF TIGARD PERM' TUfl. . I. . . . : S UP95 COMMUNITY DEVELOPMENT DEPARTMENT DATE TSSUED: 12121195 13125 3W Hall Blvd.Tigard,Onpon 97223.8199 (503)839-4171 PAPCE"L: 1 r 1.3f.:AD-•0410`' 1.l E ADDRESS. . . . 10735 SSW 69TIA AVE SUBDIVISION. . . . : VILLA RIDGE ZONING:R-1j_ BLOCK. . . . . . . . . . . LO 1.. . . . . . . .. . . . . . REISSUE: FLOOR AREAS------------_. E:XTFRIOR WALL CONSTRUCTTOI'd CLASS OF WORK. : RE=F' FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :MF SECOND. . . : 0 s-F PROTECT TYPE OF CONST. :5N . . . . 0 s f N: S: E: W: OCCUPANCY GRI='. : R 1 TOTAL— __._.__: 0 s f ROOF CON:'T : FIRE RET? . OCCUPANCY LOAD: 0 BASEMENT. : 0 s f AREA SEP. RATED" STOR. : 1 HT: 0 ft GARAGE. . . : 0 =f OC(.,J S)EP. RATED-. BSMT?: MEZZ? : Rl'i?D SETBACKS----- REOUIRE:D------ FLOOR LOAD. .. . . : 0 p F LEFT: 0 Ft RGHT: IZI ft F'T R Sf l;l_: SMOI' DIST. . DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM: HNDICP AGC: BFDRMa: 4 LaAI'hi5: 0 TMF' SURFACE: +L1='RO rORR: PARKING: 0 VALUE:. $ : 0 Remarks: Gettysbim'q Apts. re-goof bt-tildinq 441 - FEE WAIVED DUE TO STORM DAMAGE. Owne)-: _..____._. _____ __..___.____�____ _._.___._._.__.-__.__._-._______._.. ____ FEES C:AMIL.E" KRICHMER type 'Amo�lnt by date recut 790 HERMO:SA 14AY r-RMT 0. 00 JD 12/2'1 f 95 rTORA1 l: ll+li LAGUNA BEACH CA 92651 1=11-i,,i fi e #: '71-11 --4')4--8345 M I C14ALL L.I Pf-_S 1229 SW GROVE:R ST #111 PORTLAND OR 97201 r'h c.n e #: 0. 00 TOTAL Reu #. , ., 08233.7 —------ REDU I RED I N_,PE CT I ONS ------ This cersit is issued subiect to the regulations contained in the Misr. I n F nett i on Tigard Municipal Code. State of Ore. Specialty Codes and all other Final Inspection aooiicable laws. All work will he done in accordance with aooroved plans. This oersit will expire if work is not started within 180 days of issuance. or if work is suspended for sore 1"an 180 days. E- Call for inspection 639--4175 a� J Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: /0 73 5 SLt I A ,,-' Office Use Only Tenant: L I G S a^ Suite# C-Tl� Planck/Rec # Valuation: / _ 1 (/ Permit # �`t 9�' G Owner: C l�lbl l F F (�I C��)�1 C-'1f� _ Map & Tl_ # Address: �( � ���' hlG� !� �-;Q� — Approvals Required L( C' t/ V I l.�'-°CSC Cl Ii c� :/ Planning _ Phone: -)I q 93 Y,5 Engineering Other Contractor: � Contractor: l/"I ( L E� Yes ex/I ;T?c o s cj 13 t k- &-'p- Address.- f 6pt�T 7 2-6 6e I Type of const: N Occupa•,:y class: 2_ 6 Phone: Z i" � �y� SprinklFred? Yes No Contractor's License # _ 2 3 (attach copy of current Oregon license) Sq. ft. of project: (,ontact name & phone: _ Story (1st, 2nd, etc.) Proposed use- Architect/Engineer: se Architect/Engineer: Previous use: Address Note Plumbing & mechanical plans must be submitted at time of building permit application. Phone U1 — � JOB DESCRIPTION: - It'6'LL C G 1M 0 J 22 / - ( ;;7f`T Applicant Signature-& hone number C Date Received: Received by: _ ��� _ Permit# Account Description Amount Amt, Pd. Bal. Due _ Bldg. Permit (BIJI'_D) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) _ Bldg: 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-1) 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:`) INSPECTION NOTICE City of Tigard F.ulld1ng Department 13125 SW Hall Blvd. Tiyard, Oregon 97223 Inspection Line (Rec-O-Phone); 639-4175 /Business Phone: 639-4171 Inspection:. Footing Plbg. Underelab Mach. Rough-in Appr/8dwlk Found. Plbg. Top Out Gas Line lINALL Poet/Beam Strucr. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requented: - G/ Times ANPN Addreset _/O!7 �� to Permit to-9'.5-0,3-- Builders TUc(c161 Qt, THE FOLLOWING CORRECTIONS ARE REQUIRED: F-- ca Inspector: __-- - natty: <�iAPPRQVtD DISAPPROVED -�_ - APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department: 13125 aw Hall Blvd. Tigard. Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 B/ustness Phone: 639-4171 Inspection: (/ (- �. '� ( < Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line PIN�ALt ) Pont/Beam Struct. San. Fewer Framing -Bldg. poet/Beam Mech. Raln Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Mech. Date Requesteds/ > 46 /C` 1, _ !Time: MM 7 Az PM Permit #s23-- 034 (—) Builder:ZL:( TI'cL , d 0 6, THv FOLLOWING CORRECTIONS ARE REQUIRED: J Inspector: , � -�-_----_�- _ _ Date:_ A1'PRMD DTSAPPROVBD APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-�Phone): 6639-417,5/ Business Phone: 639-4171 inspection: C �l [ — �'( �f 1rC Footing 01bg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line (_'PINAL� Post/Beam Strutt. San. Sewer Framing -Eldij. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water/LineGyp. Bd. -Meth. C, Date Requested: (G - CC/ 7 z Times /� AM PM Addrose: ZQ 23S 6 7 77& Permitfs `>�'—��`hJ� F3uil�ler:_fdLiG _ / rGL.�7 A DC7- ( /j (f) THF. FOLLOWING CORRECTIONS ARE REQUIREDs Inspectore_ _.._ _ Date: i l� JIPPIIOVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION Nance City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line ((RR'ec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection,: Footing j/ Plbg. Underalab Mech. nough-in Appr/�Sdwlk Found. [ Plbg. Top Out Gas Line IINALt/ Post/Beam Struct. San. Sewer Framing -Bldg. Past/Ream Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line c� Gyp. Bd. -M Date Re ested: -��d / _Time: AS PM Addrese: G' 11 qY_ rmit # Builder: 111F FOLLOWING CORRECTIONS ARE REQUIRED: TO � 1 ze�- / f i CY H 1) F- CLIJ J _ J Inspectors "PROM blSAP^nnVRO APPRovxu 9l/R.TwcT Tn ABOVE __Call For Reinep. [F-CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 13125 SW Hall Blvd.Tigard,Oregon 97223@8199 (503)639-4171 PERMIT #. . . . . . . : BUID93­01",ei') DATE" ISSUED: 12/2'7/93 PARCEL: 1S136AD--0410'2 SITE ADURE75S. 10735 SW 69TF AVE SUBDIVISION. . . . : VILLA RIDGE ZONING: R-112' BLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . :2 REISSUE: FLOOR ARE EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :REP FIRST. . . . : sf N: S: E- W: TYPE OF USE. . . :MF SECOND. . . : sf PROTECT OPENINGS ?-------------- - TYPE OF CC)N�_:;T. :5N THIRD. . . . : sf N: S: E: W. OCCUPANCY GRP. : R I TOTAL—---- : 0 S f ROOF- CONST:B FIRE RET? :Y OCCUPANCY LOAD: BASEMENT. : 5f AREA SEP. RATED: ST0R. . 1 Hl-. . f t GARAGE. . . : s f OCCU SEP. RATED. BSMT? : MEZZ? REOD SE*T*B(-)(,KS-------------- r-LOOR LOAD— . : r3sf LEFT: ft RGHT: ft F I R SPI-,L: SMOK DET. . DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: FINDICP PCC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: F,ARKING: VOLUE. $ : 5500 Remarks : Gettysbi-tr-E.4 Apts. re--roof bl.tilding #5 uwrler: FEES ARTHUR TRAIN type Amu'-tnt by date recpt 12990 SW PACIFIC HWY. PRMT $ P36. 50 PLL 12/27/93 5PCT $ 2. 03 PLL 12/27/93 TIGARD OR 97223 Phone #: 503-620-0260 Contractor: ARTHUR TRAIN ROOFING, INC. 12990 SW PACIFIC HIGHWAY 11GARD OR 97223 Phone #: 503-620-0260 $ 59. 33 TUTAL Reg #. . : 813125 ------- REQUIRED INSPECTIONS This permit is issued subjert to the regulations contained in the Foot/Found Insp Sewer Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/Deam Insp Rain Drain Inst applicable laws. All work will be done in accordance with Slab Insp Water Line Insp approved plans. This permit will expire if work is not started P.lrn/Lindslb Insp Appr/Sdw1k Insp within 180 d,-- of issuance, or if work is suspended for more Me(_,hanic-al Insp Fire Alarm Insp than 180 days. Framing Insp Final Inspection Gas Line Insp � fnlationsIrlsp Permittee Shear Wall Insp Firewall Insp ISSUed BYL_"46�'l Gyp Board Insp Call for inspection 639-4175 r Commercial Building Permit Application City of Tigardt, 13125 SW H411 Blvd. Tigard, OR 97223 4 (503) 639-4171 Jobsite Address: Office Use Only Tenant: ,1 PlancVJRec# Valuation: , -_� Permit # tx Jt1� Owner: Address: Approvals Regulied Planning _ Phone: Engineering _(� a Other_ Contractor: Ae 4,,'1 La,IP �1�C1i ►�1 171 i'x1 Address: Type of constC,���,i'? ✓ �l Occupancy class: Phone: Sprinklered? Yes Contractor's License # -� (attach copy of current Oregon ficaense) Sq. it. of project: Story (1st, 2nd, etc.) Architect/Engineer: Proposed use: Address: __ Note: Plumbing & mechanical plans must be submitted at time of building permit application. a Phone: V) COMMENTS: J r-y O] G9 W J Applicant Signature & Phone number Received by:_ �' _ Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due �q Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECN) State Tax ("TAX) Bldg: — Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) i Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) _ _Y Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) cz ' N Office TIF (TIF-0) �— Water Quality (WOUAL) C4 Water Quantity (WOUANT) c� w — Fire District (FIRE) TOTALS- � ` J CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT PERMIT #. . . . . . . : BUP)3-O35,41 ... M"1T DEPARTMENT 13125 SW Hall BlvO..Tigard,Oregon 97223.8199 (503).839-4171DATE ISSUED: 12/2'7/93. PARCEL: 1 S 13E(aD-14)4 i 0,. ;.SITE ADDRESS. . . : 10735 SW 69TH AVE SUBDIVISION. . . . : VILLA RIDGE ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 REISSUE: FLOOR AREAS---- -- -- EXTERIOR WALT_ CONSTRUCTION- CLASS OF WORK. : REP FIRST. . . . : sf v: S: E: W: iYPE OF USE. . . :IhF SECOND. . . : s f PROTECT f YPE OF CONST. .-5N TH I RD. . . . : s f N: S.- E; W: OCCUPANCY CARP. :R 1 TOTAL------: 0 s f [ROOF CONST:B FIRE RET? :Y OCCUPANCY LOAD: BASEMENT. : s f AREA SEF'. RATED. STOR. : 1 141'. : ft GARAGE. . . s f OCCU SEP. RATED: BSMT? : MEZ Z ' : READ SETBACKS-_._..___.___. REC�UI RED--FLOOR LOAD. . . .LOAD. . . . : ps f LEFT- ft RGHT: ft FIR SF'KL: SNOK DE•T. . : DWLLLING UNITS: FRNT; ft REAR: ft F•IR ALRM: HNDICF' ACC: BEURMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE. $ : 1050 Remarks : Gettysbl.trg Apts. re-roof bl.tilding #1 Owner; _.__._.____________._.__--____.___.._.____.____.__.____..__.___.______.. FL-ES ARTHUR TRAIN type amol_tnt by date recpt 1299O SW PACIFIC HWY. PRMT $ 'i- 00 PL.L. 12/27/9.: SPCT $ 1. --:'3 PLL 12/27/93 TIGARD OR 97223 Phone #: 503-620-0260 Lclntractor: ARTHUR TRAIN ROOFING, INC. 12990 SW PACIFIC HIGHWAY TIGARD OR 97223 Phone #: 503-6 -t l.-0260 $ 26. 25 TOTAL Req #. . : 88125 - - _--- REQUIRED INSPECTIONS This permit is issued sl!bject to the regulations contained in the Foot/Fol.tnd Insp Sewer Insp Tigard Municipal Code, State of Ore. Specialty Lodes and all other F'o s t/Beam Insp Rain Drain Insp applicable laws. All work will be done in accordance with Slab Insp Water Line Insp approved plans. This permit will expire if work is not started Pim/r_mdslb Insp Appr•/Sdwlk In. within 181 days of issuance, or if work is suspended for core Mechanical Insp Fire Alarm Insp than 180 days. Framing Insp Final Inspection Fireplace Insp _ Gas Line Insp Insr.tlation Insp 1-1er.mittee 5ignat1_1re : - �1 Shear Wall Insp `n Firewall Insp r'- Issr_ted By : _ _._ Gyp Board Insp � �^ J Call for inspection - 639-4175 LD rl: J Commercial Building Permit Application City of Tigarc( 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: S L � � Office Use Only Tenant: Suite,0---F— �, Planck/Rec# Valuation: Permit# Owner: Address: _ Approvals Required Planning Phone: Engineering Other Contractor: Address: ";)(K- , sly zq,Lie f>l'_. Mt��� p l � � Type of const: 7 ��a,c" OL `��72LZa Occupancy class: Phone: Sprinklered? Yes No Contractor's License # (attach copy of current Oregon license) Sq. ft. of project: Story (1st, 2nd, etc.) Archltect/Engineer: Proposed use: Address: Note: Plumbing & mechanical plans must be submitted at time of building permit application. .� Phone: CL H N ►- COMMENTS: J1,01 Gr C.7 LL; Applicant Signature & Phone number Received by: _ Date Received. `� C - Permit # Account Description Amount Amt. Fd. Bal. Due BSP 4���✓S" Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) 1. Bldg: Plumb: Mech.- Plan ech:Plan Check (PLANCK) Bldg: Plumb: Mech: SewL!r Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Siorm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Tiansit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-I) Institutional T-IF (TIF-IS) h— Office TIF (TIF-0) V; Water Ouality (WOUAL) Water Ouantity (WOUANT) '1- Fire District (FIRE) TOTALS: f1eA CITY OF TIGA►RD `' BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT P I-R 111 T it. . . . . . . : BUP'93-031-)]. 13125 SW Hall Blvd.Tigard,Oregon 97223&8199 (503)639-4171 DATE ISSUED: 12/27/93 639-4171 PARCEL: IS136AD-04102 SITE ADDRESS. . . : 10735 SW 69TH AVE SUBDIVISION. . . . : VILLA RIDGE ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 ----------------------------------------------------------------- --- REISSUE: FLOOR AREAS---__._- -...- - EXTERIOR WALL CONSTRUCTION— CLASS OF' WORK. : REF-I FIRST. . . . : S., F N: S: E: W: lYPIE OF USE. . . :IvIF SECOND. . . : s PROTECT OPEN TNGS?---------- TYPE OF CONST. :5N THIRD. . . . : s N: S: E: W: OCCUPANCY GRP. : R1 TOTAL----- --_ .-: 0 s ROOF CONST:B FIRE RET? :Y OCCUPANCY LOAD: BASEMENT. : s AREA SEP. ROTED: STUB. : 1. 11T. : ft GARAGE:. . . : sf OCCU SEP. RATED- BSMFI : ME2Z? : REUD SETBACKS-------- REQUIRED------------------- FLOOR LOAD. . . . : p s f LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . . DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICPI ACC: 13EDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE. $ : 5500 Remarks : Gettysburg Apts. re- roof building #4 Owner: -------------------------------------------------- FEES -------------- ORIHUR TRAIN type amount by date recpt 1 ?990 SW PACIFIC HWY. PRMT 1, 56. 50 PLI_ 12/27/93 - 5PCT S 2. 83 PILL 12/27/93 - 1 CARD IGARD OR 97223 il-irine #: 503--620--0260 Contractor: ARTHUR "'RAIN ROOFING, INC. 12990 SW PAC I.FIC HIG14WAY fICARD OR 97223 Phone #: 503-,620-0260 59. 33 TOTAL ;�eq #. . : 88125 REQUIRED INSPIF_"1IONS ''his permit is issued subject to the regulations contained in the Fo o t/F*o und Insp Sewf!r Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Plost/Deam Insp Rain Drain Insp applicable laws. All work will he done in accnrdance with Slab Insp Water Line I n s p approved Ono This permit will eqUe if work is not started Plm/undslo Insp Appr/Sdwlk Insp within 180 days of issuance, of if work is suspended for more Mechanical Insp Fire Alarm Insp than 180 days. Framing Insp Final Inspection Fireplace Insp Gas Line Insp Insulation Insp Permitten Signature: ' jt Shear Wall Insp Firewall Insp Issued Sys 3T Gyp Board Insp Call for inspection 639--4175 cc Commercial Buildipg_Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: dy ` Offlce Use.gniy Tenant: to#_ Valuation: �l}, ���) PlancKIRec# _ Permit It Owner: Address: Approvals Required -----— Planning _ r Phone: _ _ Engineering__T� __ Other Contractor: l I1'1L KI l Kli V� iLC��1Y1� Address: I (,-'�; (.1/ ?/z, Le Type of const: _ Occupancy class: _ Phone: ��11' �- ��/�� _ Spriri::rered? Yes No Contractor's License # _ (attach copy of current Orepon license) Sq. ft. of proje, Story (1st, 2nd, etc.) Architect/En0ieer: Proposed use: Address: _ Note: Plumbing & mechanical plants —� must be submitted at time of building permit application. Phone: fY N �- COMMENTS: J l.� LL! Applicant Signature & Phone number /Received by; Date Received: _ _ _ Permit # Account Description Amount Amt. Pd. Bal. Due �vr ys_�JS l Bldg. Permit (BUILD) �6, sr, Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) . Bldg: Plumb: Mech: Plan Check (PLANCK) 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-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) _ Water Quantity (WQUANT) `r _ Fire District (FIRE) TOTALS: s-9- �,� CITY OF TIGARD ............... COMMgNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 J .-r D] C� LL) J 13125 SW II.0Rha. PLNCK/RECT # CITY or TIGA _�D PERMIT # COMMUNITY 1)EVEL,OI'M ENT DEPARTMENT T'�"`��"9-4171 Iso3�63¢.» DATE ISSUED JOB ADDRESS: I Z� 7X~ TAX MAP/LOT SUB: LOT: LAND USE: VALUATION: _ OWNER SPECIAL NOTES NAME: REISSUE OF: ADDRESS: _�_.___� -� — LAST REISSUE: — -- FLOOD PLAIN/ PHONE: ,, SENSITIVE LAND: —..-- CONTRACTOR ( APPRO VALS RFIUIRFO C NAME: �29�!fl mac' `' -z-, ff PLANNING: —ADORES S: �-� C,' I Q 2� !!`GIr�/ �t r .r ENGINEERING: FIRE DEPT: PHONE: �}. o j. G _ p OTHER: CONTR. BOARD #: / �� EXP DATE: / l ITEMS REQUIRED SUBCONTRACTORS: PLUMB: — _, LIST/SUBCONTRACTORS: -. MECH: — BUS TAX: -- ARCNjENGI"JEER CALCULATIONS: NAME: -_----_. .—___ _ _� - _ TRUSS DETAILS: ADDRESS: OTHLR: _ PHONE: _, __— _---- ------ - PROPOSED BLDG. USE: -- --- m COMMENTS: _ --- APPLICANI SIGNATURE I , Received BY: � -- Date Received: PERMIT # ACCT # DESCRIPTION AMOU)VT AMOUNT PD. BAL. DUE 10-432 00 Building Permit FeesO -U�'' 10-431 00 Plumbing Permit Fees _ 10- 131 01 Mechanical Permit Fees f 10-2.30 01 State Building Tax (5q) Building Plumbing Mechanical 10-433 00 Plans Check fee _ Building Plumbing Mechanical .10-230 06 Fire 30-2.02 00 Sewer Connection 30-444 00 Sewer- Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) n. 24-445-02 Water Quantity (Fee in lieu of.) Ln ti TOTAL_ 111 J nm/3;fi7P.WPl