11945 SW PACIFIC HIGHWAY STE 205 ADDRESS:
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INSPECTION NOTICE
City or Ttgard Building Department
33125 811 Ba-11 Blvd. Tigard, Oregon 97223
Inspection Lino (Roc-O-Phone)s 639-4175 Business Phones 639-4 1
Inspections _
i
Footing Plbd. 0nde-slab Mach. ough-in �/Apf�k/Sdwlk
Found. Plbg, Top Out Can Line FINALSe
Poet/Beam Struct. Sin. Swar Framing
Bldg.
Dost/Beam Mech. Rain Drain Insulation -Flumb.
Plbg. Miderfloor Nater Une Gyp. ad. / --Hoch.
Date Requested: ' =� ,T'rs L1�-_- AH PM
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r:dress: � C• �� � - z Permit It.
R,s 1
THE FOLwwipra MRRBcTION£ ARE REQUIRED, )J4
M nil
T.nspectcr! _- _ - Date21._Z�4: �
,I_/'APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
---Call For Reinsp.
C!"IYOFTIGARD CrFYOFTWARD
COMMUNITY DEVELOPMEW DEPARTMENT 1=+_-Rl11T
13126PW4W;Givd. P.O.9m233fl7,1'gard,0q,PWun 97=3 (503)630 4175
:Irk`, ODDHESI-;. . . 1J.'J1Cj '.-)W HWV OS,. Lvl0 Pi.iHLLLe 1G135DD -032,,
.)UBfJ I V I S I ON. H(-W+(MBER I ROCT S INIO. J. ZONING; (---G
oLOCK. . . . . L c,),r.
..........
H E-IG 1,L)E; FOUR AHLI.*W3 - EX]"EIRIOR WHLL L.0Ns,r'RUL_I ION-
i_UA5 OF. WORK 'iEP F-1 R S T. S
f N, . L: W
YI..,, OF 051-1. .. . s(7,011 �:3E(- 's 1, PRO IEL:U (.)1!*-',L
Y PL OF LONS I-, -bN TH I RD. s,f IJ: S. L W
OCCIMPANCY GRP. 'I() 1 OL....... Vi S f ROOFCON15 I -B F I RE RE'T Y
Ut,C,UPONCY LOAD: BASEIVIF:1\17. ,, 5,f AREA SEP. ROTED:
T'O R. H
1. T'. : 14 it (JONAGE. . . . 5 OULU GLP. RWIL-M-
B(EsAvil'") lq ME 7 Z?:1\1 HL CSD SETB(*)C't%S REUU I
F1.00IR LOAD. . . . I...F_'f77f'C ft Rk..11-11 ft r"IR SPKL_.-N SMO-\ DF-."T.
DWEL1_AWL-4 UNITS." F I 04f: ft RKAH.. ft FR 01-Rlyk-'N HND ICI ACG.-Y
BEDRivIS- 1APT F IS i IMP SURFOLIE'-. r,:IRO CIORR.-k' PA R i/%.[N1 G.
WILLIE. $- 53348
Remair-list Re--roof over ri-tites 1,?05. c::.'1'b, iivicl Cont irluAtio.-I of Work
t ar-t eo Linder primary pevivil;.
Uwner,i FELS
BROWN type i!.k M U 1A T1 t by date v,ecpt
19 45 SW P(A. I F I(] H.!UHWHY V,R lyl T' s 4 �:,:� 00 B IYI 03/10/93 93 x_`376,
5PC T' s 14. 75 BIvl 03/ 10/9 "- 9,;•-237E
I G)P R Li t)R 3
)Ihrrie it:
(_oivtr,arto1
i HUMAS A.,ELoNE Y
— �' SE DDYLE RCWL)
ES'[W—ADO UR 970E,2,
Phorif., 41. $ .':09. 75 10
This permit is issiod subject to the regulations contained in the Hoof 11EAi I rig It)sr.rl
'iqard Municipal Code, State of Ore. yoeciaity Coags and all other r-`inal IT)SPer't- ion
applicable laws. i-Ill work will be tione in ac,:ordance with ..........
approved olans. This permit will expire if work is nut started ........
within 180 days of issuance, or if work is suspk.,ded for Pore
than IN days.
.................
I s r,1-t e ci B y
i ti 4.1 ('5
cayoF r`'.lLGC1.A.�►D 3'tusw:�:nn�. PLNCI(/F:ECT # �
COMMIUNCCY DEVELOPMENT DEPAR'CMENT
ria o 97MPEPMIT 0
(5N)63"171 DATE ISSUED _
JOB ADDRESS: S(A) TAX. MAP/LOT
SUB: --.- LOT: LAND USE: — -- —
VALUAl ION, Y 5
OWNERSPECIAL NOTES
NAME: �1� 1'`V --- _ REISSUE OF: --
ADDRESS: __ LAST REISSUC: _-
FLOOD PLAIN/
PHONE.: _ SENSITIVE LAND: _---�--
CON FRA_CTOR APPROVALS RE_QU I RE0
NAME: iL PLANNING: -----.--- -^._---- --
fll2 --
ADDRESS: 3 3 -5-,,.7 �` ENGINEERING: -
�7 FIRE DEPT.
PHONE: 4 70 ----
CONTR. BOARD #: 3%ELI 4 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ _ LIST/SUBCONTRACTORS-
MEC": _ _- BUS TAX: __-
ARCH/ENGINEER CALCULATIONS:
NAME: __ TRUS- DETAILS: _
ADDRESS: ___—__ OTHER:
PHONE-
et BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Re.eived By: __- , Date Received:
PERMIT # {ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE"",�
10-432 00 Building Permit Fees
10-43I 00 Plumbing Permit FeesIT
10-431 01 Mechanical Permit Fees �_•�_
10-230 01 State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check fee
Building
Plumbing
Mechanical
i0-130 06 Fire
30-202 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 0—cv Cnarge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
21-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
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NAME WI.` TTICHIAS 11. AMS UNT
AT.)D RE S; a iF 1)0 y L r k1). 1 ENT 1)A*1 L
E-k.-irclk WA64. OR A 04.0 1 ') I TON
OF OF firdOUNI PAID
,I Ftl)ILO PF P 14. iT?
BUT.L.I)ING PERMTT 3r7,_
flivIL)LINT PAID