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FCITYOFTIGrARD (.'E R T I F I(4)'I'E' OF
COMMUNiTY DEVELOPMENT DEPARTMENT cin OCCUPANCY
13126 SW HmllJlvd. %0.Box 23397,Tigard,Oregon 97223(6W)6324175 // PER011'r #. . . . . . . i lALJP9;'2---0P-9j5
SITE ADDRESS. . . s 09514 SW WISHMOTON GQUARF RV FARCE ELt ISI,`:'6GO -Olgt(Al
SURD I v 15 1(7N. . . . e Z 0141 NG.-
BLOCII. . . . . . . . . . . LOT'.. . . . . . . . . . . . .
CLPS13 OF WORK. cALT
TYPI.'- OF . . i r.014
OCCUPANCY GRP. :Lew
OCCL11:)0NC*V LOAD I27
IJIMANT* NANF. . . .!.A-HN 114
Pemarks - Remodel i;torp front, remorle.1 of stare interior,. lq(i acicic-cl var, pf.A or, em ,
Ownerx
sw 114--IN
9514 15W WASH INGIU4 SM RD
T1,01ARD OR 178a3
Phone #1
Lontrac:torc
JACOBS CONSTRUCT ION
16944 SW BEFF BF-11b POOL)
tilir-,AWOOD OR 91140
Phone 01
Reg #. ' ; 038A6
Uccupanc-y of the above referenced bt.tilclintj is hereby Uiven, aivi cert ifi. ef.
the rompliatic:0 with the '3tate Of Orpgon Sj:)QCi,3.1tv COCies For the group,
ou'rTlailt-yl and i,tsj? imidpt- which the referenced permit waF,
F` MU DL PAR'l IIU:1\1'1 DINO JW;PL—
PIOST' IN CONSPICUOUS Ksju-
cc
YI
INSPECTION NOTICE
+ City of Tigard Building Department
13125 SR Ball Blvd. Tigard, Oregon S7223
Inspection Line (Pee--O-Phone): 639-4175 Business Phone% 639-4171
Inspections_
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct. San. Sewer Framing �Bld�
Poet/Be,t.i Mach. 'fain Drain Insulation -Plumb.
Plbq. Underfloor stater Line Gyp. Bd. -Mach.
Date Requesteds ` - 2 /Y� Time: _ AN _PM
Address: %`�>/ «" "` Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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inspectors
l J APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
CITY
OF TIFARD �CITYOFnrAV&` COMMUNRY DEVELOPMENT DEPARTMENT �� BUILDING PERMIT
PERMIT #. . . . . , . : BUP92-0295
13125 SW HWI Blvd. P.O.Bu 23397,Tkpud,Oregon 47223(503)836-4175
639-4171 DATE ISSUED: 10/07/92
5II ADDRESS. . . : 09514 SW WASHINGTON SQUARE RD PARCEL.: IS126CO-01401
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . : LOT. .
--------------------------------------------------------------------------------------
REISSUE: FLOOR AREAS------------ EXIERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST. . . . :800 sf N; a: E: W:
TYPE OF USE. . . :COM SECOND— : sf PROTECT OPENINGS?-----------
TYPE OF CONST. :3N TKIRD. . . . : =f N: S: E: W:Y
OCCUPANCY GRP. .-B2 f t]TAl.------: 8Of'' sf ROOF CONST:b FIRE RET?:Y
OCCUPANCY LOAD:27 BASEMENT. : sf AREA SEP. RATED:
STOR. : 1 HT. :34 ft GARAGE. . . : sf OCCU SEP„ RATED:
DSMT?: MEZZ?: REQD SETBACKS--------- REQUIRED--------------------
FLOOR LOAD. . . . :50 Psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET. . :N
DWELLING UNITS: FRNT : ft REAR: ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:Y PARKING:
VALUE. t: 20000
Remarks : Remodel stone front, remodel of store interior. No added area or exits
Owner: ------------------------------------ ----------------- FEES ----- ---------
SWIM—IN type amiunt by date reept
PRMT $ 140.50 JLH 09/30/92 232180
PLCK $ 91. 33 JLH 09/30/92 232180
5PCT $ 7. 03 TLH 09/30/92 232180
Phone #:
Contractor: ------------.--------------.---
JACOBS CONSTRUCTION
16944 SW BEEF BEND ROAD
SHERWOOD OR 97140 ---------------------------------------
Phone #: $ 238. 86 TOTAL
Reg #. . : 03886
----- — REQUIRED INSPECTIONS ----•--
This peroit ii issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be done in accordance with Susp Cei1ng Insp _
approved plans. This peroit will expire if work is not started Final Insper_tion
within l8e days of issuance, ar if work is suspeltded for more _
than 188 days.
Permittee Signature:
Issued By
Call for inspection — 639-4175
FOR OVERSIZED
DOCUMENTS
SEE 35 min
ROLL FILM
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