12526 SW SCHOLLS FERRY ROAD tiS
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CITY Or TIGARD BUILDING INSPECTION NOTICE
Inspection lane (Rec-O-Phone): 639-4175 Business Phone: 639-4171
pection._- � JeTi/-
oting 1usp. -
1
Ceiling Sprink. Rough-in Appr/Sdwlk
undatiori Plbg. Underslab Mech. Rough-in Fireplace
st/Beam Struct. P1bg. Top Out Elec. Rough-in FINAL:
st/Beam Mech. San. Sewer Gas Line -Bldg.
)g. Underfloor Rain Drain Framing -F!umb.
irm Water Line Insulation -Mech.
�dorflr. Insul. Shear Wall Gyp. Bd. -Elect
>te Requested:� Time: �M; PM
:dress: -
- •c cL ,
G �'^/ r
,i er: � - . Permit #: _�/i�i y - . %C)
�E FOLLOWING CORRECTIONS ARE REQUIRED:xf
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Spector:
i - Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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Call For Reinsp.
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CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PL RM I"T
13126 SW Hall Slvd.Tigard,Aragon 97223.8199 (503)639.4171 FSE RM I T #. . . . . . . :
DATE ISSUED: 02/16/95
bay-4171
PARCEL: 1 S133AD--02400
SITE ADDRESS- - 12526 SW ;SCHOLLS PERRY RLQ
0 f U13D I V I S I ON. . . . : ZONING- C-F'
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
i REISSUE: FLOOR AREAS---- EXTERIOR WALL CONSTRUCTION--
....__..
p C:LNt-i8 OF WORK •D= FIRST. . . . : of N: S: E: Ws
TYNE OF USE:. . . :t SEE:OND. . . sf V'ROTECT OPENINGS?-------__-
T YPE OF CONST. :`aN T H I RD. . . . : s f N." 5: E : W1
ULCUF'ANCY GRP. 03 TOTAL---._-___ 0 s F ROOF' CONST: FIRE RLP''
OLLUPANCY LOAD: BASEMENT. : Sf AREA SEF'. RATED:
5TOR. : HT'. : ft C'ARAGE. . . : sf OC;'CU SEP. PAT[ D:
HSMT?s MEZZ?: RE:CJD C3ETAACKS--._- REWUIRLD--_-_-__________._.
'=LOCIR LOAD. . . . s psf LEF -1 : ft RGHT: ft F-IR 5PKL: SMOK. DET. . z
DWL-LLING UN17'S: FRN"Ts f't REAP': ft F'IR ALRMs HNDICP ACCs
13E1)RK!: bAl'HS. 1 MK' SURF AL1:a : PRO CORR. F'A 'I-t i NG;
,/HLUE. $ 1 0
?e m asr^k s: SE PT I c MUST BE PUMPED, FILLED AND I NSPE;C T r_D. ALL DEBRIS MUST BE RE:MOV
D.
':.RE.DITS MAY AF1E'i_Y YO NEW CONSTRUCTION FOR TIF, WATER DUALITY AND ULJAN'1I1Y.
Neter ; ___.___._____._ __._..._____.___..___...____.._. _.__ - FE_l-S
NL1FlC LREST PARTNER'S type amount by date r,ecpt
11 LAK 61 . PPIriT + -;-i. 1110 DON 111,:/16/ 3`,
5PIC'i $ 1. 25 BON 02/ 16/95
1OOD RIVER 0R '372._;1 FROG 1 80. 00 BON 02/ 16/95 1
110ne #: 03-386-•6333 F.RPC ,k 26. 00 PON 02/16/95 -
EtiOL i, -'li, 0017 BON 02/ 16/95
l & H CONS T RUCT I ON
.;13H NW FIFTH
�'UR J LHND OR 9/r_'09
$ 156. 25 TOTAL
" 1 #. . • 3ki�ilDk
REUUI RED I NSPECT I ONS --- -_-_
nis aereit is issued subject to the regulations contained to the h'1.1mp/F i I I EEl'ept I
Tigard Municipal Code, State of Ore. Specialty Codes and all other F i n a l Inspect i. On
applicable laws. All work will Je done in accordance with
approved pians. This perait will expire if work 1s not started _
within 188 days of issuance, or if work is suspended for sore ... ..... .__..........
than 184 days. _.____��----�_.._..�__._ ____.___
T'ermittee 9iyn..At re ;
I s s i-led By
L;alI for insPPction 639--417;
city or regard Commercial Building Permit Application
�-
13125 SW Mall Blvd.
i Igard, OR 9722.3
(503) 6.39-4171
� {sQ�
Jobslte Address: /2i LLe �' ! ANnTA-
Tenant: Suite # Off Ice Use Ore
Vahiatlon: PlanddRec#
Permit#
Owner: r
—– Map & Tl #
Address:
Arovals Required
Planning
Phone:
Engineering
Other
Contractor:
Address:
Type of const:
Phone:
Occupancy class:
Contractor's License # _
Sprinklered? Yes No
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone:_ _ Story (tst, 2nd, etc.)
Architect/Engineer: Proposed use:-- ---
Address:
Previous use:
Note: Plumbing & mechanical plans
must be submitted at time of
Phone: building permit application.
JOB DESCRIPTION:
Applicant Signature & Phone number --
Received by: r_ _ Date Received:
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Perm.t# Account Description Amount Amt. Pd. Bal. Due -
Bldg. Permit (BUILD)
Ph!mb. Permit (PLUMB)
_ Mach. Permit (MECH)
State Tax (TAX) _ w
Bldg:
Plumb:
Mach:
Plan check (PLANCK) —
Bldg:
Plumb:
Mech:
Sewer Connection (SWCSA)
?t-wer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Tran-zit TIF (TIF-MT)
I
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)
Erasion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN) f
TOTALS:
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UeMv,D�oedwr: r _ Atorrr e?6.25n,.�is•?►i6-:. . .n l�eieryn er►rsle ,p
MATLI./MtS CRnuP •'•�
t I = Coals M_3A2 Evp te4eeoo u .om ee?aros D
MAP LOCATE 6AT,^,N TIME LEAVE PLANT ARRIv OB BEGIN POUR ells"I." LILAIIE 41!11 .
, .6,
WATER ADDED AT TEST CYL. 8 MINUTES F R YARD CUSITWER ACCOUNT# 16210��-
CUSTOMER'S REQUEST TAKEN FREE UNL( kDING I JOB # 924 BID
TIME ALLOT ED ON
eIS. tO full load YES ^' F
FULL LO DS.. r�_,�-OaCq
Addllional
SOLD TO
_--gals. to 2/5 load = u jading YES ._
time charged : current
I ____-gala, to 'A load ❑ YES hourly tru( rate. DIELMr,,.
POINT ? `y&C;HO 'Le,FE YT
ADDITIONAL ONI WATER REASON FOR DELAY "IME: A
N3/09 .9�0. J08M
CONCRETE WED
ILL RUC.=_ ❑ JOB NOT READY DAfE ;•�.��-
STMu7H. ANY ❑ LACK OF HELP TIME fbHN
arty`'
WATER ADDED IS ❑ WHEEL BARROW JOB "'`'
AT CUSTOMER'S ❑ WAITING FOR TRUCK T, UNLOAD GROSS '24.:31:.- TRUCK11
K
I i OWN RIS . ❑ ADDING WA'f•ER TAP, �°��. 1NE1C�lilU1' ^
I
WATER REQUESTED BY:
❑ 1a08
ARRIVED J08 EARLY NET " .: •CLOADSi�-
❑ OTHER__—,— SPECIAL INSTRUCTIONS:_
MATERIAL MIX DESIGN, SSD ORIIECTIE
CORNECT1pN DESIRI )AMOUNT ACTUAL AMOUNT SSD CORRE17170 AMO
PRODUCT N PRODUCT DESCRI r10_0N
QUANTITY .UNITS UNIT
la0Q138P 3/P PEA .GRAVEL. PRC E$$
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I TERM151"UP MONTH FOLLOWING U N
A mmmwm of=l.DO,WM be mode on mr ,t>,b ^ • � �,n�� •
i r 1t tM Mid QI tlM blbMrp month o dN"q cyela Th
4 I.In ANNML►ERC'E AGE 1 V 1 A
Jf 1189%P0004AL NnnM,we
nREGO the \n3 ro o1•Im Nen for r,le end
merRW henMlldEn QID(It� 9 ro OREGON REYI3E0 SL�TllfE pr,.j TK,KE"y�
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1 0 PM Information Summary for lase #: BUP95-00039
1:05:1
Activity
Activity Description Hold Updated
— — rate 1 Date 2 Date 3 Disp_ Level By Updated
BUPA090 (F)Issue building permit 2/16,195 PASS
SW 2/1GM5
BUPA970 Case Finaled 12/4/95
JF 12;4/95
Fees
Fee Trans. Create Created
Type Description Code Revenue Accolant No.
Date By Amt,Due
PRMT (C)PERMIT FEE
5P(,T (C)5%STATE SURCHRG BON $:'5.00
BnN $1,25
Oise People Listing
Role
Type Name/Address
Company Name Hold Primary
APL PACIFIC CREST PAPTNER!i --
911 OAK ST HOOD RIVER OR 97291
CON R r H CONSTRUCTION
1530 SW TAYLOR PORTLAND OR 97205
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111111111101111
File Edit Qptions Wlndo-,,) Help
ErAt New ��`Upon a Do r1BE
I j
Cloea Edit Project Gr Add Clonc Parcol Aet�-vity Pcoplo Fcec b'aluation Conditions Caen Netce
IllsQ liI kr ❑ X
• : Updated 06-16.99 JT 7,,-j—.,, elIVarne PACIFIC CREST PARTNERS pAddress: 12550 SW SCHOLLS FERRY RD PREV Jur: WIGcifics
Description: Master# a Project: SORRE NTU DEMOLIIIr)N Areas
SEP11C MUST BE PUMPED, FILLED AND INSPECTED. ALL DEBRIS MUST 8E
REMOVED.CREDITS Mf,Y APPLY TO NEW CONSTRUCTION FOR TIF, WATER selbacFs
Reissue:
Dates
Class of Work: DENT
Received F116tr+5 Required
Type of Use: ISF
Type of Construction: -N -
Issued: i161%
Occupancy Group R- - —
I _ Expired !15!95
Occupancy Load: �—�
Finaled r
Valuation:
I
I
Pritiro Gose Summary Report for gUP35 00099
i.AStand! I .-TA ! 0 -�
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