Permit (110) BUILDING PERMIT v
CITY (::11= T I GARD DATE I ISSUED: 07/28/966 -02 7
• COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 2S 1 15BA -00101
SITE ADDRESS...: 16200 SW PACIFIC HWY #0
SUBDIVISION • ZONING:C —G
BLOCK • LOT •
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 1200 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS? - - --
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL : 1200 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 24 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 36000
Remarks: Tenant modification Opt&- rINIP-L cAticidAW BAP__
Owner: FEES --
BIT HOLDINGS TWELVE INC type amount by date recpt
C/O MCFARLANE PARTNER LP PLCK $ 143.00 B 05/10/96 96- 279244
444 MARKET ST #2100 FIRE $ 88.00 B 05/10/96 96- 279244
SAN FRANCISCO CA 94111 PRMT $ 220.00 JMH 07/28/96 96-282212h7.7/
Phone #: SPCT $ 11.00 JMH 07/28/96 96 -282a1
7/
Contractor:
SCOTT GASSO CONSTRUCTION CO
16666 SW ROOSEVELT AVE
LAKE OSWEGO OR 97035 —• - --
Phone #: 697 -0794 $ 462.00 TOTAL
Reg #..: 049290
REQU IRED INSPECT
This persit is 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 F i n a l I n s p e c t i o n
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for 'tore
than 180 days.
Permittee Signature: � t/ _
Issued B y:
?ea/1A--
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Call for inspection — 639 -4175
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J D f • E. 5 ((-'X
Commercial Building Permit Application
- City df Tigard
'13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171 1 lb
CQ/le c� U -ter,�j
Jobsite Address: i y
�� Office Use Only `..;
Tenant: .l anti,4/ A regal Rae.. Suite # -
Planck/Rec #: •
`D .,C
Valuation: 3 6,, COC do fN \ s
Permit : # Y : &Q25 7
Owner: R -- o klm _s Teoveitivt. 74)L . Map &.TL # ' c , / . 15f314 - 101
Address: Caati2t i Pr: PLn e, 4thier k1 R Approvals Required
diluf/ /774/ ter S a /co 3n /cram ‘• 0-, if-
: Planning
Phone : M �e Engineering::
--�- :
ST2 — /o90
Other : 4AI ..'
Contractor: . 1I2 'I
Address: Pe , ),c 231(
Type of const: SA
Occupancy class:
Phone: 563 - 691 079g
Contractor's License # 4' 9 29/) Sprinklered? ('
(attach copy of current Oregon license) Sq. ft. of project: /,-C) 6
Contact name & phones, SSO [may7-C7`'( Story (1st, 2nd, etc.) Sr-
Proposed use:
Architect/Engineer: J / IPA /oJy 0.11,‘ CAA
Previous use: Re ,5 *'i2 e.
Address: a t5 E . /')')Glv►. dCc
Note: Plumbing & mechanical plans
//..5 )C)Y't, G/ must be submitted at time of
Phone: d� 6 " to yr d�Z 4 1 - 7
building permit application.
y
JOB DESCRIPTION: 12P -1- u1w.h\- _ 1- .�lj�t�,�j�r, 6ei.S t . i ea ) tXS elce c_eineet-
[i6r2 /Art' / � /AVl c, >� _ 4.vgd, J7c m.t} f u".. iii 10
ei7A • 6 97 - d _.79 Az4
Applicant Signature one number
Received by: II• I" Ak Date Received: - ' —qt,
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
2:2..o. 66 2�. 6�
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) \A% Oto 1116
Bldg: \Z• o O
Plumb:
Mech:
Plan Check (PLANCK) 1L8, °v r-13`
DD
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 -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) g8:0,) 124/o
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: I /6a c 2' .00 23/4 00
Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0257
BIT HOLDINGS TWELVE INC
16200 SW PACIFIC HWY Unit: 0
03/20/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC007 Application received / / / / 05/10/96 RECD B 05/16/96 BON
BUPC008 Permit created / / / / 05/16/96 PEND B 05/16/96 BON
BUPC015 Plans routed to Plans Examiner / / / / 05/16/96 1p2a PEND B 05/21/96 DS
BUPC018 Plan Review Ltr. to Ofc. Svcs. / / / / 06/07/96 1p2a PEND DS 07/08/96 DS
BUPCO20 Revised Plans Received / / / / 07/01/96 1p2a PEND DS 07/08/96 DS
BUPCO24 Plans Approved /Routed to DSTs / / / / 07/08/96 1p2a APR 07/08/96 DS
BUPC090 (F) Ready to issue / / / / 07/12/96 PASS CJS 07/12/96 CJS
BUPC100 (F) Issue permit / / / / 07/29/96 PAID JMH 07/29/96 J *H
.BUPC740 Framing Insp / / / / / / 05/16/96 BON
BUPC760 Gyp Board insp / / / / / / 05/16/96 BON
BUPC799 Final Inspection / / / / / / 05/16/96 =••
BUPC960 Case Finaled / / / / 03/06/98 Work withdrawn by tenant. All cases CLOS JDA 03/06/98 DST
closed. This permit will receive 80%
refund of permit fees only ($220 x 80%
=176.)
T ---e ma / n t : Aof _
/ e-L-6‘u ,Beti2