Permit Ty OF TIGARD
BUILDING, PERMIT
PERMIT ; ....... 5 EUF'95 3S
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED; 05/25/95
1 SW Hall Blvd. Tigard, Oregon 97223.8199 (5031.839
PARCEL; 131260C-01107
I TE ADDRESC,..r. 09647 SW WASHINGTON SQUARE RD
SU3DI V ISICN..... ZONING: C- -G
CCKnonoovuot, C7 r.
fE. 3SUl.o FLOOR AREAS---------- EXTERIOR r3(L.L CONSTRUCTION-
CLASS OF WOP.K. o AL7 FIRST..... sf Ns S, Ea W s
TYPE CF USE. . . ; CCM SECOND... : 501T sf PROTECT OPENINGS?----------
TYPE OF CONST. g SIB THIRD sf N: Ss E: W:
CCCUP ANCY CRP. o D2 TOTAL------: 500 sf ROOF CCNCT : FIRE RET?
OCCUPANCY LOAD e 3 :.7 Li BASEMENT.: sf (A}R(EA SE P. �i"i RATED:
rtT L . L 1 c� . u ft CARJ1.1 1u. v . . 7'1 JLLIJ . •�i TI .L' o 1 HR
DSMT? a N1E ZZ? o REQD SETBACKS---- __.. - -7 REQUIRED— —
FLOC"' LOAD...-.: ps f LEFT: ft RC{-lT ; ft FIR SPKL e Y SM R DEL . Y .
DWEL_.INC UNITS; FRNTo ft REAR: ft FIR ALRaM :Y •HNDICP•ACC Y
-�1- ^\n:AC: MATHS' r1,. SU rn.2E 1- CCR ,r �.ilr,r
r �1.- .- .I.I'I,J u di•IG- ,J{.JI �I'nv6.: u � PRO 6 +ue\li .
6.�. , r rJe�� . a. 1,I L"i a
V ^L UE. o 30000
Remar:'csa TI far rood court r'estaur -art
Owner: ------------ • -• -- FEES - --
EN ER2n :.'rc tYPz aEo - •1t i:./ c ye r
n
2169 PRMT $ 39.s._ 00 3DA 05i25/95 -.._
l I =l O PLC!: 2 .04/27/55 9 1
7. ONTLAND OR 97232 FIRE $ 77.20 2. M4/27/95 9E- ••2647b4
Phone .. cJI:!— 5rLT 3.615 ,7I3A 05f25/95 ._-
Cont ra'it or --- _------- '-- - - - - -- . -
1'C^ u: CURTIS
10/.25 SW BEAVERTON HWY
BEAVER TON ON OR 97005
Phone as 64G ..2:' a 405.:7T TOTAL
Reg #..;. 01993
------- REQUIRED I Nv PEC : I OAS _..._
pei'nii is ;is:ed f,z ject to •!e regiilatins ix:ca..::eu :' {'iY9 i Y'afil:t.ni_
Tigard Noicipal Code, State of Ore. Specialty Cdes and all other Insulae In&p
applicable la-.;s. t ;i3 a :zai"dai i :-1i�li Gyp Board In= p
ap.w :.ved T hiS pe;':.i t :.i U eapi:'e is not started Cup Ce I l n ]. Ins rl
ILS daps zf issuance, 1n :f '.:o s scspende. for i '•.'.i s Final Inspection
ice? days. . ___._ _._
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Call for inspection — 639 -4175
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Ij1. '
Commercial Building Permit Application C _� `.
City of Tigard
13125 SW Hall Blvd.
• Tigard, OR 97223
(503) 639 -4171
q6,13 Sw /ASt- l_rTIG 76 Ai s 6 uAre
Jobsite Address: 1 WASi lGTbA( , S PACE FL - 2._ I - U O 0
�: �`.� }C \:� `�'. �O:+x" i��.�: \. \�� Dt•F \; <`: {�`� <:'��, }��
Tenant: 1�1/ ° Offfcebse":Oniv :, ;;< .,,`:, �£� }c > { <:< ;: < tia> > u�v�:< <v
WA A1 Suite # ``� '�: � Vi.: \k \ .x:wn:.:. •: •, {•�••\,^:)�+,\'•A\ \ i n, : } ^::�a :i5��:'v":.�:: " ?;jb':
--N-1)-1-P. C U15_17,1 : ,;:• :, .' :•.:; };,., •
Valuation: SO, :; : P iaitlilRec ` . ;;; ;<:;:;:::; }.;:gi
Owner: �2P'TS -5 : , <::. : ;. :<
Address: Z I 6 A t E ASC r C, H.`v \y } n �: } +T : t } i < ;ti 1: \4 ;: i:..:k} )•.
»4 Aiib rova(s: Rebuih } '<< M1 . :
k': ':tip.': :•.z ;;. ' . v \; ; 4,+
Ph one: Z S8 Z� Z. : : :: }:..:.. :':} `.: , ::5 : }. >::;`.:.. ,k. „: „: :: '. :, }::.'
^.. T• ^ :v::tiiJ. \..ir : • v ;:..}.. ; : :'L'v. } } }i \:ti :v';. }.ti:: '' ' i : }
' '... :...... s ... ......
C ontractor: 1 • � :• • \ \:C �}%7V v{}i, ' . i • }.A', \ \ ,. \,. vvv \,,.::.J \}: };. •::'' \` }`�: •'
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Address: ZS Still -N 1
13 ,4VE ErtM arc__ q Rp�s Type of const: — N
Phone: ( 6 L e 6 - Z 17_3
Occupancy class: 13-z. /
� L^ ! Z S No
Contractor's License # 3 � L(� � � , Z
(attach copy of current Oegon license) Sq. ft. of project S00
Contact name & phone: S`cEUC Sc�r�•n( Story (1st, 2nd, etc.) z itg
Architect/Engineer:
s t N� S SA Proposed use: lZ�ST�IU,�,gT
Previous use:
Address: Z- 3q / �) 113'
I �-�� �� U �� �� Note: Plumbing & mechanical plans
I must be submitted at time of
building permit application.
Phone: j 3) 2 2-8 , 3 z-
JOB DESCRIPTION: TFNAAt -T j j f12D11EMEArr \//l� �1�L�77�N S L)
t1) Govti
p ,i'l ( °3 ) � ` - a r 2.3 ant Si nat e & Phon n 9 Phone number
Received by: '7 ` I” 0 ? r„` Date Received: /-/- 2;7 I
7
1, (1C
tra .c.ps°
202 .teC __ o(/
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in
Post/Beam Mech. San. Sewer Gas Line - g.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. )
Date Requested: �' ' -/ ' - `7 Time: AM _XPM
Address: 7 W,,3 54 , 5
Builder: Permit #Q
ce a j
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r er NNW
- - i ice. do / / J
Spector: ef f C � , r . e / / " „ c i Q Date:7'7 T '
PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
DEPARTMENT OF LAND USE & TRANSPORTATION
AIIII WASHINGTON r
155 NORTH F RSTDEVELOPMENT LSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
OREGON XXXXXXXXX - -> 640 -3470
Page . 1 of 1
Date : 05/24/95
Time • 15:25
Permit Type : Commercial Electrical Permit Permit # : 05068130
Permit Status : APPROVED Applied : 05/24/95
Situs Address : 9647 SW WASHINGTON SQUARE RD TI Issued : 05/24/95
Permit Title : WAZWAN - SERVICE 20 CIRCUITS Completed :
Permit Descr. : WASHINGTON SQ To Expire : 11/20/95
Project Title : WAZWAN - SERVICE 20 CIRCUITS Project # : P0050285
Project Descr. : WASHINGTON SQ * EROSION *
Parcel Number : 2S1TI - Land Use District :
valuation U
•
Legal Descr. .
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : TUALATIN ELECTRIC Classification : 900
Applicant Addr.: Y.U. BOX 655 Occupancy .
WILSONVILLE OR 97070 Validated by : EB
Applicant Phone: 682 -2955 Inspector Area :
Fee description Units Fee /Unit Ext fee Data
Service /Feeder:200 amps or less 1 60.00 60.00
Each Branch W/ Feeder [Enter #] 20 5.00 100.00
Subtotal Electrical Fees: 160.00
State Surcharge of 50 8.00
Total Electrical Fees: 168.00
* ** Fees Required * ** * ** Fees Collected & Credits * **
Method Check # Receipt No. Date Payment
CK 102019 05/24/95 168.00
TOTAL THIS DATE * * * * * * * ** 168.00
Fees: 168.00
Adjustments: .00 Total Credits: .00
Total Fees: 168.00 Total Payments: 168.00
Balance Due: .00
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NOTICE: This permit becomes null and void If the work or construction for which it Is issued Is not commenced within 180 days. Once construction has started,
the permit becomes null and void If construction is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Buildin • ■ = • artment's reliance
upon false and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances gove - ng th - construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correctio = heets. acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowied • : that the se or occupancy of
the structure or building permitted depends upon my calling for Inspections at various times during the process • f c nstructi • and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure pe , I • ' d pri . • approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Insp - U • req i , ments are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of • - pr• • e •`, u . • n which the permit is Issued
specifying that the use or occupancy of the building or structure is provisional and revocable until the - a fa • o 1 I nspection requirements.
AP • TrANT'S SIGNATURE
W `l
illNi Department of La nd COUNTY Use & Transportation ' 'ELECTRICAL PERMIT
Uig= Elec 155 trical North InspectionFirstAvenue Section
APPLICATION
,
Hillsboro, Oregon 97124
Information: (503) 640 -3470 Fax: (503) 693 -4412
PLEASE PRINT Permit
Number / � �/ z - /
Please complete all sections, 1 through 5. Da te _ 7
1. Location of installation 4. Complete Fee Schedule below
Address q6 ") SLe 14,4s4 4S4 i , ,s 4 ?__ I Z /� e1.- Number of inspections per permit allowed
Building Gv✓ ��' Service included: Items Cost(ea.) Sum
City J ro Suite No. 5�. S ✓,
Tenant Name I. ' A. Residential - per unit
(if commercial) w 4 Z (`-., et h
1000 sq. ft. or less $110 00 4
Map No. Tax Lot Each additional 500 sq. ft
or portion thereof $25.00
Limited Energy $25.00 1
Thomas Map Book: Page: Section: Each Manuf'd Home or Modular
Directions Dwelling Service or Feeder $68.00 2
Commercial C6— Residential ❑ B. Services or Feeders
Installation, alterations or relocation j / o
200 amps or less $60.00 ��O 2
2a. Contractor installation only: 201 amps to 400 amps $80.00 2
Electrical Contractor 11)414.4 Eee,. -y(. -; 4_, 401 amps to 600 amps $120 00 2
/� 601 amps to 1 000 amps $180.00 2
Address I o. , 6 SS Over 1 000 amps or volts $340 00 2
City (✓ i /S. >• (;1/6. State oL ZIP ' ' �o Reconnect only $50.00 2
Date 11/ �i .S Job Number '-I') %7
Property wrier K A A e .- /.. -i C. Temporary Services or Feeders
Contractor's License No. 3 6 � • Installation, alteration or relocation
Contractor's Board Reg. No. - SC-. go � J, 200 amps or less $50.00 2
201 amps to 400 amp s
$100.00 2
Signature of Su r. Elec'n 4 , / n u 401 amps to 600 amps $1 00.00 2
g Sup Over 600 amps to 1000 volts see "B" above
License No.3ili Phone No. ,55..;. ---__ - SS. p
D. Branch Circuits
2b. For owner installations New, alteration or extension per panel
a) The fee for branch circuits with
Print Owner's Name Phone No. purchase of service or feeder fee.
Each branch circuit 422 $5.00 )� 2
Address b) The fee for branch circuits without
purchase of service or feeder fee.
City State Zip First branch circuit $35.00 2
Each add'nl branch circuit $5 00 2
The installation is being made on property I own E. Miscellaneous (Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle $40.00 2
Owner's Signature Signal sign or outline lighting $40.00 2
Signal circuit(s) or a limited
. energy panel, alteration
3. Plan Review section (if required) or extension $40.00 2
Please check appropriate item and enter fee in section 5B. F. Each additional inspection over the allowable
4 or more residential units in one structure in any of the above
Per inspection $35 00
Service and feeder, 800 amps or more Per hour $55.00
System over 600 volts nominal In Plant $55.00
Classified area or structure containing special
occupancy as described in N.E.C. Chapter 5 5. Fees
Submit 2 sets of plans with application where any of the A. Enter total of above fees $ I 6o
above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $ r.
services. Subtotal $
This permit becomes null and void if the work authorized by the permit Is B. Enter 25% of line A for
not commenced within 180 days from date of issuance of such permit or Plan Review if required (Section 3) $ '
If the work authorized is suspended or abandoned at any time after work Subtotal $
is commenced for a period of 180 days. Electrical Permits are non- ❑ $
refundable and non - transferable. Trust Account
For inspections call Balance Due $ ) 6 '
681 -3699 or 681 -3698
24-hour recorder, one working day in advance of need
BL28 • 3/95
, - 'Y OF TIGARD BUILDING INSPECTION NOTICE
Ir. ne (Rec-O-Phone): 639 -4175 Business Phone: 639 -4171
Inspection: ( 1)0/2-4 L / .„2,,,„..h, •
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. •
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech. _—
Underflr. Insul. Shear Wall Gyp. Bd. -E .
i
Date Requested: 7// ( . /.4) /9- Tim PM
Address: � Z - 7 J /9- - ` S C& .
Builder: 7E1 - 7 R , S Permit # S t t , J,S o / 3 (,
THE FOLLOWING CORRECTIONS ARE REQUIRED: vv
/fee s - O (S'/
/ L . 9�93 O a o3
" - - ,
M G 9S 7
Inspector: . ,i�� Date: 7— / / 7S
$APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.