Permit TENANT ms I -
N4EtH BLDG. B
BUILDING PERMIT APPLICATION TIGARD DATE : f 19`_
r \ \� THE UNDERSIGNED HERE$YAPPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN 1 HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
tax LOT NO. 4 01,
OWNER Portland Fixture JOB ADDRESS 12266 $W Scholia Warty Road
ARCHITECT
ENGINEER
BUILDER ?' & B Construction ADDRESSP•0, BOX 5487, Ptld. DESIGNER R & H
STRUCTURE ❑ NEW ❑ REMODEL K] ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE lX COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE
OCCUPANCY LAND USE ZONE C -3 BLDG. TYPE 5N FIRE ZONE_ == PLAN CHECK BY Oti HEAT C,
Tenant Modifications - Hi -Tech. Bldg. B. All per plans and code.
Separate permits *squired for plumbing. mechanical & fire sprinkler system.,
I
SEWER PERMIT#
OCC. LOAD FLOOR LOAD slab HEIGHT NO. STORIES 1 AREA 3105 NO. BEDROOMS VALUE$1
BUILDING DEPARTMENT SET BACKS FRONISEE PLA' REAR LEFT SIDE RIGHT SIDE
P
Permit $72.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
36 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
01* 1 Z8•bU WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub -total RET COCV CITY BUSINESS
LICENSE. STRIC SEPARATE IVE PERMITS COVEN ANTS. CONTRACTOR REQUIRED FOR AND SEWER , PLUM NTRA BING TORS AND TO HEATING. HAE CURRENT
State Tax 4% 2.88
Total $139.68 SDC —
PDC# APPLICANT OR AGENT
By - -- pl
, Receipt No.
Approved ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS PL BING DATE
-2_ i3 Contractor
3 -( ris/ A/AVG Cc" / ...vim l *� Permit No. 2.5 % — Q -
- z- / -d'J. /�L�f �'« Rough -in
4 C< Fixture
y/V 0 7
HEATING
Contractor (
Permit No.
Gas or Oil
Rough -in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb & Street Final
Approach
BLDG. DEPT. FINAL I TEMPORARY CERTIFICATE OCCIP NCY
{CERTIFICATE OCCUPANCY Final
Landscaping
I t Zoning Final
TeetAmvt --A -Tea (4 leri . B . .. . -.- .:. -."‘• - - ' . .. - • - --- . -
BUILDING PERMIT APPLICATION TIGARD DAT , I 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN NDICATED BUILDER PHONE? Ze 41,7
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS
5' Q LANSAND SPECIFI ATIONS. OWNER PHONE 22 r-$53'
P 4 I &IA Pl •4 JOB ADDRESS /ZZbC S1v OIIS LOT NO.yOJ /S l'' /
1 14 /� n CHITECT •
Q
?UtLDER R 14 ` e '• ADDRESS PO BOW r4,31 P'}Idt DESIGNER (1 A N
STRUCTURE te NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 0 RENEWAL 0 FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ��j COMM ❑ EDUCATIONAL 0 GOV'T ❑ RELIGIOUS a PATIO C CAR PORT ❑ GARAGE a STORAGE Q SLAB❑ FENCE
C,Ci.■PPANCY 8 -Z LAND USE ZONE C - 3 BLDG. TYPE - S FIREZONE ` PLAN CHECK BY1TZ HEAT 4
Taussoi Mot i °i% - 441. Toc.& . 43IAA. 3 /III e ar= e ioota Et cae.
SEWER PERMIT #
CCC. LOAD FLOOR LOAD 966. HEIGHT NO. STORIES / AREA 3 /D J NO. BEDROOMS •••• YALUEAPy 0 0o
{ BU)LCING DEPARTMENT SET BACKS FRONT9eQ pi.„ REAR LEFT SIDE RIGHT SIDE
P °rrnit 72 . dD THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON :NC
1 1 36, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT I5 HEREBY AGREED THAT THE
!Plan he k WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO: PL1ANCE
i_.LY' WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV:
Subto 41 ' / 3 $ �' FESTRtCTIVE COVENANTS. C ONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY EUSINES.5
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATIN
to ax • 2 .$: f .
Total Ste_
PDC#I APPUCANT OR AGENT
1 EY ____.
!' Receipt No.
i Approved i J ADDRESS PHONE
30C $ ..
:'(.1C. - S
::EWER CONNECTION
;EWER INSPECTION 5
SEWE=R SURCHARGE S .
"en„mont _ ' . 3.3 2 sets REW Wil s�,l•.4o l'`/
P/U ie>h • 3 -q
FIRE PREVENTION BUREAU
OFFICE OF FIRE MARSHAL
INSPECTION NOTICE
OWNER DATE
OCCUPANT OCCUPANCY
LOCATION
YOUR ATTENTION IS CALLED TO THE FOLLOWING FIRE SAFETY DEFICIENCIES:
FAILURE TO CORRECT THE ABOVE CONDITIONS WITHIN DAYS WILL MAKE YOU LIABLE TO PROSECUTION. SHOULD FIRE
RESULT FROM SUCH CONDITIONS YOU MAY BE LIABLE FOR DAMAGES TO PERSONS OR PROPERTY UNDER PROVISIONS OF
ORS 479.190 BY
WASHINGTON COUNTY FIRE DISTRICT #1 FIRE MARSHAL
20665 S.W. BLANTON STREET P.O. BOXY PRESENTED TO
ALOHA, OREGON 97006 649.8577
I I
FORM 900 - 40
JIJHI L. HU H! PLUMBING, fllC BUILDING UtPAR i MENT, TIGARD
P. 0. BOX 129 PLUMBING PERMIT NO
I
t+EW5EfiS, OREGON 91131
h older of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub - contractors. / /'e/)-i-i a lS
Owner fi W C .fl�,(.t!' (.�Tn . Address - 6 S ( -<J• 3e-4.--.0 L...,__ ) ,`/ /?d
_
Date l 9 61
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
RESIDENTIAL_ S
Single Family -1 bath —each 25.00
Duplex —Each 1 bath unit 25.00
Additional bathrooms —each 10.00
Mobile Home Space —each 1600
INDIVIDUAL FIXTURE FEES
1 to 60 Fixtures in 1 building —each __2. 3.00 _ 3 • Q 0
51 to 100 Fixtures in 1 building —each 2.50
101 to 200 Fixtures in 1 building —each 2.00
201 or more Fixtures in 1 building —each 1.50
MISCELLANEOUS
•
Building Sewer -1st 50 ft. 10.00
Sewer —each additional 100 ft. 10.00 +h4
Water Service to building / 5.00 U ''
Private Water Systems —each 100 ft. 10.00
Other (Specify):
PERMIT " Q d For Plumbing Inspection Phone 639 -4191
riX Statey ■� - I `� Plumbing Contractor Bpi �,
TOTAL } �. i 02 �'�
- � PT N O. Issued By
BUILDING DEPARTMENT, TIGARD I
JOHN E. REIHtIARDT PLUMBING, IHC.
P. Q. BOX 129 PLUMBING PERMIT NO ' 1
HEWB[RG, OREGON 97132 • , h older of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not leg than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub- contractors. R-/ 6 '02 '�,.,F,yi /261
Own Date Address ° b �W 5 Date 3 -3 -P/
NUMBER OF TOTAL PERMIT NO.'S .
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
RESIDENTIAL S
Single Family -1 bath —each 25.00 -
Duplex —Each 1 bath unit 25.00
Additional bathrooms —each 10.00
Mobile Home Space —each 15.00 _
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building —each 3.00 r-94• CO
51 to 100 Fixtures in 1 building —each 2.50
101 to 200 Fixtures In 1 building —each 2.00
201 or more Fixtures in 1 building —each 1.50
MISCELLANEOUS ,
Building Sewer —lst 50 ft. 10.00
Sewer —each additional 100 ft. • 10.00 ,+', —
:
Water Service to building 4 , • . 5.00 — ;
Private Water Systems —each 100 ft. r • / 10.00
Other (Specify): ,
PERMIT a `4.0 F. •lumbinp don Phone 6394191
$% Statey% C i • Plumbing Contractor SKI LU d � ,�,.
TATAI o4 " • yin unmet'''. &,n