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New Construction and Additions n�� Date Recd - TIGARD, OR 97223 �1 Date to P.E. �� (503) 639-4171 // U 7 5 Slit/ 1'75 ' „,, "`fie ��,' Permit # Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project Existing Building ❑ New Building ❑ Job JAcog CAL - Address Street Address Suite Building 7o5 s. w. $5 7-1- I Data Bldg # City/State Zip Existing Use of Building or Property: s TrIZA Oft- 9)2- Name ,,� Property T i r ��� 4v f I/S.-et Proposed Use of Building or Property: Owner Mailing Address Suite 7-ZtS'1 SW 55 Ave No. Of Stories: • _QV/State . Zip Phone )w ojL 9 630-2/'/7 Sq. Ft. Of Project: Occupant Name NON IC Occupancy Class(es) Name ` � Contractor S l UCcq,n �fi ^ Type(s) of Construction Prior to permit Mailing Address Suite issuance, a copy Will this project have a Fire Suppression System? of all licenses Yes ❑ No ❑ are required if Ci /State Zip Phone expired in C.O.T. L 7g0 — 06/ Z Americans with Disabilities Act (ADA) database Valuation X 25% = $ Participation Grego o st. Cont. Board Lic.# Exp. Date Complete Accessibility Form Project $ Name Valuation • Architect Jozhv t' Mailing Address Suite Plans Required: See Matrix for number of sets to submit on back City/State Zip Phone I hereby acknowledge that I have read this application, that the information N ame given is correct, that I am the owner or authorized agent of the owner, and Engineer that plans submitted are in compliance with Oregon State Laws. V) L_ ACCdYViketo Mailing Address Suite Sig ature /e ner/Age Date - of , I) / Jy/9 � 4 /State Zip Phone o ct Perso ” e Phone &blz - ° OP— -v l S a35 — 2bil Indicate type of work: New 0 Addition 0 Demolition X5 FOR OFFICE USE ONLY Accessory Structure 0 Foundation Only .B( Alteration 0 Map/TL# Land Use: Repair 0 Other 0 Description of work: Notes: C1. p . se t fta- INC • TIF: Parks: Estimated $ of Employees Note: Site Work Permit Application must precede or accompany Building — 6U` I CD O O Permit Application a s 8 69 / s --- acs 0. I:ICOMNEW.DOC (DST) 8/97 th `' g , 4 5 EA. Pt. N.) COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- -- B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- -- P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) -- B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) -- B (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o) • B M A : :i.: : :.. >:.: <:; B & .I . P lt.:. ... 3 ;..:.1> : .::. ' >: : 2.: <:. : :. : :. Z: • : ; 0). ...::.:..:.. . .... ..:.:... :. B & . :. 8c:.:: .:.:. .... ,: .. M F &.E Alt > ...... .:.:.:.:.: .;: �...3.: :; ::! >::;:: > : : � � -:: : >: .. ..:.: ;; ;. .�: »: . ''� <��r:<: < >2'� �'��o ` ::: � "� - .: :::; NOTES: KEY: a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f = Fire P = PLM u = USA E = ELC • b. Shaded areas des €g at ,A Titi : it tta4 ow. y..:... • >.:: .. ? : w= Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h:\matnc. Doc