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CITYOF TIGARD ELECTRICAL PERMITELC _
DEVELOPMENT SERVICES DATES UIED: 4/22/99
00242
13125 SW Hall Blvd.,Tigard, OR 97223 115031639-4171
PARCEL: 2S 102AA-04800
SITE ADDRESS: 08960 SW COMMERCIAL ST
SUBDIVISION: MORINS ADDITION ZONING: CBD
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical TI
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: _ PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT:
601 - 1000 amp: — PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
L_Reconnect only: SVC/FDR >=225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
rRl-COUNTY METROPOLITAN NEW TECH ELE'.:TRIC
TRANSPORATION DISTRICT 1400 NE 48TH AVL
4012 SE 17TIl AVE HILLSBORO,OR 97124
PORTLAND, OR 97202
Phone: Phone: 503-648-1900
Reg M LIC 41868
SUP 2113s
ELE 26-418C
_ FEES _— Required Inspections
Type By Date Amount Receipt Elect'I Service
PPMT BON 4/22/99 $60.00 99-314769 Elect'I Final
5PCT BON 4/22/99 $3.00 99-314769
Total $63.00
1 his Permit is issued subject to the regulations contained in the Tigard Munidpai Code, State of OR Specialty Codes and al!other applicable laws
All work will be done in accordance with approved plans. This permit will expi;a if work is not started within 180 days of issuance,or i` .vork is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952.001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
Permit Signature: r Issued B / , ?
C L CIUl1 Qk y'
OWNER INSTALLATION ONLY
The installWt on is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ _ DATE:
— CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: << r (011 DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day ,_
CITY OF TIGARD Electrical Permit Application Plan Chec _
13125 SW HALL BLVD. Recd By . ' ••T�o P. -
TIGARD OR 97223 �0 P W-���6 Date �[ 7
Date tto E_
Phone (503)639-4171, x304 Date to DST^
Inspection (503) 639-4175 Print or Type permit# F LC (°�"a - oZy7_
Fax (503) 684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: ��/ 4. Complete Fee Scheduta Below:
Name of Development Number�� '1,4e Number of Inspections per permit allowed
/Name(or name of business)_ -Aj Service Included: Hems Cost Sum
Addres A�o ���tL ?� 4a. Residential-per unit '
1000 sq.ft.or Inns $110.00 4
City/State/Zip Each additional 500sq ft or
Commercial J9 Residential❑ portion thereof _-_ $25.00
Limited Energy $2.5.00 _
Each Manut'd Hnr-:o or Modular
Dwelling Son,ice or Fender � $68.00 _ _ 2
2a. Contractor installation only:
(Attach copy of all current Ce as „ 4b.Services or Feeders
Installation,alteration,or relocation
Electrical Contractor , 200 amps or less $60.00 _ 2
,Address C , _ 201 amps to 400 amps � $80.00 2
City/F' �'�_•State (9d Zip 9401 amps to 600 amps _- $120.00 2
Phone No. 41�e 1TO-0- 601 amps to 1000 amps -- $180.00 2
Job No.-� 3/ Over 1000 amps or volts $340.00 2
Elec.Corr Lice. No. ! Reconnect only J $50.00 2
6 11!�•�_ Exp.Date
OR Stat(,CCB Rog. No. Wigle _Exp.Date ____ Ac.Temporary Services or Feeders
COT Pusiness 1 ax-1r Metr o. - Exp.Dato_ Installation,alteration,or relocation
200 amps or less $50.00 - 2
Signature of Su r. Elec'n i 201 amps to 400 amps $75.00 2
g Supr. 401 &mps to 600 arnps $100.00 _ 2
t< i Over 600 amps to 1000 volts,
License No. 7 __ Exp.Date�L O O 1 _ see"b"above.
Phone. No._ 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name--- feeder fee.
Address_ Each branch circuit $5.00 - 2
- b)The foo for branch circuits
City _ _ tateZip without purchase ei
Phone No. service orfeeder lee. / $35.00 2
First branchh circuit L y -
The installation is being made on property I own which is not Each additional branch circuit� $5.00 .(J� 2
ir0t,3nded for sale, lease or ter it 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature_.- _ _ Each pump or irrigation circle $4u.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):' Signal circuit(s)or a limited energy
panel,alteration or extension $40.00 -
Please check appropriate item and enter fee In section 5B. Minor Labels(10) $100.00
_4 or more esidential units in one structure 4f.Each additional hTspectlon over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per in3pection $35.00 -
_ Classified area or structure containing special occupancy Per hour $5,,.00 _.
as described in N.E C.Chapter 5 In Plant _- $55.00
"Submit 2 sets of pians with application where any of the above apply, 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
Surcharge(05 X.total fees) $
NQI,E Subtotal $ _
5b.Enter 25%of line 5a for
PERMIT.-BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reegyk d(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR Ir CONSTRUCTION OR WORK Subtotal $ -�
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �+.
TIME AFTER WORK IS COMMENCED, ❑ Trust Accouni N- _
Total balance Due s
I%us TSrl C9G Ann nev WX
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line. 639-4175 Business Lir,&: 639-4171 �— —`—
BUP
Date Requested '_ ! AM PM BLD —
Location-��( (L' � �)���l�-�.��� Ul J Suite MEC
Contact Person tE L� ' _ Ph ��� I�/ PLM —
Cont-actor _ (Y�'C s�K• J t r.ISc,✓ Ph SWR
BUILDING Tenant/Owner _ 1��tiY] �-�' Q �'L-� ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Flg Drain SGN
Crawl Drain Inspection Notes:
Slab --_ — 31T
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing --�—_ 1-lz�A G 62
Firewall ,
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- -----_--
Roof
Misr_:
Final —
PASS PART FAIL r, --- — —
PLUMBING
Post& Beam —_---- - - �----- --
Under Slab
Tap Out _—.------ --- --• —� _.
Water Service — —
Sanitary Sewer
Rain Drains —
Final
PASS PART FAIL
MECHANICAL
Post R Beam -- -
Rough In
rias Line —
Smoke Dampers
Final - — ----- ---- -- — --
PASS PART FAIL
service ---
Rough In
UG/Slab --------- — - --- — --
I ow Voltage
Fire AlarmFiqAL
AS ) PART FAIL
tff
Backfill/Grading — ---------- --__—__— ____—_--.. —
Sanitary Sewer
Storm;gain [ J Reinspection fee of$ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE' _ [ J Unable to inspect-no access
ADA j
Approach/SidewalkEXt
Other Date Inspector,--- _��C � r =- --- ----
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
i
CITY OF TIGARD BUILDING PERMIT
p'ERMIT #. . . . . . . : BUF'96-0437
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/ 39/96
13125 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)630.4171
PARCEL: 25102AA-04800
SITE ADDRESS. . . : 08960 SW COMMERCIAL ST
SUBDIVISION. . . . : MORINS ADDITION VACATED ZONING:CND
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :
REISSUE.-----_.______-•_- -- FLOOR AREAS------- - -- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: Et W:
TYPE OF USE. . . :COM SECOND. . . : 0 St- PROTECT OPENINGS?-------.__.-_
VYPE OF' CONST. :5N . . . : 0 Sf N: S: Ell W
0; .CUPANCY GRP. :P TOTAL------.-: IA S f ROOF= CONST: FIRE RET? :
OLILUPANCY LOAD: 0 BASEh1ENT. : 0 s f AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 S f OCCU SEP. RATED:
BSt4T?: MEZZ?: REQD SETBACKS----- REQUIRED--------------------
VLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET—,,N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 PATHS: 0 IMP SURFACE: 0 PRO CORR;N PARKING: 0
VALUE. t: 6988
Remarks : CLASS B RE--ROOF- WITH TEAR.-OFF AND NEW METAL SKIRT/FLASHINGS
04iner: ____._._.__..__.._.___..__.._.____._ ...______..__.___._ _.._-_______-_-___- FEES
TRI-MET TRANSIT CENTER type amount by date recpt
4012 BE 17TH AVENUE PLCK $ 40. 63 J*H 07/23/96 96--281967
FIRE $ 422. 60 J*H 07/23/96 96-281967
PORTLAND, OR OR 9'7211 PRMT f 62. 50 J*H 07/23/96 96-281967
Phone #: 238-4965 5PCT f 3. 13 J*H 07/23/96 96-281967
Lontractorn
BOB CARLTON INC
PO BOX 63
HILLSLAURO OR 97123 _-----•.-----------.--.___..__..--_-___-_.
Phone #: 640-3623 $ 128. 86 TOTAL
Rerl #. . : 5113
REQUIRED INSPECTIONS --- -- __.
This permit is issued subTect to the regulations contained in the Final. Inspection
Tigard Municipal Code, State 6i Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 181? days of issuance, or if work is suspended for more
than I88 days.
i-e r m i t t e e 19 ' n a t u r•e : J` b' �
A_ - �1.0
ley: U ` �
Call for iiispection - 635-4175
Commercial Building. Permit Application
City of Tigard
13125 SW Hall Blvd. y l�
Tigard, OR 97223 ! y 1
(503) 6394971
.lobsite Address:
Tenant: _r,1/ Suite # Office Use Only
1n
Valuation:4 `2 e ac..) t
Permit# APF2
Owner: —7r'I —r n lr Map & Tl # x�.'�/� ��%lC� rZ)
���'� -�' ���==. /7 �`1 y sem'/
Address: _ — Approvals Re ug 'red
l
C)OL' Z L 4/,,1,- eel Planning —_—�
,
�' `'' G �� rr —
Phone: Engineering
Other
Contractor: J$"u" 44
Address:
Type of const:
Phone:
I Occupancy class:
�"���'}���,. ��r�,—� -----
/ Sprinklered7 Yes No
Contractors license # .__ �'l�r/�� ���_�-h.1+_�� ��l�f�,
(attach copy of current Oregon license) Sy, ft. of project:
Contact name & phone: ,f/�,r44, Story (1st, 2nd, etc.) ,
Prucosed use:
Architect/Engineer:
rrevous use
Nddress
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phore:
.:CB DESCRIPTION:
I r\S�7''��tty �4 t:� CLi'r�• �, }� t/'���r ireT�+�.7 /t+'E
-
plican Sig attire & Phone tuber
Received by: Date Received: —
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUIVIS)
_! Mech. Permit (MECH) _
State Tax (TAX) 3. /5
Bldg:
Plumb:
P:1ech:
Plan Check (PLANCK) `f'l� �'�' J
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-1) —
Institutiona; TIF (TIF-IS)
Office TiF (TIF-0)
Water Quality (WQUAI.)
Water Quantity (WQUA"71
Fire Life Safety (FLS)
A-- _
Erosion Cntrl Permit (ERPRMT)
Erosi, i Planck]USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: i� l
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572 ROOF C:JVERING MATERIALS (TEVT) ROOF COVERING MAT,
�J ROOFINC SYSTEMS (TGFU)—Continued ROOFING SYSTEMS (TC
Surfacing: Monsey Products Co.'s 'Dura Wh to", "Endure White Elastomeric Ruof Co grana;One or more layers "BRAI-4", "BRAT
"Pro-Grade White Elastomeric Roof Coating", 3 gal/sq.
`` 2. Deck: C•15/32 eb'M a Pat ng. Fields Corp. "F530 Heat Shield Alum
c Incline: 1/? tec,n9�
Base Sheet: Type G2 (modified bitumen), mechanically fastened or adhered with hot � Hurn Coating", 1.1/2 get/sq.
asphalt. root Alv^ 32
Membrana: "BRAh'FLEX FR-4.5". adhered with hot roofing asphalt. peck:C.15/ mechanieaily fastened.
3. Deck:C-16132 Incline. 1/2 P Sl'nrBRAI SPA(modified bitumen), hea
Bass Sheet:Two layers Type G2, nailed or adhered with hot roofing asphalt. Membts •'ALUM-A•GARD Fibered Aluminum R(
Membrane: "BRAI-4" "BP.AI SP-4"or"BRAI GBSP•4" (modified bitumen), heat fused EyrhoiRoof Coating" at 1-1112 gal/sq.
Surfacing: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum Asphalt Roof mum 15/32
1.1/2 gal/sq Cosbrr peek;C-
Sheat:"Ultra Base", mechanicslly fastenee
4. Deck:C•15/32 Incline•. 2 SO rte;"BRAI/FLEX 170 FR adhered with
Int i,lat(on, Celotex "Hy-Tec', 2 in, mechanically fastened. Mambrs C.15/32
Bose Shoot: Type G2 (modified bitumen), mecnanically fastened or adhertd with hot r 0
Doc pass k Sheet:Type G2 base sheet nailed m place
asphalt. BRAI S111.4", heat fused.
PI Sheet: "BRAI/FLEX FR-2' lmodif,ad hitumen. adhered with hot roofing asphalt. Mambran+Gibson•Homane "Black Jack 5176 F,
Ply ) g p
Membrane: 'BRAI/FLEX FR (modified bitumen), adhered with hot roofing 1130ait. SM dcAluminum Roof Coating" at 2 gal/sq
5, Deck:NC Incline: 1/2 bore
Insulation (Optional): Glass fiber, perlite, wood fiber, 1 in. max, mechanical-y fastened dr p Deck:NC (Optlonel): Glass fiber, perlite. wooc
hered wit", hot roofing asphalt L
Base Sheet: 1 hared with hot roofing asphalt.
ype G2, mechanical) fastened or adhered with hot roofing asphalt. Np Sheet;Type G2, mechanically fastened or
y g P
Membrane:BRAI-4,"BRAI SP-4 or"BRAI GBSP-4" (modified b tumt n), heat fused, brans:"BRAI SP•4", 'BRAI SP-4'. or"BRAI
Surfa\ 923 FCbered Aluminum No.at 52to 2'gall sl)Aluminum at 1 to 2 gal/sq ft or GEO Indushiee- gu�fsaing; Gibspn•Homa/B "Black Jack 5 176 `
6 Ueck: C•15,'32 Incline: 1/4 Rbered Aluminum Roof Coat ng" et 2 gal'sq.
Base Sheet:Type G2 or Intec.'Perma las "Ultra Base" eck.C•15/32
Membrane: "BRAI SP-4' (modified bitumen), heat fused. 't Spa Sheet:Type G2 or Intec Permaglas"Ultr,.
Membrane:G bson Homans Black Jack 51176e
Surfacing: Karnak Chemical Corp "Karnak No 97 Asbestos Free Aluminum Roof Coating'o
1-1 '2 to 2 gal-sq. Surfacing:
7 Deck:C"15,32incline: 1/2 Rbered Aluminum Roof Coat
boredat 2 ass Cal"I
Insula^ion (Optional): Giass fiber, perlite, wood fiber, any thickness, mechanically fastened,
Base Stiset: Types G2, G3 (inverted) l): perliteglass fiber or wo
ed) or "Ultra Cap" (inverted), mechanically fastened or e6 t Deck:C•15;'32
hered with hot roofing asphalt. Insulation (Optiona ,
asphalt organic telt. Yp.
Membrane: "BRAI GBSP-4FR", heat fused. Base Sheet: Type 15
8. Dock: C"15/32Incline: 1;
chemically fastened or adhered with hot roofin"
'2
Insulation: Polvisocyanurate. 2 in inn, mechanically fastened.
}Aembrane:K'aBRek Chemcal Corp �KarBak" RAI
N�
Base Shoot:Type G2. n echanically fastened or adhered with hot roofing asphalt. Surfacing:
Membrane: "BRAI GBSP-4FR", heat fused. 1.1/2 gal/so
l 9 Deck: C"15,32 Incline: 1/2 ( Deck:C•15 32
Base Sheat: T Case Sheet: Type G2 (modified bitumenl• rrP
Type G2, mechanically fastened or adhered with hot roofing asphalt or adhered P 4" (r
with hot roofing asphalt 11phelt.
Membrana: "BRAI SP-4", heat fused. Membrane: "BRAI SP•4" or"BRAI GBS
Surfacing: Henry Co. "Henry 520 Aluminum" at 2.1 2 to 3 gal/sr1. 1 Dock: NC
10 Deck: C-15'32 incline: 1,4 insulation: One or mere layers perme. wood
Hess, mechanically`astened in place
Baso Sheet:Type G2 mechanically fastened. Sap Sheet: One or more lavers Type G2
Membrane: "BRAI £P-4" or "BRAI GBSP-4"(modified bitumen), heat fused. Ply Sheat t: One ell: One or more layers Typ
Surfacing: National Varnish Co "ALUM-A•GARD Rbered Aluminum Roof Coating", at 1.1'1 Membrana: One or more layers of BRAI FLEX
galisq.
1 1 Cock: C-15/32 Incline: 1.'2 mopped in place. MAINTENANCE AND
Base Sheet: Tyrie G2, me:hanically fastened
Membrane: "BRAI%FLEX 170" (modified bitumenl, adhered with GEO Industries "No 902 Per Unless otherwise indicated these constructiCna a
manent Bonding Adhesive" or Henry Co. No 200 Cold Pro Cement", at 1-1/2 to 2 got/so. l B at C system Clan:
Surfacing: Gravel embedded in any UL Classified asphalt emulsion at a rate sufficient for em
bedment. I Deck:NC
12 Deck: C-15/32 Incline: 2 ExbtinQ Roof System: ClaSF ApB or C cover
Insulation: "USIP,OC CAPBOARD", 3.'d in min, with insulation Joints staggered 6 in.from 1ht Membrane: "BRAI 4 "BRAI S. 4r or �uml
plywood deck joints, mechanically fastened Surfacing:Taxes Refinery Culp
Base Sheet: Type G2 (modified bitumen), mechanically fastened or adhered with hot roofing I. Oeck:NC
asphalt Existing Roof System: Class A. B or C 191ev
Ply Sheet: "BRAPFLEX PR-2(modified bitumen(, adhered with hot roofing asphalt Insulation(Optionall: perlitf iter. 'so
;r^ Membrane: 'BRAI'FLEX FR-3" (modified bitumen), adhered with hot roofing asphalt. Bees Sheet(options ll: Type5 30
GI or k
13.j Deck C-15,32 Incline: 1.2 Ply Sheet: One or more plies "Parma Poly
J Insulation (Optional): glass fiber, porlite, mechanicaliy fastened. conventional roofing asr salt.
Base Sheet:Type G2, mechanically fastened. Surfacing: Gravel c ,;rushed stone at 400
Membrane: "BRAI G8SP4FR"(modified bitumen), heated fused. or loose laid.
Ply Sheet (Optional): One or more plies Type G 1 or Type G2. adhered with hot roofmg 1. 3. Deck:NC
phalt.
t4 Deck: C3�-15"' Existing Roof System: Class A. B or )gra`
Incline 1 2 Insulation (Optionoll: perlite wood fiber. is,
Insulation: Poy socyanurate. 2 in. min, mechanically faster+ed. Base Sheet(Optionall:Tvoe5 P On8lG 8 Poly
Base Sheet: Type G2, mechanically fastened. Ply Sheet: One or more plies
Membrane: "BRAI GBSP4FR"(modified bitumen), heated fused conventional roofing asphalt
Ply Sheet lOptionall: One or more plies Type G1 or G2, adhered with hot roofing asphmit. Surfacing: Cold coat with t-1 '2 gal'sq fibs
15. Deck: C•15 32 Incline: 1'2 4 Deck:C•15'32
Insul4tion (Optional): Poyisocyanurve, glas3 fiber, perlite, any thickness, mechanically fes Existing Roof System: Class A. B or C (gra
tened. Insulation (Optional): perlite. wood fiber, ;s
Base Sheet: Type G2 or "Ultra Pass", mechanically, fastened or adhered with hot roofing Base Sheet(Optionalh Type 15; e0T81Poo
asphalt.
Ply Sheet (Optional): One or more lies T Ply Sheet: One or mere p es
p Type 1, "Tough Ply IV" or "Ultra Ply VI adhered conventional roofing asphalt
with hot roofing asphalt. Surfacing: Gravel or crushed stone at 5U0
WMembrana: "BRAI FLEX 170 FR"(modified bitumen), adhered with hot roofing asphalt. 5, Deck: C•15'32
16 Deck:C"15.32 Incline:) 2 Existing Roof System. Class A asphalt c
16 Insulation (Optional): Any thickness, one or more layers UL Classified perlite. glass fiber, poly" (gravel may be remcvedl Covered w�asten
isocyanurate. polvisocy anu rate composite or Partek Insulation Inc. "PAROC' roof insulation. Bees Sheet:T pe G2. rne.Chanically
y a-4 ,,. BRA
GESP4
Base Shoot: One or more layers Type G2 Membrane: "BRAI 5
LOOK FOR MARK ON PRODUCT LOOK FOR MA
i
THREE(3) SLY INTEC SYSTEM/ THREE(3) PLY INTEC SYSTEM/
NAILABLE DECK (B-SP-7000-N) LIGHTWEIGHT CONCRETE (B-SP-7,000-N)
Nadable Deck Na,' Iniac APP Inter APP
Membrans _^_ Lightweight Concrete Dery ,N'A'1y Membrane
Sheathing Paper 3"Lail_ ---- -
3 LJ?_
itRequired T Permavent f
i or"Inverted"
Ultra Cap
Ultra Base or ( �l
Approved 6"End Lap I 1
Base Sheet 6'End Lap
End Laps —i e i
End Laps
3"leo staggered 3Lap staggered
18- 16' apart(min l i
1 119- span(min)
Ii t Intec APP Membrane t
1 12 Lap• �.up Inter A'JP Membrane
Torch
• Torch
N Applied Torch
Applied SApplied Torch
urfacing
• Applied Surfacing
9`
Figure I Figure 2
GENERAL
Safety:Refer to Section 4,Part 10.DO NOT BEGIN INSTALLATION UNTIL TEN AND TWELVE YEAR LIMITED WARRANTY SPECIFICATIONS
THIS INFORMATION IS READ,UNDERSTOOD AND IMPLEMENTED. Specification Membrane Interply Base$nest
MATERIALS LCSP-3B•N SP-4 Beae Sheet Approved
Material Requirements per 100 sq.ft.: LCSP•B3FC•N SP-4 Permaglas APP 4S Approved
A3phalt(if applicable) ......... 25 Ib(1.2 kg/m2)per ply LCSP•B35P•N SP-4 SP-4 Base Sheet' ........................ 1 ply Approved
Interply 2 .............................. 1 ply GS-38•N GBSP-4 Base Shee` Approved
Intec Membrane' ............... 1 ply GBFR-38-N GBSP-4 FR Base Sheet Approved
Surfacing(if applicable)
Ultra Base,Flex Liase 30(BBS).Flex Base 60 FR(SBS),Intec Modified Base GB250FR•3B•N GBSP•250 FR Base Sheet Approved
Plus(SBS).Permavent or r cher U.S. Intec approved base sheets. LCSP-P3FC•LWC SP-4 Permaglas APP 4S Approved
Asphalt Applied:Ultra Base,Flex Base 30(SBS),Flex Base 60 FR(SBS), LCSP•P3SP-LWC SP-4 SP-4 Approved
Intec Modified Base Plus(SBS).Torch Applied:SP-4 or Permaglas APP 4S, FIFTEEN YEAR LIMITED WARRANTY SPECIFICATIONS
SP-4(must ite surfaced).GBSP-4,G13SP-4 FR,GBSP•250 FR.
APPLICATION Specification I'2rr rane Interply Base Sheet
Refer to Section 4 • General Requirements. and Section 5 . Installation GB•B3FC N GBSP-4 Permaglas APP 4S Approved
Requirements. G6'FR•B3FC-N GBSP-4 FR Permaglas APP 4S Approved
Bass Shsst:Mechanically fasten base sheet over the deck. Lap sheets 2" GB25CcR•83FC-N GBSP•250 FR Permaglas APP 4S Approved
(5 cm)on side laps,and 4"(10 cm)on end laps The first row of fasteners(on GB•P3FC•k.WC GBSP•4 Permaglas APP 46 Permavent
the seam)will be 1112"(3.5 cm)from the leading edge and on 9"(23 cm)centers. GB•P3SP-LWC GBSP-4 SP-4 Permavent
Locate the second row of fasteners 12"(30.5 cm)from the leading edge and
on 18"(45 cm)centers The third row of fasteners should to 24"(61 rm)from GBFR-P3FC-LWC GBSP•4 FR Permaglas APF 4S Permavent
the leading edge on 18"(45 crnl centers.The spacing for the second and third GBFR-P3SP•LWC GBSP-4 FR SP-4 Permavent
rows should be staggered. Refer to Section 5,Part 6-Fastening and Part 9,
Item 9.02-Mechanical Attachment of Base Sheets, GB250FR-P3FC•LWC GBSP•250 FR Permaglas APP 4S Permavent
Note:Ultra Base may be used as a base sheet over newly poured lightweight, GB250FR-P3SP•LWC GBSP-250 FR SP-4 Permavent
cellular concrete and gypsum decks under certain conditions. Contact U.S. TWENTY YEAR LIMITED WARRANTY SPECIFICATIONS
Intec Technical Services Department 1.800.624.6832 for prior approval. Specification Membrane Interply Base Sheet
Interply:Option 1:irstali asphalt applied interply,in a uniform mopping of hot 08•B3SP-N GBSP-4 SP-4 Approved
asphalt applied at a rate of 25 lb,square(1.2 kglm2).Lap sheet 2"(5 cm)on side
laps,and 4"{10 cm)on end laps.Refer to Section 5.Pang,Item 9.03-Asphalt
GBFR•83SP•N GBSP•4 FR SP-4 Approved
Mopping Base/Interply Sheets:Option 2:Install torch applied Interply mem- 08250FR•93SP•N GBSP-250 FR SP-4 Approved
brane,over the base sheet.Lap sheets 3"(7,5 cm)on side laps,6"(15 cm)on O8-P3SP•LWC GBSP-4 SP-4 Permavent
end laps.Refer to Section 5.Pan 9,Item 9.06-Torch Welding,and 9.07-Intec
APP Membrane Application. GBFh•r'3SP-LWC GBSP-4 FR SP-4 Permavent
Intec Membrane:TorchweidoneplyoflntecAPP Membrane over the Interply. G82S0FR•P3SP-LWC CRSP•280FR SP-4 Permavent
Lap membrane 3"(7.5 cm)on side laps,6"(15 em)on end laps.Refer to Section
5. Part 9, Item 9.06 • Torch Welding, and 9.07 - Intec Ar., Membrane
Application.
Flashing and Accessories: Refer to Section 5, Pan 10 - Flashing, and
Construction Details In Section B.
Surfacing:Refer to Section 5,Part 11 -Surfacing.
For additional information on this specification, *arranty requirements, etc,
contact U.S. Inlet. Inc. Technical Services h'othne 1-800.624.6832
U.S. INTEC, INC.-I.
aoohnp and Wa1tTrooAn9,'rakrma
42
PLUMPING PERMIT Vim .
CITY OF TIGARD D,ATEIISSUED: . 07/x:8/96 i7� O1
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)639-4171 PARCEL-. `S 102AA--04800
SITE ADDRESS. . . : 06960 SW CQMMERCIAL ST
SUBDIVISION. . . . : MORINS ADDITION VACATED ZONING: CSD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. t 0
YPE OF USE. . . . :CON WASHING MACH. . . . . . : 0 BACKFLOW PRE«VNTRS. . : 0
OCCUPANCY GRP. . :Al FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
rIXTURES___._—_._.____..__. ___ LAUNDRY TRAYS. . . . . : 1 ;SF RAIN DRAINS. . . . . : 0
GfNKS. . . . . . . . . . .! 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 2 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . : 2 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks: RELOCATE FIXTURES AND UPGRADE TO ADA STANDARDS
NO CHANGE IN DU' S
Owner: --_—____________._._.________ .___.._._.___-.__.._ __.___.__._.__.___-.- FEES
TRI-MET TRANSIT CENTER type atmoI-knt by date recpt
4012 SE 17TH AVENUE PRMT 1 45. 00 JMH 07/28/96 96-261780
SPCT X3. 25 JM:-4 07/28/96 96-2817130
PORTLAND, OR OR 97211
V-1ione #: 236- 4965
Cont V-act or-.
C'ROUCHLEY PLUMBING
9717 N LOMBARD
PORTLAND OR 97217 __.__._. _.-_._____._________._______________._....__
Pfl on e #: $ 47. 25 TOTAL_
Reg #. . : 001184
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Top—oi.lt Irlsp
Tigard Municipal Code, State of nre. Specialty Codes and aii other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This pirmit will expire if work is not started
within 181 days of issuance, or if work is suspended for mnre
than 181 days.
! e r-m i t t e e 5 i gnat 1.t r-e
Call for inspection - 6,39-4175
12/08/94 12:92 0500 684 7297 CITY OF TIGARD @foul%001
City of Tigard p.L.1jMpiNG PERMITAPPLICATION Planck/Rec. # ` V,
13125 SY1i Nall Blvd. Permit #
Tigard, OR 97223 OX Feu&,5vj'g q(:-t j) ,
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHAF
•t�..+r..n New SIr/aN F�Ib Resldencaa Onhr r
�e....� ❑ 1 11JATH HOUSE$140.00 ❑2 flATH HOUSE$16.
Job I .� C w' �. �� ,�� `0z r<<, 1713 BATH HOUSE/725.00
Address Woo '— a. Fee Included 1A pkftN iftM In the OWWN artd the dnst 100
of water service, sandary sawn and mm sewer. See hes below.
e...Ae.r.w FOfDURJtS QTY PRICE AW
Sink 9.0u
Mans w.r.• ^� lavaoory 9
Owner )l0 � 2 S r -7r 38- 905 Tub or TuIVShower Curnb. 900
��r Shower Only 9.00
f�,triy W;LUcw� wowCicsat ?.0077
low 40 MWW d boom" 010*10er 9.00
Garbage Disposal 9.00
Occupant Home Agog" Wisiwv Meoma 9.00 _
//,I Flom rain 9.00
V WaW Hanter 9.00
Laundry Room Tray 9.00
�... 9.00
Ce
r✓c, k I'y ther Forties Spectly) 9.00
Maio,091W 9.00
contTaGtOr � ' 7 1 tel,�y 3_/ 9,00
04�
77-11) p�? �� .7 r,s Sewer 1st 100' 30.00
goo ftmowaaw"M Bob,•• f.PI► Sewer.sa. AddiL lar 26.00
Wafer servioe lit 100' JO.GO
I here0y W-knOW1e640 that I have rad tis epoinodon, that tan Viewr Service es.Addil. 200' 25.00
information given Is ugrl9d that I ave the own4r of authorized agent of Stone 3 Rain Drain tet 1W 30.00
the owner, that plans submtt0ed are In corpienos with Stas wis• mit
I am registered with the Constivalon Con n9caor's Ek'srd• :iwt the storm 6 Rain Dram Addit, 1100' 25.00
number given Is corned (If exempt from Slate registration, phase Mobile Home Specs 2500
give reason beiaw.)
Back Flow 10vanb0n
Oevrce or Anti-pollution Davlce 9.00
-_
wn/r rs.n Aon 11Ies0!Not 9.00
Connected to a Furtuie
geerribe waAr new-ZI Wdbm 0 alteration 'repair Uy Catch D"In _ 9.00
to be done residambal Q tan-nnidential — Insi. of EAisL rico- 0g 40.0001,
Spedrly Requested Inspecdons
Existing use of Ram Oros'+, a ryle family dwelling 30.00
budding or property ��,_� �� �_ — ——
ResidenOSl backflow prevenbun
devices 18.00
Proposed us* of
wilding or property
/�/ 1 --------� �(Eyx�capt/Jrasl WWal backf)ow
p_
ymdon dances)
dog J ', "Minimum Fee $26.00 SUBTOTAL
tn� �lc..1�i[�q✓1 '
PERMI'M BECOME VOID IF WORK OR CONSTRUCTION
AVTHORVM IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE,
CONSTRUCTION OR"IRK IS 31.;3PF_NDFD OR ABANUONED
FOR A PERIOD OF 180 OAYF,;r ANY TIME AFTER WORK IS PIAN REVIEW 70K 3F SUBTOTAL
CnMMkNCLD __-
% TOTAL
speasi Conatons
L1ete Weed by— -
V
PERMT
CITY Q F 7 1 GARD PERMIT I#�LF_LC96 10524
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/08/96
13125 SW HAII Blvd.Tigard,Oregon 97223_8199 (503)839-4171
(�(� PARCEL: . S 10�c:AA-•-04800
SITE ADDRESS. . . s � SW L131Y1f+1ERC I AL ST _
SUBDIVISION. . . . s 7.ON i NG:CAD
81_OCK. . . . . . . . . . e LOT. . . . . . . . . . . . . ..
Pr-oject Descriptions Add '.ng four branch circuitre .
- RECi1DENTIAL
UNIT------ ---TEMP ERVC/FEEDER6-• - - -•-•---MISCELLANEOUS----•--
117.100 SF OR LESS. . . . s 0 0 - 200 amt:+.. . a PUMP/IRRIGATION. . . . s 0
EACH P.JD' L. 501ZISF. . . : 0 201 - 400 amp. . . . „ . . : 0 MON/OUT t_ INE LTG. . a 0
LIMITED ENERGY. . . . . s 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MONF. HM/ SVC/F'DR. . : 0 601+amps+--1000 volts. s 0 MINOR LAPEL i1120 - 1 0
-----SERVICE/FEEDER----- CIRC1.1ITSy _ --_- ---.-ADD' L INSPECTIONei---
0 - 200 r,mp. . . . . . : 0 W/SERVICE OR FEEDERS 0 PER INSPECTION. . . . . : 0
� t i400 amp. . . . . . : 0 1st W/0 SRVC OR F"DR. : 1 PER 1-40LIR. . . . . . . . . . . : Iz
41LAI 1 - 600 amp. . . . . . s 0 EA ADD' L P RNCH C I RC S 3 IN PLONT. . . . . . . . . . . • 0
601 11000 amp. . . . . 21 ----_....____ .___. __._.-I"'L.AN REVIEW '`S'ECT ION_...__._--_.- __.-_.._._-
1000a amp/volt. . . . . 1 0 ) =4 RETS UNITS. . . . . . . . a ? VOLT NOMINAL. . :
Reconnect only. . . . . a 0 SVC/FDR 225 AMPS. . : CLASS AREA/`SPEC OUG. s
Owners _...__.__.._______._______,___.__..._.____________........___._____.___._ FEES
TRI -ME'I' TRANSIT CENTER type amount by date recpt
41211::: SE: 17TH AVENUE {"RMT $ 50. 00 JMH -;)8/08/96 96-282689
5PCT 0 2. 50 JMH 08/08/96 96-28a689
PORTLAi,T). 'DR OR 97211
Phone #a 236-4965
Cont r&ct or,e
BLESSING ELECTRIC INC 5i-. 50 TOTAL
825 N RUSSELL. ST
REQUIRED INSPECTIONS
F,ORTI-AND OR OR 97227 Wall Cover Elec+t' 1 Final
Phone #S 503-284-1189 C_lect' .l Service
TReg #. . s 0'5'7994
This perait is issued subject tp tht regulations contained in the
Tigard Municipal Code, State n', Ore. Specialty Codes and ail other F`er, tee Signat r e
applicable laws. All work will be dnna in accordance with
approved plans. This permit will expire if worm is not started �
within 18@ days of ,issuance, or if work is sl.sp+nded for more
than 180 days. 0 d Ry
INSTALLAT'I ONLY --__.__.___...__________ ---
The installation is beim made on property I own which is not, intended for-
sale,
orsale, lease, Gr^ reTrt.
OWNER'S �,1 f-iNHTURE a DATE-
INSTALLATION
ATE:INSTALL..ATION
i 1 iNATURE OF SUPR. ELEC' N s _- ✓ � DATE:
L-1 CENSE NO a A o S ....._._--.--
Call for- inspection 639••-4175+
Community Development ELECTRICAL PERMIT APPLICATION
13125 SV% Hall Blvd
Tigard, OR 97223 Permit #
Phone (5Date Issued
03) 639-4171 - "
" FAX (503) 684-72.97
CITY OF TIOARD TDD No. (503) 684-2772
Inspection (503) 639-4175
I. Job Address: 4. Complete Fee Schedule Below:
Name of %Zv l pment TRI-Mer _-- Number of Inspections per permit alto „d
Address 8962S.W. (MERCIAL _ _ _-T - Service included Items Cost(ea) Sum
City/State/Zip._-_n(,AgD OR --97223 4a. Residential -per unit
1000 sq ft or less $11000 _ 4
Name or name of business TRI-MEI' Each additional 500 s4 it or
portion thereof S2500
Commercial Residential Limited Energy $2500 — 1
Each Manurd Home or Modular
Dwelling Service or Feeder $6800 _ — 2
2a. Contractor installation only: 4b. Services or Feeders
Installation,alteration.or relocation
Electrical C JntractC r_ r�y�' ��y�� 200 amps or less $6000
Address 829 N. RTISS'�t. gT- — 201 amps to 400 amps J $8000 2
City__-POKII ANI) State_OR_ Zip_ 9_722_7— 40 amps to 600 amps —_ $12000 _ 2
601 amps to 1000 amps $180 OG 2
Phone No
__�UZ$ -J ,, —�—J —_- over 1000 amps or volts --- $34000 _! 2
Job NO_ T150-64191_ --- --— Reconne,t only $5000 2
contractor's license NO 26-1,510 --_
dc. Temporary Services or Feeders
Coi.tracter'S Board Reg tJ Installation,alteration,or relocation amps or less 2
Signature of Supr Elec'n 2001 amps to 400 amps -- $5000 2
License No _3183S_ _ Phone No.— __ 401 amps to 600 amps = _ $7500 — 2
Over 600 amps to 1000 volts $10000 -------
2h. For owner installations: see"b"above
--.---- ----- -- 4d. Branch Circuits
Print Owner's Name New,alteration or extension per pane
Address al The fee for branch circuits with
City _`4u -� State _ Zip.______ purchase of service or leader req. 2
Each branch circuit _ $500
Phone No b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder roe. 2
First branch rircwl 1-- $35 00 _U_Ca2
riot intended fo, sale, lease, or rent. Each additional branch circuit $500 �-
Owner's Signature ____._ __ _ — 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Frch pr.np or Irrigation circle $4000
Each sig or outline lighting S4000
Signal ctn.rit(s)or a limited energy —
Please check appropriate item and enter fee in section 5B. panel alteration or e,.tension $4000
_4 cr more residential units in one structure Minor Labels(10) $10000 _
_ Service and feeder 225 amps or more t
-�=System over 600 volts nominal I 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described In N E C Chapter 5 Per inspedion $3500
Per hour __ $`500
In Plant $55 00
.,ubmIt 2 sets of plans with application where any of the above -- -----
al,,nly. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $
5°i Surcharge (00 X total fees) $ r --
PERMITS AECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 5250
AUTHORIZE: IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% o`loe A for s
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan ReviEw if required (Sec 3) $
A PERIOD OF lbr) DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED Trust Account a
pnn app � -
Balance Due $ �Q
r
BUILDING PERMIT
CITE' OF TIGARD DATE:IISSUED:• 08/29/966-17147c_
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Or goy 9 23.6109 (5M)639-4171 PARCEL: 2S 102AA-048011A
`tiW LUMMI::FtL IHL ST
SUBDIVISION. . . . : MORINS ADDITION VACATED ZONING:CBD
BLOCK. . . . . . . . . . : 4960�6D LOT. . . . . . . . . . . . . .
_ —
REISSUE.: FLOOR AREAS___..___.__._ EXTERIOR WALL CONSTRUCTION
CLASS OF' WORK. :ALT FIRST. . . . : '.600 sf Ni S: E: W.
I YPE OF USE. . . :COM SECOND. . . : 0 3f PROTECT OPENINGS?-----------.
TYPE
FENINGS?-----------
TYPE OF CONST. s5N . . . . 0 yf Ns Sa Es W:
OCCUPANCY GRP. :P TOTAL—-----: 161210 s f ROOF CONST: FIRE RET? :
OCCUPANCY LUNI)s 55 BASEMENT. : ql 5f AREA SEP. RATED:
GTOR. : 0 FIT: 0 ft GHRAGE. . . : 0 sf OCCU SEP. RATED:
SHMT?: ME'77'': READ SETBACKS---------- REQUIRED------------•__--_____—_
F I_OUN 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET. . :N
DWELLING UNITS-1 0 FRNT: 0 ft REARa 0 ft FIR ALRMaN HNDICP ACC:Y
BE:DRMSs 0 BATHS: 0 IMP SURFACES 0 PRO CORR:N PARKINGs 0
VALUE. $: 9500
Rem,F,rks : Interior r^emodel of bus depot to adult edLtcattion center
Uwner,: —__ _ ___._-__.___._.__---____._.________ _----_.___.________._ FEES -
TNI—MET type aamoa.int by date. recpt
401P S'E 171E 01.1c PRMT f 80. 50 DST 08/29/96 96-203431
PLCK E 52. :33 DST 08/29/96 96—c63431
PORTLAND OR 97202 FIRE $ 32. 20 DST 08/39/96 96--26,'4:31
Plione #: 50:s��:8-49 5 5PCT $ 4. 03 DST 08/29/96 96--263431
Lontrat^_tov-: Na_
SERVICES RENDERED
5395 SW 191 CT
ALOHA OR 97007 ---__--------------------------___---...
Phone #: 50:3--649...6281 169. 06 TOTAL
Req #. . 43584
------- REQUIRED INSPECTIONS
This permit ie issued subject to the regulations contained in the Framing InSr3
Ticat-d 011anic,lal Code, Gtate of Ore. Specialty Codes and all other Insi.tlation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp _
approved plans. This permit will expire if work is not started S u s p C e i l n g Insp _
within 188 days of issuance, or if work is suspended for more
than IN days.
i q n a t i.1 r e .
si.ted By :
Call for- inspection — 639-4175
City of Tigard Commercial Building Permit Application
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobeits Addi s: S W c1 .a,,- ,o F C i _A C 57-
ktI A Office Use Only
Tenant: t Suite#_
valuation: .S�a0 _ Planck/Rec# 11C�
Permit# L 4`/-;;x
Owner: An e 7
Map & TL#
Address: Z/Q/Z e-
- Acorovale Reaulred �
.2 Plannii,� f f I � IV,,!� QQ✓
Phone: -.1-1-2k, Y �-r� (��AA Lz -�3?. V�,6 Engineering
Other
Contractor: = S VL '%
Address: x"35 5� SW / s-T
A oA Type of const:
Occupancy class: J
Phone: � i �- � Z 8 1
Spdnklered'( Yes No)
Contractor's !icense # 3 S f,i_, } . ? ��` I�� o
(attach copy of current Oregon license) Sq. ft. of project: V D
Contact name & hona. -�_ r i��N AN 70 3•Sj,Z/ story riit,2nd, etc.)
Ctt
Proposed use: •� .+._�_ r. A ''
Architect/Engineer: VJ } qA5 6C Tech
t ,
Address: Previous use: LlA
y
Note: Plumbing & mechanical plans
must be submitted at timf of
' building permit application.
Phone: L 77 No
JOB DESCRIPTION: j.-UN VL-, ex O r r iN c T i Le -40A STA,tj b ARd S ¢ /(V s LaLL
e4ec.f2r c4 co T- 4&7/S
fl)A IN F
Applicant Signature & Phone number
Received by: r) , Date Received: V G
Permit tt Account Description Amount Amt. Pd. Bail. Due
Bldg. Permit (BUILD) t1, �
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
P ate tax (TAX)
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Sewer Inspection (SWINSP)
Parks Dev Charge (PK3DC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-AAT) 7�(0
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fre Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion PlanckICOT (EROSN'�
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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 9722;;' (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT N. . . . . . . s SUP96--047c
DATE ISSUEDi 10/14/96
PARCEL s 2S10r'AA•-•04800
ITE ADDRESS. . . s 08960 SW COM14ERC I AL 5T
1IADIVISION. . . . s MORINS ADDITION VACATED ZONINGsCBD
,1_0CK. . . . . . . . . . s LOT. . . . . . . . . . . . . e
l.-ASS OF WORK. s ALT
YPE OF USE. . . :COM
'ePE OF CONSTR s 5N
H..C;UPANCY ORP, s A
,!CCUPANC:Y LOAD a 55
T'F"NANT NAME. . . s QUEST SCHOOL
?marrkss ?anterior remodel of bus depot to adult education renter.
-jners
;r I -MET
,012 SE 17TH AVE
!,URTLAND OR 97202
,hone Ms 503--231-4965
_)nt r act or s
�::RVIC.ES RftNDERED
395 SW 191 CT
i+i_OHA OR 97007
Rhone #t 503-649--6281
[req #. . t 43584
this Certificate grants occupancy of the above referenced building or portion
hereo : and confirms tnat the building has been inspected for compliance with
rhe £-3tate of Orijun Specialty Godes for the group, accupanry, and use under
'iich �` , eferenceri permit was issued.
1ILD 40 INSPECTOR- �^~ SUILDIN6 FFICIAI_
POST IN CONSPICUOUS PLACE
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT