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Ln T 0 C r- c N N a �, m U a W N >_ Q N A Ci n: F- J ►-w J Q ll N LL � r N C= O 000 O co 2 2 a m a m i V) R 0 Z a � 0u., CL m a D v y o > x d J 00 O O O. N N O " Q a Oo o a a O m � c c o CL) of 0 o Y) � U ro m o a O p in th N r V 4 v f0 p L J = n € c o C rn v v _ � O La N O O O e > Q Q m F^ F_ H Q N N N "m 0 z � C � � C, m =Ji m m Z) o > = J r Cl a C) N Q Q Q 1 0 a a 0- CD O a a W o cn O J z � w C O N h N Q (0 d U v Q % o %I o y_ O n 3 LO f!1 {J ra •' Q ra U a y a � CJ O �n C.t F- N � U J N CO _ � C C N D E o n n F c Q `v ui LL a U cn LL U N ti 0 o 0 0 0 0 t\ ap O o O o O a cn cn (n c(n cn V CITY®F TIGARD CITYOF 7WARD • COMMUNITY DEVELOPMENT DEPARTMENT ORIGNON 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223 (601)&394175 2LUMBING E-ERWIT PF-"RMIT #. . . . . . . : IDL M)1•-01.6 2 639•-4171. DATE ISSUED: 09/13/91 SITE ADDRESS. . . : 12700 SW 72ND f--)VE PARCEL: 2'S11)1AC-00700 SUBDIVISION. . . . : BEVELAND NO. ,-.,.' ZONING: C--P BLOCK. . . . . . . . . . : l-01.. . . . . . . . . . . . . : 13 CLASS U1= WORK. 1\11''-"W GARBAGE DISPOSALS— MOBILE HOME SPACES. TYPE OF' USE. . . . COM WASHING MACH. . . . . . . : BnCKF[-.OW PREVNTRs. . : i OCCUPANCY GRP. . :Br FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . .. STORIES. . WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . . P I X TURES-.---------.- LAUNDRY TRAYS. . . . . . . 5F RPIN DRAINS. . . . . : SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . WATER CLOGETS. . : WATER LINE ( ft ) . . . . DISHWASHERS. . . . : RAIN DRAIN (f't ) . . . . $ Remarl-(s : BACKFLOW DEVICE Owner: FEES PAULY1 ROGERS & CO. P. C. type amoi-int by date I-eept P. U. BOX 23684 PRMT $ 25. 00 JLH 09/18/91 — 5PCT $ 1. 2`5 JLH 09/18/91 — TIGAPI) OR 97223 6LO-2632 MICHAEL AND CO. 15375 SW 74TH AVE I TIGARD 0* OR 972 Rhone #: 26. .:2'5 TOTAI- Heil 45808 REQUIREI! INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of 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 160 days of issuance, or if work is suspended for sore than 180 days. let,m i t t P e Si qnAt uve ssued By Call for inspection 6,39-4175 Wall P.O.D3 z 23:347 CITY 01" TIGARD PLUMBING 1-125a4HaLll Blvd. � CR97� Applicants muss hold Oregon Registration to conduct a plumbing PC R M IT 639-4175 business or must be property owner/operator not hiring outside help. Name of Development Plumbing Permit No. Address �� Description ORS 914-21-610 DUAN. PRICE AMT Job Tax Lot Map.No. Address FIXTURES lel Block Subdivision -- -- --- 7.50 Sink Na" or name o� sines- Lavatory ---- - - _7.50 --- iLc,.L-14,-yS ' CPA Tub or Tub/Shower Comb. -- 7-50---- --- ac ing Addfesh d / l 110. Qvtt 1 3(op7 Shower Only --- --- -7.50 Owner Clty/State t1ZIP Water Closet -- - - 7.50 ().G-- 9 7 u'3 Dishwasher _ --- 7.50 Pfwne Garbage Disposal `- - - 7.50 Name Washing Machine 7.50 � �1 --- £ F-o e� .. C Floor Drain _ 7.50 ai mg MdreSS I e Phone Water Healer 7.50 P•0• &X_.136,14 Laundry Room Tray - 7.50 Occupant City/Stato . IZip _ 7 e1K� 1-7 Urinal _ 7.50 7.50 amo f rhone Other Fixtures S /)I���.��r1 Cit )k _ 7.50 MaaTrq Address 750 LS, IS cSW -74t --- - 7.5o Contractor Cay/State ZJp / (j -/,z 1 z 7 MISCELLANEOUS City Bus Tax No Sewer tet 100' 30.00 tate s. ar o. tale u rs s. o. Sewer-ea.AddN.100' - 15.00 ( Residential) �1�77 .3-3-3F' Water SerAw I st 100* 2000 _-- I hereby acknowledge that I have read this Application,that the Information Water Servios ea.Addil.X0' 15.00 given is oorred,that I am registered with the State Budder's Roard.and also Storm 6 Rein Drain 1st.100' 90.00 have a Siate Plumblrti license that the numbers given are oortect,that all - pkrmbKV work will be done In wxvxdance with applicabie provisions of Che- Storm&P:Jn Drain Addit.100' 15.00 gon Revised Statures Chapters 447 and 693 and applk-a codes end that Mobite Home sPam 25.00 no help will be employed unless Ikcer.sed under ORS 691 (11 exempt from - State reglatration,please give reason below). Back Flow Pnever itwxi I So HOMEOWNERS -1 hereby certify dal I am the owner of the property do- Device orMd-Pollution Device 7.50 7 scribed dxrre,at wf>id.•h"dw 1 propose"i make a pkxnt*V heiall"an kx Any Trap or Waste Not my own use and Cris prop"is not belrq oonstnrcled hx sale,lease or refit Connected to a F'txtum 7,W -- Catch Basin - - 7.50 --- kw.of Exist.Plum" �- 40.00 Per Hr. - ----- --- -�-- Specially Requested lnspadlorss 40.00 Par Hr _- _- Aw of Pkrnbktg wflhh (L- an Exfeft Bldg 15.00 min. AUT RIZ 0 SIONAT RF Date New a 19<Nd.AddlOw 26.00 mkt IN n�Sit-Ale fani_.ly F Degcribe wcrk new[_J addition( 1 alteration❑ M"l, ( 1.5•OD be done residential non-residential�Q Existing use of A LOrPaS>'gr1Y f�cJ)kl>~t�Ca.�-�. -----_----- OMTOTAL i, PP Posed u"o1 v - Y- - � k WAf✓�1�110! `- "ft or PAWrty TOTAL Z a NOT" ---- This permit beoornN nult wid void M work or oonstruallon euCto Uod Is not oom- i nenood wM A 1110 d",a If owulfrur;Mon or work is tilsparOwl or sbwxkwwd lot a petbd of ISO days al any 6ma attaf work Is oortxtwrroed Date Wetted -- _ .--- by INSPECTION NOTICE Ile City of Tigard Building DePartwent 13125 SM Ball Blvd.. Tigard, Oreqon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: — ----- -- Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas; Line FINAL: Poet/Beam Struct. San. Sewer F-arcing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor. Water Line Gyp. Bd. -Mech. Date Requested: /��� � Tim-el Address: �1 "/ /Irb �7 h Permit Buildar: THE FOLLOWINO CO /CTIONS ARE REQUIRED: Ct' t/7 F- J _--- G] C7 LL) J Inspector: APPROVED i SAPPROVED APPROVED SUBJECT TO ABOVE Call For Relnep. ` INSPECTION NOTICE �. City of Tigard Building Department ' 13125 SN Ball Blvd. Tigard, Oregon 97223 / [/t Inspection Line (Rec�-O-Phone): 639-4175 Business Phone: 311_4 rl -- Inspection: -- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewsr Framing -Hldq. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Hater Line Gyp. Bd. -Hoch. Date Requested: A/�4/ me 1 - �Q —Ti : _PM Address: /1-1 / ,2 h 2� _ Permit 1: �1 D/ 3 L/ Builders THE FOLIAMINO CORRECTIONS ARE REQUIRED: L� i �F � � l�icorc� Qlee�� r P,� T :7 11 J -- I / Inspector:_ Date: ' "PROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE Call For Reinsp. I 42) MEMORAN-DUM CITY OF TIGARD DATE: November 8, 1990 TO: File #SDR 90-0005 FROM: Vi Goodwin, Permits Coordinator RE: Certificate of Occupancy, Nonremonstrance Agreement, Performance Bond, Landscaping The Building Division has issued a certificate of occupancy on this project at the request of Mr. Rogers and John Schmidt, both of whom were anxious to get a tenant into the buildi,-,q on this date. However, two conditions remain to be satisfied: a nonremonstrance agremment and the installation of landscaping. The nonremonstrance agreement requires as a condition of approval for this project is in the process of being reviewed by the City Attorney so that it reflects the circumstances that exist at the 72nd Avenue access. Specifically, the SDR 90-0005 applicants cannot close the access because there is an easement through the access that is intended to provide access to the site to the south. Also, there is a tax lot in the access that is owned by the State Highway Division. Under these circumstances, the applicants cannot be required to close the access since this would put them in jeopardy of being sued by the owners of the property to the south. The City wants a nonremonstrance agreement that states that in the event the access can be closed, the aplicants will not remonstrate against the closure. This agreement should reflect the circumstances that exist so that the applicants are not forced to close an access over which they do not have absolute control . Until the nonremonstrance agreement is signed by the applicants, the City will not allow the release of the perfomance bond. The applicant must also install the required landscaping. Rey Bank has submitted a letter indicating they are holding $3000 for Mr. Rogers, to be used to complete the landscaping. Mr. Rogers has agreed to have the landscaping installed no later than January 1, 1990. ~ So long as the $3000 remains available, the rest of the performance bond may be released upon the signing of the nonremonstrance °- agreement. This will probably take a few weeks because the agreement must be approved by our attorney and Mr. Rogers ' attorney. Mr. Rogers has indicated to me that he is satisfied with the requirement that the nonremonstrance agreement be signed before the performance bond is released and has agreed to have the .landscaping installed by January 1, 1990 in a conversation we had on the phone today. vg/rogersco.vrg �PT�N vq� TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT J FIRE MARSHALS OFFICE �yq Jw (503) 526-2469 POSTED: 4R OCCUPANT CONTRACTOR BLDG, PERMIT 0 PROJECT NAME PLAN REVIEW di LOCATION 7d JURISDICTION: 1= Be. 2= Du, 3= I.C. 4= Ti: 5= Tu. 6= Sh. 7= Wi, 8= CC 9= WC 0= MC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL Framing ❑ Separation Walls Sprinkler System 11 Shaft F-1 Fire Dampers (Overhead/Underground) IIJ A'arm System Hood' Extng Systems Conference 0 Spray Booth � Ceiling Cover � Other 1 1 J LLl J Dates ; "" l inspector: CERTIFICATE OF C11YOFTIGAIM CIfYCOX RD PERMI'I* #OCCUPANCY F'UP90-01-3"' DE I 11 COMMUNITY DEVELOPMENT DEPARTUSNT OM*N 13125 SW Hell Blvd. P.O.Box 23397,Tigard.Oregon 97223(503)&19-4175 ATSSUED% /06/90 SITE ADDRESS. . . 9 12700 SW 72ND AV SUBDIVISION. . . . x BEVELAND MO.2 ZONING% C-4, HLOCK. . . . . . . . . . i LOT. . . . . . . w . . . . . 113 CLASS OF' WORK. vNEW TYPE OF' USE. . . :COM OCCUPANCY GRFI. cD2 OCCUPANCY LOAD:53 TENANT NAME. . . c Remarks: Construct two-story office building. PAUL Y, ROGERS & CO. P.C. P.O. BOX 23684 TIGARD OR 97223 Phone Oa 620-2632 LAPntr&Ct0T-1 CENTREX CONSTRUCTION INC. 12900 SW PACIFIC HIGHWAY TIGARD OR 97223 Phone #s 503-684-0443 Reg #. . o 56358 Occupancy of the above refererm-ed building Is hereby given, -md cerkifiea the compliance with the StmA . Of Oregon Specialty Codpm 10r the 4 "OUP, occupancy, and u F unrl4p•r• ,, tuich the ve f was issl(ed. FT DEp MENT BUILDING IR ECTOR 14U POST IN CONSPICUOUS PLACE c L7 — 1*IECHANICAL C11YOFT11FARD f-'ERMIT E�:RMIT 0. . . » . . . .. NEC90-- CITYOFTI6ARD k.h 008/ COMMUNITY DEVELOPMENT DEPARTMENT OREGON 1='R I M,. P'E::Rlr11 T 13125 SW Hail Blvd. P.O.Boot 23397,Tigard,Oregon 97223 (W3I MAI 75 DATE ISSUED: 09/19/90 SITE AI)L1�. `,:i 3. « » IL/0tj SW /c_'hlli AV PARCEL: 2S1-0:I.f4t i.1F:rI)IVISIC3N« » » » : BE:VELAND NCl» 2 ;CONING: C F;' irLC.)C:l1:. » « . « . . . . « . LO'T' C1 ASS OF WORD.. » :NEW FLOOR FURN. . » » : EVAF! COOLERS: T•YF'E:* CIC-" USE» . . » :0011 UNIT HEATERS. » : VENT FANS« . . :I OCCUPANCY GRP. » :B2 VENT'S W/O A1='I='L: VENT SYSTLAIS'.' f:3'T'C3RIF:S» . » » » « . . : BG'1'L.E:RS/CgI�IK'RE:SSORS HOODS. . DUEL TYI'F::S — _...._.__.__..._.... 0--3 HF'., „ ., ,. a DOMES. INCIN: ::/GF1S/ / / 3--:15 HE'. .. .. ,. ::4 COMML. INC:IN e MAX INT='UT: 1.!30000 11TU 15-30 HF'., ,. „ .. REF'A]:R IJNITS : FIRE DAITIF-'ERS?» » :N 30--50 HPI. . » ., WOODST'OVES« « : GAS PRESSURE. » » fl... 50+ HI'. . .. ,. :; CLO DRYERS. . r. NO. OF' l3hI:CT'5---- _..._._.._._.-• AIR HANDLING UNITS OTHER UNITS. : TURN < 100K BTU:: <= 10000 c f n1: GAS OUTLETS. : 1 i:'URN >=100K BTU: > 10000 Cfm: !<t�m<t'rI'.< : C17nr>isrur. t twa- tra•ry (ai•'fi.c..,(? bt.0.1di.rlq.. r"A(.11._Y, FU)G:--RS & CO. I',. C. type <amot.tnt by date rLACPt BOX 23684 F,AYM $ 59. 80 ;JLH 0'7/01/90 PRMT $ 59.00 T TGARD OR 97221-3 I''I_.CK $ 14. F•'h one its 620-2632 5P'CT $ 2. 95 F'AYI*I $ 1.6. 90 ,TI_H 09/1':)/90 0 B HEATING DIAL ONE ACE:: Ii(JL.D:ING :1.41:)1.5 SW 72ND T'•r.GARD OR 97224 00001 _._._..__..__w......_....._._.__.._.__. ._..__.._�_.__._.....__.._._. 1='har1e N: 50:+--684--3355 9s 76. 70 TOTAL Rerl it. » : 31339 --- REQUIRE::D INSF'ECT:IONEi his permit is issued subject to the regulations contained in the Gas Li1.1e Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other I11e0hallical 111sp applicable laws. All work will be done in accordance with Heating Unt Insp _..... approved plans. This permit will expire if work is not started Ccao:l.inr) Unt Insp within 199 days of issuance, or if work is suspended for more 14tr_t Inspeetioll tf,an 199 days. F i.r1 a 7 - ..._....._... _.__._...__.._.._. _.._......__..._.................... N11ittee Si q n a t t.t r+ .............._......... __.__....._-____..___.._.......... _. ...._..._._................_..._............_ �- ! -s.>t.1 e ci B y: ...._.......__..._....._...... ................. ..........._-_.._..._... ..... .........._............. .................._...._.........__.._..._...__.....__...__ __._...._..-._.._.-- ............... :? C:a:II for i.1.lspection - 639--41'75 W 01 ' of Tigard C1�3125 S W. Hall Blvd. MECHANICAL PERMIT Rocoipt'w P.O.O- BOX 23397 Permit N Tigard, OR 97223 G39-4175- Tabta 3A Mc<hankal Code J.7 �- OTY PRBC i AId7 1) Permit Fee -0- -0- 10.00 2) Supplemental Permit 3.00 job ss 1) Furnace to 100,000 BTU Address I ? 7G\ % Ski 7,)- % incl-ducts&vent G.00 lax ter Map W. 2) Furnace 100,000 BTU + 7-50 to( Stock incl.duds 8 vents • Strb�rvisiar — Name(«nan e oi gess) Floor Furnace 3) incl.vent 6.00 W&v Address Phone 4 Suspended heater,wall heater i Fir ) or floor minted heater 6.00 cityfsute zip 5) Vent not incl in 3.00 appriance pernfa Name _ Repair of heating,reit g., — - -- cooling.absorption unit 6.00 1Tar�q-7C3&ess , 7) Boiler or comp to3 HP absorp.unit to 100,000 BTU 6.00 Occupant G(ylStateBaler or comp to 3 HP-15 Hp ZP 8) 11.00 C -- - aL-sorp.unit to 500,000 SITU Name 9) Baler or r-M 15-30 tip 15.00 /�•+ (3 -� a *corp.t. 5-1 million — hta6ng Address Phone 10) Baler or comp to 30-50 HP 22 50 �N � - absorp.unit 1-1.75 million CwTtradtx C4`1 Isut zip } S S 11) Boiler or comp to 50 HP absorp.unit 1,750,000 BTU 31.50 State negation No. — cicy&Js.Tax No. Air handling unit to -- -12) 10.000 CFM 4.50 t hereby n>si I have road this Air handling unit -- .of ih6 ox' .tat UdorautxT n given in 13) 10,000 CFM + 7-50 correct,ttvt I am the owner«auenriied agent d tt.e o.iner,that plates eutxreitted are to _ coffoance wide Mare taws,that I am regizlMed wtth Cee State nuaders,Soard,peat the Non portable — nurntw Oval's ocxred.(11 exempt trom State rog'rsuation please give reason be". 14) evaporate `50 to Cooler 4• _ -�- ^�- -- 15) Vent fan connected to a single duct / 3 3•0c, - --- - -- Ventilation system not 16) included in appliance permit 4.50 -- Hood served by 1�) mechanical exhaust 4.50 Sigruture(owner«agent) tJate -- Domestic type Doscribe workp addition alteration Q Q repair 18) incinerator 50 to be dome _residential Q I non-residential Commercial or indu-trial Yl�incinerator Foisting use of 19) t tor 30.00 -^ ^' - building or properly a _ Other i.e.,woodstove,water — Prop sod use of 20) heater,solar,clothes dryers,etc 4.50 buikpe ting or prorty -- 21) Gas piping one to lour outlets 2.00 Typp of fuel- oil ❑ natural gas LPG ❑ electric ❑ - --- — 22) More than 4-per ouffet NOTICE --- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- _ SUB-TOTAL ( �j STAUCTION AUTHOR17FD IS NOT COMMENCED WITHIN 160 _- 5 4 SURCHARGE2�- DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED ORPLAN qr rrnyy 2576 OFSUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER �� � WORK IS COMMENCED. TOTAL Spcaal Conditions UNIFIED SEWERAGE AGENCY OF WASH INGTION COIAVTY F.IXTLRE T RATING; , TDTAL TOTAL ( F 1 XTURE VALUE NI MBIER NUMBER BAPT I S iFTY/FONT 4 BATH — TUB/SHOWER 4 — JACUZ/%"PL 4 CUSPIDOR/WATER ASP 1 DISHWASHER -- OOhMER 4 DOMEST 2 DRINKING FOUNTAIN 1 FLOOR DRA114 2 INCH 2 3 INCH 5 4 INCH 6 GARBAGE DISPOSAL DOM (TO 3/4 F IP 16 COMA (TO 3 HP) 3Z IND (OVER 5 HP) 48 OIL SEP (GAS STA) 6 SHOWER - GANG 1 - STALL 2 2 SINK - BAR 2 - BRADLEY 5 - COMMERCIAL 3 - SERVICE 3 MASHER, CLOTHES 6 WATER EXT 6 ' l WATER CLOSET 6 URINAL 6 CY 1-- tn J DATE ZZ�L ✓ 1 NSP' ' TOTALUj EDU BUSINESS �la/v . ��U�ll', � •V �C� � 1��� ADDRESS TAX MAP/LOT �/ V( l7 Cy�/LLQ _ COUNTED FROM 73-25 R83 CITYOFTIFARD BUII—DING FIERITH'I CITYOFTWARD 1::,1: R 111 T #. . . . . . „ :: 11 U ID 9 0 01"34 COMMUNITY DEVELOPMENT DEPARTMENT OREGON PRIM., PERMIT 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223 fSR3)639-A175 I U E ISS 07103 `31 1 E. (!1)D f t E.S S.. ii?-/00 SW 72ND AV PARCEL-. 2S,L 0.1.f)C 0 0 10 0 ,3[.)I*.4D IVISTC)N. . . . D E V 1'I-A N D N U..2 ZONING.. C- ID LOT. . . . . . . . .. . . . . 113 .............. RE=ISSUE:. FLOOR E X TE R 1:0 R W A L I CONSTRUCTION- CLASS OF WORK. ::NEW FIRST. :3080 Sf 14: S W J'Y PF.K OF U S[:i.. . . .CUM SECOND. . . ,32860 S f PROTECT TYPE OF CONST. -5h THIRD. Sf N. S. E W. OCCUPANCY GRP. -B2 5940 S f ROOF CONST.A FIRE RET':)-Y OCCUP'ANCY LOAD-.53 BnsEvn-:NT. Sf AREA SFI*-". RATED.- I: TO R. 2 FIT. 2 5 ftGARAGE— .- Sf OCCU SEP. HATED. DSMT" :N MEZZ' u-11 REED r-;E*rBACKS---------------- FLOOR LOAD. . . . ..50 psf LEFT-. ft RGHT: -f t FIR SPKL.-M S1,10K DET— -.N 1)W E L L I N G UNI'T'S. FRNT ft REAR- ft FIR ()LRM-.N H H D 1:C;P 0 C., 'T E'i E D R 11 S BATHS. IMF' SURFnCE.A .1.3500 PRO CORR:N PARK ING: 17 VoLUE. 270000 Renia-(+.s: Const'rUrt two sto-ry office bLti.ldiiig. Owner: PAULY, ROGERS & CO. P,. C. type al)IOL(Ilt by date -vecpt F'. C). DOX 2,3(-',84 1- -1YM $ 900.90 JI-A-1 04/17/90 TIGARD OR 972213 PLCK 1; 5:';/. '/0 Phoiie #.- 620--P632 F1 R E $ 343. 20 SPOT 1, 42. 90 Goiit-r,acto-r . ..........----- STDC 1; 1.360. 00 cL-'+rrREX CONSTRUCTION INC. SSDC $ 500. 00 12900 SW PACIFIC 1-11(31AWnY F,A Y M $ 3(,,18. 90 JLH 07/01/90 TIGARD OR 97223 Pliuiie flic 503--684--0443 $ 4519. 80 TOTAL 56358 REQUIRE---D INSPECTIONS Ibis permit is isrurd subJect to the regulations contained in the Foot/Found 11-1sp ........... Tigard Municipal Code, State of Ore. Specialty Codes and all other Reillf Steel IIISP ...... ....... applicable laws. All work will be done in accordance with Sial:) 11-1sp approved plans. This permit will expire if work is not started F-f,aniiriq Iiisp within lbld days of issuancP, or if woti, is suspended for more R o c)-f 1-1 A i 3.1114 1 n S p than 180 days. 111SUlatioYl 111SP Gyp 1'3oa-rd Insp Su%p Ce4ibig Insp App-r/irdwl.k Iiisp ci Perniittep 13ir -1 ri a t u-r e Filial Inspectiorl (A 1.-i u e d Icy" .......... C a1 I -f c) r i ri s p e c,t J a i 1 639-41'7','1 .......... cc Itl —j PLUMBING F'ER11117' CITY OF TIGA RD j IDE:.RNIT #« « . . . . ,. :: I._1'190""0082 C-7 .f L:,FiIISI« �'T..'RI*I1 )" #1. : 1.tUI-'r�0•-•01.3%+COMMUNITY DEVELOPMENT DEPARTMENT IG 13125 SW Nall Blvd. P.O.Box 23397,Tigard,Oregon 9y223(503)69-af 76 D A T Ey ISSUED: 07/03/90 S1117 ADDRESS. . .. : :12'700 SW 72ND AV PARCEL.: 2S101AC-00700 SUDDIVl:S:l.0N. . ., ., :: DE'VEL.A11D NCI.c "ZONING: C-P L.C)'1'. . . . . . . . . . . . .. . 13 CLASS GF' WORK. . .-MEW GARBAGE DISPOSAI...S. . :: I*IUDILE I"IOME:: SPACES. : 'T'YF'E CIF U S F. . . . :CC.)11 WASHING, Nncli.. . . . „ „ „ :; BACKFLOW PRE-VN'T'R'i,. 0CCUf''ANC;Y 0RP. « :I•ti: f"LGGR DRAINS. . . 'T'RAPS. S'1'(:)RIE -3. . . . . . . . .2 WATER HEA'rERS„ . CA1•CH BASINS. FIX'TURE.G)_................... LAUNDRY TRAYS. „ . „ . » : SF' RAIN DRAINS. . .. . . : SINKS. « ::4 URINAL... „ .: 1. GRI:"ASE: 'TRAPS. L..AVA'T'C)RIE£:i. . . . :E, G'T'F•IE.R F"1'X'T'URES. . . » ., 'T'UD/SHCIWERS. . . . :e? SEWER LINE (ft) WATI:�R (..L-OSE1fix. . :5 WATL.R LINE (ft) « . . » : DISHWAai••IL�'R:'i. . . .. : RAIN DRPIN Cc►nst'PUC-t twca -s l;Cary raf'fice> b:.ti:lclil711. Gwt'te'r : _._..........__.._. ........._............__......,_ ._._.."..._...._..._.._.__.._._.w._ ... ...... FEET; -....-- ._._..._._.................. _. PAULY, ROGERS f( CO. P. C. type amcst.tr►t by da-te recpt I I .. 'R11T 1.80. 00JF ( - PLCK 1, 45. 00 7 IGARD OR 972 2,'3 5IDC1' f+ 9. 00 Plorle #: 620-2632 4.'AYh1 !i+ 234. 00 :Tl_1••I 07/01/90 D 0 Y D KE::EF LAR F;'1' 3 BOX 286 CTAS T'UN OR 97119-0000 _..__..._.._..___._._...._._.._._ __._.._._._...__._.._. ..____.._.... 1'h carie #: `:;03""9(:)`":;" '7;:s 38 4 234. 00 TOTAL Req - - -- RLOUIRE:D INSF'E C-1 IONS This persit is issued subject to the regulations contained in the Sewer :Crtspectica►'1 Tigard Municipal Code, State of Ore. Specialty Codes and all other Rc.•xt.tph--:ir1 Insp applicable laws. All work will be done in accordance with F'L.M/Uri der'f 1oc►r _•.._.„_„,"• „_...... -........-....... _.... approved plans. This permit will expire if wort- is not started 'Top Om-b :Crisp within 180 days of issuance, or if work is suspended for more Rift Drain Insp than 180 days. I:'c.-�•r m i.t,t e e S:i rl n a t:x.t r e: ....._...._.__..........__... ............._................. C1. _ _ ._...._......_......__._ __._.__.__.__. __-._...___._.____._. ._._. _...... .._...__....._.._..___._...._....._ C;aII f<ar inr>(aer.•t;inn 639-•4:17 5 J 07 _J CITY OF TWA RD cmoancaan PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT / PLAN CHECK N - AZ . 17125 S.W.Hall Blvd..P.O.Bow 27797,Tigard,Onrgon 97227,(50.7)639-4175 PERMIT N BLI DATE ISSUED .JOB ADDRESS: 12700 SW 72nd Tigard TAX MAP/LOTBeveland No 2 Lot 13 IUB: LOT: LAND USIE: .2,S:1 Cl AC- Citr7A) VALUATION: $270,000.00 — CUNER Sherman R. Pauly, Jeannie C. Lee, SPECIAL NOTES NAME: Roy R. Rogers, Julia A. Rogers _ REISSUE OF: ADDRESS: P.O. Box 23684LAST REISSUE: Tigard, Oregon 97223 FLOOD PLAIN/ _ SENSITIVE LAND: PHONE: 620-2632 — ` APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: Centrex Construction, Inc. ENGINEERING: ADDRESS: 12900 SW Pacific Hwv _ FIRE DEPT _ Tigard, Oregon 97223 OTHER: PHONE: 684-0443 - ITEMS REQUIRED BUILDERS BOARD N: _56358 EXP DATE: 17 May 91 LIST/SUBCONTRACTORS: BUS TAX: _�_-- ARCH_/ENGINEER CALCULATIONS: NAME: Julius S. Horvath _ TRUSS DETAILS: ADDRESS: 8505 SW Bohmann Pkwy OTHER: _ Portland, Ore(lurl 91223 PHONE: 246-0706 COMMENTS: •� �_ "'UBCONTRACTORS: PLUMB: Keefer Plumhing MECH: Dicil One A R HQaCln'i T-77 7— PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees "/�/F eijl` 10-431 00 Plumbing Permit Fees McL1�c`z'L 10-431 01 Mechanical Permit Fees — 46,UU 10-230 01 State Building Tax (5X) 5 ;L Building 42,CIC Plumbing Mech , 3 10-433 00 Plans Check Fee (��.1'C� `5 .S0 Building S" -S 7. 7 Plumbing 'y Mech Vft�tl 30-202 00 Sewer Connection '' 30--444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) T17 Q Q 'v J 52--449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) SUO; OU S(Xl•G ," 10--230 06 F i re TOTAL /C',• 2 '60 •el L) 70 \ REC H APPLICANT SIGNATURE Received By: `�� Date Received: �L _ cn/3581P/18P III L L,i--i(-i N I L f)L P E.R III I T CITY OFT167ARD PERM IT MEC90-0087 WYOFTWARDWARD PIRIM. PlIER1111"T 9. Bt.)I'-*,9C4-..(al34 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 01M(5W)0"176 DATE ISSUED: 07/03/90 ADDREE'SS). . . :: .1.2700 13W 7210 AV PIAR('EL: 2S101AC-00700 DEVELAND NO.2 ZONING: C-P DLOCK. . . . . . . . . .. ... 1 01.. . . .. . . . . . . . . . : 1.3 0111-ASS OF,* WORK— fl'IEW F-L 0 0 R 1:7 LI R 11. . . . I-VAP COOLERS. TYPE- OF USE. . . . ..COM UNIT HEATERS. VENT F'ANS. . . ::4 0(.`(,'tJr-"ANC'Y (3RP. . '142 WINTS W/O APDL: VENT SYSTEJIS.- ,':iTORIES. . . . . . . . .12 DOI I-LIRS/COMPRESESORS HOODS. . . . . . . .. 0-3 HP. . : DOMES„ /GOS/ 3-15 HP. ., :2 (.,OMML. INCIN: IIIAX INI--IUT-. 180000 BTU :1.5 30 Hf",. ., ., „ ,: REPAIR UNITS: F­.[RE DAMPERS?— :111 30-50 HP.. WOODSTOI)ES. . : G-()S) P R E.S S U RE. . . .1 50+ 1-1 ID. C'1-0 DRYI--RS. . 9 1,10. OF I.JNI*TS------------------- AIR HANDLING UI'-IITS OTHER UNITS. ' LJRN ( 1.00K BTU: <:�- 10000 cfni-. (3AS OUTLETS. :2 1"URN >=:1001/, BTW > 10000 cfm- Renia-rk,.s: Canst-rt.tct two--sto'ry office bt-tilding.- Owne-r: ............ .--.-..---------....»....... F:'EL(.) v'nul...Y, R(101--.:Rs & Co. P. c. tyle anlok.knt by date -recl:)t P. O.. BOX 23684 PRMT $ 46. 00 P I C K sls 1.1. 50 TIGARD OR 9*7223 51-,CT i.2. 30 Phone 0: 620--2632 P A y III rzi 9. H0 JILH 07103.190 Cont rac,tc)-r: A B H E ATI NO DIOL ONE (WE 1101-DINC3 1.4915 SW '121,11) TIGARD OR 97224-0000 ......... Phone 0 50 3 s355 $ .;`1. 130 TOTAL R e El it. . :.31.:3.3'') RE.OUIRED INSPECTIONS .......... This permit is issued subject to the regulations contained in the Gas Line Insp Tigard MuniclDal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will he done i.n accordance with He Atirq Unt Insp approved plans. This permit will expire if work is not started coolinq unt Irisr) within 180 da'vs of issuance, or if work is suspended for More DUC-t InSpeCti011 than 180 days. Final Inspection V) tte�ce Si.1111atUl' ........... 1 ,:�st.tpd LAY-. fH cc Call for insF)e-ct:ic)n » 639 4175 [-W[:-*F' CONI-111t,'TION CITYOFTIIFARD CffYOFTWARD P-ERIII-T #. . . . . . . . SWR 96­0159 COMMUNITY DEVELOPMENT DEPARTMENT calec-H P-RIII. PI-H.RI* U It. -.- BUI-1-90-01.134 13125 SW Hall Blvd. P.O.Box 23397,Tlg&M,Ore(pn 07M 003r#?" 175 DATE-: ISSUED: 06/25/90 ADDRI.-GL'). -- U?700 SW 7 P.III D f)V P,A R C E 1.- c?;:101 A C—(a W W 0 E(D I V I E;I()N. . . . : B E'V EL.A N 1) 1110. 2 Z 0 1,11 N G G—F, 1,i-.00K. . . . .. . . . . . .. I-01'. . . . . . . ............. 'T'I:::N A N'T NAM:::. . ., . . »V'0 LJ L.Y R 0 G E R C0 F C.. USA NO. . . . . . . . F'IX'TLJRE'. LINI TS. 1-',L.ASS OF' WORK. :iNEW DWEELL.1:NG UNI I'S. 5 TYPE (IF W31".. C10ITI NO. OF' BUILDINGS.-1 ,1'.N G T A L.L, TY E.4 IJ G W R T.111-"'EIRV SURFACE. J.X:500 sf i�e ni a-r I-f.si-.- c,c)ri s t,r t.t c t t,w a---story office buildilig. 0wrier.. ........... F'EES I::'ALJl.Y, ROGER!:") & CO. F'. C. type AniMtllt by date reept VII. O. BOX (2136814 1.1 R Ill'T' q; 6250. 00 1196p, 4; 45. 00 TIGARD OR I--.'A y ITI 62`x'55. 00 JI.-H 06/130/9e Flhoi-ie #:: 6r.?0-2632 A P FII-:AT I III G DIAL. ONE:* OCE. I-II E)LOIISI D 14915 SW 72ND TIGARD OR 972E4 0000 ........ J'O'T A L. 1::,Iic)rie W; 503-684-3,*35L5 li G295. 00 Req 0. . -. 31339 REWIRED I N S P E*Ur 10 N G This Applicant agrees to comply with all the rules and regulations $33ewer Irispectiori ............... -------- of the Unified Sewage Agency. The Permit expires 120 days from ............ ................. ........................ the date issued. The total amount paid will be forfeited if the ------ oermit expires. The Agency does not guarantee the accuracy of the ............. side sever laterals. If the sewer is not located it the measurement ........................ qiven, the installer shall orespect 3 feet in all directions from ................. ---— --- ....... the distance riven. If not sc located, the installer shall purchase .............. a "Tap and Side Setter" Permit and the Agency will install a lateral. ....... ............................. .............. ......... ................. .............. ........... 1. :-:i 1:i Ll e d Y1 y. ............. ..... ................................................. ............. Call for inspection CL Li � � SITES WpRI�. C17YOF71GARD PE�RMI1' CRYOFTIGARD I�E:RMI'T' 0. « . « . . . c SIT90-00013 COMMUNITY DEVELOPMENT DEPARTMENT oa ON I-'RIM. PERMIT 0. : DUP90-0:1.:34 1312".SW H&A Blvd. P.O.Box 23397,Tigard,Oregon 97='(jQ3)AWA f 7b DATE ISSUED: 0'5/07/90 SI'TE:: ADDRESS. . . . 1.2700 SW 72ND AV 1='ARCEI_c 25101 AC -00170(<) SU:.iD1:V:1''3ION. . . . c BEVE1_AND NO. 2 ZONING: C,- P BLOCK. 1.13 'TYPE OF WORK c NF_"W PAV INC7 '. . .. .. .. .. „ ., ., r,Y RI-S0.. 140 VOLUME. c c.y GRADING?. . . .. . . . . ri Y VAI...Ur%f . .. » sG a 1.60i:1(1) I I'LL VOLUIrIE. :: Cy LANDSCAPING?. . » .. ::Y I:::NG FILL?. . . . . « ..N SI'T'E: FREE'?. . . .. .. ., .. Y SOILS RP'T RESOD?.--Y ST'ORI1 DRAIN::?.. .. ,. :Y IMF'ERV SURF'AC;1:::. .. : 13500 15 Remarks—. Grade 1r.1t; fa-c new riffi.r_e bu0.1di.ng c� ovistrt.tct.i.orr, parl--ing, related wavl-!... Ownerc ...._.......__.._............._....._ ....._......_...._......_..._.. ._.._.._.._._.... ... _. _ _.....__. _..._....._.._..._._ FEES __ -_.._._. 1:IAULY, ROGI:::RS K (::Cl.. f'. ( . type amount by date •recpt P. O. BOX 23684 F'RM1' $ 128. 50 5P,CT $ 6. u3 JOARD OR 97223 PLCK, 1i 83. 52 Phone 44c 620­26132 F'AYM $ 218. 45 JLH 05/07/90 (.E.NTREX CON 7'RUC:'T:ION IN(,. 12'•'.1'00 SW PACH: 1:(.; HIGHWAY T'IGARD OR 9'722:3 ..__.._._..................»._..__......._._............_....__._ ._...._._.....____ ............ Pliovte N u 503_-6fa4 _044.3 `•I► 2113. 45 TO1 AL. Req N. « c 56.3'x 1 REGUIRED INSF'E:.C'TIONS _.._... ._._._...... This permit is issued subject to the rt.alilat7ons cor.tained in the Final Inspecti.c)n Tigard Municipal Code, State of Ore. Speci..t/ Codes and all other applicable laws. All work will be done in ar.,.nrdance with approved plans. This permit will expire if wor4 ;ti not started within 180 days of issuance, or if work is suspendea nor more than 180 days. _.._....._._.__........._..........__._......__. .............._.._..._.._.._.__...._............ __.. I,e r m i.t t e e :3 i.q rt a t t.t r e _ a.._......._.._._..... LSISUed 11Y" ..... . U.11. fa-r i.r1 l;p�ec.,ticrn 639 41'15 i-- F L J I 17YOFTIFARD � S �9 PIM CHEM I-W P.O.Box-97 97PIAN CHEMIC # u TiparQ Orappi Y23 COMMUNITY DEVELOPMENT DEPARTMENT S asv a'r T #ISSUED y0 00 GATE ID JOB rnDR=: /,,-fa) -S(&O ?�✓tc� , % 7c MAPADr L IXE: IDT: IAND USE: VAURTICN: OWN14Z SPErTAL NUrES NAME: �� `i f �.�r'ca r=�i7 ye-- IUM[= OF: ADDRESS I,ASr FaK[SSJF.: _m F J0OD PLAIN/ SENSITIVE LAN): PHONE: APPFMAT.S RMIRFD OOMIZACIUR PIANNING: NAME: �/?� i" O H ENGINEERING: AWR S'S: i°ZyDn FIRE DEPT -7'7Tr i _r �' "7 Z OTHER: _ PHONE: 'I'FMS EVZLID BU=ERS BOARD #: EXP DATE: s LIST/ . BUS TAX: ARCH/llGRIE9Z C AICULAMCNS: NAME: _ T9JSS DEQTIIS: ADEIRESS: ClMiER: PHONE: //--__ /� 1 (X1 q4 NM: _ / �c /_ ��� rY I , l _1�/Cali'),-.._ _ C �fTT—�...."�i� f ��! � it ki [✓/Z'r–'I � ���7/ iota pum: _ M mH PERMIT if ACCr # n r1aN AMOUNr AM UNr PD. BAL. DUE - 10-432 00 Building Permit Fees /, :.5(] 10-431 00 Plumbing Permit Foes 10-431 01 Mechanical Permit Fees 10-2.30 01 State Building Tax (5-1) Building _ Plumbing —-_-- Mech 10-433 00 Plants Check Fee Building PlumbL g Mec h a _ 30-202 00 Sewer 0o niect ion _ r-• Ct 30-444 00 Sewer Inspection N 51-448 00 Street System Dev Charge (SDC) 52-449 00 Parks System Dev Charge (PDC) �- 31-450 00 Storm Drairkxje Syst nev Chrg (SSDC) -+ 10-230 06 Fire co LO � r � ZC7►I'AL '�== — J RF AFPLICARr SIGNATURE - - a�aw R[xmived By: — - IX3tE' Received: of/3587P.WPF _ _ "ZR LL ry cn It t$ Q I Q \ N I II T 1 \ O K ♦ O lot -41, 14 ry CPA 1i •\ Z 1 n h Li q ' all, - Q ll`111 AC- 41- 11V 11: _ -------------------------- -- CITY OF TIGARD l Q�,�,)MQIN�1 PERMIT P. SW HALL BLVD. " P. O. BOX 23397 Applicants must hold Oregon Registration to conduct a plumbing T I GARD, OR 97223 business or must be property owner/operator not hiring outside help. (503)639-4175 N d Dove M "J Plumbing Permit No. .�_ Com. Address _/ Description SCJ 7,/J C� f= ORS 814-21-610 DUAN. PRICE AMT- Job Tax Lel Map.No. Address FIXTURES Lot Block Subdivision -Sink 7.50 // Name orname stress Lavatory 7.50 ,1 S Tub or TublShower Comb. 7.50 Mataes Shower Only 7.5o tg f Owner City%Siete - Zip Water Closet 7.50 SD Dishwasher 7.50 Phone Garbage Disposal - - 7.50 Washing Machine 7.50 Name Floor Drain ��/� -_---77_50 0() Mailing Address Phone- Water Healer _ _ _ 7.50 I f'00 Laundry Room Tray - 7.50 Oc:upant City/State ZIP Urinal -�_ 7.50 7.I0 name P lone Other Fixtures(Soecily) _ 7•50 (�_'t:_ 7.50 atAddress 7.50 -- ---- --- 7.50 Contractor City/Stela Zip MISCELLANEOUS City Bus Tax No Sewer 1 st 100' _ 30.00 lelel�s.S-oar�fTo- tete�ur-TiorsT3u-s Tido Sewer-ea.Addrt 100 15.00 (Residential) Water Service 1 st 100' -- 20.00 I hereby"nowk+dge that I have reed this application,flat the intormatia, Water Service ea.AddiL�' 15.00 grven is coned.that 1 am registered with the State Builders Hoard,and also Stone&Rain Drain 1 st.100' 30.00 have a State Pker"ng license that the notra rs given are correct.that all Stone b P:}n Drain Addit.100' 15.00 pfumt"work wig be done in accordance with applicable provw's d Ore- - gon Revised Statutes Chapters 447 and 693 artd ap k3ble codes and that Mobile Horne Spoon -- 25.00 no help wig be onX*Yyed uniess licensed under ORS 683.(11 exempt from - State registration.pleas+give reason below). Back Flow Prevention 7.50 I K)MEOWNE FIS-I hereby cerhty that I am the owner d the property do- Device or Anb Pollution Dovrn:e scribed above.at whkh location 1 propose to make's plumbing kvd&K tion for Any Trap or Wee1e Not y own use and this p"ywty is not bektg cmistructed ler sale.Ierae a rent- Connected b a Folin a 7.50 m Catch Haslet 7.50 - - ----- --- snap.of Exist.Plumbing __- _ _- 40.00 Per Hr - -- -- 3pedal y Requested Inspection 40.00 Per Nr. ----- Alter.of PksnbkV wfdAn -- - c -- - --- ------ an Exbtktp Bldg 15.00 min c~i1 AUTHORIZED SIGNATURE - - Deli New Hk1g.or Build.Ad~ 25.00 mkt Dain a-ain,single family _ .~ Describe worts new Q addition(I alteration(] ret)alr( nj,"t,l l ink 15.00 tp be done residential 1-1 non-residential 1-1 -- - h . �^ I-xtstinp use of N rlldklp or property SUB-TOTALAg.Priposed U" GU 5% SURCHARGE tpdQ tx*4h (Wrouperty 25% PLAN REVIEW 0 NOTICT - - TOTAL This puma beoomes null and void*war*or oontbtxftlon author zed is not corn munoed*Vtrn 1b days.or M rxxtaktx"t or wo k M oospenrlad rx abrtd(xwA lex a puled d 190 days N any tins alta work is orxtxnartoad WMCIAL 00NOfT10N8 _ -• - Uete 16-KWI by �ZSjg" _ - APPLICATION -- STREET IMPROVEMENT/EXCAVATION �1 COPY TO: ORDINANCE NO 74-14 � F,�' Ll (WHITE)-FILE [N (YELLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) �� -�� (PINK)-OTHER AGENCY (BLUE)-APPLICANT APPROVED 2!1 APPLICATION NO.: (.I I N' 01- I IGARD, OREGON .w NOT APPROVED ElFEC AMT.: _ PENDING FEE. PMT, ❑ CI I IIALL RECEIPT NO. 70 Z -4 C;ZW PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY� DATE /?r'/90 PENDING AGENCY -OK- ❑ Applil.Ition and I'rogrrss Ret ord _ _ _ _ MAINTENANCE BOND PENDING INFORMATION El FOR STREET IMPROVEMENT/EXCAVATION AS F?LAuIRLD n ' ANNUAL Li'0114e 1 gar PENDING VARIANCE El PENDING DATE: I PERMIT NO.: DATE ISSUED: --`,1—_1_-__--- BY _ - _ / _•___ - _ -- (1) PLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL . 1101+ ilul)zaya .�.., - --------- - - AS DESCRIBED HEREIN, IN FULL AC^OR DA NCE WIT APPLICANT REQUIREMENTS. APPLICANT gall rex i il#y. 11ja1_�i, wt `.i/c:Gs NAME - -- AOORESS CITY -PHONE CONTRACTOR Sa"-' NAME ADDRESS CITY PHONE PLANS BY_uilaSC, J ies < -' _CU AyL(1LIE: PUrLlallui, Uri NAME A D 0 R 85 CITY PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S 1�0ju.vu DOLLARS (2) EXCAVATION DATA FOR oPFIc�4�u%4� .Uli` MIN 0.04 X S�� = f __ :>TREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY Y TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY STREET - -.— -- -OPENED INSP C — R TION E —'- Q ESTIMATED STREET OPENING DATE:--'- _� f��i"I eC- 7"- g T ESTIMATED STREET CLOSING DATE: —_ / / E D 11 *W.UU^� STREET ( 3) SECURITY NO. SECURITYAMT.: � '� CLOSED SURETY CO. FINAL CERTIFIED CHECK CASH ❑ 'ONO INSPEC. I (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS I CONDITIONS: rEATURES; EXCAVATION LOCATION AND EXTENT. NI I NUrK, SLdhiuL.. : ,,, yNec; hl( I,;dLIIHIS Slial I Oe III d,;LUrU Witil + V I love: ►1� biwa 64 by .4- I , I -Llki Ll j Lilt! O LY5 lflS�lt�LUI' ft,*tzcrj cr. PL't.''L .��. I .. beful ag y ww . r-- ' ---._-�- - J) JUK `1u-UUUJh4ly yl)-tJwl) 1S �C�7A a I I L.tJCA'CJK 09ew* I I 41, lig --- J (5) NOTE THE: CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OP-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES. TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. *'plwo APPLICANTS SIGNATURE DATE MECHANICAL PERMIT Receipt# CITY OF TIGARD 1312 5 SW HALL BLVD. Permit _-- P. O. BOX 23397 Description T I GARD, OR 97223 Table 3A Mechanical Code CITY PRICE AMT (503)639-4175 1) Permit Fee -0- -0- 10.00 Name of Development 2) Supplemental Permit 3.00 JobAddr@55 t Furnace to 100,000 BTU 6.00 i 1 Address 2-,200,_S0, C (/� Incl.ducts&vents Ta x Lot Map No. 2) Furnace 100,000 BTU + 7.50 Lot Block Subdivision incl.ducts&vents Name(or name of business) 3) Floor Furnace 6.00 Ind.vent MaifingAddress Phone 4) Suspended heater,wall neater 6.00 Owner or floor mounted heater City/Stale Zip 5) Vent not incl.in 3.00 appliance permit Na7or name of business) 6) Repair of heating,refr ig., 6.00 O e,J / cooling,absorption unit Maili Addm Phone 7) Boiler or comp to 3 HP 6.00 Occupant �> 74 absorp unit to 100,000 BTU Citylstate �4� Zip — 8) Boiler or comp to 3 HP 15 HP/d��`f 11.00 (, absorp.unit to 500,000 BTU 711,;T Name g) Boiler or comp 15-30 HP 15.00 absorp.unit 112-1 million ailing Address Phone t 0) Boiler or Comp to 30-50 HP 22.50 absorp.unit 1 -1.75 million Contractor City/State — Zip 1 1) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU Slate Registration No. City Bus.Tax No. 12) Air handling unit to — 4.50 10,000 CFM I hereby acknowledge that I have read this applireUon that the information given is 13 Air handling unit 1 Q,000 CFM 1 7.50 correct,that I am the uwner or authorized agent of the owner,that plans submitted ern in — compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4,50 number given is correct (If exempt from State registration please give reason below) evaporate cooler 15) Vent fan connected 4 3.00 -- _to a single duct -- --- - — 16) Ventilation system not 4.50 Included in appliance permit 17) Hood served by 4.50 mechanical exhaust Signature(owner or agent) - Dnte 18) Domestic type 7.50 Describe work /, addition F1 alteration 11 repair I I incinerator to be done residential ❑ non-residential >Ir_ 19) Commercial or industrial 30.00 Existing use of type incinei ator building or prnp Orly _. _-_ -_ _--___- -_- 20) Other i.e.,woodstove,water 4.50 Proposed use of heater,solar,clothes dryers,etc, F building or property -_-- -_ - - -- 21) Gas piping one to four outlets l� 2.00 _ Type of fuel- oil ( 1 natural gas W' LPC, 11 electric 1 1 r -- 22) More than 4-por outlet NOTICE SUB-TOTAL `1 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGEr�/ - I)AYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTALs� ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- - - WORK IS COMMENCED TOTAL 51480 Special Conditions ___ Date issued,----by CENTREX CONSTRUCTION INCORPORATED May 11 , 1!990 Ct iY OR Tl.i.ARD Approved............................................................1 11 Cenditiontlly Approvod ......................................... City of Tigard For only thin 1.v�� , .� •!--^cr b`cl f0/3 `f Building Department See No: .............................................. Soe I^:tt^r to:hoiiow................................................C ) 13125 S.W. Hall Blvd . Attach •.......•••.� : .................................... Tigard , OR 97223 _ Jos AddressLP s Jim Jaqua _ Reference : Pauly & Rogers , Co . New lpsvi>itY —BU—P— 90-Q34 _ 12700 S.W. 72nd Ave. Gentlemen : Centrex Construction , Inc . proposes to install an early warning system using approximately twelve ( 12 ) smoke detectors throughout the above reEPrenced building , as a means of protecting the building occupants from fire . Frahler Electric Company is in the process of designing this system. We will. present the design to you as soon as it becomes available. This should satisfy items t through 4 of your letter of May 7th . In response to item 5 of your May 7th letter ; in the tol. iet and shower rooms we will install , per code, water resistant gypsum board , and plastic laminate or another acceptable wall covering . If you have further questions please call . Respectfully, CENTREX CONSTRUCTION, INC. fit1AIJ1}!fl VAlwlt't` Fl,`iL APF110VED . . . . . . . . . . . . . . . . . . . f CONDITIONALLY APPiiLVCO . . . . . . . yP- �" APPROVAL ! ''LAN-9 IS Nor AN APPROVAL OF \ Uh115SI::N;;; , `)VE:FiSICiHT`S. L.ETTEIII. . . . . . . f, Russ Langbehn NIF ,A R >wYY5 7- PQ L t- LL R L/1]w o way Q I Q rt ti F-dA, Y Y-5 V5 S — T04— r l�� .w►vim Tb TV. F�R-. Fo rx- ✓1-i J r C—) P9 r°r'rq�()J 12900 S.W. PACIFIC HWY.. SUITE C 0 TIGARD, OREGON 97223-5060 0 TELEPHONE(503)684-0443