15500 SW 72ND AVENUE STE 100 ADDRESS:
155 a0 SS W UK'> u
su I o C
a
a'
ti
N
.J
r.r
CA
4 !:VecordsVnicro(IrnitargetsV)uilding.doc
J
L �
U �
c c
X-
c
f9 O
Uy
N a
O?j G
� r
w U
N N
N
0 O O
f0 N a s a r tV
a a a a
a a a a a
M -
F-
CL CL > a
L U
v a = 2
= o O
Z Z
O N U Q O O
O o c o a o o
1-
CD
O a
m
F a
w I ~ 1 2
w
I O
c
~ o)
(n ti
� a a
0 o a a a a a
n^`
W N
V
Q
N
A
C]
CO
C
N f9
(> C 6> T
C +�
^ y] T, T
N N U Cl-Yl
N N cl N a n
o
- 9 m o o Ln a ory m
Cl) > U U U U U U U U
Q W W LL L W W W w w
N
d
O
Z
y N N N N N N N N N N N N N N N
Q) 07 Q1 O O) O 01 dl O O O (^ O O)
N N M N N N M ri C') N
M
a s r a a M a a a a
n L- a Ll a s a 2
r m = 2 2 J J J J J = J J J 2 2 = I I = J
'D d
O >
= J
Cl)
N
M a LL cn cn cn cn cn cn cn W Cl- u.
>- (1)a s (f) V) cn (1) W n <n c(f) (1) a s
O Lh a s z ca s s s s w < s s a s ~ o rn
v s U Z a n. a a a � a_ a s s U L w s
cr (I.
CY) m
D c a a CL = Q. _
M ❑ uLJ a 4J IJ- FJ- fJ FJ- �i H -Ji -Ti W >
r
ii cD 0
Q �F
N a
� co
U M OI N N O) N N ONj N O) N N O N C"
Q c a a a a a a a rn a a a a ? N
W N
> °
4.
u
a
ro
❑ I
a_
M
- C
f0
n �
F— m E 9 n s
J
!1 3: N y 2 �_
N N n d d 7 _
m a > n N c o �' o n > n
c d n d Sc n c c a € d a' a' o
n
w a q
ON
L u c n —` c n > c a ° v aLi �i T n
J Q V U SC C c9 m U r N yN'� LL yy=�� U .O7t N7
c N " a a' N N N C C U ry N
N n N N L N N a 'n C d
a a iL U u` .5: C7 .0
cn E u U u, s a a LL
1� O O O O O O N T Q O O O 1� O O O
4 � N M d d 0 (D tt!!�� v+ O N O O O O
c7 > U U U U U U V V L) J l U U U U U U U U
a a a n a a a a a a Ll m a a m n. m m a
Q 3 D :) D Z) D D :D Z) D :D ❑ ❑ Z) D ❑ Z) :) Z) Z)
m m m m m m m m m m m m m m m m m m m m m
}
% / ) ¥ ) @ G d (N ) @
\ § § § \ / \ j § \ § \
2
m/ \ \ _ / -i _ a-
_3 = I \
k / e- d C / R R k
:3
} \
N
_
CV)
CD
( < j < \ < < < <
r.
a < a m _ m (I » CL
L) m
w [ - a = a \ \ I
� o { P \ R G e r d /
2
Q � \
�
2 � &
u / g d § $ % $ g $ $ a
� k
$
> �
v
�
�
) E # §
§
CL
x \ \ \
2 § 0t § § 2
f § § b S b b § b o o u
u Q Q Q o u Q o 0 0 0
§ § § w § w w § w § w
7
z
jm $g /§ qm { @ o $ G
\
f { j
\£
CL - . d
�
_ >
) \
_
cn
/ ƒ ƒ $ ƒ ± ƒ ƒ & \ ƒ
T-
a)
-
a ±
� .
G m 0 m =
\ _
o \ \ d \ R
2 �
Q) �� °
$ ) k
UN N a
0 j \ 04
\ / § § / § {
�
> j
v
Q �
t
0
&
/
m
/
® §
�
#
7 T 12 M
m A f ' p m #
Cl) e ƒ ) E I ) / J ) E E
8 » 110/ E
$ o O § § & b o u § § /
2 } ) 7 j } ) ) ) m 2
}
G & % @ G
f \ §
\2 \ \ \ M \ \ \ )
# � °
�>
$]
m
CN
N
$ § / / %
_
e w ƒ w f
�
� m
0
R d
2
010
\
2 ) \
2 § / § G CL
m
� w
� !
v
4 \
0
y
w
�
/
LO .0 \ \ \
E f k 2 . E
_\ £ ) r a u@ 2 c@ a)
\ ) ) } ) k LL ) k I )
/ � ° \ ± E E ] \ \ E E
+ / 0 0 R@ 8 ~ 0 R §
% o o G m o 0
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
_-Date Requested! AM PM BLD _
Location I �Z Y Suite MEC
Contact Person Ph PLM
Contractor yi24^�i ��. . Ph SWR
BUILDING enan�wner --fc„ u�G.J ELC
�(f lu ,t r� __
Retaining Wall ELR
Footing Access: _ y i
Foundation r rte' ' c� FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes: —
Slab I SIT
Post& Beam
Ext Sheath/Shear I -
In! Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Finai
PASS PART FAIL --- —_.
PLUMBING
Post& Beam
Under Slab
Top Out —
Water Service
(Sanitary Sewer - -'
Rain Drainc
Final
PASS PART FAIL -_—
MECHANICAL
Post& Beam —_--
Rough In
Gas Line —
Smoke Dampers
Final � --
PASS PART FAIL
ELECTRICAL -- - — ---
Service
Rough In —
UG/Slab
a Low Voltage
M-+
n_ Fire Alann
Final ---- -- _ -- ---- ---- ---
PASS PART FAIL
SITE
Backfill/Grading - -
`' Sanitary Sewer
Storm Drain [ ] 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
Approach/Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
INSPECTION NOTICE
City of. 'Tigard Building Department
13125 Sw gall Blvd_ Tigard, Oregon 9722'
Inspection Line (Rec-0-Phone: 639-4175 Business Phona: 639-41li
inspection:
Footing Plbg. Underalab Mech. Roulh-in Appr/Sdwlk
Found. P1bg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Postt'Beam Mech. Rain Drain Insulation (-Plumb.
_
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Requested% "] �r Tl/ime: _ AM _PH
Address: UZ 7. `1 Pe`rmit, #t
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRED:
v
m
Il!
J
Inspector:_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
'4
Call For Reinsp.
CITY QF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERM 1 T #: EL_R97--0364
DATE ISSUFD: 12/22/97
PARCEL: 25112DD-00200
S J TE ODDRESS. . . : 15500 SW 72ND A'rE #100
SUBDJVISION. . . ;..0NING: I-P
BLOCK. . . . . . . . . . . [_OT. . . . . . . . . . . . . JiJR I SD T CTN: T I G
Pr•o.ject Description: Installation of one signal circuit or limited energy panLl.
A. RES i DENT I AL----------- --- B. COMMERCIAL----------------------------------.-------
AUDIO K STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/ IRRIGAT. . :
GARAGE OPENER. . . . . CL.00K. . . . . . . . . . . . MEDICAL_. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL_. . : X
INSTRUMENTATION. : OTHER. . : . .
TOTAL_. # OF SYSTEMS: 1
Owner- : ----------------------------------------------------- FEES - ---------------
PROTECTION ONE type amoo_tnt by date recpt
15500 SW 72ND AVENUE PRMT $ 40. 00 TJH 12/22/97 97-301964
SUITE 100 .;PCT $ 2. 00 VIII 12/22/97 97-301964
TIGAPI) OR 97224
Phone #:
Contractor:
CHRISTENSOIJ ELECTRIC INC: $ 42. 00 TOTAL
111 SW COLUMBIA
STF 4.80 ------- REuU I RED INSPECTIONS --------
PORTLAND OR 97201 Ceil :inq Coven Low Voltage Insp
Phone #: 241-4812 Wall Cover- Elect' ] Final
Reg #. . : 000004
This permit is issued subject to the regulations contained in the 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 180
days of issuance, or if work is suspended for more than 18N days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-0014018 through OAR 952-AA1-NNAA. You may obtain copies of
these rules or direct questions to UK at (503)246-1987.
Issoed by I/ oillPer-mittee Sinat�.tre //�
9 � �.lill�l7LllLr�'+� (6-41
-- -----------___.__.__--_------_---OWhIER INSTALLATION ONLY----- - - ----------- ---__.__-__
The installation is being made on property I own which is not intended fnr
sale, .lease, or, rent.
OWNER' S SIGNATURE: DATE:
------------------------CONTRACTOR INSTALLATION ONLY-------------------------..__-.
SIGNATUPE OF SUPR. F_LEC' N: GATE :
LICENSE NO:
+++++++++++.1-++++++ :-+i•++++++++++++++++f.++++++++++++++++++-F++++++++++++++++++•f+++-f
Call 639-4170 by 7:00 P. M. for- an inspection needed the next bl_tsiness day
+++++++++++++++++.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
ra
CITY'OFTIGARD Electrical Permit Application PlanCheckN N A
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd
Date to F.E. ►�
Phone (503)639-4171, x304 Date to DST_
inspection (503) 639-4175 Print or Type Permit f1 r
Fax (503) 684 1297 Incomplete or illegible will not be accepted Called_ ir
1. Job Address: 4. Complete Fee Schedvie Below.
Name of Development_ _ Number of Inspections pir permit alluvved
Name (or name of business)PROTECTION ONE Service included: Items Cost Sum
Address15500 SW 72ND SUITE 100 4a. Residential-per unit
Ci /State/Zi TIGARD OR 97224 1000 sq,ft.or less $110.00 4
1y p __. Each additional 500 sq.ft.or
Commercial Residential ❑ Lportion thereof $25.00 a
.Imited Energy � $25.00
Each Manut'd Hume or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation only:
(Attach copy of qb.Services or Feeders
r
Electrical Contractor_- R f W K )ELECTRIC, INC. Installation,alteration,or relocation
Address I I 1 S.W. Z33I;IIP[BI -3�TF�8�` 200 amps or less $60.00 2
City ra' -- State OR-____Zip 97201-.5 86 201 amps to 400 amps $600.0 - 2
401 amps to 800 amps $120.00 2
Phone No. 503-241-4812 eat amps to 1000 amps $180.00 __ 2
Job No. -r - Over 1000 amps or volts $340.00 2
Reconnect only $5C 00 _ 2
Flec. Cont. Lice. No. 26-344 Exp.Date _.- --
OR State CCB Reg. No. 00458 _Exp.Date_ 4;.Temporary Services or Feeders
COT Business Tax or Mei No. 57.46 Exp.Date Installation,alteration,or relocation
1 200 amps or less $50.00
Signature of Supr. /I@C`I1 (! y� - 201 amps to 400 amps $15.00
_ � �- 401 amps to 60C amps $10o.no
8735 Over 600 amps to 1000 volts,
License No. Exp.Date_ --_ see"b"shove.
Phone No 503-241-4812
�--- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The lee for branch circuits with
purchase of service or
Print Owner's Name _ feo?dor fee.
Address Each branch circuit $5.00
---- b)The lee for branch circuits
City Stat@ Zip, without purchase of
Phone N0. _ service or feeder fee.
First branch circuit $35.00 _.
The Instailation is being made on property I own which is not Each additional branch clicult.._ $5.00
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature _ Each pump or litigation circle $40.00
Each sign or outline lighting $40.00
3. Plan .Review section (if required):' Signal circult(s)or a limited energy 140.
panel,alteration or extension $40.00 2
- .--
Please check appropriate item and enter fee In section 5B. Minor Labels(10) $100.00
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Fur inspection
_Classified area or structure containing special occupancy Per hour $55.00
as described In N.E.C.Chapter 5 In Plant $5500
*Submit 2 sets of plans with application where any of the above apply. 5. Fees: 40.
Not required for temporary construction,orvices. 5a.Enter total of above fees $ ----. 4 ---
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $ -
5b.Enter 25%of line 5e for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reguir (Sec.3) $ - -
NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ -- --
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account k
S
Total balance Due 1,
hostMELCN err nevg/s6 -----
CITY CiF TIGARD Rr--'(,Eir-,,r OF PO.YMFNT RECEIPT NO. :91 -x.''09,-16 5)
CHECK AMOUNT 1651. 53
NAME PACIFIC R�'.ALJY CASH AMOUNT 0. 00
ADDRVc,-Ai PAYMEN-1 DATE o 02/;=V 91
SUBDIVISION
15500 SW 78ND AVF
PURPOSE 01:- P(IYMr--*IqT AMOUNT PAID PURPLSE OF PAYMEN',' AMOUNT PAID
—B LD--f—NG-,*"P—E-—RM- 260. 50 PLUMSNG PERM 60. 00
ST. L1011-i? PUP 16. 03 PLAN CHECK VE 15. 00
qr-,'WER USA
1500. 00
Ci
LD
i-.i)MP(..ICrJl,l I.-,YSTEM5
TOTAL AMOUNT PAID 1851. 3
CITY'OFTIOARD
BUILDING PERMIT
PERMIT i#. . . . .
CITY SOF T16ARD
COMMUNITY DEVELOPMENT DEPARTMENT y OREGON DATE ISSUED: 02/15/91
13126 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(503)839-4176 �-
a - ,n. . . tl-. - a. t 121[if-
SUBDIVISION. , . . : "ZONING: I-i-'
PL_UCI<.. . . . . . . . . . L0I . . . . . . . . . . . . . .
-
REISSUE: FLOOR AREAS------------- EXTERIOR WALL CONSTRUC:TION-
CLASS" OF WORK. :ALT FIRST. . . . :3786 sf N: 5: E: 1HF. W:
TY1-'E OF USE. . . :CUM SECOND. . . : s f PROTECT OPEN I NGS?--------.-__.-_._
TYPE OF CONS'F. :3N THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL-------•--: x,786 s f ROOF CONST:B FIRE. RET? :Y
OCCUPANCY LOAD:47 BASEMENT. : sf AREA SEP. RATED:
STQR. : 1 Frr. : i e ft GARAGE'. . . : sf OCCU SEF''. RATED:
BSMT? :N IIEZZ?:N REOD SETBACKS------•----- REQUIRED--------•--------------
FLOOR LOAD. . . . : 100 psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DE1-. . :N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDWIS: BA FHS: IlYIP SURFACE=: PRO CORRIN PARKING:
VALUE. $ : 450!00
Remarks : Tenant Mod: Firs'; tenant, int partitions, conf rm, brk rm, tlt rms, etc.
Owner.: ---.__. ._.. _.__.._.._.--.--•-- __. _ _..._..--...___.........____.___.. _.__..---.--__..._._.__..____._. FEES -.---_ _.-----..____.___.._
�d 4 PACTRUST type amount by date recpt
PAYM $ 273. 53 JLH 02/12/191 209644
I PRMT $ 260. 50
F'I_Cli $ 169. 33
Phone I#: FIRE= $ 1011. 0
5PCT $ 13. 03
Contractor: --_____._.... _._ _. . ..____.___________ __ PAYM $ 273. 53- JLH 02/15/91.
H. GPE'E.N COMPANY, INC.
15115 SW SE0001A PARKWAY, SUITE 200
TIGARD OR 97224-7131 ------------------------------------------
Phone
-_--___-.-.----_--__---__.-_--_-_-_.-__.-
Phone #.- $ 547. 06 TOTAL
Reg #. . : 41.328 INSPECTIONS ----___-
- REQUIRED
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Nunicival Code, State of Ore. Specialty Codes and all other I n s 1.11 at i o n 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 SI_!sp Cpiing Insp
within 180 days of issuance, or if Hark is suspended for more Final I n s oect i o n _
than 180 days.
F'e mittee Sinnate.!r-e : "?-
CL
/ .�_.
!- s s .,e d B y
r Call for inspection 639-4175
J
G^_
I1.'
J
-- ----- -- — SEWER CONNECTION
PERMIT
CITYOFT11FARD CY NARD -'ERMIT #. . . . . . . : SWR91-0031
COMMUNITY DEVELOPMENT DEPARTMENT a Eo
11125 SW Hell Blvd. P.O.Boa 23397,Tigard,Oregon 97723(603)639.4175 DATE ISSUED: 02/15/91
SITE ADDRESS. . . . �.__. X10 SW 72ND AVE #S. 100 PARCEL: �S 1 12DD-002!%,"v
SUBDIVISION. . . . : ZONING: I•-P
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . "
TENANT NAME. . . . . :CUMPUCOM SYSTEMS, INC.
USA NO. . . . . . . . . . :43177 FIXTURE UNITS. . . :26
CLASS OF WORK. . . :ALT DWELLING UNITS. . : 1
TWE OF USE.. . . . . :COM NO. OF BU T.I_D I NGS: 1
I NSTALL TYPE. . . . :PUSWR I MP'ERV SURFACE. . : :s f
Remarks : Tenant Mod : First tenant , int partitions., conf rm, brk rm, tlt rms, ct
Owner: FEES
PACTRUST type amoI_1T I t by date rer_pf
P'RMT $ 1500. 1710
I''AYM $ 1500. 00 JL.1-i 02/15/91
Phone #:
Contractor:
N. GREEN C OMr1ANY, INC.
151 :l5 SW SEQUOIA PARKWAY, SUITE 20121
TIGARD OR 97224•-7131
pf1 on e it: C,;_4-7717 4 1500. 00 TOTAL
Rey #. . : 41328
REQUIRED INSP'ECTIONS
This Applicant agrtes to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 128 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency doer not guarantee the accuracy of the
side sewer laterals. If the sewer is not. '.orated at the measurement
given, the installer shall prospect 3 feet in ai: directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will instal a lateral.
^e:"mittee Gignat1_1re : -._. __._
s s .ted 3
Call for inspection - 639-4175
r�
I
c�
_J
_ PLUMBING PERMIT
CIT-YOF TIFARD L-
YOFTI6.4RD RM I T ##. . . . . . . : PLIYIr?J--0025
CIT
�
COMMUNITY DEVELOPMENT DEPARTMENT OREOON
13125 SW Hal Blvd. P.O.Box 23397,Tigard,Oregon 972M(503)639.4175 DATE ISSUED: 02/15/91
SITE ADDRESS. . . : V-35V,0 SW 7LND n V L' flS. 100 PARCEL: 2S112DD--OOL0O
SUBDIVISION. . . . : ZONING: I—P
BL_GICK. . . . . . . . . . i LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ALT GARBAGE D I SPOSALS+. . : MOBILE HOIYIE .SPACES. :
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 1 WA-CER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :
FIXTURES—•------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
SINKS. . . . . . . . . . .. 1 URINALS. . . . . . . . . . . . .. 1 GREASE ('RAPS. „ . . . . . .
LAVATORIES. . . . . :2 OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . . WATER LINE ( ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN
Remar-lis : Tenant Mod : Fir-st tenant, int par-titions, conf r~m, br,k r^m, tlt r^ma, etc_.
Owner,: - ----___________.__________________.._._._ ____._________-.-- FEES
PACTRUST type amol_tnt by date recpt
PRM T $ 60. 00
PLCK $ 1. . 00 /
C.Pr_.T $ .3. 00
IZ-hone #: PA'(hl $ 78. 00 JL_H 02/15/91
Cont r-act Or'
WARREN (DEAN) PLUMBING
.3111 SF_ 13TH
F-ORTLAND OR 972O2
Phony-� ##: 5021"...364152 $ 78. 00 TOTAL
Req #. . : 172
REQUIRED INSPECTIONS
his perEit : issued subject to the regulations contained in the Rough—in InSp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—ri.tt Insp
applicable laws. All work will be done in accordance with Final Ins per_.t i on
aorrcved ulars- This perEit will expire if work is not started
within 188 days of issuance, or if work is suspended for Eore
th:n 180 days.
1=er-mittee C;ignat1_ir•n : s i
vlr-SiLted By .
~ Call for- inspection -- 639-4175
J
G.
C.�
J
PLNCK/RECT #
Box
CITY OF TI GAS?D 131PO B x 2339 Nd. _
PERMIT #
COMMUNITY DE.VEI,OPMENT DEPARTMENT Tigard,Oregon 97M
(503)63"171 DATE ISSUED
UOB ADDRESS: TAX MAP/LOT S l /Z 00 00
SOU
SUB: _ _ LOT: LAND USE: _VALUATION:
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: ^/�;�1 'X/;—=; `1,`�+`` �JL LAST REISSUE:
FLOOD PLAIN/
PHONE:
SENSITIVE LAND:
CONIRACTOR APPROVALS REQUIRED
NAME: /. (�`��`�f/ PLANNING:
ADDRESS: _f, l/=-�h� tir/.��G�i`� — ENGINEERING:
FIRE DEPT:
PHONE: _ ly� 51- 77/ OTHER:
CONTR. BOARD #: EXP DATE: —
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
T MECH: BUS TAX: _
ARCH ENGIIJEER CALCULATIONS: — _—
NAME: t/ C' Nc �✓> /L TRUSS DETAILS:
ADDRESS: "'12- OTHER:
PHONE: ---
G_
V) PROPOSED BLDG. USE: --
COMMENI S: —
J /
117
J
TURE
APICAN 1GNA
Keceived By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
e j-oo4o 10-432 00 Building Permit Fees i i��0, 50 — •LwC> C�
PVI--00 10-431 00 Plumbing Permit Fees / 60,w
10-431 01 Mechanical Permit Fees
i0-230 01 State Building Tax (5%)
Building 1.3.03
Plumbing CO
Mechanical
10-433 00 Plans Check Fee
Building 16913
Plumbing /S. 06 J
Mechanical
10-230 06 Fire y /vy�
30-202 00 Sewer Connection �,xU;w 5a) 0U
30-444 00 Sewer Inspection _
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees ._
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees _
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
Y
TOTAL ___ y� /�/• 3
J
nm/3587P.WPF
Building Permit No.
COUNTYWIDE
TRAFFIC IMPACT FEE Planning File No.
PAYMENT OPTION FORM
Tax Map & Lot No.
Date
Project N e
I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore I
request the following (Choose whichever option or options are applicable):
�X Cash or Check
Ll Credit Voucher
Bancroft or Installment Payments
and,'or
1 The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the
TIF is greater than $5,000.00. If the TIF meets this requirement, I also request this option. I under
stand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF
will be recalculated based on the prevailing rates at time of payment. Please be advised that TIF rates
may increase up to six percent eaLi I JL;y i st. This rate increase is not subject to appeal.
NER-APPLI T / OWNER/APPLICANT
a
2
r
V)
J
co
V.
C7
W
J
CC: Building Permit File
Payment Option Notebook
form tit02
CITY OF TIGARD
OREGON
February 26, 1991
Mr. John Romish
Pactrust
15115 SW Sequoia Parkway
Tigard, Or 97223
Re: 15500 SW 72nd Ave, Permit # BUP91-0040
Dear Mr. Romish,
This letter is in response to your question regarding the need to
extend a fire sprinkler system into the above referenced tenant
space.
It is my understanding that the builds 1 is not provided with a
sprinkler system. After a review of the plans I see no need for one
to be extended in this space.
If you have any question, please call me at 639-4171.
Sincerely
Brad Roast
Building Official
13125 SW Hall Blvd.,RO.Box 23397,Tigard,Oregon 97223 (503)639-4171
CITY OF TIGARD
OREGON
February 15, 1991
John H. Romish, Architect
2216 S.E. 24th Avenue
Portland, OR 97214
Project: Compucom Systems, BUP91-0040
15500 S.W. 72nd Avenue
Dear Mr. Romish:
The plans for this project were reviewed for conformity with applir.able
codes, and are approved. No details have yet been submitted which show
installation plans for the automatic sprinkler or mechanical systems.
The plumbing facilities noted on the plans will require the assessment of
an additional A.S.A. unit. A copy of the building unit count is enclosed.
The unit credited to the building shell is included in the count for this
first tenent in the building.
The building and associated permits for this project may be obtained tkt
any time. 1f you have questions, or if we may be of assistance, ple,tse
contact us.
Sincerely,
im Jagta
Plane Examiner
FAX (503) 604-7297
r
J
I11
J
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171
CITY OF 11GARD — RECEIPT OF PAYMENT RECEIPT NO. :91 10506
CHECK AMOUNT 46. 80
NAME s PROTEMP CASH AMOUNT s 0. 00
ADDRESS s PAYMENT DATE s 03/11/91
SUBDIVISION
:15500 SW 72ND
PURPOSE OF PAYMENT AMOUNT PAID FlURPOSE OF FlAYMENT AMOUNT PAIL)
MECHANICAL PE Mr-C91-0031 36- 00 PLAN C14ECK r:E 9. 00
ST. BUILD PER 1. 80
Ill
L.ompucom sys,rEms
TOTAL AMOUNT PAID 46. 80
do
CITYOFTIFARD ® MEC;HAN I CAL
PERM r
CrTYOFiWOM PERMIT #. . . . . . . : MEC91—x[1031
COMMUNITY DEVELOPMENT DEPARTMENT oR19oN
13126 SW FW I Blvd. P.O.Bax 23397,Tipaid,Oregon 97223(603)639.4176 DATE I S 5 U r D: 03/11/131,
a1 i L- 61U1iRESS. . . ].5500 SW72ND AVE:. WED. 100 PARCEL: 2S112DD--00 00
GUBD I V I S I ON. . . . : ZONING: I-P
PL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :
CLASS OF' WORK. . :ALT FLOOR FURN. . . . . EVAP COOLERS:
TYPE OF USE. . . . :C01+1 UNIT HEATERS- - VENT FANS. . . :
;ICCUPANCY GRP. . :Ba VENTS W/0 APPL: VE=NT SYSTEMS:
3TORIE5. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . .
FUEL TYPES____-_--___._- 0-3 HP. . . . :3 DOMES. INCIN:
/GAS/ i -15 HP. . . . : ("OMMI_. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
!: IFIE DAMPERS?. . :N :,0-50 HP. . . . : WOODSTOVES. . :
IFAS PRErSSURE. . . :L 504 HP. . . . : CLO DRYERS. . :
!J0. CIF UNITS--------------- AIR HANDL.I N6 UN I TS OTHER UNITS. :
`URN ( 100K PTU: <= 10000 cfm: GAS OUTLETS. :3
�-URN ) -10011% BTU: > 10000 r_fm:
remarks: Tenant Mod : First tenant, int partitions., conf r^m, brk rm, tlt rms, etc.
)Weer; FEES
HG"E RUST type amount by date rpcpt
PRMT 00 ! /
PLCK 9. 00
5PCT 1. LA141
'hone #: PAYM f 46. 80 JLH 03/11/C,l
'ontr actor:
OROTE1,;P ASSOCIATES INC:.
107 N. E. COUCH
:'ORTI_AND OR 9723E, _.__.------------------------------------ -
'hone
---------------_._-------.__-___._. _'hone #: 0.33-6911 f 46. 80 TOTAL.
l-eq #. . : 38866
HEOU1 RLD I.NEBPECI i UN�,
'pis pernit is issued subject to the --equlatlons contained 1n the Gas Line Insp
'igard Munirical Code, State of Ore. Specialty Codes and all other Mech an i ria 1 Insp _-_�- _-
aoolicable laws. All work will be done in accordance with Heating Unt I nsn
roprcved clans. This oereit will er.cire if work is not started Cooling Unt Insp
�,ithin 180 days of issuance, or if work is suspended for sore Duct Inspection _
than 180 days. Final Inspection
e r m i t t e e S i n n a t i.r r e:
s 9 Lted Sv _x/
Call for, inspection - 639-4175
LD
LL!
J
CITY OF� Receipt #
IGARD MECHANICAL PERMIT
13?_25SW HALL BLVD. Permit
P. U. BOX 23397 Description
T I GARD, OR 97223 Table 3A Mechanical Code - QTY PRICE AMT
(503)639-4175 1) Permit Fee -0- -0- 10.00
Name of Development
2) Supplemental Permit 3.00
Job Addressf 11 Furnace to 100,000 BTU `J 6.00
S«,7-e incl.ducts&vents
Address /55 c:�, ` [t ?2.,, . -2icSZ — --- - —
Tax Lot Map No 1 2) Furnace 100,000 BTU + 7 5C
Lot Block Subdivision _incl.ducts& tents —
Ae(or n a e of business) 3) Floor Furnace -- 6.00
�� l(f2 •qtr? ��� -- incl.vent
Mailing Address Phone 4 Suspended heater,wall heater 6.00
Owner or or floor mounted heater
7]S'2'0a/z
teZip 5) Vent not incl.in 3.00
appliance permit( r me�w si 6 Repair of heating,ref rig., 6.00
N e(or name of business) )
�� cooling,absorption unit
e) .(3(I Cc,m Jv57Vna :LNC- -
Mailing AddreAs Phone 7) Boiler or comp to 3 HP 6.00 {�'
Occupant 7 5 i r - -� /t t
z_•5—I'tt L)_ (�I /- "' 4 e)"J
Cyry tate -F ip - 8) Boiler or comp to 3 HP-15 HP 11.00
' f ' ��i2 _ absorp.unit to 500,000 BTU _
J 9) Boiler or comp 15-30 HP 15.00
absorp.unit Yz 1 million
-M>n 2:3 - -
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
Contractor absorpun
�� —��J C-�7�.!E �'• — ;_ it 1 -1.75 million
r
7
late
�- ( 1 Zip 11Boiler or comp to 50 hr 31.50
� 7 2 3 absorp,unit 1,750,000 BTU
j c a � � 1 , J
State Registration No. City Bus.Tax No. 12) ,,,handling unit to 4.50
10,000 CFM
I hereby acknowledge that I hale read tlds application that the information given is 3) Air handling unit
50
10,000 CFM t- 7'
correct,that I am the owner or authorized agent of the owner,that plans submitted era in —
comp!iance with State laws,that I am registered with the Slnte 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 tan connected 3.00
to a single duct
- -- ---- ---- Ventilation system not
16) included in appliance permit 4.50
-- — 17) Hood served by 4.50 --
mechanical exhaust _
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work ❑ addition f 1 alteration repair CJ incinerator
to be done residential [I non-residential ) Commercial or industrial 30.00
Existing use of 19 type incinerator
building or properly _ __-- - 20) Other i.e.,woodstove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
- --—
building or property _. _. .._ -- 21) Gas piping one to four outlets 7 2,00
Type of fuel- oil I 1 natural gas Dif LPG I I electric I I �-
22) More than 4-per outlet
NOTICE SUB-TOTAL
r THIS PERMIT BECOMES NULL AND VOID IF WORK. OR CON- — --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE ,CG`
—
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL C
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER �^
WORK IS COMMENCED. TOTAL
Special Conditions
Date issued_ by_ _.
1 �
CITY OF 'C I CyARD - RECEIPT OF PAYMFNT RF.CF I F,T NO. 191•-213199
I'HECK AMOUN f 20. 00
NAME s SIGNS IN DEPTH INC. C(ASH AMOUN I s 0. (Be
ADDRESS a 17150 SW PILKINGTON ROAD PAYMENT DOTE. a 05/t4/91
SUDDI V IS I ON a
LAKE OSWEGO, OR 974135--
PURF10% OF PAYMENT AMOUNT s'A I D PURPOSE OF PAYMENT AMOUNT PAID
c. LAND t.19E AI`-FIL ;V. 00
C.t I
cmH
N
H
J
r�
s.
11.1
J
SIGN PERMITS SON 91-77 GGN 9t--713
TOTAL. AMOUNT PAID — — •-• 00
SIGN PERMIT
PERMIT #: SGN91-0078 DATE ISSUED. . . .: 05/14/91
EXPIRATION DATE: 7//y/`j/
PARCEL. .. . .. . . . : 2S112DD-00200
ZONE. . . . . .. . .. . . I-P
BUSINESS NAME.. : COMPUCOM SYSTEMS, INC.
SIGN LOCATION. .: 15500 SW 72ND AVE
APPLICANT/AGENT: SIGNS IN DEPTH
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 1.5 X 8
TOTAL SIGN AREA. . . . . . : 12 sq.ft.
WALL AREA. . . . . . . . . . . . . 640 sq.ft.
WALL FACE; (DIRECTION) : W
SIGN HEIGHT. . . . . . . . . . . ft.
PROJECTION FROM WALL. : 2 in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPTION OF SIGN:
Permanent wall sign. 1.5 X 8 + 12 square feet.
MATERIALS. . . . . . . . . . . . : STYROFOAM
EXISTING SIGNS. . . . . . . : 1
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 30.00
APPROVED BY:
DATE: 05/14/9.1
n:
Y
N
F�
J
G]
W
J
Penna t No. `sGN 9 L 7N
CITY OF TIGARD
SICK PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
aoccnpanying plans and specifications.
SIGN LOCATION ADDRESS: Compicom Systems 15500 SW 72nd Avenu e: -
NAME OF BUSINESS: CompuCom Systems
C:P.Breidenbach Signs In pepth,I 5Q3 635 3390
APP._CANr/AC�2lr: , CCMPANY: ONE:
The City of Tigard i.z qx)s s an arunia.l Business Tax whicp must be kept current on all
persons doing Cosiness in the City. Do you presently have a airrent business tax?
YES (x ) NO ( ) U.L. Label iro Li.ce,nse 3430 Ore. Contr, Bd. $66735
PROPOSED SIGN: (Check as many as apply)
PERmANENI' (X ) F1 rANDITk; ( ) FREEWAY
TAY ( ) WALL. (X ) ELECTRONIC ( )24-iuO sq.fL.$ 25
O'EH P ( ) BILIDOARD ( ) Bi•NLS1 ON ( ) 100 + - $35
SIGN DIMENSIONS: 10" High O'Wide _ EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) : ^^12
iV LL AREA (Sq. Ft.) : 640 _
tgkEL FACE: West SV M
HF G Hr (Ft) : _ __
PRaTEX._=ON FROM WALL: 2"
1T'f 71M ,0=N: YES ( ) NO (x ) TYPE:
COMPUCOM
QOPY: _ — Systems __---
KATERIAIS: _ Metal face =_ Styrofoam Letters
EXISTING SIC21S: _ -0-
ADMTNISMUIVE EXC'EPrION: N/A (It j APPROVED ( ) HOW MUC3{-____e
AREA
OCMMENTS:
PLANNING DEPAR IM Nr A11 sign permits mist be acccupanied by a scale
v� Permit Fee: Jo _ drawing and plot plan_ If work authorized under
>- Receipt No: ot1 a sign permit has not been cortpleted within ninety
Approved days after the issuance of the permit, the emit
J Date:
m at � r shall beoozne null and void.
FJ-B=CAL PERMIT I CE[ZrIFY THAT I AM THE RECORDED OWNER OF 11iE•
REQ(JIRFD: YES ( ) NO PROPE RW OR AN AC;ENT AUIIiORI7,ED BY Tl-CE OWNER.
r
BUIIDRNG PERMIT
[d)7JIR-ED: YES ( ) NO ( .,j- Apple s S igqnnaa ------—
Signs In Dept- n,Inc-
17150 SW Pilkington Rd. C.P.Breidenbach _
cp/BKMPER•IT Address Te lephorve
11: \WORD\CrY1DE'V\ Lake Oswego,Oregon 97035
( 503) 635 3390
U /1 L4
Q 'J,q -fir a td
�a a 4J ts.
g•, a •� � ao 0
•-3 „ C +a0
a 4-+ N cd .0 M 0
„ N C +3 U• c
+J 0 b W 0
k U 4 rl t.U
Ln
3 A
s o
N 0 `n
N 4.)u m c m
-- - -- -- a ,b a 4-J it .14
C
y S N {, tJa i, !d e
0 W O
• •� edCa +J
E O AO •-4 aJ eo CO+J
cd '0•.-1 dl a! 0 ••1 -4 0
z6tnHRE-4tntA .]
I
r O LO
cd b CV)
n t, t-
CM to U td to
ch cd s ��
a O .C] w
(J 0 t- 0LO a
Z 4- C) M 0 m to
�-, U c) tovx t.
E N .•p w I� I N 0 N
y. C � SGOU-) tD N u U
a� ,--c :n M tri Go A
O bD� '�4 -t0 tD ti
► V 0 4j
n a boo-,..U W O
J 00az ♦ 00 •• U
� ' fn Cl to to a)
U O U a
-4 to O td 0
N asbo
L7 u' M >4 a 4)i
J
0
<nt- aH -cc c°° o
co '�
S.LO 14P 5 anw.(�FiigY fO
z V)
r3 LLI
(f)CY
oma I�
I �
~I �"* U ���� a
coa-
M LAJ Uj
<
L)Lo
Z)Lij
cl-co C-1
., � ;r
�N
CY)
N
CL
j w
w(J;
=3<*
cr)CL z
w
In
IL
za w iW UJ
G Z—
Ln
C)cwx S
co Q.
00
a:
0 w
tU Z
• �� ( I I C�" � i Q Z
CC
rL d
Un
Ml
LU C
ucx<
m
02
CL
<CLLi id
CLUU
SIGN PERMIT
PERMIT #: SGN91-0077 DATE ISSUED. . . . : 05/14/91
EXPIRATION DATE: 7/m/w
PARCEL. . . . . . . . . : 2S112DD-00200
ZONE. . . . . . . . . . . . I-P
BUSINESS NAME. . : COMPUCOM SYSTEMS, INC.
SIGN LOCATION. . : 15500 SW 72ND AVE
APPLICANT/AGENT: SIGNS IN DEPTd, INC
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY { ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BA-LLOON ( )
SIGN DIMENSIONS. . . . . . : 1.5 X 8
TOTAL SIGN AREA. . . . . . : 12 aq.ft.
WALL AREA. . . . . . . . . . . . . 640 sq.ft.
74ALL FACE (DIRECTION) : N
SIGN HEIGHT. . . . . . . . . . . ft.
PROJECTION FROM WALL. : 2 in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPTION OF SIGN:
Pennanent• wall sign. 1.5 X 8 = 12 Square feet.
MATERIALS. . . . . . . . . . . . . STYROFOAM
EXISTING SIGNS. . . . . . . : 1
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 10.00
APPROVED BY:
DATE: 05/14/91
r-
Permit No_ SGN ! 1-77
QTY OF TIGARD ----
SI.vN PER 4IT APPLICATION
The applicant hereby applies for a permit for V- work indicated or as shown in the
accompanying plans and specifications.
SIGN I0'TON ADDRESS: CompuCom Systems 15500 SW 72nd Avenu2ONING-:
NAME OF S: CnmpuCom Syatems —
C.P.Breidenbach Signs In pepth,Ip�,� 5Q3 635 3390
APPLZC-Wr,/AGENr: _ — a77MPANY: --_-- Yt1lJt`TE:
'IIS City of Tigard imposes an annual Business Tax whicti mist be kept current on all
per-,:- doing business in the City. Do you prrsen~1� 'have a current business tax?
yl's (x ) NO ( ) U.L. Label JrO _ Lice nse# 3430 Ore. Contr, Bd. #66735
PROPOSED SIGN: (Check as many as apply)
pazf E2T (X ) FRE]-'9TAND321G ( ) IT2EEti,1AY ( ) 0 - 24 sq.rc.S10
TEMPORARY ( ) WALL (x ) ELEC!II�( N C ( )24--100 sq.rt.$ 25
OIHETi ( ) BIT,I33:ARD ( ) BALLOON ( ) 100 + - $35
SIGN DIMENSIONS: 1e" Nigh n'W;de _ EXPIRA` 1ON DATE:
ZU AL, Slat AREA (Sq. �'tt. ) : 12 —
SNLL AREA (Sq. Ft.) : _ _ 640
�Q LL. FACE: nattr ooh North -
HEIGHT (Ft) : . ice'-- ---
PFA 7kj rION FROM FUJI J : 2" _ --
II1a4INATION: YES ( ) NO ( x ) TYPE: _
COMPUCOM —
COPY: _ ---- - System — — - ---
I171TbRTRLS: — Metol face Styrofoam Letters
E)C=G SIGNS:
ADNIINIS'IRATIVE EXCEPIION: N/A ( (x APPFOVED ( ) HOW MUCH
ARTA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPAFZOffW All sign permits mast be aeocupanied by a scale
i Permit Fee: /o drawing and plot plan_ If work authorized under
`n F_ eipt No: - 2 1.3 111 11 a sign permit has not been ompleted within ninety
days after the issuance of the permit, the permit
-� Date: �'`!�!�'�I - shaU became null and void.
EL,DCIRICAL PERMIT I CERTIFY 'THAT I AM THE RECORDED OWrrER OF IHE
1;
R IXIRED: YES ( ) NO ((,}�� PROPERTY OR AN AGE1,7 AUIHORIZED BY 'I'VE OWNER.
Bt,' 114G PEId-QT
RWUTRf D: YES ( ) NO App l i t's S ic�r�a e
Signs In Deph, Inc.
17150 SW Pilkington Rd. C.P.Breidenbach _
cp/BbQ1?ER•tr Address Te 1-e&lone
Lake Oswego,Oregon 97035
.V ,� i
( 503 ) 635 3390
i
1•d/ � Q
ccd i,
LLII Q C '
o..�� n ° 0
S. n
eo a
a •�C� �� rl „ NQ � �•.i ti
cn ed C4J0
c .Ni v 0 b 0 0
U FF •H L.U
cd 3 ••�
N D
pO` s
n
41 - y
I
C $ aC GIO
Cd
>
0 y
t/) {4 cd s
p ONO ° d cd
� {r ❑ • � Cd Q Q i•1
E •L1 bb.-i r-4 N W tt+J
Cd b•r1 N td O •4 ••1 N
zdcnE-� � E� cncna
r..
ti O u)
cd J CO)
ed
M cd tD
QO 11 �
U O t- o to ❑
Z +J Q1 UJ O to N
.-c RO Cl) to 'O -W c.
� 1••� ...a Lr j' t j
F—
a !4 O N tD {. {. U
Hrl MMinR1 ed
N 0 DD Ci •rl -to to pi
LW � ►zN (AA11 NNu U
U O�� U ❑
rl N O td O
r1 = to
060 Ad H K Q <U
V� a•-+ tiHwV n
dVJr- ,
\ co
+ Sw L0WR OOORES FERRY RD
-i /J
coQ
~ / U)
/80 O 1-0
W_ z
VR/ OZY $
b
A a---)Q
O rn Cl-
O�wW
I'UII U N Z
Q�W
CL co
I �
cr)
N
N� Z
i
w FnF—
�
Ln
! oW— t i II w w
WLna { Q
�o10a ��
LL cl:
w
CID
I H
U
1
C a� y 11
U CY Z
O W
p 'a
Z
tCL
"Maw w
PROJE X0
WASHINGTON COUNTY INSPECTION CARD
DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO.
FOR INSPECTIONS CALL: 640-3561, 24 HOURS /
FOR INFORMATION CALL: 640-3470 DATE O L L
ADDRESS S'00 r'L`� _ PERMITEE
DIRECTIONS PHONE NO.
BUILDING MISCELLANEOUS ELECTRICAL
ftg post/beam nail mobile home around rain drain temp service
fdn frame apron/ wood stove post/beam storm sewer cover 6 service
sidewalk
slab insul F I NAI. FIVAC top-out FINAL FINAL
qas test sewer I1SA No.
OTH�JR
ESTED
PPROVED OEDPRN6 N ❑STOP WORK UNTIL:
RAI R ANLL RL-INSPECT FlAOVED HOWRNOTE:
i—
J
G] _
117
Mrl l'I P H� v S�f1 nATE — -
ZIN vq� TUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
FIRE MARSHALS OFFICE
ARE (503) 526-2469 POSTED:
OCCUPANT G D n!�
CONTRACTOR BLDG. PERMIT 0
PROJECT NAME PLAN REVIEW d6
LOCATION
JURISDICTION: 1= Be. 2= Du, 3= K.C. 4= - i 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FOLLOW-UPIREINSPECTION ATTEMPTED FINAL
1-1 Framing El Separation Walls ❑ Sprinkler System
Shaft F] Fire Dampers (Overhead/Underground)
F] Alarm System 1-1 Hood EYtng Systems El Conference
El Spray Booth El Ceiling Cover Other
L ;iJr1 _ .1 ALJ s i
- v
a �
cr
v'r
Y
J
00
C.�
LU -
Date: `� y^ 1 ' I Inspector:
� V*,lC&Z6,;W 'PJ0b11 "PAIS II0H MS SZW
I
F l x-•n f3E1j�T F f T l ra',
)�l ;.�j�;�tA(�'t GA�j>lE I TOTAL TOTAL
C)F t XTURE VALUE -�' NUMQF�t NUMEi>EQ
I
BAPTISTRY/FONT 4
BATH - TUE/SI-101pER 4
- JACUZ/[�iPf. 4
CLlSP I DZX:Z/WATER ASP 1
D I S�-RIASHER - COMMER 4
IXJCv(EST Z
DRINKING FOUNTAIN
I
F LCrJR DRAIN - Z INCH Z
3 INCH 5
i INCH 6
GARBACGL DISPOSAL
DOM CM 314 ',IP) 16
Comm (TQ 5 HP) 32
-
IND (OVER S HP) 48 I I I
WL L SI=P (GAS STA) 6
I
,.4.'efJ2 - GANG I
- STALL -
1 IK - 13AR 2
RRALA Y 5
COMMERC 1 AL 3
i I
SERVICE 3
WASIi-ER, CLOT}iLS 6
l
WATER EXT 6
HATER CLOSET _ 6
URINAL 6
(DLA -�-
INSP TOTAL
-7 V •'" EDU
HUS I NES l-/
/ PC RM I T NO.
ADDRESS
COUNTED FF40464
TAX MAP/LOT71- 25 R113