15875 SW 72ND AVENUE BLDG 215-1 J
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-411 BATT iN5UlAT10N Tr1t0UaH0Ui AREA OF WORK � T
-- -` ------- SUSPENDED CE;LINO G E N E�A L N 0 T E 5
LEGEND aACKINO TVF•O FASTENINO FONTS Bw 72ND AVENUE
FINISH SCHEDULE --'
------ - SUSPENDED CEILINGI, ALL CONSTRUCT �\
c CP CUT PILE CARPET �___ ION WORK SHALL BE DONE IN COMPLIANCE
WALL RACOOTS-40RECESSED WITH THE LATEST EDITION OF THE UNIFORM BUILDING CODE,
C-L LP LOOP PILF CARPET REVEAL HEADER
VCT VINYL COM"051TION TILE I AS AMENDED BY THE STATE OF OREGON AND ALL OTH 7Z STATE A J
SV SHEET VINYL OR LOCAL CODE REOUIREMENT5 THAT APPLY.
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U) 5 U) w P(�,UB PAINTED 0YP5UM WALL BOARD
�u WYV WINDOWWALL v2'DATT IN5UL W ATTENUATION WALLS 2• THE CONTRACTOR SHALL VERIFY ALL DIMENSIONS AND
RM t NAME _ U_ 'o _2 L" 3 �' v REMARKS 3 Pt"WWI PLASTIC LAM,WAINSCOT f0 4' AF.F, CONf�ITIONS SHOWN ON DRAWINGS AND A1' THE EXISTING LCDNn.�DATEV \ OIZEGON
1}+1 - CU41C MANAGER J Cr 4"R POW$ I" I" POV/p SAT E 9'•0• (6 BUILDING AND NOTIFY ARCHITECT OF ANY DISCREPANCIES � BUSINESS r
PRIOR 10 STARTING THE WORK. L=-� PARK III
SATE EXISTING SUSPENDED ACOUST.TILE 2 x 2 5/8•MTL STUDS O 24'O.C.
L95- 6/0R. LI - .•R IQy/$ ►GYRI /�vD • • • V
L$7 -HALL Lr 4'I 1" ..... ; 5/$"Orr.ORD.$0TH SIDES - --�
_ - CENTER LINE OF STUD 3. CONTRACTOR SHALL KEEP THE AREA OF WORK FREE OF PROJ EC I 93310
30 rR EIV 5'r ►Lw I" ILW I" FOW!I� le e f • ,s• 41
L39 EMM Lr 4~r raw$ IOL,B _ 1"+}B• 6, f . i ° } GARBAGE AND DEBRIS ON A DAILY BASIS, INCLUDING DOCK 5W 74TH AVENUE _�
ACCESS AREAS.
ExAM _ Lr _� -• _ a _
- 4. CONTRACTOR SHALL KEEP THE ROOF FREE OF DEBRIS (I.E.77
LOCATION M Ap p
wt oLAA, ` _ Lr _•_ ; ; I I 4 - NAILS, SCREWS) AT ALL TIMES.
M3 NUrSES STATION VCT rpyp • • ; t •' L 1_ ee l eo'
5. ALL GYPSUM BOARD TO BE A MINIMUM OF 5/8' THICK ~
w4 MEDICAL RECOIDS l► Ww/OWE rOwD rUv$ U
_ VERTICALLY ATTACHED TO 3 5/8" METAL STUDS 24" O.C. w
NS DOCTORS Orra Lr • ♦ ArW WW WIN •_ • WITH I" TYPE 5.12 5CREW5 12" O.C.
Ae DOCTORS OFFICE lr 4'R /OWD Ww Iphp--� rai'm - SAT E 910` - � � 42. 3 v2 $ATT IN5UL IN ATTENUATION WALLS P f�0 J EGT I N FD�M AT 10 N W
36' ��• -T 36• 1z• -t i 6. WATER RESISTANT GYPSUM BOARD SHALL BE INSTALLED Z
_6 3e•
12 3--f- L •4•RUDDER$ABE•TYP. 48" ABOVE THE FIN15HED FLOOR ON THE WALL BEHIND ALL U
r _ PLUMBING FIXTURES IN TOILET ROOMS BUILDING OWNER: PACIFIC REALTY A55OCIATES, LIP. Q
__.__- -- -----
DOORSCHEDULE - z CUTLET AND PAu�
FINISH FLOOR-TOP OF SLAP 7. TOILET ROOM BASE SHALL EXTEND 5" ABOVE THE FNISH 15115 S.W. SEQUOIA PKWY #200
_ DOOR DATA FRAME LATA REMARKS/HARDWARE. FLOOR ON ALL WALLS PORTLAND, OR 97224 = �,
MART-T~612E THe CORE VENEER FINISH REUTE Iert LAOEL NAND HARDWARE I.EHIWS TYPICAL WALL SECTION
8. IN FINISHED SPACES FURR OUt EXTERIOR CONCRETE WALLS TENANT: PORTLAND CLINIC LL!
z
Iso^ 8.9 ly+ a aIEcH cHERRf w AGI RM LFVETELATCH _ SCALE I" _ 0" WITH 5/8" GYPSUM BOARD OVER METAL 5TUD5 W/R•II
ISA LH LEVER LATCH REUSE Tt7(IRfRErLACE HA NARE AS REQUIRED
E FI5ERGLA55 INSULATION OR I I/2" FURRING CHANNALS AT OCCUPANCY: B•2 D Q
I� 3'.9' 1y4• a: aRcH cHERRV ACI Rn LEVER/mvACr LOCK - b = FLOOR AND/OR ROOF STRUCTURE 24" O.C. W/ FOAM BOARD INSULATION. 1- U O
139 Y-9, 1-V4• SIARCH CHERRY ACI RH LEVER LATCH, a� e �- H-
X< --STABILIZER BAR BETWEEN O KQ
140 Rn REUSE CbCR/REFLACE HAJEDWMr A5 REQUIRED 1- 77 �,- 9. CONTRACTOR TO PROPERLY PATCH ALL ROOF PENETRATIONS CONSTRUCTION: W-N D,
__-- +re• az MAINS AT PERIMETER = N p
HI - uw. �� FOR WATERTIGHT SEAL.
_ Ln REUSE DOOURE►LACE WKOWN[E A5 REQURED "2 E. + -ADDITIONAL HANGER5 AT ALL MAINS z Lji Q
02 In LEPER LATCH -- REUSE DXWrE►LACE HARDWNRE AS REQUIRED MAX WITHIN 8" OF THE PERIMETER FLOOR AREA: 1,405 ADDITIONAL 5F (Si
-- 10. ALL DOORS SHALL BE 3' O" x 9' O" x 13/4" NOM, SCUD 7 483 5F TOTAL O= �
u13- 3'.9' ly+ gC DIRCH_ CHERRY Au RH LEYEVLOCKICL05ER _ APPROVED VERTICAL STRUT At 12'-0" O.C. EA. 'WAY CORE WOOD UNLE55 NOTED OTHERWISE. DOOR HARDWARE '
- - -` Ln lfYEx LATCH 1 REUSE DOOrJI,ERACE IiNEDwARE A5 REQUIRED WITH 4 WAY LATERAL BRACING FPOM THE MAIN TO MATCH EX15TING LO
RUNNER TO THE STRUCTURE OVER. BEGIN WITH N 6'•0"
N �"
OF THE PERIMETER & 2" FROM A CROS-5 MEMBER II. ACOUSTICAL CEILING SYSTEMS:
TYP FIXTURE MOUNTING HEIGHTS SUSPENSION SYSTEM TO BE EXPOSED METAL T-BAR,
PREFINISHED WH'TE, TO COMPLY WITH U.5.0. STANDARDS.
F G r l I INSTALL LATERAL BRACING PER CODE, LEGEND
r I J 12. H,V.A.C. TO BE A BALANCED, DE51GN-BUILD SYSTEM.
O EXISTING TO REMAW
13. PROVIDE SPRINKLERS BELOW SUSPENDED CEILING PER CODE. .,,,.,,n NEW CONSTRUCTION
r,
14, DUCT ALL EXHAUST FANS. MOUNT ABOVE SUSPENDED CEILING 'r'" NEW PARTIAL HEIGHT WALL 0
C, lip TED 0 "i 0 MINIMIZE MOTOR N015E. NEW DEM151NG WALL
B- 15, PROVIDE LABEL FOR EACH CIRCUIT AT PANEL FOR >s>� PARTITION W/SOUND ATTENUATION BATTS
CRO55 MEMBERS BETWEEN 0
01
115 ��"' MAIN RUNNERS IDENTIFICATION PURPOSES. THERMOSTAT LOCATIONS TO BE zC
CONSULT, OFF. 102 REVIEWED BY OWNER PRIOR TO INSTALLATION, Q� DUPLEX RECEPTACLE 0
WAITING MAIN RL.4NERS AT 4'-0' 0 C.
114
II III IID SUPPORT WITH 912 WIRE AT 4'-0" 0. . 16. TELECOMMUNICATION SYSTEM BY TENANT, CONTRACTOR TO FOURPLEX RECEPTACLE
EXAM KM' EXP,h1 RM. EXAM RM. EXAM RM. a NLAx OR WITH Ld'ID WIRE AT 5 0" O.C. m �
_ COUNTERSLO,'E HANGERS IF MORE COORDINATE WORK. t SPECIAL OUTLET Z
106 101 THAN 1:6 OUT OF PLUMB 17. PRO'✓IDE ACOUSTIC GASKETS WHERE WALL INTERSECTS TELEPHONE OUTLET C
HALL NTRY SECURE ALL HANGERS TO BLDG. MULLIONS OR GLAZING. E(D EXISTING TELEPHONE/ELECTRICAL 0
116 -- - 57RUCTURE CR A TRAPEZE FOR 2 x 4 FLUORESCENT FIXTURE
CONSULT. F, DUCT AND/OR PIPE WORK
-- 10 AF 105 � ® 2 x 4 STEADY BURN FLUOR. FIXT. �
1 125 127 OILETI PURL.
1 113 CONTROL T01 T 101 ROOM/DOOR NUMBERS
5TOK/ X-RAY SUITE BOOTH SU5FENDED CEILING �fi�ACING
JAN, NOTE: ALL CONNECTION DEVICES TO BE UBC; N.T.C.
126 APPROVED TYPE AND HAVE 1000 CAPACITY Submit complete plumbing and mechanical plans (including
117 � DARK � gas piping) for review.
NURSES 13
STATION 1 I LAB OIL 104
X 106 107 REC. H J H J
EXAM RM. HALL HALL - - 103
123 WAITING
PROCEDURE RM 128 131 1
-- 119 DRESS. MAMM. LAB
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OFFICE NOTE,
►EUSE DOORS ND FRAME6 IN
NEW CON5TetCTI0H 9tE SCI•r0'ULF
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BUILDING 145
SACK SPLA-Am SOUTH LOBBY `� e E DOCTOK5 i BUILDING 5��TDINGH LOBBY �S si✓ 7,� ^" q✓�
MCR SPLASH I y n•I OFFICE E SOUTH LOBBY - - -
9•RADIUS CORNER
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ADl �. DATE: 11/ 12/93
�\ / ►,LIMIT OF WORK
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SCALE 1/2"=I'•0" `;GALE 1/; 1' c�" COrrOSITE HAND SCALE 1/8" = 1'-011
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T. f1FF. CONSUL OFF. 102 F—loe
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WAJ TWG 1. Verify and confirm all dimensions and conditions. Notify architect of any z ry
114 �ALy discrepancies prior to start of work. I 'J Q Z 1n
EXAM Ru. 11 RM EA" RN, 110
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2. These drawings for tenant �
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modification work and occupancy only. No structural work, i < z
_ L•_FA.o L�Ni►�a o►� WALLS N U 0
106 ^b�'� BY °�µsI,RS 101 3. Occupancy: B-2• c)General office and storage z O 0
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C,Oe1FSULT - 4. Ali finishes to be Building lig standards, unless otherwise noted. , ^ � m �
- ST T q 5. E -trical, mechanical, and plumbing by separate permit,
s� w Mu U Q cn Q
13 X-RAY ONT
AY SUITE CROL / i _ TOtET N
To
BOOTH / 2 6. 1001 fire sprinklerinq to be maintained,by separate permit. < =
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x A TION ST -. J�- V 132 -
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R_00A PLAN 1 DATE:
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DRAWN
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line Rec-O-Phone): 6?9-41' 5 Business Phone: 639-4171
Inspec'ion:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plba. Underslab Mech. Rough-in Fireplace
Post/Beam Struc i. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear W I Gyp. Bd.
Date Requested: s _Time: AM PM
7 �
Address: �! 5 •�
Buiider:_ - Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
V I U �
nspector: Date:
APPROVED _ 'SAPPRCVED `APPROVED SUBJECT TO ABOVE
_Call For Reinsp. 'l _
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone. 6394171
Date Requested: _ _ _ �� A.M. P.M. MST:
Location: /5 <56 / —6 �W� • _ BUP:
Tenant:_ /}p� Suite: 6u--���� . Bldg: MFC:
Contractor: �� nr. /� / PLM: /
(htner:—! '/ - hrnrc: c�� = �V U ELC: 600 C3
ELR:
____ __ SIT: _
BUILDING BLDG(con't) PLUMBING MECHANICAL sLECTRI L SITE
Site Post/Beari, Post/Beam Post/Beam —raver tiff t'ice Sewer/Storm
Footing Roof UndFUSlab Rough-hr Ceiling Water Linc
Slab Framing Top Out Gas I.ine Rough-In IJG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp service MISC.
Masonry Ceiling Rain Drain A/C IJG Slab
Shear/Sheath Fire Splar/Ahn Crawl/Found Dr Beat Pump Low Volt
Approved Approved ApprovedApprove Approved
Appr/Sdwlk Not Approved Not Approved Not Approvea oved No(Approved
FINAL FINAL FINAL. INAL- FINAL
n�
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0 Call for reinspci.- i einspection fix of S required before next inspection []IJrable to inspect
Inspector:___ . - ---- — Date: CJ 1'aBc _of_
CITY OF TIGARD ELECTRICAL PERMIT —
RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELP95--0056
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830.4171 DATE ISSUED: 07/19/95
PARCEL: 2S 1 I::DC--00500
SITE ADDRESS. . . : 15875 SW 71 .I14D AVE#8. 21
SUBDIVISION. . . . : F ANNO CREEK ACRE: TRACTS 7.ON I NG: I.—P
131—GCI:. . . . . . . . . . . 1-07.. . . . . . . . . . . . . :ti17i
Project Description :
ri. RES i DENT I AL___._.__..____ B. COMMERC I AL-----
AUDIO
L----_AUDIO & STEREO. . . : AUDIO & STE:REO. . : INTERCOM & PAGING. . :
.JRGLAR ALARM. . . . BOILER. . . . . . . . . . : LANDSCAPE%IRRIGnT. . :
GARAGE OPENER. . . . CLOCK. . . . . . . . . , . , MEDICRL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE l:ALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE.
OTIlI ij: . . HVAC. . . . . . . . . . . . . P'f?UTEC7IVC SIGNAL. . : X
I NEO RUMENTAT I ON. : OTHER P. . :
TO1-r4L # OF SYST EMS: 1
Gwner-; _---__________.____----.________-- FFE;i
ALL TEC SECURITY type amol.int by elate r-ecpt
835 SE 171-1•i PRM1 4.ci. 00 SUE 07/ 19/95- 90--21682"17
PCT $ x'. 00 SUE 07/19/95 95—::68217
PORTLAND OR 9721.4
Phone #: 503-2132-1188
Contr^actor,:
AI_LTEC; SECURITY $ 4•2. 00 -DOTAL
835 SE. 17TH
------- RE UU I RE D INSPECTIONS
PORTLAND OR 97214 Ceiling Cover- Elect' 1 Service
Phone #: 503-232—•1180 Wall Cover- Elect' 1 Final
07 7704
This permit is issued subject to the requlations contained in the
Tigard 011micipal Code, State of Ore. Specialty Codes and all other P'er-mitee t, lati.ire
applic laws. All work will re done in accordance witl.
approved plans. This permit will expi , " Burk is not started
within 160 days of issuance, ar if work is suspended for more
than 160 days. sued By
.—.—_-------------OWNER INSTALLATION
The installation is tieing made on property I own which in not. ii,tended for
sale, lease, or rent.
OWNER' S SIGNAIURE: DATE:
INSTALLATION
c,.
SIGNATURE OF SUPR. ELEC' Ne DATEll
V1 _------ ._ _ _..
v
LICENSE NO ll
Q3 Call for inspection - 639-4175
M
4'
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION/
13125 SW Hall 131vd.
Tigard,OR 97223 PERMIT# _ �.L k'c._. C j-- 00,5(p _.
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No.(503)684-2772 rr
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY _ k_Q
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
15875 SW 72nd _
Address RESIDENTIAr.—Restricted Energy fee . . . . . . . . . $40.01,
Tigard OR 97224 (1ORAlI SYS IEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLL AND EXPIRE IF WORK ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
Contractor(E� ec 9yxLLrlty I)Ew ❑ Vacuum Systems*
Address 835 SE 17th - Portland ❑ Other OR 97214 -
Date 7/17/95 _ COMMERCIAL—Fee for each system . . . . . . . . . $40.0n
(SEE OAR 918-260-260)
Property Owner The Portland Clinic Check Type of Work Involved*
Contractor's Board Reg.No. 077704 ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# 232-1188 ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is Issued under OAR 918-320-370.1 his applirant agrees to make only ❑ Nurse Calls
rrstrirted energy instal6dions(loo volt amps or less)under this permitand to do the ❑ Outdoor Landscape lighting*
following:
1. Only use electrical licensed persons to do Installations where required.(Certain Protective Signaling
,esidential and other transactions are exempt from licensing.These have ❑ Other
asterisks(*)..All others need(icpnsing).
2. Call for an inspection whet,all of the installations under this permit are ready
CL for Inspection at 503-639-4175. ❑ ] Number of Systems
3. Purchase separate permits for all Installatir its that are not ready for inspection
when the inspector is out to inspect under this permit.
H •No Ile-enses are required. t icenses are required for all other Installations.
4. Assume responsibility for assuring that all rorrxtions required by the Inspector
> are done,and
H
5. Assume responsihility for calling for ,final inspection when all r.(the corrections 5. FEES
., are completed.
w1 he p rson signIn for this permit must be the applicant ora person a. Enter Fees $40.00
J Tut ized to bin the applicant.
L _ b. 5% Surcharge 05 x total above) $ 2.00
Signature ��`
TOTAL $42.00
Authority if other than applicant
ENERGARCHP
INSPEgrIgg NOTICE
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Lias (Rec-O--Phone : 639-4175 Business Phones 639-4171
i 1
Inspection: �17j f�%f/I
Footing Plbg. Underslab ech. Rough•-in Appr/Sdwlk
Found. Plbg. Top Out Cas--t-kne FINAL:
Poet/Beam Struct. San. Sewor Framing -Bldg.
Poet/Beam Mach. Rain Drnin Insulation -Plumb.
Flbq. Underfloor Nater Line gyp. Bd. ` -Mach.
Dats Requested: / r Time: _AM _^—PM
e,7-
Addreeasc-) D r� � 7 i /1(J /Permit
6ulldor: ,)1A
THF. FOLLOWING CORRECTIONS ARE REQUIRED:
to
H
C.D
C i1
Inspects
APPROVED DIBAPPROVEO 11PPRo`/ED BUBJRCT !O hAOVE
:_Call For Reinsp.
INSPECTION NOTICE
City or Tigard Building Department
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonn): 639 1175 Business Phone: 639•4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line INAL:
Post/Seam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Ineulation -Plumb.
Plbg. Underfloor Water Line !/ Gyp. Bd. -Hoch
Date Requ, ad:__-7 ,7 Time: AM� PH
Address:1�i7�
Permit i y D0
Builder:— a C- �d / 7 21— �—
THE FOLLOWING CORRECTIONS ARE REQUIRED: 1
r �
r.�
Ln - - ------'--- -- ----- — —
cc v
Tnepe^.tor: Date:_
PPROVED DISAPPROVED APPROVED SUBJECT To ABO
_—call Fnr Rainap.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE Or
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 OCCUPANCY
PERMIT i0. . . . . . . : BUP94
639,--417.1 DATE ISSUED: 11/07/94
PARCEL. 251 12DC-Ic"i0 500
S ITL:_ ADDRESS. . . a 156 75 SW 722ND AVE #B. 215
SUBT)IVISTON. . . . FANNO CREEK ACRE" TRACTS ZCINING I-F'
L3LOCK. . . . . . . . . .. LOT. . . . . . . . . . . . . .40
CLASS OF WORK. i AL-T
TYPE'; OF USE. . . :COM
OCCUPANCY GRP. :B,:
OCCUPANCY" LOAD: 75
TCNA:,,-• NAME. . . -PORTLAND CLINIC
Remarks : Portland Clinic-- 'Tenant• Expansion
Owner.,
f-'AC T F"'I C REALTY ASGOC I ATE S
I Ill
SW 5T14 AVENUE
PORTLAND OR
Con•trac_tor. ...___..._..__.._ ...._.._-___....._.. ._-_-
J 1. L. GREEN
15115 f;W C>EOL)O I A BL..VD, SUITE 200
TIGAP15 OR 97224
Phone Ma 624-7'717
R e U it. . : 41326
OCC Ipancy of the above referenced building is hereby yivecr, and cert: if.r.t
):he uomplianre with the fat:ate Of Cregon 5ptac,ia1ty Codes !-or the gror.Ip,
occupancy, and LISP under which they referenr..ed pev-mit WAS icar.1071.
/ L }I NG , CTOP
1LI)ING� F'FICxAI. ....._
POST IN CONSPICUOUS PLACE
r�
v�
H-
w
w
-J
a
MECHANICALPE
�
CITY OF TIGARD PERMIT #. . . . . I. :
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 02/09/94
.:3125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)836-4171
PARCEL: 2SI12DC-00500
SITE ADDRESS. . . 1'W;f�75 SW /2ND AVE #N. c'1 ri
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :40
CLASS (IF�WORK. . :AL_i'!—-__._.._._--•FLOOR—FURN. . . .
: EVAP'COOLERS:
TYPE OF USE. . . . :COM UNIT HEATERS. . VENT FANS. . . : 1
OCCUPANCY GRP. . :B2 VENTS W/O APPI_: VENT SYSTEMS:
STORIES. . . . . . . . :E NOIL_ERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES --_.._.__._ _.__....._. 0--3 HP. . . . : DOMES. I NC I N:
: /bAS/ / / 3-15 HP. . . . : COMrIL. INCIN:
MAX INPUT. F-0 U 15-30 HP. . . . : REPAIR UNITS:2
FIRE DAMPERS?. . : 30-50 HP. . . . . WOODST"OVES. . :
GACA PRESSURE:. . . : 50+ HP. . . . . CLO DRYERS. . :
NO. OF LAN I TS---- — - - AIR HANDLING UNITS OTHER UNITS. :
1=0J17N ( 100K BT'U: (= 10000 (--fm : GAS OUTLETS.
FURN ) =100K BTU: > 1001710 c f m :
Remar^It's : Portland Clinic- Tenant Expansion other 1_inits= cil_lcts
FEES
PACIFIC REALTY ASSOCIATES type amo+_1nt by elate recpt
111 SW 5TH AVENUE PRMT $ 25. 00 JH 02:/09/94
PLCK $ 6. 25 JH 02/09/94 --
PORTLAND UR 5PC 1 `b 1. . 25 JH -
Phone #:
Contractor-:
PROTEMP ASSOCIATES INC.
80/ N. E. COUCH
PORTLAND OR 97232 _.______________----.---------------_--
Plione #: a33-6911 $ 32. 50 TOTAL
Reg !!. . . 3SR68
REOUIRLD INSPECTIONS ------ -
This permit is issued subject to the regulations contained in the Duct Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will he done in accordance with Final Insper_tion
approved plans. This permit will expire if wort. is ! started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
N F e r m i t t a c- Sig n a t urea _ _..w.__
1 s s i-1 e d N y
Call for inspection — 639-4175
_-J
City of Tigard MECHANILAI PLON11 I Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # y�e�,41���?Z'_
PO Box 23397
Tigard, OR 97223
(503) 639-4171
-a��^� oscnptron
RFC tcSUSr^!� Pok?\C - Table 3A Mechanical Code QTY PRICE AMT
.lob .» '5\1%/- NV 1 0- -0- 10.00
Address 1535-7 r. � - Z ,L1�� ) Permit Fen — --
2) Supplemental Permit 3.00
r- .°. �•h -urnace to 100,000 BTU
SPT/ 1) incl.ducts&vents 6.00
M •o «• ^°^• Furnaco 100,000 13 1 U +
Owner 2) incl.ducts&vents 7.50
Cay w. Floor Furninco
3) incl.vent 6.00
-"--T. Suspended eater,wall Tater
a - �Ld�c�11] G-LLll.t.L L. 4) or flour mounted healer 6.00
tr.ra ••+ — - —Dent not mcFin
Occupant – ,Zw -7-Z—NP 5) appliance permit 3.00
HepgG"Y'
-r" l 6) cooling,absorption unit ae r ,) n.00
-^• Boiler or comp, heat pump,air cond.
-' l_ 7) to 3 HP absorp unit to 100K BTU 6_00
W•V A&k— ^^' boiler or comp, heal pump, air con .
Contractor w� ��'� 8) 3-15 HP absorp unit to 500K BTU 11.00
dh• r er or comp,hPat pump, av c -
or
-L t�� P1Q �Z Z 9) 15-30 HP absorp unit.5.1 ;.it BTU 15.00
" w`"°°��— ur •'hh°
Boiler or comp, heat pump,air Gond. -
1 C :'3`rJ 10) 3050 IIP absorp unit 1-1.75 mil BTU 22.50
75—roUy—ac7no-Wedgo that I have read this app rcatron, that the Boiler or comp,linal pump, air cood.
information given is correct,that I nm the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31.50
of the owner, that plans submitted are in compliance with State Air handling unit to
I;hws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
That the number given is correct. (II exempt from State registration, Air hanc ing unit
please give reason below,) 13) 10,000 CTM + 7.50
Non porta —
14) evaporate cooler 4.50
- -Veil-an conne:te
15) to a single luct 3.00 -
- -- Venlilalhon systesystem not
Z-7-9 16) included in appliance permit 4.50
17) mechanical exhaust 4 50
Describe work now addition( a terabon rPpau (_ Commercial or rn uslrial
to be done rpsioental 0 nen-residnntird• 18) type incinerator 30.00
xrstrng use of UI her r.e.,wo -love,walor
b iilding or property 19) heater, solar,clothes dryers, etc. 4.50
Proposed tire of /1� 20) Gas piping one to four octets 2.00
building or property
Type of fuel -oil 0 natural gas 0 LPG 0 electric 0 21) Mor than 4 per outlet
f ONCE
hlulinhhrnt Fee$25.00 SUBTOTAL r �,
PERMITS BECOME VOID IF WORK On CONSTRUCTION
AUTHOn1ZED IS NOT COMMENCED WITHIN 180 DAYS,On s%SUnC11ArIGE
m IF CONS i nUCTION On WORK IS SUSPENDED On
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN FIEVIEW 25',16 OF SUBTOTAL
rlr AFTER WORK IS COMMENCED. —
TOTAL ,Sas`
Special Conditions
--- _- Date Issued_ by -- --
�.MEctiuwhr
t
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Bo d.Tlpard,Oregon 97223.8199 (503)839-4171
PLUMB I NC F'E"RM I T
P,ERMI T #. . . . . . , F'E_M94-0alr
639-4171 DATE ISSUED: 0 :/11/94
r:,ARCEL.: IRS11CDC-00 00
SITE ADDRESS. . . : 15875 SW 72ND AVE #B. 215
!!.�UBDIVIStON. . . . : FANNO CREEK ACRE: TRACTS ZONING: I-P,
i SL0C!... . . . . . . . . . . LOT. . . . . . . . . . . . . :41ZI
CLASS OF WORK. , :ALT GPRBAG . DISF'OSALS. . : MOBILE HOME SPACES).
7 YF'E OF USE. . . . :COM WASHI� 3 MACH. . . . . . . : BACKFLOW F'RE k)NTRS. .
OCCUPANCY GRP'. . :B2 FLOOR DRAINS. . . . . . . , TRAPS. . . . . . . . . . . . . .
STORIES. . . . . . . . :c WATER HEAT•ERS. . . . . . . 1 CATCH BASINS. . . . . . . .
F IXTURES- -__._._._._____.-.-_-- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
::i I NKS. . . . . . . . . . :5 URINALS. . . . . . . . . . . . GREASE_ TRAP'S. . . . . . . .
LAVATORIES. . . . . : 1 OTHER F I X TURES. . , . .
i UB/SHOWERS. . . . : SE:WLR LINE (ft ) . . . .
WATER CLOSEwTS. . : .1 WATER LINE (ft ) . . . .
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . .
i�c:.marks : Portland Clini_- "tenant Expansion
Owner: ------------------------------------------------------- FEES ----_---_-_-----
1-1FICIFIC REALTY ASSOCIRTES type amol_tn' by date recpt
1. 1 1 SW `.., i H "VENUE PRMT $ b0. 0111 JF 02/1 1/94 -
PLCK $ 15. 00 JF 0Z:/11/94 -
P'ORTLAND OR 5PCT 4 3. 00 .IF 0c*'/I 1 /94 -
F'hone #:
Contractov-: — --- ••—._ ._._._._---_______._..____—_
DEAN WARREN PLUMBING
3.1 .11 SE 13TH
PORTLAND OR 97202 _._..-___._.__-----•-----•-- -----,________._._____--
P'hone #: 236-4152. E 713. 00 TOTAL
keg #. . : 0017
------•- REUU I RED I NSFIECT 1 ONS -------
This permit is issued subject to the regulations contained in the Rol_tgh—i.n Insp
Trpard Municipal Code, State of Ore. Spec alty Codes and all other Top--or-rt Insp
appl icabl, laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not startti
>nthin 108 days of issuance, or if work is suspended for more -
thJ" 188 days.
Ppr,mittee Signatures
llC�� Call for inspection - 639-4175
City of Tigard PLUMBING PERMIT Pianck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OH 97223
(563j 639-4171
°p c• scription
)vLG ORS 814-21-610 CITY PRICE AMT
Job / :�(� s S[`, 72- FIXTURES
Address Sink ,
- 7Lavatorj
ub or I u ower Comb.
4 ower
«. Water Closet r,
Owneri was tomer
Garbage Disposal —
Washing Machine 7.50
—
� ^rTM rain
JOT rh- Wrier Heater �..
Occupant un ry oomr-Tay --
Urinal
DID Other Fixtures(Specify)
Contractor I ;t•" Ste'
3-t— MISCELLANEOUSD
Sewer ist 100' 30,00
o c c,r�71e iG.NO
Sewer-ea.Addit. 100' 11500
1 elf (^ I mo_ I �1 4 I --Water Service 1 st
hereby acknowledge that I have read is application, that the Water Service ea. Addit. 200' 15.00
information given is correct, that I am the ownor or authorized agent of
the owner, that plans submitted are in compliance with State laws,that I Storm Q Rain Drain 1st 100' 30.00
am registered with the Constructlun Contractor's Board,that the number Storm 8 Rain Drain Addit. 100' 15.00
given is correct. (If exempt from State registration, please give reason
below.) Mobile Home Space 25 00
ac ow Prevention
Device or Anti-Pollution Device. 7.50
" ° vAny Trap or ase o
Connected to a Fixture 7.50
Describe work new U addili alteration -repair U rrntch Basin
to be done residential Q non-residential Q
Insp.of Exist. Plumbing per hr
Specialty Requested Inspections per hr
Existing use of Rain Drain, singe amt y
b0iding or property I �-L IL (C dwelling 15.00
Sider,ial backtlow prevention
device: 15.00
Proposed use of
building or property
j (Ex—c—spUresidential backtilow
N prevention devices)
~ NOTICE 'Minimum Fee$25.00 SUBTOTAL
J — —
i~�] PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF — — 3,at,
�i CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
J FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL s,oL
COMMENCED.
TOTAL ��,b
Special Conditions --- .__ — --
Date issued by
wr,uiwN.r
CITY OF TIGARDB''ILDING PERMIT r/
FERMIT #. . . . . . . : BUP94--001�'
COMB UNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/18/94
13.125 SW Hall Blvd.Tigard,Oregon 97223+8199 (5',Ng-a1T 7 i
PARCEL-: 2S 1 12DC--00500
SITE ADDRESS. . . : 15875 SW 72ND AVE #0. 215
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I—P'
131_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .40
---------- -------------
13EISSUE: FLOOIT AREAS-----.---- _- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST. . . . : 1405 sf N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : sf PROTECT OPENINGS?------
TYPE
PENINGS?------ -TYPE OF CONST. :2FR THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP'. :62 TOTAL_- ___..__: 1405 sf ROOF CONST:B FIRE RET":' .`r'
OCCUPANCY LOAD:75 BASEMENT. : sf AREA SEF'. RATED:
STOR. :2 HT. :2:6 ft GARAGE. . . : sf OCCU SEP. RATED:
NSM 1" :N MEZ Z_? :N READ SETBACKS-- _ — _ REQUIRED_
FLOOR LOAD. . . . :50 psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET. . :Id
DWELLING UNITS: FRNT: ft REAP.: ft FIR ALRM:N HNDICP' ACC: Y
BEDRIrl7: SATH 'S: IMP SURFACE: PRO COF:R:Y PARKING:
VALUE. $ : 50000
Remark Pur-tland Clinic— Tenant Expansion
Owner• : -__ __._.._.__.._..-...._.._._--.--._..----__-__.._._.__......_.-._...- ._._ _..____.___._._.____....____.._..___ FEES
PVICIF.IC REALTY ASSOCIATES type amount by date recpt
1. 1 1 SW 5TH AVENUE P'RMT $ 283. 00 JH 01/18/94 -
PLCK $ 183. 95 — 01/11/94 94•-x:475.37
PORTLAND OR 5PCT $ 14. 15 JH 01/18/94 --
1'1`70ne #:
l-ontr-actor .
11. L. GREEN
15115 SW SEQUOIA BLVD, SUITE I'00
T IGARD OR 97224 ------ --------------------------
Phone
---------------------.--Phone #: 6:214-7717 $ 481. 10 TOTAL
Reg #. . 41328
------- REQUIRED INSPECTIONS
This permit is Issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ure. Specialty Codes and all other I n s tt 1 at i en Insp
applicaile laws. All work will he done in accordance with Gyp Board Insp
dpproved plans. This per-,it will expire if work is not started S u s p C e i 1 n g Insp _
within 180 days of issua,ce, or if work is -utpended for sore Final Inspection
than 180 days.
F'e r m i t t e e cy i g n a t t_r r e , _
l,s _red
m
Call for n.spection - 639-4175
c.D
rte,
_J
SEWER CONNECTION
C11YOF TI91-1 . .. . IT
PERMIT #. . . . . . . : SWR94-0020
COMMUNITYDEVELOPMENR T DATE ISSUED: 01/18/94
13125 SW Hell Blvd.Tiynrd,Oreyan 97229.8199 (503)839-4171
RCEL: 2S112DC-0000
:.i l:TE ADDRESS. . . : 15875 SSW 7 2ND AVE #B. 215
SUBDIVISION. . . . : FANNO CREEP: ACRE TRACTS ZONING: I-P
BLOCI;. . . . . . . . . . . LOT. . . . . . . . . . . . . :40
TZ=.NANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . :23
CLASS OF WORT;. . . :ALT DWELL I NO UN I TS. . : 1
f Y o f OF USF:. . . . . :COM NO. OF BUILDINGS:
INSTALL TYPE. . . . :BLJ1.3WR IMPFRV SURFACE. . : : S
Remarks : Plortland Clinic-- Tenant Expansion
Owner: ___.__._.___..__...._....._._. _.._._...._-_...-----......_____..--.--__. .__.____.__.____._.._._._.- FEES --------------_
PACIFIC REALTY ASSOCIATES type amol_Int by date recpt
1 1. 1 SW 5TH AVENUE PRMT $ .-'C'--'00. 00 JN 01/18/94 -
PORI"LAND OR
Pl-lone #:
Unntractor:
CONTRACTOR NOT ON FILE
Phone #: $ 2200. 00 TOTAL.
rieg #. . .
---- -- - REQUIRED INSPECTIONS -----
Thi: Ppplicant agrees to comply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires 188 days fre4
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the _
side fewer laterals. If the sewer is not lncated at the measurement
given, the installer shall prospects feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
P e r,m i t t e e £:i i r i 7 t; i_r r-e :
Irsst_red By :
Call fa, 1rispectlon — 639-4175
J
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s
Commercial Building Permit Application
City of tigard
13125 SIN Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: .S" 7�if�,d ✓��YLG ;, n <k >
Tenant: li�Ty._r9iS��G/r(r//� suiteiWf ri b) t3�Kt `kS `a`at i�x! 3< 3v;
Valuation:
Owner: Pacific Realty AssociaLes ac
L.P. (PTrust)
15115 S.W. Sequoia Pkwy. , Suite 200
Address: — rovafs ft ulretlz
Portland, OR 97224-7199
503 624-6300 °
Phone: /
E':::::fir>s.�><� .., •....
H.L. Green Company
Contractor. _
Address: 15115 S.W. Sequoia Pkwy. , Suite 200
Type of const:w
Portland, OR 97224-7199
Occupancy dans:
Phone: 503/624-6300 _
Sprinklered? (Yes,) No
Contractor's License # 41328 ,
(attach copy of current Oregon licensel Sq. ft.o` project: / SLS. •'
Sto,•y(1st 2nd, etc.)
John JohH. Ronish Proposed use: S/y 25W'
ArchitectlEnglneer• -- _ _ �--- r
Address: 2216 S.E. 24th Avenue _ Note: Plumbing & mechanical plans
must be submitted at time of
Portland, O R 97214 building permit application.
a Phone: 503/226-6306Un
COMMENTS: S
�Wicint Sign t re & Plane number
Received by: — Date Received:
Permit # Account Description Amount Amt. Pd. Dal. Due
Bldg. Permit (BUILD) I ate'
Plumb. Permit (PLUMB)
_ Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Flan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) Lo
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Duality
w Water Quantity (1NOUANT)
Ln
Fire district (FIRE)
F Z
TOTALS: �+• ct � "t ^; ,-,.:.
� 5I
Permit No.
CITY OF TIGARD
Si(.v PERMIT APPLICATION
The applicant hereby applies for a ;permit for the work indicated or as shown in the
ac atripanying plans and specifications.
�''(�' %r� =�
SIGN LOCATION ADDRESS: __�� - A ZONING:- -
NAME OF BUSINkSS: HF j}C�,�TL_f�1ll/_� LL/IViC_
APPLICANT/AGENT: !�� c /V1 i �� c axu�ANY: o,jJ1ef' S16AIPHONE: oG� ` -7
The City of Tigard imps an annual Business Tax which mast be kep` current on all
per-Sons doing business in the City. Do you presently have a current business tax?
YES ()( ) NO ( ) U.L. Label # —
PROPOSED SIGN: (check as many as apply)
PEE MW FREESTANDING (x) FREEWAY ( )
TEMPORARY ( ) WALL ( } ELBc RONIC ( )
OTHER ( ) BIT113QARD ( ) BAIIIJON ( )
!I
SIGN DIN NSIONS: -'� (4'> k ccS� — _ — E-APIRATTON DATE
TOTAL SIGN AREA (Sq. Ft.) : —
WALL AREA (Sq. Ft.) : ti/A _
WALL FACE: zy A --
HE-EQ 1 T (Ft) :
PROTECTION FRC>Nf WALL:
ILUIMJIATInN: YES No ( ) TYPE:
COPY: 1 1i C T�)g-1.(_iavP1JL) C L11VI _
WiTERIAT S: lM e i A L_ . t r i-PA S . . C_
EXISTING SIGNS:
AEMMSIPMIVE EXCEPTION: N/A ( ) APPROVED ( ) [faw MUci —%
AREA ( ) HEIGHT ( )
PLANNING DEPARTMENT _ All sign permits must be accompanied by a scale
Permit Fee: - ' drawing aryl plot plan. If work authorized u;-der
a sign permit has not- been capleted within ninety
droved BY: days after the issuance of the permit, the permit
Date:!_;' 3/-`li _ shall beoame null and void.
�.' ELECTRICAL PERMIT I CN ZyrFy THAT I AM THE RFMRDFD OWNER OF 111F.
RFVTMM: Yl,-- ( ) NO ( ) PROP OR ;TFWf/A)jjjJ0RlZM BY 711E OWN72.
BUlID114G PEMIT -
RW-XII I7: YES ( ) NO ( j' Appliant's Sigrti3ture
_
�l S I-V11-ruc- WA (�93-4 773
cp/BIWER4r Addres, Telephone
N:\WORD\COMDEV\
SIGN PERMIT
I PERMIT N: SGN91-0012 DATE ISSUED. . . . : 02/04/91
EXPIRATION DATE: y /y/q(
PARCEL.. . . . . . . . . : 2S112DC-00500
ZONE. . , . . . .. . . . . I-P
BUSINESS NAME. . : THE PORTLAND CLINIC
SIGN LOCATION. . : 15875 SW 72ND AVE NB.215
APPLICANT/AGENT: VANCOUVER SIGN COMPANY
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING (X) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 3.5 X 8 X 2
TOTAL SIGN AREA. . . . . . : 56 sq.ft.
WALLAREA. . . . . . . . . . . . sq.ft.
WALL FACE (DIRECTION) : NA
SIGN HEIGHT. . . . . . . . . . . 5 ft.
PROJECTION FROM WRLL. : in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF MGN:
Permanent illuminated freestanding monument sign. 3.5 X 8 X = 56 square feet.
MATERIALS. . . . . . . . . . . . . BRICK/LEXAN
EXISTING SIGNS. . . . . . . : 1
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 25.00
APPROVED BY: 'Cca_ 6
i�
DATE: 02/04/91 j
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enthouse Encio
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12-10-91) Iii 44AM f''
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INSPECTION NOTICE �y
City of Tigard Building Department
' P.O. Box 23397 ���
Tigard, Oregon 97223 -
/(� Phone: 639-4175 _— -
Typeo�f Inspection C�
Cate Requested_� 71J — / C1 Time A.M. _P.M.
Addressf �� l_� — _ Permit
-- �c.7vST' #
Owner _ Lot
Builder
The folfowing Building Code deficiencies are required to be corrected:
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Presented to __ [Ppproved
Inspector �_ _ �_� Disapproved
Data
CALL FOR REINSPECTION
YES ❑ NO
INSPECTION NOTICE
r City of Tigard Buildinq Dep tmen;;6 ?
P.U. Box 23397 T/GH
Tigard, Oregon 972 v
Phone: 632-41
Type of Inspection --
r
Date Requested-�� �2 Time ,<A.M._ P.M.
Address S� Z�N Permit
Owner ? r- 1 � ( � _ Lot #- ----
Builder— Ls� A-1The following Building Code deficiencies are required to be corrected:
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Presented to -- pproved
Inspector _-- -- C_� Disapproved
r YVl/
Date —
CALL FOR REINSPF,CTION
❑ YES 0 NO
Permit No.
CITY OF TIGARD
SIGN PET441T APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
acacxrpanying plans and specifications.
15895 SW 72nd
SIGN LOCATION ADDRESS: ZONING:
NAME OF BUSINESS: The Portland Clinic
APPLICAUr/AGERr. C.-B reidenbarh 0C)MPINY. Signs In Depth,I E: 635 3390
The City of tigard imposes an annual Business Tax which must be kept current on all
persons doing business in the City. Do you presently have a current business tax?
YES (X ) NO ( ) U.L. Label _ Lir. 3430 Ore. Contr. Brd. 6673`_
PROPOSED SIGN: (Check as many as apply)
PERMANENT FREESTANDING ( ) F REEVMY ( )
TEMPORARY ( ) WALL (x ) EU ,CHRONIC ( )
Ouim ( ) BILLBOARD ( ) RAT-10ON ( )
SIGN D114INSIONS: 20" high 17' wide _ EXPIATION DATE:
'ICTAL SIGN AREA (Sq. Ft.) : 29 --
WALL AREA (Sq. Ft.) : 2400
WALL FACES south _
HUG 17 (Ft) : _
F4�0C110N FROM WALL:
ILUA NATION: YES ( ) NO (k ) TYPE:
TheoFortland inic_
COPY: __. Physicians & Surgeons
MATERIALS: _ Me-taj___Face ityrmfoam —�
I- ISI`ING SIGNS: -0 --
ADMINIS VArIVE EXC1PCION: N/A (j j' l APPROVED ( ) HOW MUCH
AREA ( ) HEIGHr ( )
COMMENTS:
PLANNING DEPARIMENr All. sign permitsmust be acani.ed by a scale
NPermit Fee: oL S-`'�- drawing and plot p'-an. If work authorized under
Receipt No: a sign permit has not been c onpleted within ninety
�- Approved By: days after the issuance of the permit, the permit
Date; shall became null and vo-d.
w
FJ,DCTRICAL PERMIT I CERTIFY THAT I AM 7.1M RECORDED OWNER OF THE:
-� RFX)UIRED: YES ( ) NO ( ) PROPERTY CR AN AGENT A )RIZED BY THF OWNER.
J RUCK BREIUENBACH
Buimu G PERMIT
REQUIRED: YES ( ) NO ( ) App iT.h_ s Signature
Signs In Depth Inc.
c-p/►3KMPFIVP Address 17150S.W, PiiTC�ng onAoadi�j��E;1�;�1„
N:\WORD\BEV\ Lake Oswego, Oregon 97035
MAY 2 5 1990
Ph. (503) 635-3390
STGN PERMIT
PERMIT #: SGN90-0104 DATE ISSUED. . . . : 12/06/90
EXPIRATION DATE: / /
PARCEL. . . . . . . . . : 2S112DC-00701
�S 7� ZONE. . . . . . . . . . . . I-P
BUSINESS NAME. . : THE PORTLAND CLINIC
SIGN LOCATION. . : 4-5$99 SW 72ND AVENUE
APPLICANT/AGENT: SIGNS IN DEPTH, INC.
BUSINESS TAX NO:
SIGN:
PEY.MANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 1.67 X 17
TOTAL SIGN AREA. . . . . . : 28 sq.ft.
WALL AREA. . . . . . . . . . . . . 2400 Bg.ft.
WALL FACE (DIRECTION) : S
SIGN HEIGHT. . . . . . . . . . . 2 ft.
PROJECTION FROM WALL. : 6 in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPTION OF SIG'''e
Permanent wall sign. 1.67 X 17 = 28.3 square feet.
MATERIALS. . . . . . . . . . . . : STYROFOAM
EXISTING SIGNS. . . . . . . : ]
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
F.DMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 25.00
APPROVED BY: �-
DATE: 12/06/90
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CITYOFTIGrARD
CITYOF TWAIM
COMMUNITY DEVELOPMENT DEPARTMENT 00'gWH ICAL
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(503)639-4175
IT
xxxx PERMIT #. . . . .... MEl90-0037
639-4171 PRIM. PERMIT #. : MEC90-0037
DATE ISSUED: 02/1E/°n
S TE ADDRESS.. . : 15875 SW 72ND AVE PARCEL: 2Sll2CC-00500
S BDIVISION. . . . : FANNO CREEK ACRE 'TRACTS 'ZONING: I-P
B OaHh.. . . LOT. . . . . . . . ... . . :40
SS OF WORK. . :ADD FLOOR FURN.. . . : EVAP COOLERS:
PE OF USE. . . .:IND UNIT HEATERS. . :3 VENT FANS.. . :
CUPANCY GRP. .:E2 VENTS W/O APPL: VENT SYSTEMS:
STORIES. .. . . . .. :2 BOILERS/COMPRESSORS HOODS. . . . . . . :
EL TYPES------------ 0-3 HP.. .. : DOMES. INCIN:
:/GAS/ / / 3-1!, HP....: COMML. INCIN:
X INPUT:250000 BTU 15-30 HP. .. . : REPAIR UNITS:
IRE DAMPERS?. . :N 30-50 HP. . ..: WOODSTOVES. .:
S PRESSURE. . . :L 50+ HP.. . . : CLO DRYERS. . :
. OF UNITS---------- AIR HANDLING UNITS OTHER CNIPS. :
URN < 100K BTU: <= 10000 cfm: GAS OUTLETS. :3
URN >=10OK BTUs > 10000 cfm:
emarkw: Add unit. heaters, 2 on let flr, 1 an 2nd flr. in building shell.
Owner: ---------------------------------- ---------------- FEES ---------------
SI HEATING & A/C type amount by date recpt
7555 SW 65TH AVE PRMT $ 30.00
PLCK $ 7.50
AKE OSWEGO OR 97035 5PCT $ 1.50
hone #: 684-8583 PAYM $ 39.00 JLH 02/14/90 107339
ontractor: ----------------------------
PSI HEATING
7555 SW 65TH
4AKE OSWEGO OR 97034 ------------------------------------
ghone #: 503-684-8583 $ 39.00 TOTAL.
eq #. . : 29938
------- REQ,ITRED INSPECTIONS -------
hia permit in issued subject to the regulations contained in tia Gas Line Insp —_
igard Municipal Code, State of ore. Specialty Codeb And all other Mechanical Insp
applicable laws. All work will be done in accordance with Heating Unt Inep
pproved plans. This permit will expire if work is not atari`d Cooling Unt Inep
within 180 days of issuance, or if work is suspended for more Final Inspection —+
i` han 180 days. _
Permittee eignaturol-,4 14& Zz
awed Bye
Call for inspection - 639-4175
WASHINGTON COUNTY INSPECTION CARD Project No_
DEPARTMENT OF LAND USE AND TRANSPORTATION PIFRMI[T NO.
FOR INSPECTIONS CALL: 640-3561. 24 HOURS -t _
FOR INFORMATION CALL: 640-3470 DATE
ADDRESS % % r�,�'' I" --r----
PERMITEE_
DIRECTIONS— = L, �_�, LCL-�t�,� PHONE Nu._._
I INSPECTIONS: 1:1STRUCT [n LUMB L__1MECH ELECT
CALLED IN BY
APPROVED. /-U/r^ t -2 IeW -1
OUESTED INSPECTION APPROVED
OWEVE R NOTE: (l -f�
NOT APPROVED:
REPAIR OR REPLACE AND RE-INSPECT:
STOP WORK L:
�ATE
INSI'iCTOR
r
" �-c.�,/J,. Project No
WASHINGTON COUNTY ISPECTION CARD s _,
DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO.
FOR INSPECTIONS CALL: 640-3561, 24 HOURS
7 FORA]014 CALL: 640-3470 DATE
AID SS r / G -r,� PERMITEE _
DIRECTIONS— - X 1 , f V C� .f%G'I 44PHONE NO.
INSPECTIONS: 13STRUCT6;L'lJMB'[]MECH ELECT L'-��
CALLED IN BY ~—
PPR 'IED. c
STIED INSPECTION APPROVED
Hl?IdFVER NOTE:: -
o.
a ❑NOT APPROVED __--
REPAIk OR REI'L-ACL AND RE- IN`&EC i
STOP WORK L --- ----- -- - —
J
.- moi'' I• .---- - _
LO
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CITYOFTIGARD BUILDING PERMIT(CRYOF TiARD PERM17 14
. . . . . . . . B U r"9 0 01.99
COMMUNITY DEVELOPMENT DEPARTMENT \ QN00, PRIM. PERMIT ti. r BUP90--01'79
13126 SW FWI Blvd. P.O.Box 233a7,Tigard.Ore2on W223(603} 41��
U +..71. �- DATE ISSUED. 07/1`:./90
t3:C'rE ADDRESS. . . : 15875 SW 72111) AVE #B. 215 PARCEL: 2SI.12DC--00500
SUIrI)I:V1 SI011,. ,. » FANNO CRE:El,', ACRE 'TRACTS ZON1146: I--P
L(:tT. . . . . . . . . . . . . .*40
REISSUE: FLOOR AREAS--__------_..._._..._.___ EXTERIOR WALL CONSTRUCTION—
(A.-OSS OF WORK. -ADD F'IRST. . . . .5330 f N. S. E Wl.
I YPE OF USE:. . . ~CLIVI SECOND,. ,. . -. of PROTECT
TYI-'E OF CONIST. ::2FR TH1R1?» „ ., ,. „ 5f N': S. Ec W;
DC"C:UPANCY GRP. .B2 'TOTAL--- .._. - ��3;3(d ssf ROOF CON:>T.Ia F'7RF' RE''r?:1'
OCCUPANCY LOAD:72 BASENE::IAT» «if AREA SEF'. RATED:
STOR. .2 IAT. t 2c, ft GARAGE— . :. : f OCCU SEP. RATED.
D9ITlT7.N I*lEi:LI?r.N FiEOD REQUI:RF D_._._____.._______..........._...._...._
IFF'l_OOR LOAD. . .. . :50 psf L.E-F"T: f RGHT. ft F=IR SPKL :Y SMOK 1DE:T. . :N
Li'oJi.l._LING UNITS: F'RNT. f REAR: ft FIR ALRM.N HNDICP ACC:Y
BE:DRVIS. BATHS: 11*P SURF:OCE.. PRO CORK:Y PARKING:
VALUE. $. 20001APJ
Remarks;: 'Te1-1a11t Mocl . F :i•rst terlai-it for first floor,, NE quarter of bldg.
Dwrler. -...._..______.._....._.r................._.._....__.........._.._.._......_.........
PACIFIC REALTY ASSOCIATES +ype am(aurlt by date reept
11.1. SW 5TH AVEIIt11: PAY11 !F 723. 77 JLH 07/10/90 '1.? li?4':16 '
PRI*IT 9+ 683. 00 i
i'(JRTI...AND OR F'I._CK. $ 443. 95 /
I. 1101.1e 0: FIRE: $ 273„ 40
5!!:1C'T $ 4. .3.5
(:orit•ractorr-,RmT As G83. 00
14. I._. GREEN COMPANY, INC. PAYM 4, 1.383. 5. 3 .Tl..H 07/19/90
1.1. 1 SW fTIA AVE, SUITE r::?'.)60
F'(:JRTLAND OR 97201 __.__.._..___ ___. ____._._._.._.._._.._.._...._._._._..__.....__.._..__.... ._.._
f11•iorle ii. 221 Oplr 0 $ 2117. Std TOTAL
Re i. if. . : 41328
REGUIRE:D INSF'ECTIONra __.._..__......
This permit is issued subiect to the regulations contained in the 53:1 a b :I)-is p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Franiinq Insp
ipplirable laws. All work will be done in accordance with 111sLilation Irlsp
app,•oved plans. This permit will expire if work is not started Gyp Board I1.1sp
within 160 days of issuar^e, or if work, is suspended for more '.34tsp Ceiing Insp
than 160 days. FiVIA 1 Ills Peet i.oil __.___.__.�__.._____..___........._...
1
,`.:. I%,:,riui.l;tete Si.gnai;!i'rW• r
F- f ,s c(ed Py
Call for irlsspertiorl 639-4175
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CITYOFTIFARD CIn,OF,,WARD
COMMUNITY DEVELOPMENT DEPARTMENT ORES+ PLUMBING PERMIT
13125 SW Hall Blvd. P.O.Box 23397,Tgud,Oregon 97223(603)8394176
1='I`Rf•1IT #. , . . » . » : F'LM90-011.9
PRIM. PERMIT 0. : BUF190---0199
03`)- 4171
DATE ISSUED: 07/19/90
`:;1 TE ADDRESS. ,. ,. : .1.'58/'.'.'; SW 72ND AVE PARCEL: 2S I 1 c DC 001,500
:SUBDIVI.SION.. „ ., .. ;: 1 1)1,1110 CREEK ACHE TRACTS ZONING:
1:rL0C,1/.» . LOT— . . . . » » . . » . . ..40
(.;LASS OF WORK. . -ODD GARBAGE DISPOSALS— :» : MOBILE HOME: SPACES.
'T'YP'E. OF USE. » . ,, :COM WASHING MACH. » . ., . . „ : BACKFLOW F'REVNTR S. »
OCCUPANCY ORP--- .B2 FLOOR DRAINS. » . ,. ,. . . .. .I. TRAPS. .. .. . .. » . . . . . .
STORIES. . . . . . . . -.2 WATER HEAT 1:---R(5- , ., ,. ,. ,. :: I CATCH BASINS. . . . . . . .
F71.X TU R E S-____..._....._..___._..__..... LAUNDRY TRAYS. . . .. . . : SF RAIN DRAINS. . . . .
SINKS. . . . . . » » . . : 1::3 URINALS. . . . . . . „ .. ,. .. .. :0 CREASE T'RAP'S. . . » . . . ..
LAVATORIES. . . . . ..3 OTHER FIXTURES,. ,. » . . .: .I
1'(.)T3/SHOWERS. . . . : S[.WER LINE (ft) . . . » :
W()T'ER CLOSETS. . a3 WATER LINE ( f'l:) . . . . ..
DISHWASHERS. . . . : RAIN DRAIN (-Ft) . .. . . :
Rema•0kss Tenant Mod : First tenant fo-r fi-rst f1c)o-r, NE qua-rter of bldcl.
POCIF IC RE01-TY ASSOCIATES type ani0Unt by date •recpt
:L:I. 1. ;SW 5TH AVENUE PRMT :h 105. 00
PLCK $ 41. 25
PORTLAND OR 5PC i * 8.25
f'ttone M: PRMT $ 105. 00
PAYM 4 ::3'1`:. 50 JL.11 0/!1.`:)/':)0
L,c1ntractor: _..........___. - _..._................ _ ................_._._..
H. I_. GREEN LOMF-''ANY, INC.
1.1. 1. SW 5T11 AVG:, 9 UI TE 29G0
PORTLAND OR 9/201 _._._....___..___..._______.______ ._..______..._._._........_................
I'Diione It: 221 -0000 379. 50 TOTAL
Rem N. . : 4.1328
_.............__..._ REQUIRED INSF'E.CTIONt-3 ._..__._._...... _
This permit is issued subject to the rFqulations contained in the Rougtl -in Insp
rigard flenicipal Code, State of Ore. Specialty. Codes and all other 'Top--out lnsp _.......
_„___--.
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This 'permit will expire if work i,, not started
within 180 days of issuance, or if work is suspended for more
than 18B days.
..__.._._.............-.......__.__....._.__..__ _.__....___._.__._.._.__.._._.._...__._...._._...
_.._..._...__....___.._.._..�_._._ _. .__....._...
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cc I::,e'rmittee Si.tTn {:tire^ ,
.._......_._.._..... .. _...__._... _._._....___........._............_..._._.........._.. _._..._._.._.. _. __._.__..._.._._.._
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CITYAOFTRDFTIGARD
CITY
PLUNBlNG
CITYWAF.,E.R lyl 1.T It., F,1-1190-0030
COMMUNITY DEVELOPMENT DEPARTMENT ORFICH DUP'30-0064
13125 SW Hd1 Blvd. P.O.Bex 23397,Tigard,Orepon 97223(503)639-417b
C,3 Vx{1.71• DAIE- I S,3 I J F D^ 0,1+/0 3/90
ODDREGG. . . - :15875 SW 721,ID CIVE* FIARCE'L: 25 11 2DC-00500
F()lANO CREFLK oc.,.RE 'rRAC'rs ZONING:
D I (.')(.';K. . . . . . . . . . I.01.. . . . . . . . . . . . . ..40
................
CLASS) OF WORK. . -.(.IDD GORD(AGE 1101311-J:' [.I(')M[7 S F,A CE,13.
J y P,I- OF, W(1Gl-illq(3 11H)CH. .. .. BACKFL.OW
0C C,L)P 0 N C*1 y G,R P :1.42 F L 0()R D R()l N 5. . . . . .. . 'T'RAP'S. . . . .. . . . . . . . . ..
s 0 R 1 E.A(3. . . . . . . . ..2 W01'E'R CnT*Cl--1 JO)SINI3. .. . .. . . .
FJ X*T'U R E S- L A U H D R Y J R r-1 Y F). 1-3F RAP, DR(.111,15.
G I'll K S. . . . . . . . . . 2 U R,I'll()L F). . . . . . . . . . .. . .. 4 GREASE: TRAPS. . . . . .
LOVA T*()RJ:E1,'). . . . . .8 0 T'll E R F1 x I'Li R 1:,:.(-),. . '. .. .. .L
T1.)S/(:)1-10 W F:-,R S. . . . .. �;;E:*.W E R L.I'll f t) . . .. ..
W0 T'[':.'R CLO: 8 Id(I'I'E*R L.I ll E. ft.)
D 1.(31 lWPSHLR!-) R0111 DRAIN
odd elevata-r, stairways, cc)r-rido-r4; ai)cl rest; -roc)niii; ai-i t)c)tti fl,,rJ-(-L-;,,
prrniit i.t.; i.i:.si.teci to ivic.,lt.tde -revi.sic)ris dated 2/28/90.
.................. FE.'PS)
ASSOC. type AA10Lt1-1t lly date -re(--,pt
F`. ('). 14OX 690-39 P R Ml' $ 2.1.0. 00
1:1 Cl R*T*1 0 N 1) OR 9 7 f'(l 1. `7 r I C T a; 1.0. ':-)C?
Fll-ioiie H.- P24-- 95'/0 FlAyr $ 273. 02 JLH 04/03/90
L . GRU.%-11 COMPANY, INC.
11. 1 GW 1,571-1 ()Vl:-:,!AIJL:.*, siull-L
l.-,ORT'LAND Or.. '--)7r.?04
Flh(:)i-ie #-. 221.-.0020 $ 273.02 T01*01
REOUIRE-.1]i INSPEC.-T.1ONS
[his permit is issued subject to the regulations contained in the R(-.)Lt q;---.-j.ii I ri is p
Tigard Municipal Code, State Of Ore. Specialty Codes and all other P.rq M/lj11C1p
applicable laws. All work will be done in accurdarce with J'C)P 01.11 .1.1-1sp
Approved plans. This peroit will expiry if work is not started F i 1-1 a I J)-I S V)e C t.1'. 11
within 188 days of issuance, or if work is suspended for more
than 180 day's.
..........
I')e-r ni j.t t e e I G i l ri a t u-r
L ............ -----..........-- ---.............
...........
19SUed Ely :
......—------
Call for irispeeti.ori -- 639-4175
CITYOFT11FARD
CERTIFICATE OF
C117OFT*ARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPA�T,Mgl T o�noc»+ PF RM I T #. . . . . . . a RUP314-0199
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Or*gorr 97.19�fW.I83B-4176
-- -
DATE I S'ZUE D c 10/22/90
S T i F AT)PRE'SS. . . a 15875 SW 7 :ND AVE #B. 215 PARCF L.a 2Sl I&DC-00500
SUBDIVISION. . . . a FANNO CRL'E:K ACRE TRACTS IONINVc I-P
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . ..40
CLASS, OF WORK. cADD
TYPE OF USE:.. . . -.(,OM
OCCUPANCY GRP. c fi+i.'.
OCCUPANCY LOAD:/L.
'T'E'NANT NAME. . . cP'NT'L_0 A) (A..INIC
Remarks: Tenant: llc)da Fi•r•srt tenant for first floor, 14L gUcrrter of b.ldp.
Owner a
PACIFIC RE:ALAY ASSOCIATES
III SW STH AVENUE
PORTLAND OR
Phone4 e
Contractors
H.L. GREEN COMPANY, INC.
1.11 SW FIFTH AVENUE., SUITE: 2960
PORTLAND OR 97204
Phurres 0c 624-7717
I Ng ##. . 0 41328
Occupancy of the above rpterericed bui .ldivig Is hereby, piv-r►, acid re>rt:ifie�
the compliance with the State Of Oregon Gpec t,41t:y C'ode�!s foc the g•rc:rt.kp,
C.
c, CUpxncy, and �tmp t.cnder 0-41 the referenced pc?rnri t; WAS itssruwd.
F1 DEPARTMENT _ B ILDINO I N13prr 71k
BUILDI OF'F ICIAL.
POST IN CONSPICUOUS PLACE
v;
F— 0
J
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C7
J
m
SEWER CONNECTION
C17YOFTIGARD Ai�� PERMIT
C17YOFTWARD PERMIT #" " " " " " " SWR90--0306
COMMUNFTY DEVELOPMENT DEPARTMENT C7��77
13125 SW HWI Btvd. P.O.Box 23397,TIG,rd,Orpogon 97r PRIM PERMIT #. Buf:,90—oj-91�)
DATE ISSUED: 07112Z3—@---,
SITE ADDRESS— : 15875 SW 72ND AVE #B. 215 PARCEL: 2SI12DC---00'.*
-MO
13UBDIVISION. . . . : F7 ANNO CREEK ACRE TRACTS ZONING: I—P
13 L 0 C 14. . . . . . . . . . I LOT*. . . . . . . . . . . . .. ..40
T'E11 A N T 11(A PI E. . . . . ..PORTLAND CLINIC
USA NO. . . . . . .. . . :42344 F*] XTURE UNITS. . . :554
LLING UNITS. . :4
CLASS 01-- WORK. ADD T)WI-
I'YPE OF' USE. . . CON NO OF* BUILDINGS.-I.
INSTALL TYI*-`F.. - --.DUGWR 1.1'1�'ERV SURFACE:. . : Sf'
Rc4nia-r4.s: Teriarit Plod: First -teri,-i-xi-it fo-f, fi-r!-,t floor, NE qUa-rte-r of b1c1q.
Owner: F.7EES
PACIFIC REALTY ASSOCIATES t,Y11T 6000. 00f)e A ni C)U Y)t by d iA-t;-e recpt
.1 1.1. SW 5TH AVENUE F.,R
P A Y M :1, 6000. 00 JLIA 07/19/90
P,OR FLAND OR,
I-i(:)ri e #i
H. L. GR['E'll COMPANY, INC.
:1.1.1 SW 5'TH AVE, SUITI-i-- 2960
PORTLAND OR 97201
1--,I-1ciriv w: ;2.21--0020 $ 6000. 00 TOTAL
0.. 4:1.328
RE'QUIRL'.1) INSPECTIONS
This Applicant agrees to comply with all the rules and regulations G r-W(a--r 11-1 S P f-3 C t i 0 1-)
of the Unified Sewage Agency. The permit expires 120 days from ........
the date issued. The total aiount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy Of the
side sposet laterals. If the sek-?r is not located at the measurement
given, the installer shall pruspert 3 feet in all directions from
the distance given. If not so located, the installer shall purchase ...............
a "Tip and Side Sewer" Permit and
C, tall
................................
.-., ..... ... ............ ................
By .......... ..........................
it
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C.D
MECHANICAL
CITY OF T I GA RD
1:1I-:RIM IT
CIffly TWARD PERMIT 0. . . . . . .. N NEC9@-0136
COMMUNrrY DEVELOPMENT DEPARTMENT PRIM. PERMIT H . : BUP90-0199
13125 SW Hall Blvd. F.O.Box 23397,TOW,Oregon 97 1r3)'8'?"/1.76 DATE ISSUED: 07/19/90
SITE ADDRESS. . . n 15875 SW 7E AVE PARCEL: 2SI12DC 00500
AUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I—P
BLOCK„ . . . . . .. . . . v LOT— . . . . . . . . . . . 140
-----------------------------------------------------------------------
CLASS OF WORK. . .-ADD FI-OOR FURN. . . . : EVAI-.1 COOLERS:
TYPE OF USE. . . . .-CON UNIT HEATERS. . : VENT FANS. . . :2
OCCUPANCY GRP. . vB2 VENTS W/O APDL: VENT sY,_rEms,.. i
GTO R I E S. . . . . . . . .2 BOILERS/COMPRESSORS HOODS. . . . . . . .
FUEL ........... 0-3 HP. . » . : DOMES. INCIN:
3-15 HP. „ ,. „ COMML. !NCIH::
MAX INPUT: BTU 15--30 HP. .. .. " RFPAIR UNITS.-
FIRE DAMPERS?. . : 30-50 HP. . .. . : WOODSTOVES. . -,
GAS PRESSURE. 50+ H P. . . .. -. CL 0 1)R Y E'R S. . J.
1,40. OF AIR HANDLING UNITS OTHER' UNITS.
FURN ( 10011. BTU". <::- 1.0000 cfin.-8 GAS OUTLETS. :
FURN WOOK BTU: ) too@@ cfM:
Remarks: Tenant Mad : First tenant for first FloOl', Nl'-.: (JUArtel' of blCig.
Owners ---------------------------------- ---------------- FEES -----------------
PACIFIC REALTY ASSOCIATES type amount by rJatre reept
III SW 5*T'H CIVENUE PRMT $ 61.00
P I C:I1. $ 15.25
PORTLAND OR 5PCT $ 3. 05
Phone No 1,R MT $ 61-00
PAYM $ 140. 30 JLH 07/J.9/')0
Contractors -------------------------------
H. L. GREEN COMPANY, INC.
:1.1.1 GW 5TH AVE, SUITE.- 2960
PORTLAND OR 97201
Phone No 22).-0080 140. 30 TOTAL
Reg #. . c 41328 ------- REUUIRED INSPECTIUNS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, Stats of On. Specialty Codes and all other Heating Unt Insp ............
applicable laws. All wort' will be done in accordance with Duct Inspection
approve) plans. This permit will expire if work is not started Final Inspection ................_............
within 184 days of issuance, or if work is suspended for more ...........
than 181 days,
............................
Ln P(--rniittee Sigqature::
...........
issued By:
Call for trispection — 639-4175
.0