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15959 SW 72ND AVENUE 4 ADDRESS: N� �V U, r } r J a LL' J i:VecordsVnicrof InAtargels\buiIding.doe »�} / 2 m »» amoC2.) ma« a � . \/{{\f\ r/ %7 7 - \ 2 !! m)o §a kk �//f]t\ [] ¥ 2 ƒe { c >0 m§ 0 ) \ rn mM Ew \/ 2 f $ $ $ $ 7 G g 2 § 2 T � $ - m a a + w § a � a o \ ) § k § § ) ® ® i § % k % ° T- D_ }k 00 00 L c e u u m (n (n V) _ V) m CD g o e e m m m m m m w ƒ ± i ± ƒ ƒ ± ± ± ƒ . � cr) m u § m m \ \ m -n � z « o c W u J u d k ] 2 5 0 0 � 2 ~ @ .2)0 \ § In \ 16- / § ( * k ƒ 6-3 \ $ / § § § � � ) 2 Ln $ $ \ \ 2 § § � k $ w 2 2 2 3 \ 3 2 z _3 / I q § ( / b \ / 2 b § a f E § 6 § 7@ m ) / \ 3 ) E § j \ § $ m m E _ . $ LO \ \ ) / \ / ) u ) Ili / \ } / c C) ( r- �§ kf M // t o b b o o u o b fl- u u o § ° g § 5 S g g g g 5 g ° § \ » e u u a u w u u u u / u m � o CD � g ] E 0 § ) \) \ t ® k\\ 2 [ e� - � 3 \ $ §/ ) cl 0 § ƒ (\ m @ § m m \ $ $ 2 $ k z z z w z = z t K CL 2 2 2 § 2 § 2 � = 5 ƒ w � CN � j § \ \ \ § . 9 e 3 = » z � U £ ` @ « r W 0 = m G 5 = & 2 0 @ �/ m ` U cu � � a > o v y % / 2 / B 7 / m $ I b e k ® I c e5 ƒ k @ $ ƒ IL \ 0 \ ) k ) E § ] IT o o R m o 0 \ \ / \ \ § § § § § § \ # 2 w 2 m w w w G m i U a a) a7 y" Z v+ V � l(') lf) lC1 117 X17 �f7 a a a a a a a D a a a a a a f �«' a m m a m a m CL vd o w =J N M N O a U Z w C o a a w N � T � m a, W o u u T c O 0 T N ^^m Lr) U') to LL () v a a a o � N •� O V y a a a a o a acr a a o c a, O n . U ' m c m m a u m U cn ii Lr, 9i a U w w " U 00 0 0 0 0 o > U U U () U U LI) U Q w W LLLII W w W W W CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4i71 BUP Date Requested AM PtVI BLD Location / S I 5-- wSuite MFC Contact Person Ph PLM Contractor 7r, Ph 233 SWR BU)CbING Tenant/Owner 4 l C f7�1�-/ < ,' ELC Retaining Wall ELR - Footing Access: lI FPS Foundation �G�L.� q � Ftg Drcin �dL / Crawl Dram; Inspection Notes- Slab Slab Li J�.' dna'.i�/_c", C ✓�, S •', �.c - /Z� 9 SIT Post&Beam Ext Sheath/Shear Int SheathtShear Framing Insulation Drywall Nailing Firewall Fire Sprirkler Fire Alarm Susp'd Ceiling Roof Misc: Final � l PACS PART FAIL ----- --------- - _ PLUMBI_Nr' Past t�-Bpam -� Under Slab Top Out ----------------- - -- - Water Service Sanitary Sewer - ----- -----'_�_ �____-- --- - Rain Drains Final __ --------- -- PASS PART FA;I_ MECHANICAL — — Post& Beam -- - - -- - - -- . _ ----- Rough In Gas Line Smokq Dampers Final -- - -- - - -- — _�—_r RT Fnll_ ECTRICAL, -------- Service �'. Rough M - --- - - �— ;� UG/Slab _ Low Voltage F Larm 5in iz -' S PART FAIL Backfill/Grading --- ------ _-- __ _- �.� -' Sanitary Sewer Storm Drain I I Reinspection fee of$ _ requirbI before next inspection. Pi f at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:` I Unable to inspect-no access ADA Approach/Sidewalk Date Other _ 12-1_��4" Inspector Ext Final PASS PART FAIL_j 00 NOT REMOVE this inspection record from the job site.. CITY OF TIGARD 1 E=R1 rRT#ALEL'C96I0234 COMMUNITY DEVELOPMENT DEPARTMENT DATE I'�)'5UED: 04/ 16/96 13125 SW Hall BI-1,Tigard,Oropon 97223.0199 (503)639-4171 IDARCE:L: 251 12DC-00701 SITE ADDRESS. . . : 15959 SW 72ND AVE SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONINC: I -P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :36 GroJect Description: Installing first branch circuit and 7 add' 1 circuits ---RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS----• --- - M I SCEi_L.ANEOUS----- 1000 SF" OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 4�I klP/I R1?I(.SAT I ON. . . . : 11 EACH ADD' L 5006F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . :: 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . ; 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 501+amps-1000 volts. : 0 MINOR LABEL_ (10) . . . : 0 -•---SERV I CE/1=EEDER---- ------BRANCH C I RCIJ I TS------ ---ADD' L INSPECTIONS— 200 amp. . . . . . : ki W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1 gat !41/0 S R V C OR FDR. : 1 PER (-LOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 7 IN PLANT. . . . . . . . . . . : 0 601 -- 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION---_-_--_--.-_____-. 1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 223 AMPS. . : CLASS AREA/SPEC OCC. : Owner_ ------------------------------------------------------- FIFES THE LEATHER CENTER type amount by date recpt 15959 SW 72ND AVE PRMT $ 70.1. 00 B 04/16/96 - SPCT $ 3. 50 B 04/16/96 - TIGARD OR 97224 Phone #: Contractor. --------------_____________________________________________--.- --._-._._._ __ ._ GARNER ELECTRIC $ 73. 50 TOTAL 870 SE WALNUT REuUII INSPECTIONS --- -_-- HILL: BC)RO OR 97123 Ceiling Cover Elect' 1 Service Phone #: Wall Covet, Elect' l Final Reg #. . : 074396 101 This permit is issued subject to the regulations contained in the Tigard Munir4pal Code, State of Dre. Specialty Codes and all other, ' r m i t e e L1i g n a t u r e � applicable laws. All work will he 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 t� than 180 days. Issued By i INSTALLATION ONLY------------------------------.-_. L1 The installation is beirA m e on roperty I own which is not intended Yor s;c11 ze, i ease, or ren OWNER' S SIGNATURE* d�s � DATE: d ----------------------CONTRACTOR INSTALLATION m LD SIUNATURE OF SUER. ELEC' N: � DATE: LICENSE NO: Call for insper-tion 639-4175 s • Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. C� Tigard, OR 97223 Permit ;`f Date Issued - - Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 9. Job Address: 4. Complete Fee Schedule Below: Nome of Development Z,- jAU t [ e,4 -e/k— I Number of laspections per permit allowed Address,_/_.S—��/�/� Service included Items Cost(ea) SumCity/State/Zip��i-_—q—rie e) /� 4a. Residential -per unit ' — -r -i 1000 sq. ft.or less $11000 Name (or name of Nosiness) Each additional 500 sq n or portion thereof $2500 Commercigj.�J Residential L l Limned Energy $2500 Each Manufd Home or Modular Dwelling Service or Feeder $68.0^ 2a. Contractor installation only: IF 4b. Services or Feeders Installation,alteration,or relocation Electrical Contractor /111 << 200 amps or less $60.00 _ 2 Addre 201 amps to 400 amps $80.00 2 city state 6A_ Zip Z 401 amps to 600 amps $te0 00 2 801 amps to 1000 amps Phone No. Over 1000 amps or volts $340.00 Job NO. Y Reconnect only $50.00 contractor's license NO. 4c. Temporary Services or Feeders Contractor's Board Reg. NO Installation,alteration,or relocation Signature of Su r. Elec'n i 200 amps or less 2 License No Phone- ( zo1 amps to 400 amps $5o 00 2 401 amps to 600 amps $7500 Over 600 amps to 1000 volts $100.00 - 2a. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name--.— New,alteration or extension per pane Address a)The fee for branch circuits with City _ Stat@ Zip purchase of service or feeder Each branch circus $500 Phone No. b)The tee for bunch circuits wlthour The installation is being made on property I own which is purcht so of service or feeder fee 2 First braid ral or _7 $$500 � 2 not intended for sale, lease Or rent. Faeh additional branch circuit � $5.00 Owner's Signature _ _ _ _ 4e. Miscellaneous (Service or fodder not included) 3. Plan Review section (if required): Each pump or Irrigrhon circle $4000 Fach sign or outline lighting $4000 Signal circuits)or a loafted energy v Please check appropriate item and enter fee in section 5B, panel,alteration or extension ^_ $4000 _ 4 or snore residential units in one structure Minor Lcbels(10) $10000 Service and feeder 22.9; amps or more _System over 600 volts nomltol 4f. Each i dditional Inspection over Cisse)6ed anis or structure containing special occupancy the allowable In any of the above -- - Per inspection $3500 as described In N.E.C. Chapter 5 per hour $5500 In Plant _ $55 00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ OD 5% Surcharge (05 X total fees) g PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 2.5%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ _ A PERIOD OF 1P0 DAYS AT ANY TIME AFTER WORK IS rSubtotal $ , COMMENCED. Trust Account>K pm xpp LBalance Due `_ $ ELECTRICAL PERMIT CITY OF TIGARD DATE ISTT SUE )LC 11/29/95 1/29/95 COMMUNITY DEVELOPMENT DEPARTMENT iJ" _,Dr--00701 13125 SW Hall Blvd.Tirerd,Onyon 97223.8199 (503)839-4171 1-��� CI 2531 1'W S I I E: (_,DDRE 5S. . . .1- ,t SW 7,"Nu A V li, �#� -7 SUsDIvISICIN. . . . FAI�NO �CREEK ACRE TRACTS LONING: I-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . � Project Description : One 200 amps; or` less � �rvue orfeeder, ten branch circ!_;its. :.Ahd one mise. ------------- _ -RESIDF_hITIAL UNIT----_ .__V--TFMP�SFJC,'FEEDERS------ ----.---MISCEL_1_ANEOUS•---_ 117.100 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . . 0 PUMP/IRRIGATION. . . . 0 EACH ADD' L 500aF. . . : 0 1201 •- 44)ID amp. . . . . . . : 0 SIGN/OUT LINE_ LTG. . : 1 LIMITED ENERGY. . . . . : 0 401 -- 612?10 amp. . . . . . . : 0 SIGNAL_/PANEL. . . . . . . : 0 ihANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LA13EI_ ( 10) . . . 0 -----SERI,ICE/FEEDER---- ___pRANCH CIRCUITS_---- - _ADD' L INSPECTIONS--_ 0 - 2,00 : 1 W/SERVICE OR FEEDER: 10 PIER INSPECTION. . . . . . 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC: OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 ,-imp. . . . . . . 0 FA ADD' I_ BRNCI-1 CIRC : 0 IN r'I nh:T- - . . . . . . . . . IZI 601 1000 amp. . . . . : 4y ____._______ .-_--.-•-_FLAhI RE=VIEW SECT ION-•------ 1.000+ amp/volt. . ,. . . : 0 ) =4 RES UNITS. . . . . . . . . > F.,00 VOI__T NOMINAL. . : lgeconn ct on 1 y. . . . . 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SFIE:C OCC. : Owner,: _ ________ _--.----___._.__.-__-__ FEES PACHOFNFR ELECTRIC- - --__y -�- type amount by date r^e 55 SE MAIN PRMT $ 150. 00 CJS 11/29/95 95 ,1QI 5PC:T $ 7. 50 CJS 11/29/95 95 , 3 11,) PORTLAND OR 97214 Phone #: 503--2.:53--2006 ,ntr,actor- : iaCl.101=7NCR ELECTRIC INC $ 1'"-.,7. `;0 TOTAL `=, SE MAIN - ----- REQUIRED INSPECTIONS ---- ' ,ORTLwaND OR 97214 Ceiling Coves, Elect' ] Set-vice rl,�Tie #- Wall Cover Elect' 1 Final Reg #. . : This oerait is issued subject to the regulations contained in the _..y_._..............._...... __. Tigard Municipal Code, State of Ore. Specialty Codes and all other Per-nittee Signat1.lre aoplicable laws. All work will be done in accordance w1kh approved plans. This persit wi!1 expire if work is not started within 160 days of issuance, or if work is; suspended for sore than IS( days. Issl.red By -.-OWNE!i INSTALLATION the installation is baing made on property I own which is not intend?d far alt?7 !Fuse, ur, r^ent. `n WNE.R' S SIGNATURE- DATE: ►~- _ `RACTOR INSTALLATION ONLY_.._-------------------------'--- J SIGNATURE OF SUF'R. E.LEC' N: ©� _. DATE I CENC,E NO: Call for inspection - E39-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # y S r Permit # Phone (503) 639-4171 Date Issued /i- ,19- 95 FAX (503) 684-7297 Issued b y r'•/�, i�� St�I,M�VZ CITY OF TIGAR� FAX No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address; 14. Complete fee Schedule Below: Name of Development Number of lnrpectionr ne; permit allowed II . . I ., Address 1-699.1 s.W '72nd Suite 9214 Service included Items Cost(ea) Sum City/State/Zip 20-r l anrl. n-_re�W)n 97224 4a. Residential-per unit 4 1000 sq it or less $110OG y Name (or Hama of business) The tar:h additional 500 tq It or Leather Center portion thereof $2500 + Commercial ® Residential Limited Energy $2500 —" Each Manul'd Home or Modular 2 Dwelling Service or Feeder $fid 00 2a. Contractor installation only; 4b.Services or Feeders Installation,allaialron.or relocalion 2 Electrical Contractor Bachoner Electric. otic. 200 amps or lees 1 _ $e000 60.00 2 Address S.E Main St. 201 amps to 400nrips $A000 2 Ci Pc)rt l and Stilts Zi 972�q 40amps to 0 a $12000 2 ty �� p 8011 10 M amps to 1000 npe $15000 2 Phone No. 233—ZQQ_�_ Over 1000 amps or volts $34000 2 Contractor's License No. 26-451c Recennedonly $5000 Contractor's Board Reg. Nj._A4c. Temporary Services or Feeders / Installation,nherntion,or relocation 2 Signature of Supr. Elec'n� _ >c _ 200 amps or less $50 00 2 201 amps to 400 amps $7500 ? License No.2808S Phone No. 2_3-2p06 401 arno to e00 amps $10000 Over 800 amps 10 1000 voila 2b. For owner installations: 1;"•b•above 4d.Branch Circuits Print Owner's Name— — New,sheratronatextensior.per panel Address a)The lee for branch circuits wlth City Stat@ Zip-_ purclurae of Wyke of kojor Are. Each branch circuit J Q s5 00 50.00 Phone No. bi The fee for branch circuits w 1hour The installation Is being made on property I own which is purchase,of owvke or Moder Ise not intended for sale lease or i cant. First branch circuit $31,00 2 Farh additional branch cxrwil s5 00 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) ? 3. Plan Review section (if required): Each pump or irriyation drde $4000 Each sign or outline lighting $4000 Signal circuits)or a limited energy Please check appropriate item and enter fee in section 5R. panel,alteration or extension _ $4o 00 4 or more residential unity,in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over ^_Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.0 Chapter 5 Per inspection �T $3500 Per how $5500 i- In Plant ~^ $5500 J Submit 2 se!s of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: t Sa. Enter total of above fees $ 150.00 NOTICE 5%Surcharge(05 X total least $ rn PERMITS BECOME VOID I"WORK OR CONSTRICTION Subtotal $ AUTHORIZED IS NOT COM\AENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account N B31once Due S 157.50 l .nwf'c "ftrWw rim M'e CITY OF TIGARD Rf TRISTED PERMIT MMUN,TY DEVELOPMENT DEPARTMENT IDE RM I T #: EI_R9 0232 13125 SW Holl L'Ivd.Tigard.Oregon 97223.8190 (503)839-4171 DATE ISSUED: 12/12/95 PARCEL: 2S112DC-•IT0701 ITE ADDRFaS. . . . 1 ,'.++ i9 .)W /LNU HVL I _=UBDI �ISION. . . . : F=ANNO CREEK ACRE TRACTS ZONING: I-_p ,-,LOCK. .. . . . . . . . . . . 38 'roiect Description : Fire alarm installation. �. RESIDENTIAL---------- B. G'OMMERC:JAL— - AUDIO R STEREO. . . : AUDIO a. f;TERF_0. ,. : INTERCOM R f-,AGTNG. . BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAFIE/IRRIGAT. . : Gpr?OGE OPENER. . . . . CLOCK. . . . . . . . . . . . IIEDICAI_. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TE:I_E' COMM. . . NURSE CALLS. . . . . . . . . VAC.'LJIPub SYSTEM. . . . : F I Rr AI-ARM. . . . . . : X OUTDOOR I.._ANDSC L-1147: OTHER: a : HVAC. . . . . . . . . . . . : PROTECTIVE STGNAL. . : TNSTRUMENTATION. : OTHER. . : : : TOTAL. # OF SYSTEMS: 1 ,ppl i(•:ant : _—_—__.____ _____._._._.._._ _. __._____.___.._____—____-- FEES —__.___.--.--__._..____- iONC:YWELL type alTIOUnt by date recpt 1.5495 SW SEQUOIA Pl-11WY t#100 PRMT $ 40. 00 CJS 12/12/9!5 95-27 JZ15 SPCT $ 0121 CTS 12'/12/93 95-27-,805 I I''ORTLAND 0/�R97[2, 4 I-fhone #.- 503-968-3353 Contt-ac.tnr: CUNTRACTOR IN10 i ON FII-1' $ 42. 00 TOTAL REQUIRED INSPECTIONS Ceilinq Cover- Ele(-t' 1. Ser-viL-e I•,(IT If' #: Wal 1. Covey- Elect' 1 Final Flan #. . . This permit is issued subiect to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other Ple r,mitee S i gnat Ltre ac:olicable laws. All work will be done in acrorda•lce with approved plans. This permit will expire if work is not started / within 188 dans of issuance, or if work is Suspended for ,tore than 188 days. I By I NSTAI_LAT I ON ONL..Y'-- ------ --------_--__—_-----_ TFie installation is being made on proper-ty I own which is not intended for sale, lease. or rent. �tWNL W S SIGNATURE: DATE: INSTALLATTf-M ONLY_—__—_________--__._ I GNATURE OF SUPR. FLEC' N: On• lzp��, T)AT1 !a - /�- 95 I CENSE NO: Call for inspection - 63,9--4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall R!%,d. Tigard,OR 97223 PERMIT# fr 95=0,8 32 _ Phone(503)639-4171 L�L—?S FAX(503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIGARD Insoection (503)639-4175 ISSUED BY Llai/ter Se1i.n calf X545 PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK r�rlrc ss !2-72.2A RESIDENTIAL—DENTIAL—Restricted Energy Fee. . . . . . . . . 540.00 6'w-y /k C –1-��7 (FOR ALL SYSTEMS) City '–/" tsttate� Zip Check Tyne of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE 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* rr�� �,,,r� ❑ Heating,Ventilation and Air Conditioning System* Contractor�/v wax ' Type LL�,". _+<L.u ❑ Vacuum Systems* ,�/ ❑ Other Address ac/R PO OPE % -7?24 DateI COMMERCIAL—Fee for each system . . . . . . . . . 140.00 —�� �� (SEE OAR 918-260-260) Property Owner i Check Tyke of Work Involved, Contractor's Board Reg. No. _ , ❑ Audio and Stereo Systems* El Boller Controls Phone# �C!!d •� ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations Fire Alarm Installation C HVAC Print G.vner's Name Phone No ❑ Instrumentation Address — ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City Slate Zip ❑ Medical This permit is issued under CSAR 918.320.370.This:gtpliranl agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape:.i;;hting* fallowing: 1. Only use electrical licensed persons to do Installations where required.(Certain El Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisks(*i.All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 501.639.4175. ❑ 1 Number of Systems 3. Putrhase sep?r.rte permits(or alf Installations that are not ready(or Inspection when the i;uspector is out to inspect under this permit. *No licenses are required. Licenses are required for all other installations. 4. Assuan;-responsibility for assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling fora final Inspection when all of the corrections rj. FEES are completed. The person signing for this permit must be the applicant ora person a. Enter Fees ,authorized to 'nd ;he applicant. h. S°" Surcharge(.OS x total above) $ 2, e,�b t ure TOTAL $ 1 (1-, L Authority if other than applicant ENERGAP.CHP CITY OF TIGARD SIGN PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT' #: SGN9 -01°i0 13125 SW Hall Blvd.Tigard,Oregon 07223.8190 (503)639-4171 DA-FE ISSUED. . . . 12/20/95 EXPIRATION DATE. 03/c'0/96 PARCEL. . . . . . . . . . i '51 12DC--00701 ZONE. . . . . . . . . . . . I..._P RUS I NESS NAME. LL_i 1 i iL k i:i.-Iv i UR SIGN LOCATION. . : 15959 SW 72ND AVE APf-''I_?.CANT/ArE1\1T: LEATH!-'R CENTER BUSINESS TAX NO: SIGN: PERMANENT (X) FREES"fAND I NG ( ) f'PLEWAY ( ) TEMPORARY ( ) WALL (Y) ELECTRONIC t ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) :.IGN DIME 14SIONS). . .'4" X 1611 TOTAL... SIGN AREA. . . . . . ; sl sq. ft. WALL AREA. . . . . . . . . . . . . 60,71 sq. ft. WALL_ FACE (DIRECTION) : E SIGN HEIG14T. . . . . . . . . . : 20 ft. PROJECTION FROM WALL. : `; in. ILLUMINATION. . . . . . . . . I IHT DESCRIPTION OF SIG14: A 31 so. ft. permanent wall sign MATERIALS. . . . . . . . . . . . : METAL/NEON EEXISTING SIGNS. . . . . . . : 1 EL.ECTRICAL PERMIT REQUIRED- Y BUILDING PERMIT REQUIRED. . : N ADMINISTRATTVE EXCEPTIONS. : NiA PERMIT FEE- f .'S. 00 APPROVED BY: -6-ev PF.R11tTTEE G1PNP' U11L; 1 �7 � t•�� DATE: 12/20/95 Permit No. ` �C^ N I� _ CITY OF T:IGARD SIGN PM41T APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 1 �`I J�C' '�J�IU N(�� � ZONING: NAME of KuszNiss: ,������-�}Y/L 1���,tP -.p/1� APPL ICArfr/AGENT: ( � _ COMPANY: 0jl ti�,� PRONE: The City of Tigard imposes an annual Business Tax which must be kept current on all persons doing business iii the City. Do you, preseptly have a cuzrent business taX? YES ( ') NO ( j I1.I,. Label # )) Ij ' PROPOSED SIGN: (Chock as many as apply) FREEsrfANDING ( ) EKY ( ) TEMPORARY ( ) WALL (y� EI}EJC'IRONIC ( ) OTHER ( ) BILLBOARD ( ) BALd.DON ( ) SIGN DIMENSIONS: ' I 1 I _ DCPMAATION D7 T> : TOTAL SIGN AREA (Sq. Ft.): WALL AREA (Sq. Ft.) : 16 WALL FACE: —,41&cc c HUG11T (Et) : _ J.' -1- MUE)CTION FROM WALL: -5�r IIJIMINATION: YES (,`) NO ( j TYPE: _AZZ 0 A COPY: 1k C,1if AMA l /-It a��,% _ `— MATERIALS: 'i p _ 2,_ 'a,V E}CIST'1% SIGNS: JV cliu u — MK1NIS`1RkTIVE EXCEP11 : N/A ( ) APPROVED ( ) I1OW MUC1i ARIA ( ) HEIGHT ( ) COMMINrS: PLANNING PMNMM All sign permits must be accmpanied by a scale Permit Fee: drawing and plot plan. If work authorized under Receipt No: �- a sign permit has not been cxmpleted within ninety blMrgypid By: _ days after the issuance: of the permit, the permit Rate: shall become null and void. EI )=CAI., PPP3W I C WIFY THAT I AM THE REOORDED OWNER OF THF. REIQUIPM: YES N NO PROP OR AN AG �T ALTIiiORIZED BY '111E OWNER. BUDDING PU& T , t i RDQMM: M3 Ot NO (J�) Applicants Signiature cP/BE PM1r Address q Igq,,t 17 01%_. j 9 a;k g Telephone N:\WORD\MT%,%1\ Z-Z AIO " ► 7 2, 20 hIO �►� �� r c� n OVID J 1 L 150159 6w "P Ave J