16176 SW 72ND AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
F oting Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Me-.h. ShRar/Sheath Framing -Mach.
Plbg.Und/Flr!Sl,ib Plbg.Top Out Insulation lec
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins,
Other:
Date: Z- I A.M..— '.M. Entry:
Address: r<i 7_T7�i! f_
Tenant: _ Ste:_ MST:
BLIP:
Con/Cwn: _ MEC:
PLM: _
EI-C:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
/ +
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Inspector. p�� Date:
AI3PROVED —DISAPPROVED/CALL FOR REINSP. CF CO
CITE( CJI TIGARD ELECTRICAL PERMIT
97
DEVELOPMENT SERVICES PE #: C
7..RMJT [7 J_ 0031
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01/17/97
PARC1-'_71_ . 2.91- 13An.-00700
;ITF ADDRESS. . . : 16176 SW 72ND AE #BLL
SUBDIVISION. . . . : ROSEWOOD ACRE TRACTS ZONI. G: I--L
"LOCK LOT. . . . . . . . . . . . . :D
� lr,oject Descripti.on : instl P set-viep/feeders & 10 branch circuits
SRVC/FEEDERS---- -------M I SCELL.ANEOUS------
1000 SF Ola [..F S S. . . . : 0 0 - ;:.`00 amp. . . . . . . : 2 PIUMPI/IRRIGATION. . . . ,-, 0
EACH ADDIL 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . „ . . : 0 14.01 .- 600 ;amp. ., . . . . . : 0 S I GNAL/PANEL. . .. . . . . - 0
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
RY I CE/FEEDE -------DRONCH C1RCUT*l_1,3---- - _-.-ADD' 1_. 1NSPFCTT0NS----
200 temp. . . . . . : in W/SERVICE OR FEEDER: 10 PER INSPECTION. . . . . : 0
201. 400 .amp. . . . . . . 0 Ist W/0 SRV[; OR FDR. : 0 IDER HOUR. . .. . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 i012)0 amp. : 0 -._._.._._....._..._._-..__-_---.__ _.PI. AN REVIEW SECTTON
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NO1',11INAL. . -
Rec,onner-t on ly. : 0 SVC/FDR 21;:25 AMPS. CLASS AREA/SPEC OCC. :
Ownc�,r: ---- FEES
PACIFIC REALTY ASSOCIATES type amoi.tnt by d Rt e recpt
1.6176 SW 72ND 5PCT $ 0. 50 TAT 1711/1.7/97 97-28911.4
P P 11T $ 170. 00 TP*r 01 1177/97 97-.2891. 14
i-IGARD OR 97223
Phone #:
Contr-actor: ------------------
FROHL.FP El_ECTRT(" CO $ 178. 50 TOTAI.-
11860 SW GREENBURG RD
REDUIRED INSPECTIONS
TIGARD OR 97223 Cei. ling Covet, Undvi-g)-oi-ind Covo
Phone #: 503-639--4627 Wall. Covet Elect' 1 Set-vire
R e g #. 0 1710,31 74
This pereit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ch-e. Specialty :odes and al'. other Permittee s" Lgnat Uv-
applicable laws. All work will be done in accordance with
approved plans. This pervit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore JJ
than 180 days. —ed By
INSTALLATION OMLY--
"he installat �cin is being made on proper-ty I own whi.ch is not inte,izied for
'Ile, lease, or, rent.
:
WNERI S 9TG1\1nTURF-. DOTE
__._._..__CONTRACTOR I NS T AL LA T I ON r1N1_Y--
I GNATURE OF SUPIR. ELECI N.- DATE=-
TCE,NSL NO:
Call for- inspection -- 639--4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # L; 1r — �L
Phone (503) 639-4171 Date Issued _ /�
CITY 4F TIGARD FAX (503) 684-7297 Issued Jy
TDD No. (503) 6842772
Inspection (503) 639-4175 _
!. Job Address: WORK ORDIR 11 5 5 7 9 1 4, C.mplete Fee Schedule Below:
l
Name of Development GO U I_D ' S 1111 ill' Number of Inspections per permit allowed —
Address 1 Fi 17 6 S'j 7 2 n d _ Service included Items Cost(ea) Sum
City/State/Zip D U R I I A M . OR _ 4a. Res,idential-per unii 4
1000 sq 11 or less $11000
Name or name of business 6 1 U L U ' f'll M P r Each ion thereof
f sq It or 1
( ) � -� portion thereol $25 00
Commercial ® Residential ❑ Each Energy $2500
Each Manul'd Home or Modular
Dwelling Service or Feeder tie 00
2a. Contra:-tor iristallation only: 4h.Services or Feeders
FRAIILER ELECTRIC CO Installation,erlessn or reoreton
Electrical Contractor cis 2 $60 00 120 . U 0 -
Address 1 1 8 6 0 SW G R E E N B U RG ROAD 201 amps to 400 anips $80 00
401 amps to G00 amps $12000
City___LI I G A RD State___QJL Zip 97223 801 amps to 1000 amps $18000
Phone No. 639-4627 _ Over 1000 amps or volts $34000 _
Contractor's License N0. .14- I -1 C — Reconnect only $5000
Contractor's Board Reg. No. A 7 a 1 n 4c.Temporary Services or Feeders
Installation,alleralior, or relocation 2
Signature of Supr. Elec'n < r i 200 amps or less $50 00 2
License No. 2 3 3 4 S Phone No. 6 3 9-4 6 2 201 amps to 400 amps $ 00
401 amps to 800 amps 510000 00
Over 800 amps to 1000 volts
2b. For owner install illt/— ('1 see'b'above
�(j _ u 4d. Branch Circuits
Print Owner's Name New alleration or extens.on per panel
Address — a)The lee to,branch arcuitn with
purchase of eenrke or Nader Ne.
City State LIQ _ Each branch circuit $5 00 C �
Phone No. b)The lee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder Ne.
First branch
not intended for sale, lease or rent.
Each addAional al blanch arcuil t it $ 00
$$105 00
Owner's Signature 4e. Miscellaneous
(;service or feeder not included)
3. Plan Review section (i/ required): Each pump or irrigation circle $4000 _
Each sign or outline lighting $4000
Signal circuit(s)or a limited energy
Please check appropriate Item and enter fe t In section 5B panel,alterat-on or extension 549 00
_4 or more residential units in one structure Minor Lstels(10) S10000
a _Service and feeder 225 amps or more
a _System over 600 volts nominal 4f.Each additional inspection over
the allowable in any of the above
to Classified area or structure containing special occupancy per inspection $3600
es described in N.E C Chapter 5 Per how $6500 ^_
In Plant $5500 _
__j Submit 2 sets of plans with application where any of the above
ac apply. Not required for temporary construction services. 5. Fees:
LO
NOTICE 5s. Enter total of above fees $ J7 0 . 00
J 5%Suxharge(05 X total fees) $ u _ 11 I1
PERMIT3 BECOME VOID IF WORK OR CONSTRUCTION Subtotal _
AUTHOHIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSP cNDED OR ABANDONED FOR Plan Review it required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIM=AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account 0 $
Balance Due $ 17 3
-- J
..nr'mrid�."Wc pT el0
CITY CSF TIGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT' DEPARTMENT PERMIT OC%#. . . . .. . .CU . :Y
: DUE=9.:3•-0060
13125 SW Hail Blvd.Tigard,Oregon 97223.8199 (503)639-4!71 11'>4TC. ISSUED: 06/2713/94
PARCEL: 22113AP •410700
aITI'" ADDRESS. . . a 16176 9W 72NO PVL #PQ E
".;t DD I V I S I ON. . . . : ROSEWOOD AC:RIV T RACA L CIN I NG i I--L.
tkLOC I-r. . . . . . . . . . . L.OT. . . . . . . . . . . , . :Ii
CLnS93 OF WCIRV.
ryPE OF USE:. . . :COM
OCCUPANCY ORP. :142
OCCUPANCY LOAD: ?1
rENANT NAME":. . . -NOIRIZON RE:::STORATICING
Remarkoz Tenant tmpr: Add int part .it {urls, mezz framing lF npact .
Owner, __._. .._.._.... _..._._..._....._.._.....__... .. .._ ._. ....
PAC:IFIC FEALTY ASI$DCINT'ES
phune it:
Wntracturi
UR I ZON PE O T ORAT I ONG
16176 DW !?NI) AVI..:NUC`
!'HiORC.7 Oil 1)'74124
''hone #r 503 6iE'O 2215
P!4 0.. . : 46081
Oct: l.tpattt::y of the above re Ver ertc pd hui Iding .is hereby given, ;and cert i f es
the compliance with the Striate Of Opegon bpec ialty Codes for the group,
)u,c upancy, LA.nd use under which +•ho of erenc^ed permit w = i 6sued.
DF_:fraAF�'fMU"T ESU I G II " 'Li rI li.�
PUS- IN C r;tN,if 2 C_I.JC)1J:3 r'LOCE
I
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)839-4171
7
PLNCK RECT #CITY OF TIG-ARD T3,u�W,:,,,� '
COMMUNITY DEVELOPMENT DEPARTMENT
rmid.orc�.,97223 PERMIT # &��� -006 D _
(503)639-,4171 DATE ISSUED
is UE
JOB ADDRESS: 1-76 5 l t1� --- IAX MA{'/ -
SUB: - LOT: LAND USE:
VALUATION:A "�
OWNER , SPECIAL NOTES
NAME: <:1rL 1� � I<.� i YtC. 4 1 REISSUE OF:
ADDRESS: (S1 I �� �� G'(.�l �.s�`1 __— LAST REISSUE:
FLOOD PLAIN/
PHONE: 621-1
SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: cm � - PLANNING: —
ADDRE S: 2 SC--Q :7-2 (- ENGINEERING:
-� FIRE DEPT:
PHONE: --y -� OTHER: t'r,
(�� �-�� ,_,��t `�
CONTR. BOARD #: _ EXP DAII i C(
IREMS RE U_Q I RED
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS:
MECH: -- BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: — TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
CQ n o x0o�L�l�r1'� c��1` 1 1v1 r7�`
USE:
PROPOSED BLDG.
COMMENTS: _ - ---
APPLICANT SIGNATURE
Received By: IL _ _ Date Received:
TERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees5-6
10-431 00 Plumbing Permit Fees
10-431 01 Meciianical Permit Fees
10-230 01 State Building Tax (5%) �? j
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building _
Plumbing
Mechanical
10-230 06 Fire
30-202. 00 Sewer Connection
30-444 00 Sewer Inspection _
25-448-02 Commercial TIF Fees
2.5-448-04 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 (POC) -
31-450 00 Storm Drainage Syst Dev Chrg
(SSD0 - _ —
`� 24-145-01 Water Quality (Fee in lieu of)
24-445-02 Water Quanti`.y (Fee in lieu of)
C 6b
TOTAL
nm/35811I.WPF
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3068
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RESTORATION SYSTEMS
16176 S.W. 72nd • Portland, OR 97224 •6202215
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BUILDING P MIT APPLICATION TIGARD DATE SMV 0 _ y�,1s s4-_ 4980
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 221-002U_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0.
OWNER Yac lruaL .__ JOB ADDRESS 16 176 S1v_ 72nd Avenue
ARCHITECT wKsnaie/Saito
ENGINEER
BUILDER Green Const. ADDRESS DESIGNER X24-9570 —
STRUCTURE ❑ NEW LXREMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑1COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCZ
OCCUPANCY 1}M2 LAND USE ZONE CG BLDG.TYPE 5N FIRE ZONE —PLAN CHECK BY ATu HEAT
Tenant mojif ication edd two offices and Una Stere front
2 extend saeinkler system fer requirement.
Ln
Y "-
SEWER PERMIT# a
OCC.LOAD FLOOR LOAD HEIGHT _ NO.STORIES_i I AREA 336 NO.BEDROOMS VALUE
LL) BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
J Permit 38950 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 25.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES ANI) ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 63:53 RESTRICTIVE COVENANTS.Cr-*TRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMIT IU RED FOR SEWER,PLU GING AND HEATING.
State Tax 1.54 X .r c... Ttip.�!�,aJc ti�.>�x ti.'1>t. �`✓Ln'e✓ �,_ . i .
Total 05.07v 'SDC— � C -
G�f --- PDC# ,APPLICANT OR AT
By _— Receipt No. "T 1 �D ��cZ!-!_—� /�1/�,A0'e1 _— GV —95770
Approved l;TH ADDRESS Rvek Air7 PHONE
"- �- REMARKS
DATE INSP TYPE INSPECTION - -
- t'.UfltrH[I Or
P;rrmit No.
� - - _ 1
---- - J
Fixture
-- Final
�— - HEATING
- Contractor
Permit No.
_- - - - I cies or Oil
-- -- - ..- -- Nnugh It,
G - - - - - - r mal -
- - - - --- _ - BEWr•.R --I
Final - -�
DRIVEWAY
Final
cm
'---- Storm Drainage
� -.. (Rein Drain)Final _ _ -
_ _-.- -- --- - — -- -- Sidewalk
_•_._ _ -- -'-" —�
Curb&titre!tFinal _
-- --- - - _ ---- APnroach
_� -- tEM?ORARY CETIFICAft OCCI�AN
RLY Final
Itl DC• DEPT. FINAL t ERTIFICt T6 orrUPANCY --
Landsc+piny
J Zoninc:
BUILDING PERMIT APPLICATION TIGAP-' DAT
THE UNDERSIGNED HEREBY APPLIES FOP A PERM FOR THE V4JRK HEREIN I DICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
�7 __ / LOT NO.
O'IYNER �C 2 JOB ADDRESS �L//
�t/O/ ENG ARCHNIEER )�(
BUILCER ADDRESS DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION 3 REPAIR C] RENEWAL ❑ FIRE DAMAGE ❑ DEIAOLITIOP'i
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV•T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCII
OCCUPANCY 2 LAND USE ZONE _BLDG.TYPE JZ�_FIRE ZONE PLAN CHECK BY LL=HEAT
SEWER
OCC.LOAD FLOOR LOAD EIGhIT NO.STORIES '10e— AREA,�_�(�e NO.BEDROOAIS atm VP.LUE 2� I
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SICE RIGHT SIDE
P"crtnil 5 D THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN T}IE BUILDING CODE, ZO?;:%
REGULATIONS AND ALL APPLICABLE CODE,",AND ORDINANCES, AND IT IS h1ERE8Y AGREED Ti-.AT 11:�
PlanCheck ->_> WORK WILL BE DONE IN ACCORDANCE VJITH T4E PLANS AND SPECIFICATIONS AND IN COII.PLIANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
S tlolal / RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT '.ITT LIUSINES1
/ LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUh:18ING ANU HEATING.
;Stain Tax I • _�� l
5.L X SDC—
Total
POGO APPLICANTORAGENT
By
Receipt No.
Approved t ADDRESS PHONE
SDC — '
POC —
SEWER CONNECTION S
SEWER INSPECTION S i
_ I
,'— SEWER SURCHARGE S
c�
�r
SIGN BERMIT APPLICATION COF TIGARD Date 19 _ No. 091
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying Glans and
%pecifications.
SIGN LOCATION ADDRESS: 16176 S.W,02nd
APPLICANT: Owner Lessee Authorized Representative ,icJn in Depth
NAMEXOMPANY _ Tel. 639-0221
PROPOSED SIGN: Freestanding Wall XX Projecting Other
SIGN DIMENSIONS l.' 11 x d' long AREA a sq. ft- HEIGHT WALL AREA 400 act. ft.
<< PROPERTY FRONTAGE tCOST 305 ZONING DISTRICT ILLUMINATION Dyne
iBBENST7","
v MATERIAL _ COLOR
COPS DRB
J EXISTING SIGNS: Freestanding Wall Projecting Other
ca
COMMENTS: ._ _ - terfs only attached directly to wall
LO — --
,1:
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All sign permits must he accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
Permit Fee lo.00 _ (see copy)
1
Approved Applicant's Signature
Recei t No.
Renewal Date Address Telephone '
__ s
CITY
SIGN FERMIT APPLICATION of TIG A R D Date 119 -- ho•
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 111) 76 10,61
APPLICANT- Owner, Lessee Authorized Representative Y, `-L"Ic n _-n',h _
NA?1E/CO(`,,.PANY -,l;r].s Tel. _-'3',) 0'.''1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - - - - - - - - - - -- - -
PROPOSED SIGN: Freestanding Wall _. a _ Projecting Other
SIGN DIMENSIONS 1' Li .1 8' 1011C AREA 8 sq. ft HEIGHT I ' WALL AREA
PROPERTY FRONTAGE '41 COST__�g�_ ZONING DISTRICT- _ ILLUMINA7ION non"
MATERIAL COLOR Gold _
COPY _ .UCi.S DR J
EXISTING SIGNS: Freestanding Wall _ Projecting Other ?!on,
COMMENTS- ulAurs Lin,, •,=1u,f1 tJr,.3r,1, p wull
All sign permits must be accompanied by a scale drawing and pint
plan. If work authorized under a sic,a Fermit Iia. non Beer) cor pleted
—— -- within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and Vid.
Permit Fee ,U 0 •� (.;in!z In Depth)
Approved Applicant's Si nature
Receipt _4
o. b_,�s___�3°%
P.snewal Date _ Address eIT epnone�
SIsil 3Yi Signs In Depth, 17150 S.;l. dil)ri gton Road make Oswn o P-o4 0 L
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