16326 SW 72ND AVENUE Irk-
04
ADDRESS:
IV1�
o --
I
i:\records\rlicrof Im\targets\)uilding.doc
M
+irrrrea�Fr., rrrl rr, r u.
LEGIBILITY STRIP s Ill�llll�lllrf„I !0
I,rr Ilrn I2rin rnrI�tfiintll nii �Is �IItt�t!II�t
11�III�6���Ilfl19IIII�II2�0IIIIII�21.Illl�ll9li I21 III 23t, rir 24
n rrl2ir 5ri2r 81 11 I II2I t I 7(�I'n r2:r e
29 3C
ZI I i pl 9 �J �( HOW :OL
!ILI � I ' I25X
G
-1 loomoll"Oom
41.- .tll,.. Amu .:. ..-
•
,.. -.. __ .. .. __.�:�_�.— -•...r:.-..�.c..:.-:.m-Tom,-..�..,.,,.., .
_.* - .,.._..amuPVT
h'^
L_ _
r<- II ItWT INKSOJlrTIG� --
J
41}•eP Bali,� I . rIE�+ ;� ra BF'f�f1T lj/ 104rjULk-rJp GL�� 6(L.OZ
– r,►•�rE-r� To m.TUd�• L.I/ 2. �r'1 W 6 �x 15?I� D�c rz
''CPE •�� i" 4Gi� C- IZ �T tb�7 700�=�
rj'_o.c._ e P.�.NeL E�rcEc.
iPPoO'C',. � IN;t!�lop. �. �V�L� r7�E �� `J - �
U V)
T n w
'!7' 5 C,oA'.. !`115- A L �rU cn cr
2 ,''v 2 0-c- '�: E x I�'(I r��i TG N 6�T d E M S I ►.J G{ I,J
C1) cc
S. FLJFR EXI�'T!�� Gott RETC w
tt C:�'• FURR ��MI �I�C� 1�1�L1� 1.•1/ 3 !21' x 22cfi�. W
= f M�7aI. y'rUi7Gi . ExT�N� F-JP lo'-G�' h•F �• z UJ
w
p — Q ? ¢ o,
F-
01 N U a 'o- z
0
3 8. -H - �Iti-r� w w 0Cr
2 z
< 00
Iao T�ar'i r, .ac-1c 10 F,N. F-_-P- ~ m 0
�1 T C
U) z
4
< < 3a
i In N
� 06z800
i
I
�
1 L=ur�RIC� �c�IG� L.JPLL� (NR
�►�d 6.
CL f
SInF'EtUD�D GE II..In1G► W/ �v t I I
Z'-O'' ,R 2'-d f�IIKIECCXIL-ING FIbEl2 ��, — GENERAL NOTES C 0
7L�CvULAlt. PArvE�.5 , CL_AS� 'r;' - L..,' A. Ver%fy and confirm all dimensions ar,d conditions. Notify �G)4rtrC,Tof any .o .�' H-
'''�'^I \2 discrepancies prior to start of work. 4
\� +1 I These drawings for tenant modification work and occupancy only. No strsctural
�7. 'Z r 1QrFfGG = I work.
� ToP Tiz� I �
1-- _ I'` - �/ occupancy: �-Z �E�.IE�AL_ oFFIG� tY STo �E-
R I I BATT I HISULA"fl'.�, I I F I!. `
�!" e\ 9 1 G All finishes to be to Building # �j standards unless noted. �I
G - Electrical, mechanical and plumbing by separate permit. M
`V
rco.�TEI., wi rYrE 'S" T,R. -p F . I� % `i.
_ZPR;r�Kt�.��� '�� bE I`"��rr;Alr`1E� �� S�PAR�j� /L
L p•O-G. (2 v,&tiEU EOGrES
Ll
� •�
--- (�. F-dF-Z CONGR.:.TF- i�l�ll S IN oi-FIGl�, ARES V1
a
•� Z,3 C A. I"e—na' . STIJ05 I l I�i C
Z'-,d' O.C.
N
Q�
CL ,'
1
�' WASHINGTON CO � 1-Y
i 48
ID�o-r`ror� TcAcK Tc� FINISH I PH
Ok—�
ort FIRE DISTRICT NO.
RE 1
FI_ow/ ,�Ix¢o OeIN/EI\.J FIRE ONE r649.8577AU
/� COP/
Rl S
F ti EXAMINED -�-'�'�_
S -�C- �`'--"-- -- APPROVED FOR CONSTRUCTION ';n� APPROV^o 2f O
CITY OF TIGi'+RD08P.*_ 8149 3 c -UIRED 7
. =CIIONS RE 0I-'1-1 �p
PER�,iIT NOM�QSITE /6,
SITE 1. 1iEN FRAMING CO D
r Fi;IvR TO COVER
_ r ✓o ��L�` BY __ TITLE _ 2.UPON BUI "NG
DATEJ�
I`�IIy11-OII
2 TYPICALN
ITMRIpl2 OFFICE I-JAL-L_ North -----
r PIA S EXA 1'+Fj, —
��•�?CpSW/�N' t"i '' moi''� - `,� a
/
�V><Nu� �'OR�CAND. ORS T �G P'�.YL.:GOD DGC.IC
- AREA OF WORK r
/ C�►`GA. M E i Al- ST U D5 l4 K.'O.G. l•1 F
01 —SuS�Gi.:DED Gt I L'I --- 3 —� '(o ,- .:i_o e" __ !o_o' L .... PAAK I �_ �'-.
° 4 • „ DRAWN BY
OREGON �
RII �7T -o ,•..-..
INSUL AT10�1 4-- -- --_- - 6lJ8ME38 , , OOT ` �.
I _ PAiF�C ■. .... ... HECKED BY
IZ . �� eIw 51 – _ _ Iz� �,.� ......; = I l
OMAN ... ,e - �" O ( N REVISIONS
I
°-
BUSINESS
u ,
—3�x 25 4A. METAL .-.-- ... ......
I�iD�fo PARC I
5 DS 19 .
\ l
PACTRW
� I � � /UTIrR ut wrrwc � sTonwac p � � 1
GYM l 0•-rl P•11 ! BUSINESS
�m
CENTER
—BATT IUSI.JI_^TI�'+►1 -_
DRAWINGS AI41 ,1# PROM
i 1 I Z1 tib. J l J ' I .Z
-- BOT"fOM TiCAGK TO rlhi.FLIR L ret 1YR w.Io s .. F
pp/�y �'���s T • 0 ARI NO' 10 fN/if SAIIO&ASSUUA?p% PC ,V
(� `"I/r�•'l m ���i-Cl, -C,.''Op J qb"R Joe Ft 1 O nn,i`NU*Of
IN 1�t(N PE11MS9ION Ot 14 EprrPT SA 094 Ul OR �w
- •
os'ti s,*roa� o •' u R1 1 ® SHEET
—QJ�ER ■cam w a L/►
V ti
TOILET FZ)0 WALL .� ? �T li i
,F I
North
III) ILII
MINw.
5+..IrrR t, ♦ a _ .. .;.,,.. .., ...,.. �._. '_•_ ..._.:. rRwer6- "' 4sAifl�ik51 1:1 J:.f'�o';o J Qin wllai:"ti11w MAI,
1 1111111111111;I11111111111111111111�11111111�111111111 Illl�llll 1111111u IIIIIIIII�LIIIIIIII11111;I�""11111111IIIIIIIIIIII11111111 111111111i1,11�11n Inl 1111 Ilninll tllrunnll�l III�II!� � IIIi� Ing I
LEGIBILITY STRIP i I I I I I I I I I IIIIIIII�uI111111�1�1�linl�l
a 8 7 10 I I 1 2 13 14 6 17 6 19 20 21 22 23 24 25 28 27 28 29
2 1 I I O1 4 b HSN: t l oa
�Li1.1.ua.�l,�.LLtU.1�llt�,hl,I,lh1.�.�1Lh.lJ�.i��.��!,LL�Ii.�.hl��,11,��.1..1.�,�-h.�.ti1111!1l�ll!LLiLI�LIIa.I�.��J.1.1►1_�Ill�l�_LIIIIIa.Il��1.ILLaL�l11�,L�W.Ila.U,�ILI�.�IIwJ�.��IIliL�.lLitl.Lla��Ja��l�.1�)�.��,J��.�1
ILL
I it I I � oa
I111 �
w
ADDRESS:
SW 7;k "A
v u
r
N
H
J
L]
LD
LL1
J
i:lrecorcJslmicrofimltargets\building.doc
i
Ln
0
z
°• v v v v a a
v
6 z z z z z z
vm 2 2 2 2 2
CL
D
w
o
=J
0
M H cY
04 ^ a a a a a a
pp o o_ a a a a a
oa
d
m
D a
cc p a a a a
v r-
< a�
U T
OL
Do co co
�
o 4 (-a
``- M 24 a
a�
v
tu � a
o
u
Q
d
ro �
p
1
2
r
:n
J
CA �
LD
LAJ J
J c O U F
° a o as z
z p z w a
IL m a -j a
go v--1 a w n
cv r z X C-
`� LL.. (.D In LL LL a
a a a a
M m m m
Q)
@
\
\
� {
) �
z §
2 ) a a a 0 A a
CL / EL CL CL / )
\ \
0
o $ I
z )
�
00
C) e § nu u
co } o = z z
9 a ƒ \ ƒ o §
�
( m e m e
� 2 �
m �/ /
2 ) \
/ f 7
to § R CL
3 (;j
$
,± ®
� k
v
G \ \ \
\ ) S
§ ) 2 S \ § E
) b 2 B ¢
V) � ° k
« ) CLd) ) £
\ \ ° a k
< ) E § )
fr4 § 7
Cl) 4 § \ k \ k \ § \ §
« w w E w E w w u
W
4)
0
z
� I
a N N
D cJ N
9
d
Z7 Co Q
O Q] fJl
D
v m
o >
= J
9* C7 N
Clqa (n ( (n
n 0 Q CL
00
U T
� to
r
o a a a
� � w
� rno 0
in a�
m
d
ro
m w w w
G
N
V
Q _
d
is
n
C�
H
(/7
.J
CA
O
a C 7 C_
d V LL QJ LL
O r) C7 U
O
y+• O0 co
q
C7 V W W W
0
z
a a
v
"Cm <z z z
CL � z
D
a
o >
=J
r
M a a as a
N ^ O a a.
00 fl z a a
co
M m
J �
Q. 0 1
N
Soo
2 C) n
7
"- a a M
a�
N
V
Q _
d
is
O
F
J
Ln
r.
W
W
F"
O
a O O
U H f J
M Om m Z
2 d
U-
m
M m w
U
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUIP _
Date Requested AM PM � BLD
Location L,32,& Suite MEC
Contact Person Ph PLM
ContractorPh —_ SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELIR
Footing Ac NOT REQUESTED
Foundation FPS
Ftg Drain FOUND DURING RESEARC11
Crawl Drain Ins NO INSPECTION(s) IN FILE SGN
Slab SIT
Post&Beam -
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _.___....-.- __...
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL -- ------ -- — -- - --
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains _
Final
PASS PART FAIL
MECHANICAL
Post& Beam - —---
Rough In
Gas Line --- - —
Smoke Dampers
Final
PAS RT FAIL_
lu–cnio-11-
�_ Service
c� Rough In
un U(-;/Slab
Low Voltage
F- Fjrg arm --- ------ —
J al
c PASS PART FAIL
SITE
LL:
-� Backfill/Grading - -- --- --- -'--- �� —'
Sanitary Sewer
Storm Drain ( )Reinspection fee of$-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE I I Unable to inspect-no arcess
Fire Supply Line
ADA /1pproach/Sidewalk Date
Other — '_-._ � Inspector_ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the jib site.
CITY
ELi`CTP.ICAL PERMIT - V i
IGARDT r,ESTRTCTED ENERCY
COMMUNITY 1:11EVELOPMENT DEPARTMENT PERMIT ft: ELR06 0086
13125 SW Hell Blvd. Iigard,079gon 97223.8109 (503)639.4171 DATE_ ISSUED:
PARCEL:
?ITC ADDRESS. . . : 163~6 SW 7':ND AVr'
JUBDIVISIGN. . . . . �73SE:WOOD ACRE TRACT; ZONING: I- L
•LOCI'%. . . . . . . . . . . LOT. . . . . . . . . . . . . :B
''r•oject Description : Install bc.tr-glat- alarm.
i). RESIDENTIAL.----.__-_...__. B. COMMERCIAL-________________.__.__.__--------.--___._____.
AUDIO R• 5TERE0. . . : AUDIO &• STERr7C). . : INTERCOM R PAGING— :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . . LANDSCAPE/IRRIGAT. . :
GARAGE OPENI-R. CL.00I.. . . . . . . . . . . : MEDICAL. . . . . . . . . . . :
1 ;VAC. . . . . . DATA/TELL" COMM. . ' NURSE= CRLI_S. . . . . . .
VACUUM SYSTEM. . . . : FIRE AL.ARM. . . . . . . OUTDOOR
OTHER: . . HVAC. . . . . . . . . . . . PROTECTIVE SIGNAL. . :
IN OTrUMENTATION. e OTI ICR. . : . .
TOTAL # OP SYSTEMS: 0
i"lph1iCant : --_. ._.._._._..._.______. ......__.--.-..._._. ....._.... _ _-___......____.____._..- Frr5)
'ACIFIC REALTY ASSOCIATES LP type almor.tnt by date recpt
Ci 1.5 rW '31"'QU0TA PI-eWY #4.00 W M I PRM- $ i 0. OIZi CJr 03/1.5,"3a 7)6--277V*1
5 P C T f. 19. lpvl CJS 0.3/15/36 96--277061
"ORTLAND OR ".,71=- 4
;"hone ft.
Contr,aC•t ci r : -._.___....__._._.___..__._._........_ .__._.._..__....___..__.________..__.__..._-__.._.
f1DT SCCURITY ALARMS 4r.� 00 TOTAL
703 N. C. HANCOCK
REQUIRED I NCPECT I ONS
ORTL.AND OR ^)7;11L. Wal 1. Cover- El.ectl1 final.
'lone #: 503--282- 1.54 Ll er_,t.' I Ser,v i.c
R #. . : 30944
-1,is persit is issued subject to the regulations certained in the
'igard Municipal Code, State of Ore. Specialty Lc•9es and all other Fern i t e e S:i gnat ure
applicable laws. All work will be done in accordance .;i h
approved plans. This permit will expire if work is not started
witW.n 180 days of issuance, or if wrr•k is suspended fo• sore
than '80 days. Issr.ted By
INSTALI...A•f I ON 0NI..Y._.. _._..___
Fhe installation is bei-,g made on pr-operty I own which is not intended for
aIE, leasae, or, 1•ent.
'P4NER' G SIGNATUR 1)(atL :
__•.. __.____...._._ _.._...-_..CONI"RACIOR 1'NSTALLATION ONLY_ ____ .._...._..._ ._�..._._.__ . ._.
U 1 JUR I ZED SIGNATURE:: DATE s
11 Call far inspection - 639--4175
J
sun—
Community
.
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT# FIR96 00,_F6Tigard,OR 97223
Phone(503)639-4171 DATE ISSUED 3. 15 96
FAX(503)684-7297 -
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALIATIOPP 4. TYPE OF WORK
RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $91f.OQ
Address G (FOR ALL SYSTEMS)
City State Zip Check Tyne of Work Involved:
`ERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Nudi Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS urglar Alarm
El Garage Door Opener'
2. CONTRACTOR APPLICATIONL Heating,Ventilation and Air Conditioning System"
Contracte-r Type tl4acuum Systems'
_V51•Ct1RITV SV5TEi41s,t1� (/
703 NE HANCOCK ❑ Other_ _ --
Addres!. "ILAND,OR 91:;!2- —
(503)294.3265
Date � ���-� COMMERCIAL—Fee for each system . . . . . . . etQ.QQ
(SEE OAR 918-260260)
Property Owner _._ check Tyne of Work Involved:
Contractor's Board Reg. No. � ❑ Audio and Stereo Systems
• ❑ Boiler Controls
Phone# _ ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Prirtfi, rim's Name Phone No ❑ Instrumentation
Address — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This Permit is)sued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations ow volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
following:
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain
residential and other transoclions are exempt from licensing.These have ❑ Other
asterisks(•).All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503.6394175• ❑ Number of Systems
3. Purchase separate permits for all Installations that are not ready for inspection
t— when the inspector is out to Inspect under this permit. •No licenses are required. Licenses are required for all other installations,
1 4. Assume responsibility for assuring that all correctinns required by the inspector
czare.pone,and
�
5. Assume responsibility for calling for gg final Inspection when all of the 5. FEES
W corrections are completed 7
J The person eigni g f this rrnit mutt he the applicant or a person a. Enter Fees $ 7 ��
aut itec to d e ap leant.
►---, h. 5% Surcharge(.05 x total above) $ v9 Qy
Signat`1 TOTAL $ 7 �O
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGA RD A MECHANICAL PERMIT j
�CITIZ61lltel' 'MIT NO. : ME89245�+COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Halt Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639.4175 TE ISSUED: 11/14/89
' T14 PPIT W13 292454
JOB ADDRESS: 16326 SW 72ND AVE
TAX MAP/LOT SUR: LT: It]':
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: ALTERATIU4 FURNACE (100K AIR HANDLR (10
USE TYPE: COMMERCIAL FURNACE 10OK4 AIR HANDLR 10K
CONST.TYPE: FLOOR FURNACE EVAP.COOLER
OCCUP.GRP. : HEATER 1 VENT FAN
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD
NO.STORIES: PLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: BLK!COMP 15-30HP INCINEFATOR(COM
FUEL TYPE GAS BLR/:OMP 30-50HP REPAIR UNITS
MAX.INPUT BLR/COMP 50+HP OTHER
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
REMARKS:
O FEES:
W AP Green PERMIT $IF).0!�
E 16326 sw 72nd ave PLAN REVIEW 44 ;[�
I� tigard or 97223 FIXTURES $8.00
STATE TAX $.110
- OTHER
C
N ASI HEATING
T ASI HEATING
R
17555SW 65TH
C Lake Oswego OR 97034
T
0 PHONE (503) 684-8583
R REGISTRATION NO. 29938 TOTAL: $23.40
This permit is issued subject to the regufat'inb contained in Title 14 RECEIPTNO.
iX of the TMC. State of Oregon Specialty Codes, zoning regulations ——————————————————-
and all other applicable cedes and ordinances, and It Is hereby REQUIRED INSPECTIONS
agreed that the work will be acne in accordance with the plans and GAS LINE
sperilications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
..J
►+ covenants Contractor and subcontractors shell have current city
m business tax permits This permit will expire and became null and FINAL
void if work is not started within 180 days,or if work is suspended or
..J + abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Permittee Signature
Issued By '
CIIEt FOR IO1Tb33=4I 7
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
4A i Y Ur I IUAKU MECHANICAL PERMIT
Description
City of Tigard
Table JA Mechanical Code CITY PRICE AMT
- --
13125 S.W, Hall Blvd. t) Permit Fee -0- -0• 10,00
P.O. Box 23397
Tigard, OR 97223 ) 2) Supplemental Permit 3.00
639-4175 f—Furnace to t 00,(00 BTU
�-11 incl.ducts&vents 6.00
t 2) Furnace 100,000 BTU + 7.50
Incl,ducts&vents
Name of flevaiOrxnent Floor Furnace
,� 1 • � b�C.6�,1.1 3) incl.vent 6.00
Job Address Suspended heater,wall heater
Address (�j �(,� --�ZN=� 4) or floor mounted heater 6.00 llCi
Tax Lot Map No. Vent not incl.in
Lot clock gypdi�� 5) appliance permit 3.00
Name(or name of hrsirtess► Repair of heating,refr ig.,
6) cooling,absorption unit 6.00
Mailing Address R tate 7) Boiler or comp to 3 HP
Owner _ absorp,unit to 100,1700 BTU 6.U0
C,ryrstate - ziPBoiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15-30 HP
absorp.unit 1/7-1 million
Mailing Address Phone Boiler or comp to 30-50 HP
10) absorp.unit 1-1.75 million 22.50
Contractor City/State 21pF3oiler or comp to 50 HP
absorp.unit 1,750,000 BTU 31.50
State Registration No City eus.Tax No 12 Air handling un to
10,000 CFM 4.50
13 iven is
I hereMf
by acknowledge that I have read this eppiicatinn that the ormation Air handling unit
g ) 10,000 CFM + 7.50
,�rrect,that I am the owner a authorized agard of the owner,that plans submitted ars in
compliance with State laws,that I am registered with the Stale Builders'Board,that the 1 4 Non porlahle
number 9wen is correry.(It exempt from Slater registration ease give reason bel,..`. 4.5�
� d g evaporate cooler
Vent fan connected
---- --__. -____ --- _----- 15) to a single duct 3.00
- --
- -- --- ) Ventilation system not
16 included in appliance permit 4.50
Hood served by
1 r) mechanical exhaust 4.50
Sig azure(owner or agent) Oala Domestic type
Describe work addition ❑ alteration r ( f repair I 1 d) incinerator 7.50
to be done residential ❑ non-residential Commercial or industrial
Existing use of _ V 19) type incinerator ^� 30.00
building or properly Other i.e.,woodstove,water
Proposed use of 20) heater,solar,clothes dryers,etc. 4-50
building or property
21) Gas piping one to four outlets / _ 2.00 ob
Type of luel- oil ❑ natural gos Rte? LPG ❑ electric ( I L r
c�
^2) More than 4•per outlet
—J
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- — --
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ _ _ S%O 4%SURCHARGE r
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25'M,OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMF AFTER — --- —— -- - '
WORK IS COMMENCED _- TOTAL
Special Conditions
Date issued _ by
Yr lillll
II1� ki_OL1aR5
RAMP TO BE LOCATED
BY LANDLOR I
ADD RELIOH -\ -
ADD DOOR
HpY cru - LLwk,
--
ADD 375 SF FFICE
ADD RE ROOM
44
THE PREMI S
u N T�rtdu1,
2�oF
nnoro-AN UA-% i Q.
r..,-,;3r� ,�,��Z 120 �q►
EXHIBIT C
A.P. GREEN INDUSTRIE:98s INC.
DBP 1 BLDG #3
16326 SW 72ND AVE. NORTH
PORTLAND, OR 97224
7/20/89
CITYOF TIVARD PLAN CHECK APPLICATION
CffYOFTWARD PLAN CHECK
COMMUNfTY DEVELOPMENT DEPART,, NT OREGON -
13125 SW HW Skd.P.O.Box 2x197,TlgaM.Orogw WrM(SM)&V4175 PERMIT #&,2V it Q Q
DATE ISSUED
JOB ADDRESS: J�,,Z/f, ���d �.��_ TAX MAP/LOT
SUB: LOT: LAND USE:
VALUATION: ; SETBACKS: FRONT: REAR: LEFT: RIGHT:
WORK CLASS: HEIGHT: TOTAL AREA:
USE TYPE: FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: 2ND:
OCCUP GROUP: DWELL/UNITS: 3RD:
OCC'UP LOAD: _ NO BEDROOMS: BASEMENT:
NO STORIES: NO BATHS: GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: _ LAST REISSUE: _ BUS TAX:
FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS:
OTHER: _ SEN LND.: TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTHER.: ~
COMMENTS:
ACCT DESCRIPTION AMOUNT
OWNER 10-432 Building Permit Fees Q U,Oca 7,
NAME:_ _i k'.' 10-431-600 Plumbing Permit Fees
ADDRESS: .l � ,� �� ;_ 10-431-601 Mechanical. Permit Fees
t2,r c. 10-230-501 State Building Tax (5%) —
10-433 Plana Check Fee
PHONE:_,'.' - ' 30-443 Sewer Connection (20x) t
30-202 Sewer Connection (80X) �
CONTRACTOR 30-444 Sewer Inspection t
NAME:- 1 pp .. .51-448 Street Syatem Dev. Charge (SDC)
ADDRESS: '52-449-610 Parka I Svetem Dev. Charge (PDC)
52-449--620 Parks II System Dev. Charge (PDC)
31-450 Storm Drainage Syst Dev Chrg(SSDC) f
PHONE: _ _ 10-2.30-505 T'RFD (95x)
10-435 TRFD (5x) _
ARCH/ENGINEER 10-230-506 Washington County Fire 11 (95x)
«. NAME: _ 10-435 Wa,hington. County Fire 11 (52)
ADDRESS: 10-220 Amart/Wedge•wood
TOTAL
HONE: _
PREPAID 1.� -3 3
REC #
BALANCE DUE g__ 19.3 2_
APPLICANT SIGNATURE
\
\ceived By: I Date Received:
P.O.E= 21-11197
CITY OF TICsARD PLUMBING 13M TiqxdCR
Applicants must hold Oregon Regisuation to conduct a plumbing PERMIT 6.3)-4175
business or must be property owner/opetatar not hiring outside WP-
us"
elp.
Nartwd PlumbinµPermit h oa_s�-
Address Lorschpbon
ORS 814-21.810 QUI N. PRICE AMI
3 e9ve-1-
Job Tax Lot Map.No.
Address _ FIXTURES �•
LDt Block Subdrvlakxr-� Sink - _ - / 7.50
sy 7.50
me
ams or nasrness _ -
��' -- -- Tub or TubrShower Comb. 7.50
ess Shower Only 7.50
WNerCkrsel - , 7_50 S�
Owner City/ te- �P -
Dishwasher _ 7.50 _-
Pb^e GUN19e Disposal - _- 7.50 - -
-- Weshlnp Machina -- 7.50 _-
r- Floor Drain _. - ._ 750- f
res s MOM Water Heater 7 '+Q
Laundry Room Tray - 7.50
Occupant Cky/Swte u' Urinal 7.50
Other Fes(SPIC 7.50
ixtur -
arte 7.50
00 ass - Phone --- "� 7.50
7.50
Contractor City/Stats - zl
MISCELLANEOUS _
City Gus.Tax No. S#war 1st 100' 30.00
sewer-oc.Addit.100' 15.00 -
_ tate s ,c 20.00
(Residential) Water Service 10 100' -
Water Service ea.Additr 15.00
I hereby sda"whdge that I have read Cris st�plicatkxt.that Yrs kdonnabon 30.00
flN Vn M Conned.that I sm registered with the State 04Aldar's Beard,and also Storm 6 Rain Drain 1 st.100'
have a State,Pkxltbtrq Scene*that the nuns rs gKoon ars carred that ON
pkxrrbk+y work willbe done:.soou•danoe withappwcaWi !Aorrne Pe of Or*- -_6 N r}n Drain AMR.100'- ---
15.00
gon Revised SUMA"Ct.aptem 11' and 693 and rsppk&b1f codes and that Mobile Pitsea SP" - 2500
no help wN be ertVkoyed unless seensed under ORS 623.(11 exempt from Back Flow Preverrtlon
State;ogistratlon,pieasu hive re► kY son below). Device or Mtl4'oMution Device 7.50
HOMEOWNERS-I hereby oertify 010111 am the owner of the prop" de-
wrt od above.M%In ch Wabon I propoes to nuke a OAT"+p hMsVatlon hoe Any Trap or Waste Nd
my own use and"propertY it nol being cons&uc*d Tor saki.Isass a rent. Connected to a Furbxe-- 7.50 -_-
Catch Basin 7.50 - -
___.T-.___. ------- -- Insp of Ex M.PknrbinU 40.00 Per Fit. -- -
--- - - ------ SpedaNy krspectlora 1000 Pr Hr --
Ste.Of Pk,nbirq within
------- --- ----- '10. - 11.00 min�
an Exis"Bk --
Oa>. New Bldg.of Build.Add on 26.00 min.
Al1THORVED SKWATURE ---
Min e farttll -.---
Describe warww Q add-lion[� aketsHon� _ repair C7 d�11� 15.00
it
I tobe done resldenliel(l non roekSential
0 use o1 _T_ OWTOTAL 30.00
bL4h*V or Property
of ✓/vim ' CC^
bins pApwtY - - - - _ .1 / 1 1fQTAL I.4
' Nl7l10E G
ThM pam*beoomea mjN and acid M waM or oonstruo4on author-sol Is not Cotn-
lrnenoad wht do 1110 dayara If 00,"M Yrx+Cr moist M tuspewW or at w0mod br
a period d lea days of any ln+s arbr wast M oom onced.
care Iaeuorl by - ------
C'TYOFTIGARD PLA)MB'1W., PEAMIT
' 2'391
PIE:PKET NO PI.Aler
CITYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 09*00N I;:+/21.
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 PRYM. r,.,M*T, .NO . E102-1590
JOIR AI: OPE-5'S 16326 SW 7'RNI)
TAX MOP/L.01, SUB; Oup 3 U11—0c,",
I AND USE:
I TV:M: NO: NO .
(d)AK CLASS : Al—TEPAT10N W A'11,E 1-4 CUMAKI, J. TPAI::'
USE-'- T-0-11C.: URINAL.
G'ONS1 I AVOPATUPY :1. 1PAP PRIMED
111R SIAOWEPI GFA..'ASE '114APS
D:l*!:)HWA5I--1Ft:P
GAP13ACAE D:CS1*,"(JSAL.
NO WASHING
0W.-I.1... ,UNITS : I.-AUNDIPly TR6.y DPAIN (DIA
FL-00P E)PATN
WATEP HEATER 1. 5TOPM/FlAIN (FA'
0 F,iii. $37 .50
W
N
E F,1:X"!U R 1..S
R
'-.ITATFI.: TAX
! I I I ];. 1.4 39
JOHN I;-
0
N I WIPE)"! V'I.-UMEIING
T jl.:tj x.1.09
R
C A N*1 W b F.-?1', 014 19,1114P
T
0; NO . 11170
Ri T(JI'AL. :
Pl:..'CF--A:PT NO. 9.3
This permit Is Issued subject to the regulations contained In'l Itle 14
of the TMC, State of Oregon Specialty Corles,zoning regulations -4i-QIJAPILA7 l.NSl*'-'E'C'T*J:0N5
and all other applicable codes and ordinances, and It Is hereby PLO (INDFA-11.0 A El
agreed that the work will be done in accordance with the plans and rMIA'A-1- 3:N
.specifications and in compliance with all Applicable codes and
ordinances The issuance of this permit does not waive restrictive 1*11,13 U.)PULYT
covenants Contractor and -ibcontractors shall have current city i N A 1.
nusiness t,,;x permIfs. This pert,ilt will expire and become null And
void it work Is not started within 180 days,or it work is suspended or
abandoned for a period of 110 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required in,pections are requested and Approved.
Permittee Signature
Issued By 'jill 1A)H
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITE' OF TIGARD MECHANICAL PERMIT Receipt
Permit &S?2 39 Z -
1 -
Description
City of Tigal d Table 3A Mechanical Code QTY PRICE AMT
13125 S.W. Hall Flvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 2.3397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts$vents 6.00
Furnace 11 1,000 BTU +
2) incl.ducts&vents 7.50
�— Nar�gffrp Flaor Furnace`/// 3) incl.vent 6.00
Job Auoress _ Suspended heater,wall heater
Address 32.6 „1 4) or floor mounted heater 6.00
Tax Lot Map No. Vent not incl.In
Lot Block Subdivision 5) appliance permit 3.00
Name(or name of business) Repair of heating,refr ig.,
2. C_ 6) cooll.ig,absorption unit 6.00
alli Address Phone 7 Bc iler or comp to 3 HP
Owner t ) absorp.unit to 100,000 BTU 6.00
I City/State Zip Boiler or comp to 3 HP-15 HP
B) absorp.unit to 500,000 BTU 11'00
Name 9) Boiler or comp 15-30 HP
absorp._unit 112-1 million 15.00
Mailing Address Phone Boiler or comp to 30-50 HP
10) absorp.unit 1 -1.75 million 22.50
Contractor city/11late zip 11) Boiler or comp to 50 HP
absorp.tinit i,750,000 BTU 31.50
State Registration No. City Bus.Tax No. 12) Air hanciling unit to
10,000 CFM 4.50
I hAir handling unitnrnby acknowledge that 1 have read this application That the information given is 13) 10,000�FM .f 7.50
corrcrc:t,that I am the owner or authorized agent of the owner,that plans submitted are in
compliance with State laws,that 1 am registered with the State Builders'Board,that the Non portaule
number given Is correct.(It exempt from Slate registration please give r^asor below). 14) evaporate cooler 4.50
15) Vent fan connected
} - to a singl3 duct 3.00
--- -- Ventilation system not
16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust 4.50
Signature(owner or agent) Dal3 Domestic type
Describe work nc-, ❑ addition ❑ alter�i'den�fia
onair [) 18) incinerator
7.50
to be done residential ❑ non-reCommercial or industrial
—- 19)
type incinerator 3000
�- Existing use of Yp _
Nbuilding or properly _ _ 20) Other i.e.,woodstove,water
heater,solar,clothes dryers,etc. 4.50
Proposed use of _ ry _
building or property__._.__ 21) Gas piping one to four outlets 2.00
J Type of fuel- oil 1 I natural gas LP1,3 I_I electric ,]
22) More than 4-per outlet -
u� NOTICE -
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF W()^K OR CON- -- - -_
STRUCTION AUTHORIZED IS NOT COMMEKCL fir;"HIN 180 5%G SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORT! IS SUS.✓t NDED OR PLAN REVIEW 25%OF SUES-TOTAL
ABANDONED FOR A PERIOD OF 180 DA"S AT ANY TIME 4FTER — -—
WORK IS COMMENCED. TOTAL
Special Conditions Inc(-If)1` Nv.
- -- — Date issued . _ by _,
CITY OF TIGAR.D PLUMBING 11134 H311 ELM
Apples mull hold or"on Registration to crxxW`s plumbing PERMIT �,CR Tru3
buuness or.xnt be property owner/operator not hiring outside help.
Nemo of OevNoprnanl
OtE( N 3�Nt, N ii ,,,a RK g o a Plumbing Permit Nn. _
Addrwa pMgVdpn
�i :?.1 u ORS 814-21-010 QUAN. PRICE AMT
Job Ta.lot Map.No. -
Address
FIXTURES _ _ _
tAA Block SubdMsian Siad[ i __ 1 7.50 1,
Name for rano lavatory _ 7.50
P A c R H 5 c Tub or Tu&Showp Comb 7.50
tTC-NEeiAI- eY -- -
C ON s e•A ,t Shows(Only 7 50
AwnoF city/sule Zq West Closet 1 — 750 7
Deshwasher 750 _ --
Phom, Garbaps oesposal 7 SO
Washing Mach" Y 50
Narne-
---— -- - - -
I F'Oor pr axn -_--- _ - J-- 7 50 7,5 Z)
1M&&V Addtass Phots WatwHealer 7 50 7•.5U
II Laundry Room fray - -- 7 50
Occupant t;.ky/Suia Zip - -- - -- _
Unnaf 750
ptvne Qaxw Fmtxes(Spocrty) _ 7 So
IiJ kle- 10tz1.1 T PLL " SO
a -- ----'-' - '--
7 SO
Contractor /Stab 2]p - _ 7 50
w = `l-I1" L MISCELLANEOUS
Cay&x Tax No Sawa 1 M 100 3000
l: . JSeww�a A&M tar -- -- -- 1 S 00 -
B" Board 144) State s - - - - - -----
(ReWenbaf) ' 1 Wata Savo t st 100 - -- 2000
1 hereby ackrxwAerV*thM I have read lira appacarorL anal M k*VY"atlan Wats Sw"w ra,naal d D' - --- -- 1500 -
ghovi+a,owrect ruM 1 am replslared wart rw Stall BuidWa BrAWL and abo Skim i Ran Drain 1 sL 100 3000
4
have a Stab PkenbkV knnaa that ass nu"twt Given an OwTOM auf M ----
Ou bin;I wart.err be done in e000rdw" war appacawe P,7 + .Of or.- Skxm 1kPte.Drwn A" 100• -- 1500
Don ReAsed StaatAas Chapbrs 447 ane 003 and gVksbW oodes and aur Mobile imine Space 2500
no M1p will be wm"-ed wdess too under ORS diad (If exwTVl horn --- — ---
Stsb rsv+arsN^posse give reaaan bs+uw). Back Flow Pravwxion
HOMEOWWRS-I twx" o*rWy r Ad I am aw ow+w of M prapaty do-
Devloe or Mr i'cfkaon peace _ ' So
sorbed at"wo.N ivI dd boatson t propota b rt►aka a pltetb4lg hataaasiat tear Arty Trap or W ant t"1rA
ray Own use and rya prvpwty Is not balmy awwruc7ad kv Wig.wase or rent Connadeed b a Palum 7 SO
Ca"Basin — 7 SO
hap of EjW Pkor" - - -- 40 00 Pa N.
- Spedall)leQua Wd t�apwfc,ne -� W 00 Per r41-
"W
wAda of PI"t*%Q W"
an Exly" 9yg 1 S 00 min
V)
AUT}f0ALM{ SIONAnJM pals fhw W,#or Burr! Ad~ — M 00 ran -
~ rJaM fy�e fartnl 15.U0
J D1fIIectbal worts naw❑ addition Q WW*tbn 0 rev►❑ �e.11irk_— — —
Q! don* resk$emial F1 non-re0idgn1My R --
w
Wo used �..�■
hAk*p or preparty-- — - - -- - IIJaTOTAL 7
P-Towd u"of ; 4%/L*CKAA0A
[r.*ft rs1 ro paty --- ----- _ -_- r / 1'L n u •-e e t c n. _ TOM&L
l/OT1C>E
!'tb
PW'Pd bwoo•1 ftA ane wid I wart of mnarucdon&AhW red is not oon* Y IL �5 7 L
www caw rt-!n 60 d*y&ar r owv/%K"or "*tr atapwjdwf or al wOwted lar
r f'-tad N tW mare d am rn„a sitar.mitt to oorvw&6�ad
SP'OWL 00"Co lo"s
D ata Issued _� ---- -- by
CITY OF TIIFA RD 13'UT I rXING VIIEWIT
F-fERWIT NO. : WA882390
CITY01'TWARD
ORlOON
COMMUNITY DEVELOPMENT DEPARTMENT DA. l*r::: ISSUED : 1.Z2/13/(38
13125 S.W.Hall Blvd..PA.Box 23397,Tigard,Oregon 97223,(5031639-0175 1-,R 1:M. VIM I .NO. 884?390
JON 163�26 SW 72ND AVIR.
TAX MAP/LO'l SUD: OUP, 3 Fit 1) 3 LT: r+l<
LANU
L.01, SIZE: VALUAIJON: 11; 5 ,a(m) 1.E1,13ACKS
FPON'T : PEA I:! ,
WORK CLASS : ALTI:'PAIJON DWEL.L .UNIT'S : I-EF''T : PIG11-11
USE TYPE : CUMMEPCITAI.. NO. W-KDPOOMS : EXT . WAL.I.- CONSI' :
(11(:)NS'r. TYl-'1E: 111N NO . F:'ATHS : N S W
OCICUP.(.*.OPP. - 82 PI-401' .OPENINGS :
(.(:,'L)P. OAD N E : W
'T'OTAI A P 1:;:41: 11811
N(JI. S'rOPIES : 1 1.Fj T elit-PI P(JOF (:,(:)NG'T' : A FJ AE AET? YE 15
3.8 PND: AWr:'.'A 51---PAW? NO PA11KO:
BASIEMEN1*7 NO 3p1.,) : OCCUP. SEF)AR"? Y E Cis PATET):
MU-7ZANINE'l N(.1 IM511A I'T
F1 00r) LCIAD: 1'r:'.:5 A 1-4 A G,FE SPRKLAI? Y E-11 MAW? YES
1::.L 0 W 11 G,VA M DE'TEUT? NO
'T*Yr)r::. G,A S*, I'1DCP - NO NO
1-1-AN
OF" NO.
LAST PE-KISSUE
0 P ftl t PEAMIT 44:56 .50
W
N PLA.1
E
R
STAIIL: TAX sp. ea
OTHER
C IA::,VF.Kl-J')PW;.N1 (:J-1AP0ES :
0 Si DC:(STU11m)
N
T SDU 11 STIA'.1-J)
A
T
0
$1.9 3P
NO. o(o
�,7 This permit is Issued subject to the regulations contained In Title 14 ..........
of the TMC. State of Oregon Specialty Codes,zoning regulations
)r- 'T I QNS
and all other applicable codes and ordinances, and it is hereby .1A."D TNSr
agreed that the work will be done in accordance with the plans and F14AMINQ
specifications and In compliance with all applicable codes and INSULA T'.l.'0N
ordinances. The issuance of this permit does not waive restrictive 1130olID
CIZ covenants Cont.actor and subcontractors shall have current city 1.J K-i 1.)r,.-.N E) G L I I I N
Cy
L� business lax perp Its this permit will expire and become null and
LLJ void if work Is not!Carted within 1180 days.or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspecti a are requested and approved
Permittee ture
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE