16505 SW 72ND AVENUE LAJ)
=A Lm�r �
/A
CRY OF TINA RD 14 CEPTIFICATE OF
WYOFTWARD OCCUPANCY
COMMUNRY DEVELOPMENT DEPARTMENT (r T *. . . . . . . : BUP91 -0c37
13125 SW Hell Blvd. P.O.Box 23397.Tigwd,Oregon 97223(503).6,31-4175
DATE 157SL)EI). 10/15/'ll
SITC ADDRESS. . . : 16505 SW 7;?ND AVE. PARCEL 2S113AB-01c-.101
5USUIVISION. . . . : ZONING! I-P
BLOC'.,(. . . . . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF WORK. :AL T
TYPE OF USE. . . : IND
OCCUPANCY GRP. :B;2
OCCUPANCY L.DAD; I I I
TENANT HAME. . . iFLIR SYSTEMS 1140
Remarks : Add, dple+e :.!nd flr interior walls for Flir SystemT leacKe -,pace.
Own er t
PACIFIC REALTY Assoc
1115 SW SEQU01A PKWAV
SPITE 21PCI
TIGARD OR 'YiL-:.,(2l+
Phune #-
contr-Actor.
H. L. GREEN COMPANY, ThIC.
15115 SW t)'E-TJUOIA PARKWAY, SUITE 200
1'1644RU (M 97224-7131
Phoiisi Ot 6L.:4-7717
Reg 0. . 1 41128
OculArjency of the above referenced building is hereby given, and ce-tifie :
the compliance with the State Of Oregon Specialty Codes fsw the Vollp,
OUC.lkirf, ncy, -411d ue/lklndv , which the referenced per-mit was
& L I --l-I. 1 11
F IRE DEPARIMi-W -.r)lNr, Ni JOR
EAU I V)I 1,1c f I C I At
POST IN CONSPICUOU9 F-I A(-,E
W1 W1
ism Eq---
1
INSPECTI7N
City of Tigard ;3uildiag DePartwOnt
13125 9w Ball Blvd. Tigard. Oregon 97
223
Inspection Line (Rec-O-Phone): 639-4175 Business Phan 39-4171
Inspection: —
Pouting
Plbc. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Gag Line FINALS
Post/F1eam 3kruct. San. Sewer
Framing -Bldg.
Poet/Becua Mach. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line GYP• Bd.
Times
DAte Rnquesteds [
Address:_
C.� Arms +s
Builder:
TBE FOLLOWING OOTR MOR8 AM F-W' "'
-- Date:
Innpector�/Pp
-
OVSD DISAPPROVED - APPROVFn SUBJECT TO ABOVE
Cal'. For Reinsp.
WEI
EA
Im( u..CTION NOTxcE �.
city of '•fu urn: Building Departreent
'k ii25871 Ball ,stl�d- Tigard, Oregon 97223
Inspection Line ;pec-O-Phoneys 639-4175 Businevs Phone: 639-4171
Inar+e'�tion=------- ----- -- ----.--
rooting Plbg• Underelab Moch. Rough-in AFpr/Sdvlk
Found. PLbg. Top Out
Gas Linn ( FINAL:
2ostim P.caminBea5truct. San. Sewer 9 -Bldg.
Poet/Beam Meeh. linin Drain
Insulation -Plumb.
Flbq. Underfloor Wn`_ai Line nYP• Bd.
-Rech.
—Time: PM
Date Recp:ested:__, I 7
c LPeimit 0: PrP
Address:
Builder:
TiIE pOLLOWIN4 coRRECfIONS ARL► REQUIRED:
i
]nspac�t.or: ------ Dstse��._
APPROVED DISAPPROVED -_ APPROVED SUBJECT TO ABOVE
:all por Rsinrp.
ELAW NAME,
6U�
INSPEI,'T�M-KATICE
City of Tigard Building DvPar'Ya"at
137^5 661 Ball Blvd. Tigard, Orogoo 972
Inspection Li •- Rec-0-10hone): 639•4175 Business 3 4171
Inspection: --- —
Footing Plbg. Onderslab Mach. Rouqh-in j Appr/RVwlk
Found. Pl.bq. Top Out �' Gas Line FINALS
Prat/Beam Struct. San. S6*Mr Framing -814q.
Post/Ream Hersh. Rain Drain Insulation -Plumb.
:Ilbq. [Inderfloor Water Line Gyp. So. -Misch.
Date Hegueeted: /✓- -17�/ Times
Address:1�9�ns /`_� /1Cy _f>swrmit#s��!
THE FOJAAMING CORRECTIONS ARE REQUIRED:
1
a
Inspector: - �- Dat e:�
A ROVED DISAPPROVED APPROVED RUBJECT TO ABM
Call For Reinap.
CITY OF T1 (aTkYWA�
DEVELOPMENT DEPARTMENT
Ct'JMMUN�TY R7 , (503,6394175
- --
13125 SW HOW Blvd. P.o.Sf0 23'x7,�fl`i07221 _- BU 1 LD 1 Nb PERMIT
BLIP9 1-02
PERMIT #. . . . . .
639-4171 ,TATE I7�UF_D: 09/17/91
PARCEL: ='C 1 1?AB-211,::1211
r 16505 SW 72ND AVE ZONING: 1-"F'
SITE: F•iDDf'tGc.��•
:ijb )IVISION. . . . :
LOT. . . . . . . . . . . . . :
--!_ ___._.__._.-_.__...__-•-
EXTERIOR WALL CONSTRIJCTTQN-
F=LOOR AREAS-------__5f N: S: E.: W:
I?F_ISSUE: FIRST. . . . : r'1
f"LASS OF WORK. -ALT SECf.]ND. . . :E3"79c_ sf PROTECT UF'FNINE: _-�-W."
I YPE OF USE, I hJD s f N: g: E
THIRD. . . . : r ROOF (�ONST:13 F'I RE F?ET?:Y
rYPE OF CONST, :3N 1"Ul"A! - - -" ; 879 f
OCCUPANCY GRP. :B2 BASEMENT. : S APEA SEP- RATED:
OCCUPANCY LOAD: 1 1 1 f;ARf• MEN . : 5f O(:CU SEP. RATED:
aTOR. : IlT• : 8 ft RECIUJ.RED- -- -
., : REWD �iF.TgACKS _____ r �,MUN. DET.
BES)M'f" :N ME"L7. N pt RGH'f; ft FIP. SPKL:Y
ft FIR ALRM:Y HNDIC:P ACC:`r
FLOOR LOAD. . . . :5� pr'f F'RNT: f•t REAR: F'AF?KING:
DWELLING UNITS: PRO CQRR:N
L�WEL : BATHS: IMP SURFACE:
VALUE. $ : 191200 sterna se spare.
Rema,.r ks : Add, delete 2nd flr^ interior walls' for- Flir Sy +-µ _ --W- -»
FEES -
Owner-: _ _ __-- -- _ __ _ _.._ ...__.._..- ....._ ... ... _.__._-- type amol_mt by date
F'AL I F I C REALTY PE;5OC F-'RMT 41 134. 50 JLH 4.'19/17/91
15115 �W r,EG1UQIA F'F<WAY r'LCK F A7. 4:5 JLH 0E1/3O/91 :-169Oc
SUITE �-' FIRE 1, 5:�. F.�O JLH 08/30/91 2169Oc
TIGARD OR 97224 SPCT ! 6. 73 JLH 09/ 17191 -
111011e *:
H. L. GREEN COMPANY, INC.
15115 SW CSE Q O I A PARKWAY, Sl_I I TE c'O121
I'I 6pRI? OR 97224-7131 f -- 282. 46 TOTAL
r,hone #: 1524-7717
F?e q #. . : .41326 ------- REGU t RED I NSF'ECT 1 ONS
Framinq Insp _--_----
This perait is issued sab}ect to the regulations contained it the Board Insp �_-- ------ --� "
Tigard Municipal Code, State of Ore. Specialty Codes and all other Susp Cei lnq Insp
applticable laws. All work will be done in Accordance with Fir^e Alarm Insp .-
Approved plans. This permit will erp►re if work is not starteG Final Inspectionwithin 180 days of is4uance, or if work is suspended for yr a
than 180 days.
4�;p
F'ermitt;ee 5iyn��t�sre71
�ssr_red Dy : "G�
Call for In ;pest io'l — 6 5ra-4175
a i
I;' � ✓ i
ja�
I1'Y OF- T I GARD — RF.CE:I F'T OF PAYMENT REC E I pT fdQ. :9] -c'17499
C
r;NF'CK AMOUNT" 141. 23
CASH AMUUhJl" . 00 I
NAME s PACIFIC REALTY ASSOC: } PAYMENT DATE 09/17/91
ADDRESS, s 151. j5 Sid SEULJCI I A PK.WAY SUBDIVISION �
SUITE L-00
1 I GAR01 OR 97224---
F'LIRF'C1vE OF PAYMENT
AMCII it PAID I'
PURPOSE OF PAYMENT FaMCIuNT PAID
_.._.__.
6. 73
BUIL- ) PER
BUILDING PERM1..34. rW `yT,
I
FL-IR SYSTEMS 16505 SW 72ND AVE
_,
'i UT Fll.. Alf iIIINT t••A I n _" 141. :'3 '
i
r
■r
T,r1
CITY OF TI ARD
OREGON
September 6, 1991
John H. Romish, Architect
2216 S.E. 24th Avenue
Portland, OR 97214
Projects Flir Systems, BUP91-0237
16505 SW 72nd Avenue
Dear Mr. Romish:
The plans for this pr(-)jec_ . were reviewed for conformity with applicable
codes, and are approved, subject to receiving plans for any changes to the
automatic sprinkler or mechanical systems.
I
The building permit for this project. may be obtained at any time. If you
have cpiesti.ons, or if we may be of ra8.31stance, please contact us.
Sincerely,
im Jaqua/
Plans Examiner
FAX (503) 684-7297
C
1 '
13125 SW Hall Blvd,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 ---
--- --�
CITY (IF TtGARD RECEIPT OF I'AYML'Nl' PF-'CE I PT NO, ;91-PI6902
CHECK AMOUNT 141. 23
NAMCASH AMOUNT 0. 00E ROMTSH, JOHN H. PAYMENT DATE 08/30,191
ADDRE5S 2el(, 93E 24111 AVENUE SUB01YISION
PORTLAND, OR 9'7214- 16505 SW 72ND AVE.
I.
PURPOSE OF PAYMENT AMOUNT POT D PURPOSE Or PAYMF-Nf AMOUNT PA I D
87. 43 111ALOTIN VAL.L
TOTAL AMOUNT PAID 14 t 23
KWIWIN
f
INSPECTION NOTICE
Ciiy of Tiga'd Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection �} -
9 ? T �_ Time A.M. __P.M.
Date Requested
Address Permit
��� _
Owner_
Lot # ----
The following '3uilding Code deficiencies are reciuired to bt corrected:
i
i
Presented to '{ Approved
Disapproved
Impactor 7� --- -
Date I_- '
CALL JR REINSPECTION
[7 YES ❑ NO
i
I
4
C17YOF T'FARD DUILDING PER1III*T' -----'
Cffy(X)FTRD #. . . . . . . .. BUP90-0243
COMMUNITY DEVELOPMEW DEPARTMENT ORACIONWAPRIVI. PERNIT #.. .-, PUP90 0 2 4 3
13126 SW HrJ1 BIvd. P.O.Box 2-3397,Tigerd,Oregon 97223(603)BN-4174 DPTE ISSUED: 06/22/9C-)
.1J.",505 SW 12IqD "UDC'.. F PARCEL: .?S113AB-01201
S U B D IV T 510 N ZONING: I P
FILOCIN.
R E I S S U L FLOOR E--X`T'LRIUR WALL ('ONS*TRUCTION—
[:L(ISS OF' WOF'%K,. .-AI T F IRS'F. :2662 s f 11-. S., W
'TYPE OF USE. . . : IND SE-Cr)ND. - Sf 1---'ROTEC,—T'
OF' CONS'I*. -.311 'THIRD. Sf ISI: S.-
OCCUPAN(,Y GRP., :142 0 I'A L--------- 266P oaf ROOF' CONST FIRE RET':"-.
O(XUPONCY LOOD.25 DPSEMENI'. : Sf AREA SEP. RA*rLD.-
5 1'0 R. 2 H T. -28 ft GARAGE. . . : S f C)C(*,U SEP. RATED:
P S 117--, 14 IIIEZZ?.N RECTI) REQUIRED
FLOOR LOAD. . . . '. 125 psf L EF'T ft R G H T: ft F,IR Sf."KL.-Y SI1OK DET. . Y
DWLLL.JN(3 UNI:"(*S.- F'F<NI'« ft RE(-IR-. ft FIR f)LRM-N I1NDfCI, OCC',,.Y
13 E 1)R III S- B A I H':-)" MP SURF'OLE.- PRO (:F)F%`R:Y PORK11,10:
V A L U L-*.. $ 36100 P)
Adel, delete, ivite-ric)r walls; fr)-r F'.'I.i.r Systems lease spac-'e.
OW1.10-r: FEES
REALTY PSSOCIA'TES type Anlot.11-It by date recpl.
V,(I Y M 202.. 65 JLH 08/07/90 2034.314
P R 11 T $ 1.93. 00
PL C K t 1.25. 45
1i '77. 20
9. 65
C c)ri t r a c t,-r r I..(I Y 11 $ 202. 6115 J I 1-1 08/00/90
H. L. GREEN 1,01"IP(INY, INC.
111. SW F'IF*7'1.4 (WENUE, SUITCH. 2960
PORTL r)Nr, JR 97204
1,-11-1011e #-. 221-0020 405. 30 TOTAL
Req 0. . -. 41328
REQUIRED INSVIEL'TIONS
This permit is issued subject to the regulations contained in the Slab Irisp
Tigard Municipal Code. State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire !f work is not started Gyp Pc)a-rd Ivisp
within IPA days of issuance. or if work ?s suspended for more SLtc;p Lei .Inq Irisp
than 180 days. 1�,inal lllspecti�1-1
UIP-riiii.ttee Sigriatt.trel
1�
...............
Ts"k.ted By:
-C- -f- -a r. -itispe•ctinti- 839--4115
ME( H P N I
1: F:R MT J,
0YYOF TIFA RD 01YOFTWARD PERITITT' 0. 111 E C90-0164
OR
COMMUNITY DEVELOPMENT DEPARTMENT EQKAIPR'I'M. R III IT B L)P 9 0---0 24 3
13126 SW FIWI Blvd. P.O.Bcx 23397,'figarC.OroW)n 9-223 fM3)639-4175 C-�177 DATE ISSUED: 08/22/90
SITE (-1DD12ES5., -- :; SW *7Z?ND AVI:--'. #EAI)G. F PARCEL: 261.13AD---01201
ZONING: 1-P
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . .
C.LriSS OF WORK. . :ALT F*L90R F-URN. . EVAP COOLERS:
TYPE* OF* USE : IND UNIT HEATERS,
RS. . . VENT F*ANS. . . :2
0 C C 1.)P,A 14 CI y GRP. . -E4 2 V E N T 113 W 0 P F,L VENT SYSTEMS::
5 TO R!E*S. . . . . . . . .2 1401LE.RS/COMf:,REc�SOI'*k'S HOODS). . . . . . . .
I-'LJEL TYI-I.-*--S---------------,------------- 0-••3 HF . . DOMES. INCIN.,
-/GAS/ 3•- 1It, VIP. I. COMPIL. INCIN:
MAX INPLIT:75000 BTU 15 30 14".
F'IRE DAMPERS?. . -N 30----50 HC'. . WOOD S1 OVES. .
G A S P R ES S U R E. . 50+ HP. .. CL.O DRYERS). .
NO. OF AIR HAHl)L..11NICJ UN] ffii OTHER UNI,rs.
TURN ( 100K BTU: (= 10000 CfnI-. CTAS 0 UTI ET S
F*LJF*<N )-,::IOOK FYrIJ: > 1.0000 (�fm-.
;-<Pmarksi,: Add, d(-Iete ii-iterior walls for F-lir Systems leli�.se space.
Owner: FEES
OSI HEATING AND AIR-CONDIT—:)NG type a III o t.k)-I t by date -r C-C 1:)t
PRM T $ ;:3 ;. 00
5 P C,T $ 1. 75
0: 11 AY 11 $ 4'.`;. 'x;0 JI 08/;:)0/90
Coritravtor:
H. L . GREEN COMPANY, INC.
III SW FIFTH AVENUE:, SUITE 2960
PIORT*LAND OR W204
Phone 221-0020 $ 45. 50 TOTAL
Rr-q #. 41328
REOUIRED INSPECTIONS
This persit is issued 5ub'vect to the regulations contained in thF, Gas Line Irisp .........
Tigard Municipal Code, State of Ore. Specialty Codes ana all other Mechanical II-Isp
applicable laws. All work will be done in accordance with Heating Urit Iiisr.)
approved Plans. This persit will expire if work is not started Cool ii-ir
4 Wit li-mr)
within 180 days of issuance, or if work. is suspended for sort Duct Irisr)e(:t:iori
than 180 days, Final J.nsF)ertioii
.................................
...........
lssmeul Byl
Call for irispecti.oii 639 4115
OF I-IGA.pp PE(--EIPT 13F' pAYjjEtJT RECEIVPT NO,
CHEC - AMOUN'T 4,4 E;
CASH AMOUNT
I JAM tiL Gj P E E 11 PAYMENT DATE 2
,oDPESS s U rl D I V I S,10 H
POPTLAND. OP ;7:.t')4—
r%iJFIP0SE OF F-wellENT AVOUNT PAID Pj.IPP0-.iE OF' P-AYMENT At-i()Ijr,IT PAID
— —7 MEC
16 4
FtlitL.D.tt1G
r'ERM P-iPPO t PE
40 Ft.AN CHECV. FE
r5l . BUILD PEP
rLIP SYSTEMS 1&5c,I5
.)W 74NE) AVE
TnTAL AMOLIJI PAID 4 ri P!,
OF PAYMF�-,w- F�,.ECUJPT HO.
- TTY OF TIGARD
cHrXV AMOLINI 2.)::. lt-�t
CASH AMOUNT
IJAHE = Porl I Si.l. JnHN pj),(rJEt-r DATE
0 F,E:')S SE 4TH AVE
SUbr., S.1 ON
4
F.,Opjj,_Aj,4D. Op 97x.N
Pl.,W(POE-iE OF pAl./MErIT AMOUNT PAID P1.)PPOSE OF PAID
t'25. 45 TUALATIN VALL
FE
r-14C,jRUST
rOTAI- All..)UHT
s
v
TUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
4755 S.W. Griffith Drive• P.O. Box 4755 • Beavaton, OR 97076• (503) 526-2469• FAX 526-298
August 6, 1990
john H. Romish Architect
2216 S.E. 24th
Portland, Oregon 97121
Re: Flir Systems
16505 S.W. 72nd Avenue
Tigard, Oregon
62908-123-000
Gentlemt .
This i, a Fire and Life Safety Plan Review and is based on the
1988 editions of the Fire. and Life Safety Code (UBC) ,
Mechanical Fire and Life Safety Code iUMC) , Uniform Fire Code
(UFC) , and other local ordinances and regulations.
Floor design plans and mechanical plans are approved as
submitted.
1 App,•oyed Plans on Job Site: One set of approved plans
bearing the scamps of the building denzrtment issuing
the construction permit and this office must be
maintained on the project site throughout all phases of
constructi., s^d must be made available to building and
fire inspectors for reference dur. required
construction inspections. UBC Sec. 303
2 . Req11ii. 2d Occu anc Certificate_ Prior to the use and
occ-upancy of the project (space) , a certificate of
occ ,fancy or ether written i�—trument of approval mus
be c.btaineo i:om the building department isnuing the
construction permit . UBC Sec. 307
3 . Automatic Sprinkler Plans: Plans referred to and
examined by this office contain no provisions for the
alteration or installation of automatic sprinkler
,system. Not less than three sets of plans for the
installation shall be submitted to this office for
approval prior to installation. UBC 302 (b)
"N'nrking"Smoke Detectors bavr Lives
John H. Romish Architect
August 6, 1990
Page 2
If I can be of any further assistance to you, please feel free
to contact me at 526--2502.
Sincet cl y,
Gene Bi.rchill
Deputy Fire Marshal
GH:kw
cc: Tigard Building Department ✓
H.L. Green
111 S.W. 5th Avenue, Suite 2960
Portland, Oregon 97204
Pac.trust
Ili S.W. 5th Avenue, Suite 2950
Portland, Oregon 97204
A.S.I.
13930 S.W. T.V. Hwy. , #3
Beaverton, Oregon 97005
i
N
'+ ""'*.�.„;.�r��l•� �'. 'r y° ��� ro„ �(�.��
tll 1d .� �.R *• il ikyal/jji tylliy: ,,uUb N'ja¢ dW:«. y
a1 u'N''�n t11
, 1r��
'F�`y�
'►�i ,,, '� ;r r� rnt ,- ��'� .,���rl J�11i1�•c �(1•��a�!drL;��l; �f1, .tr �,,.,.�r,dil� ` .v� .. q r �,c;
1 b t..r...
OF OCC'
T ,
,,��.,. CER
CITY OF TIGARD
'►�'' OREGON
1��II)p 11' F axl!
owner: Pactrust Permit No. E90472111 SW Fifth Ave., Portland, OR 97204 Suite 295C I y.
` ® Address:_ -)`
. Building Address: 16505 SW 72nd Avenue s ;)
Occupant}': B2 Land Use Zane: Bldg. Type_i I IN
Commii Tenant Mod; Flir, Systems
as
Certificate is hereby given this 29—day of _,Tune 19 89 P •,,�� r �,
/` I that saki building may be occupied "nd that it complies with all o j
J r the Cit of Tigard, as approved
requirements of the BuildinaCode fo
.�� ;, +Nt
by the Tigard City
,; {
re Dept. Building Inspector y
�iuilding OCClclall
Post Certificate in Conspicuous Place
A Y41i���,M1� '�Ilt 1111 �:'�II� � .� /�%1�'�k� .�'� Cww / i'._ 7�r����1r}� 'Y^4 ,�'ll� �r'' ��,•
INSPECTION NOTICE esu
/ City of Tigard Building Department
P.O. Box 23397
Tige rd, Oregon 97223
Type of Inspection
Date Requeste-I �� Time A.M. P.M.
Address __ Per
Owner Lot # `'—
��' �� � sem.
Builder_. 7
The following Building deficiencies are required to bbe�correcoo
�lels♦elel
_ on a
i
Afi !F76 37 Iva 2 2""
Presented to &Appmved
Inspector _ ❑ Diappows
Date
CAL P0,,X REINSPECTION
❑ YES ❑ NO
s �
TUALATIN VALLEY
dor
FIRE and RESCUE
FIRE MARSHALS OFFICE
(503) 526-2469 POSTED:
OCCUPANT
BLDG. PERMIT
CONTRACTOR
PLAN REVIEW it
PROJECT NAME
LOCATION
JURISDICIION: 1= Be. 2- Du, 3= R.CL._ T1� `,-; Tu. 6= Sh• 7= Wi• 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FO'-TOW--UP/REINSPECTION ATTEMPTED FINAL
❑ Framing
❑ Separation Walls ❑ sfrinkler System
❑ Shaft ❑ Fire Dampers (Overhead/Underground)
•r—� Alarm System El Hood' Extng Systems ElCont-reace
L_.J
❑ Spray Booth
❑ Ceiling Corer ❑ Other__ _
Date, Inspector.
A
.;:.�.�ipri•^w,�,yrn..M�T�yp.y."tttN`ia41�°`i�Mtn"!UMAN►ri.'�ws'Hh!"'A�•'e►`y"`..�M'rM�r,",'C.f'717'�k.w�.•i.w.ra,cMi�f+�11J�wv"F+i��"uf�q"',.{�4iiil�''��1�1�L �4�"�"''Wr'.•.
CONSOLIDATED FIRE AND RESCUE
®®&RA
CityWashingtDnBeau County Fire par". t nt t
City of Beaverton Fire Depar"nent
lob
Tualatin Fire District
FIRE MARSHALS OFFICE
(503) 526-2469 POSTED:
OCCUPANT � /(
CONTRACTOR BLDG. PERMIT 0
PROJECT NAME PLAN REVIEW it
LOCATION
JURISDICTION: 1= Be. 2= Du. 3= I:.C.(/.= Ti. `5= Tu. 6= Sh. 7= Wi, 8= CC 9= WC 0= MC
(-COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
❑ Framing ❑ Separation Walls ❑ Sprinkler System
❑ Shaft ❑ Fire Dampers (Overhead/Underground)
❑ Alarm System ❑ Hood Extug Systems ❑ Conference
❑ Spray Booth ❑ Ceiling Cover ❑ Other _
— / N.. 0,V1 VC 119
FX
/-
Date:v`v — Inspector: ��
•. .. .,».... } •.. ...,,.".,..... •,.-.:i,,,,.:+:•w+rt�wY .. ._.,. fi;C;kF�++.s'.FM.JIdF.+�"'.. ,,,. .�. _�.., , .. . �}
CONSOLIDATED FIRE AND RESCUE
Washington County Fire partD!strlct 1
CIN of Beaverton Fire Department
Tualatln Fire District
FIRE MARSHALS OFFICE
(503) 526-2469 POSTw
OCCUPANT
CONTRACTOR BLDG, PERMIT 0
PROJECT NAME _ PLAN Rt VIEW 4k
LOCATION
JURISDICTION: 1= Be. 2= Du,-3= K.C. 4= Ti. 5= Tu. 6= Sh. 7= Wi. 8= CC 9= fw^ 0= MC
COVER FINAL SPECIAI. FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
❑ Framing ❑ Separation Walls ❑ Sprinkler System
❑ Shaft ❑ Fire Dampers (OverheadJUndergrouad)
❑ Alarm System ❑ Hood Extug Systems ❑ Conference
El Spray Booth ❑ Ceiling Cover ❑ Other-
Date; Inspector
� r
-... i:.,,. --,a•.c.: ".S�'.j�+u-.7Ft:.[�:�yQ,�(gT�'*"[i'FLS+LRi �+%i.4«+�j42'•fYTe�iA1'.uF�i.?t:.'Ji�!v'Fr?�'"r''+jr'tTJ"':v'�^.�'7"�r:1�M�R:rii�+".v.i��irit'•�"'..Y_i;- _.__..:
®®� CONSOLIDATED FIRE AND RESCUE
Washington County Fire District No. 1
o uof Beaverton Fire Depertrn^nt
Tuafatln Fire District
FIRE MARSHALS OFFICE
(503) 526-2469 POSTED:
OCCUPANT
CONTRACTOR BLDG. PERMIT it
PROJECT NAME PLAN REVIEW
/ 91
LOCATION t�S-3
Iler
JURISDICTION: 1= Be, 2= Du, 3= I-0 4= Til 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
AVER ) FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
Framing ❑ Separation Walls ❑ Sprinkler System
❑ Shaft ❑ Fire Dampers (Overhead/Underground)
❑ Alarm Sy.;tem ❑ Hood' Extng Systems U Confere,tce
❑ Spray Booth ❑ Ceiling Cover ❑ Other
Date: Inspector:
f
PLU�b I: T: M1: ><'MBING Pl'- MXT
No . PAL.C..190,e.1130
CTY OF TI GM RD 'iiy0FTWA1tD
OlFOOM
COMMUNITY DEVELOPMENT DEPARTMENT \c
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175
P NO
I()I-i ADIN41ESc2ND AVE'
i.c:)505 Sw 7
(IX MAI- I 1 0 1
(-iNl) UGL:
1A
.1.10NIPAP
W A- A.A)SET
1`310-1–OW 1:)I.'4VNT*I:l
TYF-11:;' . 1NUMTRIA1 'TRAP P11:41ME4,11
AVOPA1
1.11 N I. TRAVIG
t .rA A JI:*1 rkm SHOWE'.11:1
!:.11-11WASI-11.* Fa
R WASI-4:11 NG MAt'.1-11NE,
LAUNDRY WAY
iJN1
L)WIMa.
5 31 N K iii tiANEER (F-11
0 Pi:�HIMILT
W
N
E
R 'TAX
C
0 ON46:N D E.A N
N
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R I.IiL 1 :31 11
A
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T 11)0:4) 3e ••./11 r5 t.*" 6 6 0 . 'r2 6
0
Pi')I VON NO 1.
NC). q
ti
This permit is issued subject to the regulations contained in Title 14 ...........................
of the TMC. State of Oregon Specialty Codes,zoning regulations INSPEC1 1.(.)Nc)
and all other applicable codes and ordinances, and it is hereby
UNDEAVA-Arl
agreed that the work will be done in accordance with the plans an
specifications and in compliance with all applicable codes and it it .11 - 'I N
ordinerceq The issuance of this permit does not waive restrictive I()I 1 1111
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 Jays any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Pprmittee Signature
19411ed By W- r—1"P11 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
0
I'.U.wx
�hU Mill
CITY O TIGARD PLUMBING Ti�P 97223
Applicanh must hold Oregon Registration 10 conduct a plumbing PERMIT 639-4175
business a must be property owner/Operator not hiring outside help. , j / C /
an
Ne d Oe"IWI M Plumbing Permit No. (J�'
Description AMT
Address i/•.' ORS 514-21410 DUAN. PRICE -
Job -f a—x 1.01 Map.N0.
AddrKsa FIXTURES 7.50 '
lot ptr� Srbdivlelon Sink -
7.50
arne 0r narrA7o siness UVaIOry -
Tub Or TublSfrower Comb 7.50
�Mailfel AW853 Shower Only - ---- - - -
W11erClosel
Owner / tate
Zip -- 7 50 -_
Dishwasher __ _ -- - - --
PhD" Garbage Disposal 750
Washing Machine -- - _7 -
750
Nwmw Floor Dram
_ --- -- - — - 7 50
phone Water Heater
armg ress _ �..---- -- -- .50
Laundry Room Tray _ -.-- -7-1 --750
--.- - -
OLcupant CRY/StaleZip Urinal
�- ame a
Other Fixtures(Specify) ISO
-
_ 7.50 /
ria- �rN� -_ ci
50
ress Pfsone f u'••5/r _ --- 7 - --
/// j� y� y _ - ----- Iso
(;orttrector C"yfIe aD —
�,���ru0! „,. �,,, /,2;k ;- MISCELLANEOUS
1000
�y PAn Tax No Sauna to 100' _-- --- - --
., ----- 15.00
' SRne►ea Add" 100-me—to, s. o le u ers s is --- 2000
( (Re1rAe►rllel)� ,� �i _ Wslsr Ssrvtos 1 rr 100 - - _-- -- --- -
III 15.00
thio!Mse Inlorrr►atlon Wafer Service ea.Addit��
I hereby wr'knorHw►ka Mtat I have read M+is appYcrMan. .tam a p�Drain tet.1 p)' 30 00
given is coned•Mtat l am reVellorod wNh Me State IkAdar1 Board•and also !' --. I S 00
neve•State PMarrt*v Sow**Mut Mss rxxrbers given are coned.Mut an Sturm&R•1n Desin Add" 100' - -_--15 --
ptupr,** work WA be done In a000rdence with appaoabb t�on1 d Ore• - 2500
gon Revised SWUA"Chapters 447 and 699 end apolcabis codes end that Mobile Home Space
no help wallbs emplWed unless Nc,areed txrds►ORS 809. In exertrpt from Badr Flow Provo vhw
State mostrallon,plsaM"mason bellow) Oevloe a Aird-Pollution Oevrdr T 50
HOMtEOWNERS -1 Isareby CallMfd I em 0%owner of to property,de' -
so bed above,is will Irxaeon 1 pfOpaM b metra a pks ��0^ Any Trap or Waste 750
Is not heliv oone ruclied for sob.lsaae a rent Gonnerawd b•Fixlwe --� _-.- ----- -
rrry roan use wd MrM property Cn1dr Basler -------�----- __. 7'0 ---
--- — trop.of Exist Pwxnbing _ - 40 00 Per H
_ - 40 d0 Per He
-- -- Specially ReWAs"d InapOC1111 l -
j6me o1►"4v"v whit^ I 15.00 min
-- —_ an ExilNnp -
_ - reeve" or Bund.Addleon
RUTH IZED 10 - Das
,.-•�; i '¢i'��,.�- � �5 15.cTJ
Oeacribe work new Q sddititxr� sMe►etlon(� rsoNl C] dvP1117LJ _ �. -- -_"
bfs bone____ rneldentlal[-L nOrt'n» e1 --- _-- -
Ftdetktp use W.WTOTAL
bud*v or pr"rt1 ''.'�`' �" -- _- --- - _ UNC!
Pfqppw
bt�l any
lsarnlA OeflomM rtutl artd wld f warn of oo m*Uc*m aUM+ w S 11 m corn
rrtenoed"am AO Mye,w■or•elni~or want fa Mrpe1'rMd^' !>andv
sad Icr
a t'ssfsM d 160 Aaye r any ansa t1111r wonr M 0errvrbnaed
DttAe Met»r1 _
' r
CrfIFICASIE OF OCCUPA-NCY
CITY OF TIGARD
OREGON
Owner: Pactrust Permit No._ 5617
Address: c
Building Address: 16535 SW 72nd, Bldg. F Crystal Specialties
' .0
Occupancy: 82 band Use Zone:1P Bldg. Type 5N 1,
Comments:
e•
December 85
Certificate is hereby given this-----day of
that said building may be occupied and that it complies with all
requirements of the Building Code for the City of•Tigard, as approved
by the Tigard City Council.
Fire Dept. Buuding Inspector 1
r
Building Official
Poet Certificate in Conspicuous Place r.
)n' Fr ;
MWER
i
INSPECTION NOTICE
iKA l
City of Tigard Building Department
12420 S.W. Main Sr
Tigard,Oregon 97223 ^�
Phone: 639-4171
Type of Inspection
Date Requested_ �– ��j ne _A.M. //P.N..
Address __ c 24<) /s�7 _� Permit #5zlz—_,_
Owner ,ate _-- --. Lot #
Bijilder
The following Building Code deficiencies are required to be corrected:
Presented to -__ —_— _ ❑ Approved
I
Inspector Disapproved
Date _.
CALL FOR REINSPECTION
❑ YES ❑ NO
MW
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection ��-
/r� �
Late RequestedTime .— A.M. MP. .
!-�' M
1&5 3`� J + Permit #-
Address - -
Lot
Owner
..� _ #—— — --_
Builder 'Sd
The following Building Code deficiencies arN required to be corrected:
- - -
Presented to Approved
Disapproved
Inspector
Date __ L --
CALLFOR REINSPECTION
YES C❑ NO
i
5EI17
BILDING PERMIT APPLICAI ION TIGARU DATE ---. _ 19 --
]HE UNDERSIGNED Ht'IEBY APPLIES r )R A PERMIT FOR 1 HE WORK HEREIN INDICA)ED BUILDER
PH NEE
PHO
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL<."IS AND SPEC LOT ER
OWNER ?aGTnWt JOBADDRESS 16535 Sid 72ad blur,. i --
_ --- - — - _ ARCHITECT bruu 41oreland (2ZZ-5757)
ENGINEER
1'ostlaad, OR 97204 DESIGNER Christopher Arch
BUILDER ADDRESS -- ---
STRUCTURE ❑ NEW FA REMODEL ❑ ADDITION_ ❑ REPAIR — n RENEWAL-_ ❑ FIRE DAMAGE ❑ DEMOLITION
_❑ RESIDENCI: C3COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
L�2_,LAND USE ZONE I1? BLDG.TYPE 5N FIRE ZONE__-PLAN CHECK BY EPw HEAT
OCCUPANCY _ -
,ge,meent swadifieation all per appraved Plana and Code hleyuirement®
_ Subject to Fire Dart. Reg. in LaL area. c:ry>atal Specill.L
Mise Sprinklered & to be maintained _
SEWER PERMIT# 28563 (6 UU) _ - '45,C�00
OCC.LOAD FLOOR LOAD 4U HEIGHT 20++ NO.STORIES 1 AREA 23,50%0.BEDROOMS VALUE �• _
BUILDING DEPARTMENT SET BACKS FRONT SEL REAR Y1,A,4 LEFT SIDE RIGHT SIDE
Permit _ 19y•5U 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 517.(l8 PAIU WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICP.TIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
3111.20 PtIl1) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRE14T CITY BUSINESS
?1.82 LWgNSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State tax SDC-
Total 1662.60 -
PCN APPLICANI OR AGENT
!T-
By
Receipt No -
-_--- 7�f v ADL`gESS. PHOM
Approved
1,
I
PLUMDING REMARKS
DATE
DATE INSP.� TYIF INSPECTION R -- -
C..nvractor �/ _-25-95
A Pert No. -3�
mi ---.
--------- _ Fixture �A_
---- ----- - Final
_ -- - - -- HEATING C
--- --- _- __.---- -- Contractors _ C
- - -- - ----- - Permit No- V 17 --
---- -� Gas or Oil
-- -. —_--__ .--- ------ I Rough-in - ---
j -- ---_— ---- ----._- Final - - _-.- ---
---..- I -- SEWER
_--.- -- Final -- --- -
_ DRIVEWAY
Final
- -- -'- - Storm Drainage_— ---
_. ._- ---- (Rein Drain) Final -_ -
- Sidewalk
`- Curb&Street Final
-- -— Approach - --- I
--T- CERTIFICATE OCCUPANCY
W-DG. LL.-r rINAL TFMPORARY - Fine
RTIF'rCATE OCCUPANCY
Lund+ceping
1 Zan rg Final
I
I
WUMFm
- 5451.
Z%ILLNG PERMIT Ar'PLI .ATICIN TIGARD DATE---,��''--�4-----�13_ -
1 HE UNDERSIGNED HEREBY,APPLIES FOR A ^�.NM�T FOR THE WORK HEREIN INDICATED OWNER PHONE BUILDER F
OR AS SHO, N AND APPROVIED IN THE ACCOMPANYING PLAN. AND SPECIFICATIONS. LOT ER - - - -— -
JOBADDRESS 16505 SW 72od Bld;{• F _ -- -----
OWNER 1'AC Tr UBC �_____� — ARCHITECT
ENGINEER
DESIGNER _-
BUILDER Fir ,i ,'rji_.Camt�.Zn� ADDRESS -- - - - -
STRUCTURE _ El NEW'�El REMODEL ❑-ADDITION ❑ REPAIR ❑ RENEWAL_ ElFIRE DAMAGE 0 DEMOLITION
O RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Ll GARAGE ❑ �iTORAGE L7 SLAB❑ FENCE
_ _ _ ETbI HEAT
OCCUPANCY � _r LAND USE ZONE �"Z BLDG.TYPE- FIRE ZONE,._PLAN CHECK BY —�--
-- Metall 'Are 5p—ris>.lcleY S1+ to pli par approved I+lans aid Tualatia Fitt -------- - -
i�rt±pa�rtm-nt Re titq irenwats. ---
SEWER PERMIT M - VALUE I,JUU.
HEIGHT :iii N0.STORIES 2 AREA NO.BEDROOMS _
OCC.LOAD _FLOOR LOAD ____ - J RIGHT SIDE
BUILDING_DEPA_RTMENT SETBACKS FRONT _REAR! LEFT SIDE _
Permit
17.50 THIS PERMIT S AINSUAELDL SUBJECT
TO THE REGULATIONS AND ORDINANCES, IN SHE BUILDING
AG COD THAT ZONING
REGU_A
E IN ACCOPDANCE WITH THE PLANS ANU SPECIFICATIONS AND INSNOTCOMPLIANCE
Plan Check WORK WILL BE DONV
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 17.50 _ RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
• 1 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
70
State Tax --- SDC _
TotalPDCN API U'2U PLICANT OR AGENT
--- --"-
liy --- G1: --- (I�� --- -- ---— --
Receipt tvu. �,� ADDRESS PHONE
Approved 1~7Id _ .J
i
Tualatin Fire District Inspection Notice
8405 S.W. Elligsen Road
1 Tualatin, Oregon 97062
Phone 682-2601
/ f % 5 .�
Building Name U ` Address
Pursuant to Section(s) of adopted codes, the following item(s) require correcting:
J t: v-t ✓
�r --Si, Sl
I
i
I
i
Date: 1 M'spector _
LL FOR REINSPECTION
OR
�_ BUILDING DEPT. _ _
5243
DING PERMIT APPLICATION IGARD DA TIE --___-- �y-
;yF i1;JDERSIGNED HEREBY APPLIES FOR PERMfT FOE,Tr1E'NORK HEREIN INDICA fED BUILDER PHONE 121-�UU2A _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER oNO PHONE
OWNER PACTRUST JOBADDRESS_ 1650"1 Ski 12ad "kVCAU ula E'" 2SCory
--- - --- ARCHITECT
1220 SW. liorrison Rm 905 ENGINEER
BUILDER H.L• Green _ ADDRESS Portland• QFI __92Q5 DESIGNER _
_STRUCTURE ❑ NEW Ll REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE IJ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
1�. fJN FIRE ZONE ""_PLAN CHECK BY ETW HEAT (:as .
OCCUPANCY _ — LAND USE ZONE BLDG.TYPE _
i.e►1taant mo,lifi.cation * g P" 2 story. All per aper mad place 6 code reyuicementl. _
AD
Fire sprinkler system to be CXtended. —
SEWER PERMIT M 2S34b - --
OCC.LOAD FLOOR LOAD 4U HEIGHT SU+- N0.STCRIES 2 AREA 19.974 NO.BEDROOMS — VALUE 199 r110U
_BUILDING DEPARTMENT SETBACKS FRONTSEL Y1 t+NS REAR4C')r !'CANS LEFT SIDE SSE k'1.At�!FIGHT SIDE
Permit 013U.5U 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 442.3.1 _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLI(' FILE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV7
'taKOR81- 272.2U RESTRICTIVE CC i. :NANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING,
State Tax 427.22 _.
l412 "l5 SDC—
Total . �_--
PDC# _PPLICMNT OR AGENT
By - - '�i, r ,,„, ,_
—� Receipt No. KESS PHONE
Approved I;TN t h j t►
i
,
,
I
DATE �INSP.J TYPE INSPECTION REMARKS PLUMBING DATE
Cc
14A
Permit No.
I A A4�
Rough-in
Fixture
Final
HEATING
Permit No
Gas or Oil
TIR'ough-in
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
---- ---[Approach
_e,�T_11 OCCUPANCY SC15iii DEFT. ln'iN, L - CERTIFj
EMPORARY [Final
7crRT,—v
1_CATE'0CCUPANCY
Landscaping
Zoning Final
ir
KheculpL Nu. L I 1 0
SEWER PERMIT N� 28348
Ufiod�f awsra�s ASency CITY OF TIGARD DATE March 6�. 1985
of Washington County
OWNER : Pactrust _ PHONE : 221-0020
OWNER' S ADDRESS: 1220 SW Morrison Portland, OR 97205 Room 905
TYPE OF INSTALLATION:
BUILDING SEWER ❑ LINE TAP AND BUILDING SEWER U LINE TAP
TYPE OF OCCUPAN"Y t
NEW ❑ EXISTING SINGLE FAMILY FilU COMMERCIAL
F1
❑ MULT . RFS. 11 INDUSTRIAL
FIXTURE UNITS _ DWELLING UNITS _ 4
ADDRESS OF STRUCTURE t 16505 SW 72nd Avenue Bldg 'Y'
Permit Conditions- The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. When calling for an inspection, please refer to the Permit Number. The Permit
expires one hundrrd twenty (120) days from the date of issuance. The total amount paid (permit
fee, connection charge, line tap fee and/or other charge) will be forfeited if the permit expires.
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer
is not located at the measurement given, the installer shall prospect three feet in all directions
from the distance given. if not so located, the installer shall purchase a "Tap and Side Sewer"
Permit at the current charge and the Agency will install a lateral.
FEESt
PERMIT FEE
CONNECTION CHARGE 4 @ 925 _ 37UO.00
LINE TAP INSTALLATIOri bis
-- ISSUED BY I
OTHER
TOTAL $ 3700.00
IDATE
APPL L I CA T
Nn110E:_._i w nA,IS FIlJM TNF
CNC llV,^1il 1aPFRMII. EWER PERMIT N" 28348
ADDRESS OF STRUCTURE —_ 1650_5SW 72nd Avenue Bldg. "F"
QUARTER
TAX MAf TAX LOT _ SFCT ION -
LOT BLOCK OF
ETW 3/6/85 __ bis 3
11185
- APPROVED (3Y - UATF ISSUED BY DATE OF ISSUVICI
D . U. ' S 4 REMARK'_ Min I pipe required. Bldg• Permit. 115243 ____
CITYOF TIGARD No. 2948
/27064LN.ASH
P.O.BOX x3397 pate
TIGARD,OR 97223
Name
Address l
Lot ^ Block/Map Subdivision/Add,ees
Perml't M's Bide. Plumb Cash Cheok
4
Sewer' 3A4 Other Other Rec. 8
Acct. No. Description r� Amount
10.432 _ Building Permit Fees
10.431.600 Plumbing Permit Fees_
10.431.601 Mechanical Permit Fees _
10-230-501 State Bldg. Tax
10.433 Plans Cileck Fee _
10-435 Other Licenses & Permits
30443 Sever Connection
30-444 Sewer Inspection
24-448 _ StreeChar I Syst. Dev. Chae
25.449.610_ Parks I Syst, Div. Charge
25.4:0-620 Parks II Syst. Dev. Charge
31-450 Storm Drainage Syst. Dev, Charge
10-430 Bus net ss Tax
10.434Alaarm Permit
10.227 � Bail
10.455- Fines -Traffic/Mild/Parking
10-230- CPTA TrefficlMisdlVic. Asst. _
104tA �v Indigent Defense
30448.401 Sewer ServicelUSA
30.446-402 Sewer Service/City
31.447_ Storm Drainage
40475 Bancroft PrIn. Pymt.
40.471 Bancroft Int. Fymt.
10.451 Ot r Charges for Services
. ,
. TOTAL _ S
.. �.;a DEPT. >>-;
t
INSPECTION NOTICE
City of Tigard Building Department i
12420 S.W. Main St.
f Tigard,Oregon 97223
Phone: 639- 171
_
I Type of Inspection 4C'
F/7
----- __
Date Requested Fi � Time __-_- A.M. P.M.
Address �/1-1757� �w' �v �- Permit #�
Owner _ Lot # _
Builder -- -- 41
The following Building Code deficiencies are require-; to be corrected:
--L- �-- -- - - ------- - - -
t
_I
Presented to _ __— V Aoproved
Inspector _ r __— U Disapproved
CALL FOR REINSPECTION
[] YES [/NO
UL
1 INSPECTION NOTICE
City of Tigard Building Department
1/ 12420 S.W. Main St.
Tigard,Oregon 97223 1
I Phone: 63rD 4171
Type of Inspection ---G
I // 7 Time A.M. P.M.
Date Requested —
Permit #
Address ��`_" �
�✓� _—_- — Lot #-- —
Owner
Builder-�
` rhe following Building Code deficiencies are ►squired to he corrected: —
_ � Approved
'?resented to — _
Cl Disapproved
Inspector
Date -- — I
CALL FOR R , NSSPECTION
❑[ 1 YES Y NO
f
ERA MR&
.0
s
BUILDING PERMIT APPLICATION TIGARD DATE ___ is �994990
'HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 221-VUZO
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA71ONS N!NER PHONE _224-634'1✓
OT
OWNER k'.4c TrUSL JOB ADDRESS _ 1005 SW 'Zi.d
ARCHITE T
ENGINEE
BUILDER Green Const. _ ADDRESS 1220 ;iori.n.g_ _ F'. DESIGNER
STRUCTURE__a NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR !_ I RENEWAL ❑ FIRE DAMAGE— ❑ DEMOLITION
F] RESIDENCE fg COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ' I CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE --L--L—BLDG.TYPE I Iii FIRE ZONE__ PLAN CHECK BY h, HEAT t+�!
Construct sir&&le story. concrete Lilt-up Structural (shell only_ —
p���0 _ All per approver! Plans and Code Requirements. U'D.C.
Ibis bldg. it►sto be fully Fire Sprinkler.
SEWER PERMIT N__ . � �� � 14?s'if
OF T_ ---
OCC.LOAD FLOOR LOAD Cone. HEIGHT 18+ —NO.STORIES I AREA 48,613 NO.BEDROOMS VALUE 626 p Oe
BUILDING DEPARTMENT SET BACKS _FRONT REAR LEFT SIDE RIGHT SIDE
Permit 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 y 1,461.2w WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 1109.20 _ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
•
State Tax tty �2- SDC— J,, t4 t•: •_�� - w.��i 3 i.jG
Total 4 696.32
-- PDCM APPLICANT OR AGENT
BY GL _
-- Receipt No. -- -
Approved XTW j ADDRESS PHONE
I
i
DATE INSP. TYPE INSPECTION RE RKS 1�61JIMBING DATE
�nA
Contri tor 4,1 W
Per,f,I No�
74ep
Rou
XI
I ixtur
Fixtur
HEA rING
Contractt)r-------
P ermit No.
r'n
Gas(,.r Oil
Flough-in
af-U11 1,4 4 Final
-5- ic,�4
J,1 -%-,
F SEWER
DRIVEWAY
Final
11or,!j Drainage
-
(Rem Oraml Final
Sidewalk
Cui b&Street
Final
Approach
-----T—C RTIFICJ6;EOCCIJP, NCI
BLDG DEPT. FINAL TEMIPOR
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final