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16670 SW 72ND AVENUE BLDG 16 7 ADDRESS: (olDD s 7� &ecordsWicroflrnVargels\building.doc e ► LF- LEGIBILITY STRIP o lllll�lllllllll�illllll11 lllUlIIllllllllllll1 2 li�liliI131lllllllll4lllllllllll!IIIII�IIIIII:Illillilll!iilllli;ilii;if� ill i; � li � i'i,' �i �i llliill�liilll �llily,lillllllill�llllllliiilli,Ililillll� 3 a g 7 6I1 018 17 le 19 20 21 22 23 24 25 26 27 28 29 30 el II OI 4 L S HOW • 108 >1.�1�1ll�l1�1.1�1�1.► . ►u1.t1��1�111�1�111�111U.�1t.� Ilt �1a�11�►1a�.�1�J 1,11J ,11Jill u1 '�.;,ulj-1 �l�.l�_I.�I.> > a.1�1� �►11.1.a.1 �1�.1.����1�i�1.� �I�I�Ia�I��1.i1�.1.>11 oa25X ' ... .. .� -�. ., .. r",w4&-, FEL A�E�.'f^w.A„iM!' +��. .. - r'! - nrJ - .._ . �'1Mw.'e9M17�'ay'fa/f7lliK� 'pdM�1M14Y1�1r1Mprpw.l�+MpA1 Apry .awoxcRn.n7eMMwn!lM�a`. ropriwy. �.. ,. .ww.r...,-.,w,i.. wri.w4 ww�M «,y,,.awgN ..w.«��.. ..� i�;�w.w� F . r Pc%” YlN11M�k�. .��...,, . .ogp�yr""' d!1 � �,.w ....•..,, M-n--.«.,..,....,.......-y...ti5... -. .!N..a.W`r^",�ry�'rN,M"!.a"a Wr�Ax^� ..«YA?�M�f�!!", s<..h!'rt 4"'I "• ^.1 Imo`�C�•, i�c��F I^•��.._=3 S U b r=>LJ r=• ►r-4 GN�► '1` AREA OF WORK 7 o P 'R A•c To aJ+XN --_�' tis 1 s� ' — [� vEse --_ :-pJf✓PLJRLLIr�-I �41(Z , zq` f •rAW: I OF EfOON BUSMSS — PARC I kJ Z r, t- Ow-GON • -- ---- — ` — I , ', Busse f-- n w °; ^(�}.If�efa��s PARC 1 0 -- Ll 4 n --�.-►'_7�— — >� — - ——J —. i.v..c.naw It,MILCMENT O F.r-• 1 (J J UJ m PAC f RUST V J tZ rn co i ► BSSMSS - c W ' o Coco WQz � Nc� Z ►� TYPE •k' GYr? e�� EA.SIDE N U a 3 Z " ox Cr z . o W O 's a z Uj �LL \."- /C ) o "�T P (G'� L� JI Fr�f`T /, �,-•I ,�� C l 1� �/ � �JE rr `11lJJ v m0LC � (M M4 a I N~oc! N 4n VICINITY PLAN z o W FIN. ��w � P��rJ�� - - GENERAL NOTES - o � o�lv,. � ANS-H�•� G. t I 1110 _ o Verify and confirm all dimensions and e Cr. ` �).� conditions. Notify architect of any Q discrepancies prior to start of work. __ j ~ These drawings for tenant modification work Q \- ,'I and occupancy only. 1 CL FULNT. l..IALL �(/ I Occupancy: B-2; General office and storage. �... I ICnr' All finishe° to he Building #16 standards, � (n unless otherwise noted. LLJ Electrical , mechanical , and plumbing / � z by' separatet permit. I �S iIc� l le cC��I\` 0 ♦� APPROVED FOR CONSTRUCTION CITY 0- TIGARDca j / ��•+ -)� �-r ��' TITLE Pf �" xa�,-�_ _ DATr„S / 0 m Z .: -r-.-� uvuuasuuu i/ _- TI AlATI11 VAI6.1-E� FIRE 41AR':NR! OFFICE c Q C /^\ L ' App ;OVED N CONQiTIGt4ALAPPROVAL0W ^ALCFPLANS 15 T AN APPRO Tg0� WESIG �j 1TTER L U: � SEELE . r, Ear'f r DA ! ,el 0 �� _,,•; ;_,�� ..�., _ �� - _ KEYNOTES u_ �; �j C" ` 1, i `�� � _1. I��~ .. ✓`. ( '.•i �'"�. (-) ,� 1, ' 1 � i I _.tri ✓/ '•.'� '. r, c a'• r' I,I� C t .. f1. DA 5-10-89 V h'' /4 -- -i %- ��•`� � I it FhLL�•�'�.- '�� ^I. �1 •i^.r;�'�iL7 �,,,h.j DRAWN BY +, I = n" A CHECKED BY tt i 4 ' l-�/'!� I�' �%�: l,� v►✓ LL / r y �.J• �,- - I � s ... L•i.'�,.% �� ,� . ,1 HLVISIONS 40 P 4a/ L+' 4 : F � - % LEGEND r A l Ab TS REBEAvEO t H __—_____—..—. _.._._1_ �Ol•�YL/i1V�11•• V' r. I :,i�-;i�.-i'�-� I 4v.'. yF4ANiNrS AAf 'Nf PAOMP', 1'` •`N1if SAITO 6 ASSOCUIFS PC V _...___ ..._ _ T_-- • _ u.,;AAF Not TO of •`d -la A Pu. w\ :� 1 f .✓ - .►. _ L'�. i �j'-E J IN ANr MAW W pItH r •, vamp"WFN Pf AVr, . SA Y -... :7 _ FLOOR PLAN — - �� - �_�,1 t. SHEET A AR hs 1/8" !'-0 North or or�';c-• IJP ,,e�, ; ;'...o,. ,; H No North AS SUBMITTED FOR PERMIT 5- 12-89 289249.001 , I'1. I „f 1 s„+Yf"r ,•P,N .n r ■Tm• . LFG16?L itY STRIP - - 2 a 5 6 7 8 9 'O 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 29 29 30 ( 81 11 • I I OI I I Q �, NONI • IOZ .1�111�; I�I�J 1�1�1JI J. I�IJ��l�1�I.�1�J. 1 �r~1a11►�.ILU��llllll�.111.11.1�1�.1a��1�1�11w I , 0Z25X uuW1111J 111 11.IJ11111, 1J.11JJ111✓1J,G�J�1 I'll 11 im id"110114gi 11 milli... c'r,. ADDRESS: � wDAvkNL4k Ivi isVecordsMiicrofIniVargets\building.doc k E ) LA \ } k a = c c c c ° # » E \ K K ) M� >, \ i { § \ a o , g g _ _ > }\ a) a) ClCD Ci j \ \ \ \ \ a o a- a = CL 0; � £ W \ / / § / \ / 2 ¢ \& \— M \ 0c . 2 % 2 $ $ 0 ( cq \ } - - $ > j 2 Q c $ k ( \ c y \ / 2 2 § / k f 7 c / k 2 2 > o / $ IL E ) ? a n $ § % CN \ \ \ \ § \ u w w u « w w vBaa am op2A roc v a m c E a voLL �'> �� ocoL` E N ° ~O "-D) `'9 oU O O° �N b t' xc No 7 C C O p N � n 3 C p C c 4 N 47 0 cCp E C 3 o .o ° Jhy7 O aN E °7.... ~ d' 027 .o OO y�7 O N U Co 66, m4 amc. N w ala E n E o2nw rnE > ° m Ji N N Mo 21�-e L o N=U j a O Z O° ° =vo� Cm YU o a ro m a rn m rn m rn rn m ca N r- r 63 CL a N a N a a -am m m i ;o L, o CL > 2 J r N O aw a a Q a s a �, o ()e a o. "- n_ 0- co m Q- 0 0 OQY *k c o V., w � V 0) cn N U 'Q a. m 0 R V) J GJ 67 LL! > _ ON c w c m ° Z3 r/) U_ ii v `- u a _ N _ 11 N _ In d Q 0 y N yr0 9 y O M ° O Q m w W LL w U LL U1 cD tY c, o 0, f� N > U U U U U U U Lr) U i J J .-J J -i J J J Q w w w w w w w w w a, 0 o (((pppJJJ111 Q, n, O Z Z Z 0 Q Q W CO Z D O > S � cr J ti T T ° 0- 4 0- CL a a a u� 0 a a Q a 00 CL co � v Do 0CL J J N cn Q Q) U �a 0, CO O °' `D c3a t+- Q r N N 03 000 a 0 u 4 0 Cil U' J o z 8 d 7 d Q 7_ c a ° CL m ti a a m ON LLL LL Q U v N O N N C3 CD m CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour ;nspection Line: 639-4175 Business Line: 639-4171 - BUP _— Date Requested AM _PM -_ BI•D Location-----/4, 7r C?_�';,�J Zi-`�= — Suite • i k; MEC Contact Person Ph PLM Contractor &f_-AE";��t=•2 Ph 7-33 Z mut SWR BUILDING —� Tenant/Owner ELC Retaining Wall ELR Footing �- — Access: Fuundation FPS _ Ftg Drain – Crawl Drain Inspection Notes: SGN Slab -- SIT Post&Beam —� Ext Sheath/Shear Int Sheath/Shear Framing Insulation _ Drywall Nailing -- Firewall --- Fire Sprinkler Fire Alarm ---4 Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUIJBING Post&Beam Under Slab Top Out Water Service _ Sanitary Sewet Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam — — Rough In Gas Line — Smoke Dampers Final -- -- FAIL (ELECTRICAL -- Service Rough In UG/Slab Low Voltage Fire Alarm F' PART FAIL SITE Backfill/Grating Sanitary Suver Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: _ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date -,�'-�.5� _. Inspector << Ext _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. c4.levr4,-h,/ -tU oL. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Irspection Line: 6394175 Business Phonc: 6394171 Date Requested: - _ A.M. P.M. MST: Location: BUP: Tenant: --- _ Suite• -')_(✓_Bldg: v MEC:— — Contractor: Phone: - :353 PLM: _ Owner: Phone: _ ELC: SIT: _ BUILDING BLDG(con't) PLUMBING MECHANICALLECTRICAL SITE Site Post/Beam Post/Beam Post/Beamover- Sewer/Storm Footing Roof UndFI/Slab Rough-in Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Uuct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C I lG Slab Shear/Sheat), Fire Spklr/Alm Crawl/Found Dr I feat Pump „oµ Vo t Approved Approved Approved r)rov Approved Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved FINAL FINAL FINAL FINA , FINAL L 7 0 Call for reinspection inspection fee of S required before next inspection O Unable to inspect Inspector: — — nate: �O/7� Page of CITY CIS TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 ELECTRICAL PERMIT RESTRICTED ENERGY PERMIT #: ELR98-0099 DATE ISSUED: 04/07/98 PARCEL: 2SI. 13AD-01800 SITE ADDRESS. . . : 16700 SW 72ND AVE #B-16 SUBDIVISInN. . . . : ROSEWOCJD ACRE TRACTS ZONING: I—L BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :011 JURISDICTN: TIG F-1r-oJ -ct Descr-iption : Add limited energy to an existing coomerrial occpy. -------------------- A. RESIDENTIAL--------- B. COMMERCIAL---------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PIAGING. . - BURGLAR At-ARM. . . . BOILER. . . . . . . . . . : 1-.PNDSCAF,E/IRRIGAT. . : GARAGE OPENER. .. . . CLOCK. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . DATA/TEL..E.' COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE S I GNAL. . . X INSTRUMENTATION. : OTHER. . : TOTAL # OF' SYSTEMS. I Owner-: - --------------------------------------- FEES ---------------- WESTERN TOOL SUPPLY type ainoi.tnt by date t-eept 16700 SW 72ND AVE PRMT $ 40. 00 GEO 04/07/98 98--304740 TIGARD OR 97223-0000 5PCT $ 2. 00 GEO 04./07/98 98-304748 Phone #: 000-000-0000 Contractor: SECURECOM INC $ 42. 00 'TOTAL BLAINECO ALARM SERVICES 1126 GATEWAY LOOP, SUITE 112 REQUIRED INSPECTIONS SPRINGFIELD OR 97477.--77c*-'3 Low Voltage Insp Phone -4.- 541-343--5566 Elect' l Final Reg #. . : 001171 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applirablelaws. All work will be done in accordance with app-over' plans. This permit will expire if work is not started within 186 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by tne Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-0010 through DAR 952-001-*80. You may obtain copies of these rules or direct esti Q 0 at (503)246-1987. Tssi.ied by t-, Signatl.ir-e .-__________________________OWNER INSTALLATION ONLY-------------------------------- tie installation is being made on property I own which is not intended for sale, lease, or, r-ent. OWNERIS SIGNATURE: DATE- ---------------------------CONTRACTOR INSTALLATION nNLY--------------------------- - SIGNATURE OF SUPIR. ELECIN: /& A DATE: ;7" LICENSE NO: .........................4•.......................4....................V............ Call 639-4175 by 7:00 P. M. for an inspection needed the next bi-isiness day ........i +++++++++++++++4,-4-++-#............IF+4...........................4-+++f-+++++++++ CIT'±OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:_, 13125 SW HALL BLVD Date Rec'o: TIGARD OR 97221 PRINT OR TYPE V-503-639-4171 X304 Permit#: ` '��� F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_ WILL NOT BE ACCEPTED NoD v b a/nit Pr ,ct. c TYPE OF WORK INVOLVED-RFSIDE.NTIAL ONLY ,.TV9 r ` ��!� J� Restricted Energy Fee......... r (FOR ALL SYSTEMS) JOB Street Address Ste a ADDRESS 1ulizc ,J� 6�- ` Cneck Type of Work Involved: -� It /Sia Phono M�1 Audio end Stereo Systems n ❑ RF�ElLED Name. ❑ purglarAlarm El Garage Door Opener' APr, OWNER Mailing Address (('^ City/State Zip Phone# E Heating,Ventilation and Air Conditl6Yfifi00 t6yUa{fCI.. NameC] vacuum Systems' [—C` /�-,IJT \�.Lt,Jr �,r e 1 C, - ❑ Other _ CONTRACTOR MjjlingA dre s I L P, STE, TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to Issuance az S'`al�, I ' e - (SE for each system.............................................. $40.00 copy of all lirmnses 1(� l 7 (SEE OAR 918-260-260) are required If Ore on.Cont. rd .# .Date expired In C.O.T. _ I0 Check Tvpe of Work Involved: data base). Elec at t i aY Ex to �� IO ( Audio and Stereo Systems C.O.T.or Metra Lic.0 Exp.Date Boiler Controls Owner's Name Clock Systems OWNER- Mailing Address APPLICANT ❑ Data Telecommunication Installation City/Stale 7-Ip Phone# ❑ Fire Alarm Installation This permit is Issued under OAE 918.320-370.This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ I1V,4C permit and to of the following: Instrumentation 1. Only use e;ectrical licensed persons to do installations where required. Certain residential and c!,ler transactions are exempt from licensing. ❑ Intercom and Paying Systems These have asterisks('). All others need licensing; 2 Call for Inspections when Installation under th!s permit aro ready for ❑ l-andscope Irrigation Control' Inspection at 607-639.4176; ❑ Medical 3 Purchase separate permits for all Installations that are not ready for an ❑ Nurse Calls inspection when the Inspector Is ou,to Inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Inspector are done,and; d Protective Signaling 5. Assume responsibility for calling for a final Inspection when all of the Lorrections are completed. ❑ Other t- Permits are non-transferable and non-refundable and expire if work Is not 1 started within 180 days of Issuanc or if work Is suspended for 180 days. t Number of Systems r- The person signing ll p rmi ust be the applicant or a person No licenses are required. Licenses are required for all other Instillations author iz t bind th a lica t. _ EEES: 1(� Signature — ENTER FEES f 0-00 6%SORCHARGE(.05 X TOTAL ABOVE) $ t- 1. 0 Authority if other than Applicant TOTAL f 1-1�11, • Go i bstsvesele.doc 7197 _ __ ori CITY OF TIGARD EI-ECTRICAL PIERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-046a-, DATE ISSUED: 07/15/97 13125 SW Hall Blvd., Tigard,OR 972223 (503)639.4171 PARCEL: 2SI13AD--01800 SITE nDDRESS. . . : 16700 SW 72ND AVE #B-16 SUBDIVISION. . . . :ROSEWOOD ACRE TRACTS ZONING: I -L BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1t JURISDICTION: TIG F'r-o.ject Desci-i.pt ion : Add 2 services or feeders and 18 branch circuits UNIT----- ---TEMP SRVC/FEEDERS----- -----MISCELLANE'DUS-­­­ 1000 SF OR '_ESS. . . . : 0 0 - 20QI amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 0 EACH ADD' 1_ 500SF. . . : 0 201 - 400 amp. . . . . . . . 0 SIGN/OUT LINE LTG. . 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0 MANF. HM/ SYC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ---- -------B9ANCH CIRCUITS------- INSPECTIONS—- 0 - E.100 amp. . . . . . : 2 W/SERVICE OR FEEDER: 18 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 1 N P LAN", . . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------------------FLAN REVIEW SECTION----------------- - 1000+ amp/vol.t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS— : CLASS AREA/SPEC OCC. : Owner-: FEES TIGARD BUSINESS PARK type amokint by date r-eept 1.6700 SW 72ND PRMT $ 210. 00 GEO 07115197 97--297122" TIGARD OR 97223 F)PCT 1.0. 50 GEO 07/15/97 97--29712:.' Phone #: Contractor: ---------------------------------------------- ---------------------- ---- BnCHOFNER ELECTRIC, INC. 220. 50 TOTAL '55 SE MAIN REQUIRED INSPECTIONS PORTLAND OR 97214 Ceiling Covet, Uitclet-gt-oi.oid Cove Phone #: 233-2'006 Wall Covet- Elect' ! Set-vice Reg it. . : 000445 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not stated within 180 days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00I-0010 through OAR 952-001-1987. You nav 0tain a copy of these rules or direct questions to OUNC by calling (503)246-1987. 41 - V I,m i t t e P S i Y T1 a t U t-V Tssi.ted TAy­, ------------------------- ---OWNER INSTPLLPTION The installation is being made an pvcppt•ty I own which is not intended fot- CIO -;ale, lease, ot- rent. Z� ILI OWNER' S SIGNnTURE: DATE: INSTAI-LATION ONLY------------------------------- IGNATURE OF SUPR. ELECI N: DATE: !. ICENSE NO: . 4,&-­74= 97 ++++++++........ +++++++.. ..................i......4++1 4-4,4-4­4.++++++++4......4-+++ Call =39-4-175 by 6:00 p. m. far an inspection needed the next bi_tsines�, day 4...4 4 4 t 1--$-+4 +++++++++++++t +-++++4............j..................4-++++++.-t...... Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hali Blvd Tigard, OR 97223 Planck'Rec. # Permit # Ptiorle (503) 639-4171 Date Issued PAX (503) 684-72.97 Issued by CITY OF TIGGARD TDD No. (503) 684-2772 Ins,-ection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ Number of Inspet ions per permit sllow!►d — Address 16700 S{a Service included: Items Cost(ea) Sum City/State/Zip Titer CR 4a. Residential•per unit ' 1000 eq It w bss $11000 radi o"orvl Soo aq f1 or Name (or name of business) portion stored $21. 0 ' Unwed Enew 125 no -- Commercial Residential❑ Each Mar"d I1onto or Mahler 2 oweamp Seroor or Feeder $6800 _ 2a, Contractor Installation only: 4b.services or Feeders Irtcldloon,alteration,or roWwoon t Electri„al Contractor Bxhcf>er Ma—tam, 1nc• 2%arms or less 2 $60 oo $120.00 2 r 201 antes to 400 amps $9000 2 Addross 55 SEE V1✓in 401 an"to coo amps $12000 2 Cit) � Stale (R Zip_ 97214 eo1 amps to 1000 amps $19000 2 Phone No (503) 233-2006 over 1000 T"or vnns 134000 2 Redxvwd orry 00 Contractor's License No. 26-4510 Contractor's Board Reg. N0. 44 4c.Temporary Services or Feeders u 2 �— Installation.ateralton,or rawatron / 200 amps or lass L50 00 2 Signature of Supr. Elec'n _.� 2 201 amps to 400 amen 175 00 license No._ 28085 _ Phone No 233-20o6 401 Amps to 000 amp. $1Do 00 _ over 900 amps to 1000 volts 2b. For owner Installations: ase"o'above 4d.Branch Circuits Print Owner's Name _ Naw•aaevoloon or enertsron per pone! Address a)The tee for barch arDrsa with prrdrse d wvwo or Aeeder be, 2 (,Ity State_ Zip _ Each bmrtrh armo 18 $L500 9n_� Phone No. b)The lee for brarr:h crrcvss wdfhouf purdo"or service or 1f�bo. $1500 The installation is being made on property I own which is Fist aanch nrcud sae not intended for sale, lease or rent. Each add4iorW brarx1i avant 1500 Owner's Signature - 4e. Miscellaneous (Servic*or feeder not included) 2 Fads pump or vngnfpn a-de 110.00 2 3. Plan Review section (if required): Fach align or c0lim liplelrtp 140 00 Signal am*s)or a ImAud erteryy 2 Please check appropriate Item and enter fee In section 513. pawl,Merrron or evensron $4000 4 or m-)re resideitial units in one structure Mrrtcr Tabak(10) $10000 —__ Service and feeder 225 amps or mora 41.Each additional Inspection over system over 600 volts nominal Classified area c ' re oontaininq special occupancy the allowable In any of the above F-_ rot nsperwrixr &35 00 t,s desrribed in r Iraptor 5 Per hmr 0r500 i In P1am $5500 _- 5ut root 2 sets of plans with application where any of the abrve apt Iv. Not required for tempor,"construction services. 5. Fees: ' Ss. Enter total of above fees $ 210.00 NOTICE 5%Suimimrge(05 X total lees) $ 10.50 Subtotal $ 22 r PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b.Enkw 25%of kne A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan RaIpvr if required(Sec 3) E _ CONSTRUCTION OR WORK.IS SUSPENDED OR ABANDONED FOR Subtotal $ — A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Acedwnt N $ Balance Due t 220.50 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: /1-21- /7- / 9 A.M. P.M. MST: (.oration: 13-C- ria 6 0 --- 1, BUP: — -- Tenant:_ _ _—� _ Suite: Bldg: MEC: Contractor: _ Phone: PLM:pn� Owner: -- _ --Phone: _ _ ELC: ELK --- STI: BUILDING BLDG(con't) PLUMBING MECHANICAL (_ELECTRICAP SITE Site Post[Bcam Post/Beam Post1Bcam Cove/Service Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water Line Siab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall St, Fumace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spl,lr/Alm Crawl/Found Dr I Iuel Pump Low Volt Approved Approved Approved CAproved'> Approved Appr/Sdwlk Not Approved Not Approved Not Approved >_NLA )roved Not Approved FINAL FINAL FINAL FINAL FINAL R - - w O Call for reinspection Reinspection fee of S_._ required before next inspection C3 Unab' inspect Inspector: � ' �` �� Date ( _� ( Page of Id IN CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT -- 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: F_=L_R97-0334 DATE ISSUED: 11/19/97 PARCEL: 25113AD-01800 SITE ADDRESS. . . : 167O0 SW 72ND AVE #B--16 SUBDIVISION. . . . : ROSEWOOD ACRE. TRACTS ZONING: I--L BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :O11 JURISDICTN: TiG Pro J ect Description- Installation of one signal circuit or limited energy panel. A. RESIDENTIAL--------- B. AUDIO R STEREO. . . : AUDIO & STEREO. . : INTERCOM R PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . ME_DICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . , VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X INSTRUMENTATION. : 07 HER. . : . . TOTAL # OF SYSTEMS: 1. Owner-: ___--_—___._____._..___.--_-- _-------____------------________ FEES PACTRUST PRT#126 $ PRT#127 type amol.tnt by date r-ecpt 1E7O0 SW 72ND AVE PRMT $ 40. 00 TJH 11/19/97 97-301074 BLDG 16 5PCT $ 2. 00 TJH 11 /19/97 97-301074 TIGARD OR 97223 Phone #: Contractor: - HONEYWELL INC $ 42. 00 TOTAL 154S5 SW SEQUOIA STE 100 —-- -- REQUIRED INSPECTIONS PORTLAND OR 97224 Ceiling Cover- Low Voltage Insp Phone #: 968-3333 Wall Cover Elect' I Final Reg #. . : 000578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicab?.e laws. Ail work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 18f days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-901-080. You may obtain copies of these rules or direct questions to ODIC at (503)246-1987. sst-ted by �� r �— --_-- Permittee SignatLire N _ ---`-- ----------- OWNER INSTALLATION ONLY--- ------________ i The instal -,ation is being made on property I own which is not intended for- i: ori; sale, lease, or rent. cn OWNER' S SIGNATURE:: DATE: INSTALLATION ONLY--------------------- ------- c I GNATURE OF Si1PR. ELEC' N: _ ��i_l�Ics` DATE: -- L I CENSE NO.- ............................................ ..... O:+++f+.+++++++++.++++++++++++++++++++++++-f+++++ +++++ +++++++++++++++++ Call 639-4175 by 7:00 P. M. for- an inspection needed the ne>(t; bt.tsiness day ++++•++++++++++++++++4-++++++++++++++++++++++++++++++++++++•4++++++++++++++.I•+++++++ t� Res rRi�re�.� A CI";Y OF TIGARD Electrical Permit Application Plan Check#- �ti A Recd Byr�- 13126 SW HALL BLVD. Date Re u TIGARD OR 97223 , Date to P.E. Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type Permit n Fax (503) 684-7297 Incomplete or illegible will note acceptedPermit 1. Job Address: CEJ;i f alt_ f rep,-ty 1?Z)rn f 1 4. Complete Fee Schedule Below: Name of Development L,trU 5.1 ��f� h��L PST /,� Number of Inspections per permit allowed Name(or name of business). y =� Service included: Items Cost Sum Address_(„n n SL.) 4a. Residential-per unit LD 1 1000 sq.ft.or less $11000 4 City/State/Zip / n r" 1lcLn cL t�� _ Each additional 500 sq.ft.or portion thereof $2500 Commercial ® Residential ❑ Li _._ 1 Limited Energy 525.60 Each Manufd Home or Modular Dwelling Service or Feeder $68.60 _ 2 2a. Contractor installation only: (Attach copy of all c rrent licenses) 4b.Services or Feeders Electrical Contractor r - Installation,alteration,o•relocaticn __ 200 amps or less $60.00 2 Add" ' _�L � 201 amps to 400 amps $80.00 2 City [� State R zip -. ____ 401 amps to 600 amps $120.00 2 Phone No. -5j9.3 et W_.��r) D _ 601 amps to 1000 amps __- $180.00 _ 2 Job No. Over 1000 amps or volts __. $340.00 2 Elec.Cont. Lice. No. C LC.Exp.Date �'/' , `�S Reconnect only $50.00 2 O 1 OR State CCB Reg. No.(-')-5 7 &'.:1 Exp.Dae - 4c.Temporary Services or Feeders COT Business Tax or Metro No.(o 01/ Exp.Date il Installation,alteration,or relocation r 200 amps or less $50.00 2 Signature of Su r. Elec'n r - (�. 201 amps to 400 amps $75.00 2 g P - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. - Exp.Date /O il 12 - see"b"above. Phcne No. !�/r !, -33 D U - 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or Print Owner's Name.___ feeder tea. - - - Each branch rlrcult 05.00 -. _ 2 Address ---- -- h)The fee for branch circuits City State zip_- without purchose of Phone No, servl:e or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which Is not Each additional branch circuit_ $5.00 __ 2 intended for sale, lease or rent. 4e.Miscellaneous (Sen icp or feeder not Included) Owner's Signature _ Carr r ^+p or Irrigation circle $40.00 -�� ch jn or rutline lighting $40.00 _ 2 3. Plein Review section (if required):* Signal circuit(s)or a limited energy panel,alteration or extension $40.00 yD. o 0 2 Minor Labels(10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f.Each additional Inspection over _ Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per Inspection $''oo - Classified area or structure containing special occupancy Per hour $55 no - as described in N.E C.Chapter 5 In Plant '55 r'r --- *Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ --- 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $ --NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY E] Trust A count i4 TIME AFTER WORK IS COMMENCED. Tota!balance Due sl 1r4 rte HELM AP' Aw w" CITY OF TELECTRICAL PERMIT PERMIT #: ELC97-0771 ) DEVELOPMENT SERVICES DATE ISSUED: 11/21/97 13135 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 P'ARCEI_: 251 1 37AD-01 BOO i SITE ADDRESS. . . : 16700 SW 72ND AVE #B-1.6 SUBDIVISION. . . . : ROSEWOOD ACRE 1 FACTS ZONING: I -L BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :0.11. JURISDICTION: TTG I Iro.j ect De scr i pt i On : Installation of services or feeders at 200 amps or less. ------------------------------------------ ---.-RESIDENTIAL UNIT---- ---TEMP' SRVC/FEEDERS---- -----MISCEI_LAIVE:UUS------ 1OV-0 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 P'�"MP'/IRRIGATION. . . . : 0 l EACH ADD' L. 5O0SF. . . : 0 201 •- 400 amp. . . . . . . : i) SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNPL_/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDI;. . : 0 601+amps--1O00 volts. : 0 MINOR LABEL. ( 10) . . . : 0 ------SERVICE/FEEDER------- ----BRANCH CIRCUITS------ -----ADD' L INSPIECTIONS--.-- 0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0 I 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLAN1.. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------------------FII_AN REVIEW SECTION— - -- - --- -- - - 1000+ amp/volt. . . ..: 0 ) =4 RES UNITS. . . . . . . . : > 6100 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/F'DR > = 225 AMFIS. . : CLASS AREA/SPEC "'C. : Owner: --_ __ ____ - -- -- -------- ---------------- ---_____ FEES ___----- _- - P'ACTRUST type amol.tnt by date r•ecpt 16,700 SW 72ND F'RMT $ 60. 00 TJH 11 /21/97 97-301130 TIGARD OR 97223 5P'CT $ 3. 00 TJH 11/21/91 97-301130 Phone #: Conti-actor-: :_____________--_---____-- BACHOFNER ELECTRIC INC $ 63. 00 TOTAL 55 SE MAIN ------- REQUIRED INSPIECTIONS ------ PORTLAND OR 97214 Ceiling Cover Elect' l Service (-'hone #: 233-2006 Wall. Cover E1.Pct II Final Req #. . : 000445 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in ac^ordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for @ore than 180 da}s. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth it: OAR 952-001-0010 through OAR 952-901-1987. You Pay obtain a copy of +hese rules or direct questions to OLINC by calling (503)246-1987. FI n r-m i t t e e S, q n r�tot-e : Ulte CZ '[,� .1lidlli'�- I s s r_t e d B Y ...._..G��Lc'�(t lffrlt _ --- --- - -- DWNIR I NSTAI...LAT I ON The installation is being made on pv-opei^ty I own which is not intended for sale„ lease, or, r-•ent. OWNER' S SIGNATURE: DATE: _ ------------- ----CONTRACTOR I NSTALL.AT T ON GNL_Y----------------------------- SIGNATURE ---------------------------SIGNATI 1RE OF SUP'R. ELEC' N: fit/ cCl L -- _-- DATE: II I T r,FNSE NO: 1 06s_ -------- 4 _. _ _ ' ++++++++++++4+++'++++t++++•+J++4++ h+-1-++4-1-+++-1-++4--++++ F-+++++++4+4+1-+i-++++++++-t++-1 Call 639-4175 by 7:00 p. m. for an inspection needed the next hitsiness day t+++++.t+++++F+++++++++++++++++++r+4..+++++++++++i-t++ttt+++++++++++++++++++++++++ ��1 r CITY OF TIGARD Electrical Permit Application Plan Check# l`' � 13125 SW HALL BLVD. Date Rec'dRecd By L*7'iCrl- �j TIGARD OR 97223 - Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Permitti EUY-7 c r]�l Fax (503) 684-7297 Incomplete or illegible will not be accepted Called lti1ttt.ir•,� 1. Job Address: 4. Complete Fee Schedule Below: Name of Development _ _ Number of Inspections per permit allowod Name(or name of business)._PacDust _ Service included: Items Cost Sum Address 16100 51"1 72nd 4a. Residential-per unit Ci /State2i TicDtl, (R 1000 sq.rt.or less _ _ $110.00 4 ty - Each additional 500 sq.11.or portion thereof $25.00 1 Commercial El Residential❑ Limite6 Energy $25.00 Each Manut'd Homa or Modular 2a. Contractor installation only: Dwelling Service or Feeder $68.00-- (Attarh copy of all current licenses) 4b.Services or Feeders Electrical Contractor Bachoffifr Mec'tric, Inc. Installation,alteration,or relocation Address 55 SE Main 200 amps or loss 1 $60.00 $60.00 _ 2 201 amps to 400 amps $60.00 _ P City_ Rztlalld State Q2 -Zip 97214 401 amps to 600 amps $120.00 p Phone No. (51Yt) 231-71X10 601 amps to 1000 amps $180.00 2 Job No. 6418 Over 1000 amps or volts $340.00 __ 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 26-451C ,Exp.Date 10 198 --OR State CCB Reg. No. 44569 Exp.Date 3/6/98 4c.Temporary Services or Feeders COT Business Tax or Metro No. E .Date Installation,alk--iron,or relocation 200 amps or less $50.00 Signature of Supr. Eiec'n�_-� 201 amps to 400 amps $7500 _ 2 01 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License N- ?M Exp.Date_10/1/98 see"b"above. Fhone N( --��-�- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _ feeder tee. Address Each branch circuit _ $5.00 2 City- State ZI(JV b)The fee for branch circuits without purchase of Phone No. ___ service or feeder lee. First branch circuit $35.00 2 The installation is being made on property(own which is not Each additional branch circuit: $5.00 _ 2 intended for sale, lease or rer`. 4e.Miscellaneous Owner's ': matIre (Service or feeder not Included) g- _ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 3. Plan Fleview section (if required):' Signal circulf(s)or a limited energy panel,alteration or extension $40.00 2 Minor Labels(10) $100.00 _ Please check appropriate item and enter fee In section 5B. 4 or more residential units in one structure 4f.Each addition,-,r Inspection over Service and feeder 225 amps or more the allnwable Fi any cf the above _ Systwn over 600 volts nominal Per inspection _ $35.00 _ Classified area or structure containing special occupancy Par hour $55.00 as described in N.E.0 Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Jam. Fees: Not required for temporary cnnst•:1ction services. 5a.Erler total of above fees $ 60.00 516 Surcharge(.05 X total ees) $ 300 NOTICE Subtotal $ - 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK CR CONSTRUCTION AUTHORIZED IS Plan Review It require (Sec.3) $ --NOT COMMENCED WITHIN 180 DAYS,OR IF rONSTRUCTION OR WORK Subtotal $ ---- IS SUSPENDED OR ABANDONED FOR r,PERIOD OF 180 DAYS A I ANY TIME AFTER WORK IS COMMENCED ❑ Trust Account# 63.00 Total balance Due $ I 1DSMFLC913 APP Rev ifi CITY OF TIC�A RD COMMUNITY DEVELOPMENT DEPARTMENT L::L)*Ll...I'.)'.I*.N(. ., FIFAM11' :: : 13125 S.W.Hall Blvd.,P.O.Bou 23397,Tigard,Oregon 97223,(503)639-4175 1,I;.AMJA' NOOUG9111.7 P V,,I M . P.,M F . N 0 1:391.:1.1 JOB ADDRESS : 1.6*700 SW *7t.'-2NI) OVK TAX MAP/LOT SUI::: : (KIP F:K I AND USE: 1 01 SIZE : VAI UUYITON : sit i'0 '1200 SEA Ft A('.1 K S F'PON'1PEKAP WORK CLASS : ALTEpA,rION 1'.)W F L I... . UN JA'S I I USE TYPE::: CC)MMI--.*I:IC',]:Al-. NO . I;A:*.DR('.)(-)M!--) EXT W III I CON54' - TYPE: VN N('.) W-)THS : N : W : ('AN'XJP .LON) 30 N : W : T(TY AL. APEA: 5920 NO. j.s'r : 39210 P0(JF* (NINST : A FJPE PI:;:T'? Y F:s JAI 2ND: AREA SFJ'-AP( NO PATF:D: N(J 3PD: (X"CUP". yl;:,.s WATED: :L 1-11:) H A 5 1:.,.M T Ml:.:ZZANINV.;.'? ND WX.Aiii; !;i**IPK6I-I'? NO A6AAM'? 010 FAA ((.:,PM) I)ETECITI? NO (:',OPA'? NO III 6N IRY : jI1J PI::J:55IJE W N F EKES : PEPMIT 50 PLAN 1:11-TVIE'W 5 . "3 F*1RI'-: DFPT $58 . 60 C TATE I AX N url-41LA7 T DEVELOPMENT il SDC(SIT)PM) A C S 1*.)(:,4 SIP ET T 141C P 111::*.P A I 1*.) < X1.5 3 . f-:) TOTAL: 1.5 3 . GP. 7 This permit is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations N and all other applicable codes and ordinances, and it Is hereby agreed that the work will be done In accordance with the plans and specifications and in compliance with all applicable codes and l41i-QUINED IN!:iPF..'(,'T'.I:0N5 ordinances. The issuance of this permit does not waive restrictive SI AU covenants. Cnntractor and subcortractors shall have current city F.14 AMT.NG business tar iermits.This perm" will expire and become null and 1.N 1.5 ULATION void if work Is not started within 110 days.or if work is suspended or abandoned for a period of IFJ days any time after work has G y P . 80AP0 commenced It shall be the responsibility of the permittee to assure 1.3USPEND all required Inspections are recuested and approved. NAI Perm e�eSignature Issued By: SEPARATE PERMITS REQUIRED VI��qpl(J9 -M N S� ED ABOVE 11 . 4T CITY OF TIGA RD PLAN CHECK APPLICATZN�.,, 1 PLAN CHECK H � COMMUNITY DEVELOPMENT DEPARTMENT / PERMIT H 1312SS.W.KABlyd.P.O.80[23397.Tig«a.0m9omsras•(5a3)6394l75 DATE ISSUED JOB ADDRESS: KV1 w'o }'�J '� + TAX MAP/LOT LOT: LAND USE: — VALUATION: — SPECIAL NOTES OWNER REISSUE OF: NAME: LAST REISSUE ADDRESS: I �'�� `.?�'V` 179 FLOOD PLAIN/ Atli SENSITIVE LAND: PHONE: 1,2,`1 - r� �.�� — A_PPROVALS REQl1IRE0 CONTRACTOR PLANNING: NAME: 1)�`� �.�ovJZ.� ENGINEERING: FIRE DEPT ADDRESS: OTHER: -- PHONE: ITEMS REQUIRED LIST/SUBCONTRACTORS: ARCH/ENGINEER BUS TAX: NAME: __.; A 1't _ CALCUI_ATIONS _J �1' Ste- TRUSS DETAILS: ADDRESS: _ 012PARKING PLAN: LANDSCAPE PLAN: PHONE: Z-?--A `jr�`P=� OT11ER: COMMENTS: J F,N,+_•S? '• T ,�, f�UR + w>=STT=RN t��;4- Sv�F�l�`i�� C IL4 - PERMIT H ACCT H DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE _ 10-432 00 Building Permit Fees '. 10-431 00 Plumbing Permit Fees -- / 10-431 01 Mechanical Permit Fees _ 10-230 01 State Building Tax (5%) Building Plumbing M.e c h 10-433 OG Plans Check Fee Bij i ld ing Plumbing Mach — c~i� 30-207 00 Sewer- Connection 30-444 0') Sewer Inspection — 51-448 00 Street System Dew Charge - J 52-449 00 Parks System Dew Charge (POC) m _ 31-450 00 Storm Drainage Syst Dew Chrg (ISOC) 10-230 09 TRFD -'- J 10-230 OG Washington Cnunty Fire H1 (95X) ,-y, ;) r' 10-7.20 00 Am.art/Wedgewood - - ioLnl — APPLICANT SIGNATURE Received By: Date 7.(�CJ Date Received: cn/3587P/1PP P.O_B�oc ?339"1 CITY OF TIGARD P.L, M BI NG 131w. Applicants must hold Oregon Registration to conduct a plumbingP1ERM[T 6393rd C business or must be prop%rty owner/operator not hiring outside help. Name of Ormllopmenl - / �( Plumbing Permit 14dreea Description % J J ��% ��%•'�/ �C'. ORS 814-21.810 QUAN. PRICE AMT. Job Tax tot Map.No. Address FIXTURES Lot Block Subdivision S �7 7.50 Name_of name ,of business) Lavatory - 7.50 Tub or Tub/Shower Comb. 7.50 MailmV Address Sh ower Only 7.50 Owner Uyy1wie Zip Water Closer 750 Dishwasher 7.50 Phone Garbage Disposal 7.50 Na" Y;ashiny Machine 7-50 _ •I ""x-_ 1 4__ ` ) Fbcx Drain 7.50 Maging Address Phoge Water Heater 7.50 Laundry Room Tray __ 7.50 Occupant City,.,,nle zipLaundry 7.50 ne - Other Fbdures(Specify) 7.50 7.50 MaiTing Address Phone 7.50 Contractor City/SAsto Zip MISCELLANEOUS --- City Butt.Tax No. Sewer 1st I 30.00 Seti w-ea.Addit.100' 15.00 State s. and No. tate s. - (Resrdential) Water Service 1st 100• 20.00 _. 1 hereby eckncrrledpe Cut 1 have read This&pplicafti.that the irdorrnatlon Water Service ea.AckM 15.00 - - giwn is corroct,that I am regi wod with the State B ildWs Board.and aLsO Storm&Rain Drain 1 st 100' 30.00 have a State Pkxnbirq Mems@ that the numbers given ars correct.Cut aM plur*kV work wig be done In occordance with appicable m vkrs'ions d OStorm Pen Drain Addit.100' t 5.00 go-'wised Statutes Chapters 447 and 693 end q*Acebie codes and Cut Mobile Home S�4koe 25.00 rw N be ompkrysd unless Nowww under ORS 683-(11 exempt from St *Wkx%please give reason be". Devic Flaw Prevention Device HOML NNERS-1 hereby oe*Cwtl I am Ca owner of the property dDevice ix Anti�'dkrian Device -7.50 scribed above.at whlvin location 1 propoes to make a pkxnWng instaMetion for Any Trap or Waste Not nw own use 0rrh Cels prop"is not bektg corotruvied ler 6010.lease or rent. Connected to a Fixuxe 7.50 Catch Basin 7.50 kwrp.of Exist.PkxnbkV 40.00 Per Hr. Specially Requested trupecdon s_l 40.00 Per Hr. Aker.o1 Pkrmbinp wMhtn -- an Existirq Bldg 15.00 mk,. A11T110fi12[O SIONATURF Dofe New Bktq.or Build.Adfltion 26.00 min. Dt ain ef�t�lY _ Describe work new Q eddilion❑ aN Nation(] repglr C.7 dA.-U 3 1.5•W tp be dor» «+sldenliel f non-residential - Eats*0 use of SUB-TOTAL but*v or proporlY --- - _ --- 5% SURCHARGE Pfqpolwd tt"01 - -- - buWg vrplaperty _ PLAN REVIEW 25%OF SUE-TOTAL NOTICE ---- - Tttl6 pemn, booan0r,nutl°nd vokf M work or oxw"clic wd-Uod la nor corn TOTAL - m wnoW WWW 100 d",w N con irudkxc or work it 0taperd0d on abrdorad kx a peeled of 1110 does M 0ny arta~work is aonwr*nosd Date Issued by _- --- City of Tigard Roceipt 13125 S.W. Hall Blvd. MECHANICAL PERMIT Permit « f i_/2 P.O. Box 23397 Tigard, OR 97223 Deurlpllon Table JA Mechankal Code CITY PRICE AMT 639-4175 1) Permit Fee -0- -0- 10.00 Name of DeveloPmefd 2) Supplemental Permit 3.00 Furnace to 100,000 BTU 'of I -� 1) ind.ducts&vents 6'00 Address 6 . CJ / /7 Tax tit Map No. 2) Furnaceve 0 BTU + 7.50 incl.ductss&vents Lot Block Subdivision Name(or name or mess) 3) Floor Fumai7e uv incl.vent _ Mailing Address Phofe 4) Suspended heater,wall heater 6.00 Owner or floor mounted heater CityiStaloVent not incl.in �' S) appliance permit 3.013 Repair of heating,refrig., - / 6 cooling,absorption unit 6.00 ' - /7 �c / t'�Li `✓ Boilerorcompto3HP roes 7) 6,00 absotp,unit to 100,000 BTU Occupant ) Boiler or comp to3HP-15 HP P laity/Stale 8 absorp.unit to 500,000 BTU 11.00 --- �— Name9) Boiler or comp 15-30 HP absorp.unit 1h-1 million 15'00 Boiler or corn to 30-50 HP Mailing Address Phone 10) absorp.unit 1p 1.7_5 million 22'50 Contractor City/State Trp I 1) Boiler or comp to 50 HP 31.50 _ _absorp.unit 1,750,000 BTU _ r State Registration No. City Bus.Tax No. 12) Air handling unit to 4.50 10,000 CFM -- 1 hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50 oared,that I am the owner or authorized agent of the owner.that plans submitted are in 10,000 CFM —- con0ance with SLB laws,that I am registmod with the State Builders'Bond,that to ) Non portable 4.50rnxhdrar given is cod.(t exempt from State registration please give reason below). 14 evaporate Cooler coned. Vent fan connected -- -- -- - — 15 to a single duct �) 3.00 — — -- Ventilation system not t 6) included in appliance permit 4.50 Hood served by 17 mechanical exhaust 4.50 ;signature(owner Of agent) – Date Domestic type Describe work O addition p alteration KY repair 1118) incinerator _ 7.50 — ;_ to be done_ residential p non-residential a Commercial or industrial - - 19) type incinerator 30.00 Existing use of twilding or properiv700) Other i.e.,woodstove,water 4.50 Proposed use of heater,solar,clothes dryers,etc. -- — - buildingor rt pro�cI y----- -- 21) Gas piping one to four outlets 2.00 Type of fuel- oil I I natural gas A LPG O electric U 22) More than 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - --- --- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5% SURCHARGE DAYS, OR IF CONSTRUCTION OR WORM; IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - --- —- ---- WORK IS COMMENCED TOTAL Special Conditions __. BUILDING PERMIT APPLICATION 1OF 1T TIGARD DATE___._: THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE LOT NO.- OWNER O.OWNER I• ''• L.,Lmt,ru9! JOBADDRESS 1U7O0 SW 72nd AVO, HOMEADDRESS ARCHITECT ENGINEER BUILDER Vi_:# -Ind �'8;.'I, ADDRESS _LESIGNER STRUCTURE Mi%"N ❑REMODEL ❑_ADDITION C3 REPAIR ❑RENEWAL ❑FIRE DAMAGE [:]DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT [:]GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY i�LAND USE ZONE 11 _BLDG.TYPE_ �' FIRE ZONE PLAN CHECK BY ` - = HEA"_ min-if— 1 nrl <<: r i ii1 jj11 ,_ i L, I ritir LnIia ;I L(__A34funiaf_i nn dof-ocf t—l l�lk1 `-1nckerizis Lnu. Cullcreto L.Lit uu Waruhjj"-_u, ccupfarlsy by _Sr4 ILrgf.e permit__ J 2U 64[1 ` QQ-C LOAD FLOOR LOAD '!`' r!D LAI Q81_ 70 NO.ST 1- AREP� NO.BEDROOMS VALUE_- m - — c= BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULiTIONS CONTAINED IN THE BUII DING CODE, TONING Plan Check 11".�J�' REGULATIONS AND ALL APPLICABLE CODES AND JRDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND INCOMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax ,'Q.bi, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING Total �i n. By nP (CANT OR AGENT Approved LLI Receipt No AI KESS -- ----- -- — DATE INSP, TYPE INSPECTION REMARKS �r PLUMBING DATE. .331. 7 +�. 'e. L) P /)L ),JZ& /A le,'r Contractor - - '/-3 "1 ,r r pry Permit No. _ Rough-in - -- -- - - — ��`/►� ��,•,�✓ S�/9�� Fixture Final HEATING %r lig•) ►� y. -- Contractor _ 6 -k Permit No. _ t Gas or Oil I Rough-in - -- _ Final n -- --- _ _ -- — SE - Final _-' -- DRIVEWAY Final A - -� Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping 0 Zoning Final BUILDING PERMIT APPLICATION cOF TIGAP.D DATE__ ____ [HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOPK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE I_OT NO. -- OWNER • :i t'L L U Jn6 ADDRESS1"" Jul 7 aro I V E • HOME ADDRESS ARCHITECT ENGINEER BUILDER U' `: ADDRESS f '�-ki]f Y th DESIGNER STRUCTUEl NEW ❑RIMnDLL ❑ADDITION ❑REPAIR ❑RENEWAL _ ❑FIRE DAMAGE ❑DEMCJLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSLLIPATIO [:)CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _ OCCUPANCY...—.�— LA14D USE ZONE_-_r.:- BLDG TYPE—FIRE ZONES_ PLAN CHECK BY a 1J HEAT 'Pnr rent Il' c!Lf],GatLull ;ji(gmplar}r! --- —,—_.--- W --- L ')Iumbin', parinit kwiuir*L r ICC, LOAQ F-L,QOET LOAD —__L��1 L N_Q�S1Q31 3 AREA_-- NO DEUR-44M;L VALUE I'1 O�JLI• BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 32 UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 1 o,On REGULATIONS AND ALL APPLICARI F CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total 42.00 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State. Tax 1, 21) LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 1 5. 28 By APPI iCANT OR A(1FN1 Appruved t L' Receipt No DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-In , ' C.W C� - - -- Fixture E� - Final - HEATING Contractor Permit No, Gas or Oil Rough-in - _— ----- _ Final — -- SEWER -- Final - DRIVEWAY - Final J — Storon Drainage (Rein Drain)Final J Sidewalk Curb&Street Final Approach F3L m 6EPT. rINAL 1'CMPORARY CERTIFICATE OCCUPANCY Final CERTIrICATE OCCUPANCY Landscaping Zoning Final CITY TIGARD DATE TUILDING PERMIT APPLICATION OF THE UNDERSIGNED HEREBY APPLIES FOR APFRMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERLOT OTNPHONE NO. 7.e�if '�'F� . HOME ADDRESS t OWNER JOB ADDRESS ARCHITECT ENGINEER hIf 11 DESIGNER BUILDER ADDRESS — STRUCTURE ❑NEW ❑REMr1DEL ` ❑AbDITION ❑REPAIR ❑RENEWAL CIF IRE DAMAGE' ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO GCAR PORT ❑GARAGE ❑STORAGE❑SLAB OFENCE ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS ❑BOND ❑MOVING -'I FIRE ZONE— PLAN CHECK BY- )I f 1cu ar z�E, and Uatnruam Ci 1-0 T OCC.;<QAD E1.90R LOAI� _._�IEIGH �101"II _ AREA J BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 24,UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 12.00 THE WORK WILLBE DONEpINLACCORDANCE WITH THE P ANS AND SPECIFICATIONS IT IS HEREBY AGREED T APPLICABLE CODES AND ORNANCES. CATIO S A O N COMPLIANCE Sub total i![I ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE LURRENT CITY BUSINESS State Tax . LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total • �' By APPLICANT OR AGENT n,�provect - R.,rPipt NoAdh DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor W _^ Permit No. Rough-in Fixture -Jr.— Final HEATING qpf— op 44a L�� �• 1� � Q � �� Contractor0a�r b / 7 Permlt No. L r Cies or Oil Rough-in Final SEWER -Final DRIVEWAY Final Stor@h Drainage (Rein Drain)Final Sidewalk Curb d Street Final Approach BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY � Landscaping t/j/// Zoning Final alo UILDING PERMIT APPLICATION 1OF 1T TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HF.WEIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF _ LCAT NO. OWNER JOB ADDRESS 1"700 S11 _r2nd HOME ADDRESS ARCHITECT ENGINEER BUILDER -t AOORESS'ILC)(P.t1,-f i t' ��'1 I " DESIGNER ❑ ❑ + STRUCTURE NEW RI MnDEL ❑ADDITION ❑REPAIR LJRENEWAL [:]FIRE DAMAGE ❑DEMOLITION ❑ RES`IDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑ LJ GARAGE STORAGE❑SLAB ❑FENCE Ch OND OND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY---LAND USE ZONE BLDG.TYPE _FIRE ZONg— PLAN CHECK SY it HEAT ix)?* r oi! .' f-al•ine j!arti I.inr; ror >�. 1 r(<ti•(c; ; ,; 1 V) � _ � l�...�: _l�_�i.-Zily:.._ �:.Jr. lA'�(1 i t i t i�4�Z .i.l�,l �•�.Sy�.- i,i'....__i..i ,+. ,. _-- --- )CCLOAD t —FLOSZR_I.2AU _ fi�1G1iL_-_--__-. N9 S2RLE _--- _�$EA �IEQROON4 BUILDING DEPARTMENT SET BACKS FRONTOK REAR LEFT SIDE RIGHT SIDE Permit - - — - -- — ,--- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check l REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total Bv APPLICANT OR AGENT Approved ?' Receipt No REM ARKS IVIRING DATE DATE INSP. TYPE INSPECTION i�' Contractor Permit No. Rough-in Fixture. Final HEATING Contractor w f—A.- Permit No. Gas or Oil tY I .,d to SEWER Final j DRIVEWAY ca Final- (4 LL) Stuft Drainage Main Drain)Final Sidewalk Curb&Street Final Approach CCRTIPICATC OCCUPANCY , Fintif cKkTlF1CXfEOCCUPAf1CY ILLandscaping a ortimill Final IfY UILDING PERMIT APPLICATION 1OF IT TIGARD DATE ILIly, 11 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL.DERPHONF _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. GWNERPHONE_ LOT NO. OWNER L _S_ !Iia .t_rti--i JOB ADDRESS (17nt) _P.1W 7'�nrl HOME ADDRESS ARCHITECT BUILDER ADDREAftekerizt h ENGINEER DESIGNER STRUCTURE ❑NEW 13 RI-mnDEL C3 ADDITION ❑REPAIR ❑RENEWAL OF IRE DAMAGE []DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONA,_ 0GOV'T ❑RELIGIOUS❑PATIO [-]CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS OCCUPANCY —_LAND USE ZUNI,--. d _BLDG.TYPE _FIRE ZONE, PLAN CHECK BY1:. HEAT [c; 1;�tall interlor t>,ou hf-,nrl+t. —trtliAvn__j?ar ap,-irevod j:1nr.!j cin to re( ut.red iclr "(lit1cI11R P1uPi1)inL _ �rcaz-I �I-twet�r, Co __T_ _'A n d d 3 --- — OCC. D _ FLOQH_LOAD HEIGWT ___-__yQ_9QFUES AREL1__ NO,BE-DROOMS VALUC BUILDING DEPARTMENT SET BACKS FRONT r:'!► REAR LEFT SIDE RIGHT SIDE Permit t - –-THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN INE BUILDING CODE, ZONING Plan Checl. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND tN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Statr. 1 i1x LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 1 BY - –--- ---- APPLICANT OR AGENT Approved Receipt No DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Ayl Contractor aAlu lu4rjtr1,, Permit No. �-) Rough" Fixture. Final HEATING Contractor Permit No. Clas or Oil Rough-in Fine? SEWER Final DRIVEWAY LD Final Stunk Drainage (1,41sifi Urain)Final Sidewwlk Curb&Street Finol Apoposch OLM DEPT.FINAL (ACATWICKT-StWCUPANCY CLRTIFICAI I OCCUPANCY final Zoning Final BU11_DING PERMIT APPLICATION IOF IT TIGARD DATE_ — 19 THE UNDERSIGNED HEREBY APPI_iE;: FOR APLRMIT FOR THE WORK HEREIN INDICATED DUILDERPHONE _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE LOT NO. -------- OWNER I1 �'•I'� 7 I`'• JOO AOUf,CSS ��7 �� if fir' r'W 72nrl HOME ADDRESS _ ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER _ STRUCTURE C�NEW ❑REMODEL [I ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑':7V'T EIRE LIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE []BOND ❑MOVING ❑CONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY_ LAND USE ZONE _-BLDG.TYPE_— FIRE ZONE- PLAN CHECK BY HEAT -- Thio of rmiL .I LRiQ tt, Attu uturm tiiiiWur uiuy _ c.: I- OCC LOAD F.�,QQR LOA7._ _ HEIGHT NQ.STORIES _ AREA N0,BEDROOMS VALUE­ BUILDING ESL%n BUILDING DEPARt � —_--� SFT BACKS FRONT PEAR _ LEFT SIDE - RIGHT SIDE_Y .� Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check I-I�. II�' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT tHE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINr•NCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total BY — --- APPLICANT OR AGENT Approved Receipt No _ ADCESS — DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final HEATING Contractor _— Permit No. Gas or Oil Rough-in C Final ►�— SEWER --- t/1 - -- - -- -- > Final J — DRIVEWAY Final C� wi Storm Drainage (Rain Crain) final Sidewalk Curb&Street Final Approach BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY final CERTIFICATE OCCUPANCY . Landscaping Zoning Final • I I n p > > \ pn � Unu z � cr .0 ti- all f_ � c � C aQ Z 41 7 0 r� .O CD O .N Ys +� u I 'r I' y, i[D p 0. c� c vi y _fw r: (0 �0 0 q w W � o o 0 O o 0 r. o o �� n � Uo O' 'O Q O \ O CV7� u)O O O to O U N LQ U In 7 O O M V4 U O ai U �} C M ��• O Ln 1 vOU1' V v �' o LU 0 LL cc 'O p (.1 p W .� um � ;S vm� \y C) r7 c .0 C7 d 1_ cO H T j 7 0� O C •O n. 0 }j O w � b N �- tC co O 'Lu r L y C Lu � W u L V lJl �T Q '.� y ar ( I [4 L++ Y 1 LL O lal tV N d F: LL ct y a N 't rc w F— t w m 70 4. I I z n C .. t LL ' I GD .n t to A x x x ,x u I� C.'3 +0- r is m Q IL IL p •' .. N V t'1 ��5 ij toC i ' fY ` Gl U li I t- 1" �� f1 f• .l f d , C V C W '• V7 q , �� 'Q •• u. s f7 •� " tv ao •i �� S r". O n. I • _ e • o -3 -Io° n' . r0 L Cf 'V 4- „ 'V' ►_ c. `u° N •C y U \ CL 7 ,J \ f V3 !�. O L- cn C C v UI Oc ° v �y 4 n r. 3 \ wOp ro �- [ 7. '� u t] a uni i.7 uni o n g ,n j^ > O +] ,0 O In N o ID Ci C4 N o ,ci o Q7y� r fU F- f0 . V �� 1 111 (,{ C N F- rL CL "' ' 3 LU LU n. ° a f� .O .L] 0 LL 4 CI C O u >, O O d r LD w} �i I U y%. +J GU IL13wY.F.. 7. y 41 Z f ti O 1C) ., E J � Lz U y f1.� -� ry 1_ ro O IU CA Y in U 0 tC o .� �_ Ij_ vI .� 0 �' LLI W ami a u u7r: n(v LL L w 1 •, IU I? L3 b ��1 '1 L. IL a L7 l 1] i ? W iVS 413 c) `'` ,u r c I �' X C I y ,Ur, �o v �, •� G O 4 n O oIIJ t ro 1 r_ N N 11 L L.i 4' , F U 4 o Q LL u. LL ro u r .1 F A I- s '�' 1 "UR-UNG PERMIT APPLICATION 1aF TIG,',RD DATE_._ ' __. ,s NO % S� UNDEHSIGNE0 HEREBY APPLIES FOR APERMi i FOR THE WORK HEREIN INDICATED BUIL.DERPHONE__r_ ,1 AS, SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P'�IONF. 'V �J ''7 /fid. LOT NO� JOB ADDRESS /O yG��z - HOME ADDRESS ARCHITECT 6 1eI ENGINEER Q,--_ ADDRESS _ �- DESIGNER aE 'vEW ElRFMODEL 0ADDITION-^-�0REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLI ION Nr,F CnMM ❑EDUCATIONAL ❑GOV'T ❑RELIC,IOU:❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE 1.�'`ND ❑MOVING ❑CONDITIONAL LISE [jDLSIGN REVIEW [:]COUNCIL APPROVED [:]SIGNS - � � C'` ANCY��?!!LAND USE ZONE BLDG.TYPE__ r� •• -FIRE 7ONE-9— PLAN CHECK BY��� f._ ,.UAp-- ELQ�2 AQ1:T� -EI T- ��-/U -N _alQ E5--L- �p�- ---NQ @@pRQD-M-B=-YL>LU �o�Od-,OC)d _ BUILDING-DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT 1'0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check �� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal S�,^0 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRIrTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO 14AVE CURRFNT CITY BUSINESS Siaie Tax j�c1( �� LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total - ATpel SCANOR AGE-NT--- Receipt No ---- -- — ADC7pE SS t�HONE. SQ i 1 Is B. '7 CITY OF TIGARD ORDINANCE 1177-26 STREET SYSTEM DEVELOPMENT CHARGE DATE : y/S 1-7/1 ESTIMATED SALES PRICE APPLICANT NAME TELEPHONE r JOB ADDRESS BLDG. PERMIT ysy. AMOUNT OF FEE FOR S. D. C. DESCRIPTION OF IMPROVEMENT � �� �_ ���► '4" '� EXEMPTI,INS -PER ORDINANCE 1177-26 FEE RATES: A. Single family dwelling unit under 160,000.--------- 3300. 00 0. Sin(-1lo family dwelling unit over 160, 000.--------- 400. 00 C. Mobile Home Court Space (New Development)----------- 5150. 00 D. Multi--Family Cwellings--per unit------------------- 5240.00 �L E . Commercial , Industrial & Institutional(Park. Space) 5UDU;eact7 F. Single family unit under 540, 000. ---------------- S - r J L7 la 1 J ADDRFSS Il ' � PERMIT NO . PERMIT CHARGE none ] CONNECTION FEE yCO, PAID BY TYPE Or BUILDING �u.<x DATE CONNECTED / INSPECTION FEE SE P.I► ICE RATE ��f�./ �s �" `.`I CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID rzo - Z°v6 GoS7 SEWER PERMIT . 15854 Unified Sewerage Agency of Washington County CITY OF Tigard DATE 4/11/78 OWNER: ;limasd U. S. BanTrust PHONE : 620-1491 OWNER 'S ADDRESS: 16700 SW 72nd, Tigard Bldg. #16 TYPE OF INSTALLATION: ❑ BUILDING SEWER © BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: © NEW ❑ SINGLE FAMILY ❑ COMMERCIAL. [] EXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS 9 ADDRESS OF STRUCTURE : -1670CI SU 7?nd A%/Rpup. Tigard Bldg. #16 PERMIT CONDITIONS: THE APPLICANT AGREES TJ COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION. PLEASE REFER TO THE PERP41T NUMBER. THIS APPLICATION EXPIRES IN ONE- HUNDRED AND TWENTY ( 120 , DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ SIl, nn CONNECTION CHARGE -9400-nn SIDE SEWER INSTALLATION Lorean Wilson ISSUED BY OTHER T97AL $ r1i ,n Hn 3^.� LL/1 1 /7 H APPLICANT DATE 1- < � . 1 .1�•1.IJP I:.�r•rti ti',�LL E:L ��.I ��.. ��;,:, SEXIER PERMIT Nn 15854 ADDRESS OF STRUCTURE - 1h'(UU SW 72nd Avenue , Building #16 TAX MA,' TAX LOT SYSTEM Fanno Creek LOT BLOCK OF FTIJ _ 4/11/78 Loreen Wilson 4/11/78 APPROVED BY DArf ISSUED BY DATE D. U. ' S 9 REMARKS >> �# 1 7- , r) ADDRI- SS CONCT ON CHARGE LQ COMPUTATION SHEET 1. COI, �iCIAL , ORY INDUSTRIAL , PUBLIC STRUCTURES, CAR WASfi, (MANUAL CAR I liAS' AUTOMATIC LAUNDROFIATS, ETC : A. BUILDING AREA Z-2-0 SGS. FT. 1500 �DU i B. LOT AREA ACRE x 4 = DU I C. FIXTURE UNITS FIXTURE UNITS 16 = _DU 2. SPECIAL SERVICES: i ELEMENTARY SCHOOL STUDENTS i 17 = DU HIGH SCHOOL h COLLEGE STUDENTS = 10 = DU HOSPITALS - GENERAL BEDS = DU CONVALESCENT/REST HOME _ BEDS 2 = DU M SLEEPING ACCOMMODATIONS WITHOUT KITCHENS _ ROOMS 2 --_ _ -OU i COMMENTS: s v e� i n o j 7 00 r, O LTIq L 91 j t. O o N U trj N auf G ~ V CL IA z °� � °' ra aor d h N L yd_ M p ` NN 0 i • O d u 3 G r Ln 4_ o O c9 O V b U �n ' cc .-�' u C o 0 00 o o c) c, n r� 0 0 0 o N � N 0 0 0 8 ca t Q t' O V O N N O 10 r7 H N c7 p N 6 C tb U IA to w E i cr. O '^ v� V) w w Q- a Li �• p 4 Z rov IL a t1 FOrTf 1 O UL]W IU O c7 c G 1° a o In Is O ) .r E d rl T W H 3 O u r_ N u .c O °_' .t_ tO r I er.T.0 j F w u emu v I I C1 t_ e Y n I w tl O J .n N •� 0 a �' F c ( to � u L rL, Zw0 3 .O '�' I _ n u i1 y O ii u r j n n n A u ul t. ro O J c N U < C7 r9 ,. I 1 m "0 cr 4A H O t` Im m tL a > > O n v x cu I v o O s .� ro •- r v7 J x x n � -. v) .. LO 7 2 �' J) u n E �, Q 3 u m 'u tl: ti vi C to v+ Go �o n r� o iu, T T u 1 Z ' c_ _ c e x n u r Ll r. w I • C r7 8 O q O .m r> r, .O r r I r oc3i "' i 'r' L) f a L N n t) City, of { l�� rr r t� �t�rii�ea ti�r Friee_- 9e:,!bce F.elnration Stale �_J A;i� tion !,!trrat,on �� Nev. tn� 8r . ..On,� ,. DEAN Cis NE R _�!,.� /eA Z.P��S 7 �BFr� IkLA'�__. .._... ------ } 8705 S. E MILWAUKEE Aft /1 2 zi9 C IVORY, ADDRESS DG p/l.� CDeG Vy.06k T _ PHON _ -�"_-- �•'SZ—__ .____._._.__.r APPLICAt T_,Oc-!!f V 0 to^-,v Hea; i,ipul Rating (BTU Per Hour1_ � ,,� ____r Fent Size __. -_� 7, Fiue Size— Hour)--1/5--A FUEL 011 J GAS Et-ECT OTHER ITEM NO. FEE ITEM NO. F _ -- For Iss.ancr of?rrmr; _ _ —•T-_.J 00 i Air Condition Compresr.or 15 to 30 HP 10 New L,rn jer 1011,000 B W _ _ 4.00_ Air HandliCrg 10,000 C_F_44 3 - -7-- S.OD •'Air Nandlrng Ovw 10,000 CFM 5. New tn0,0�0 HTU b over _ —� �.L.___ — ----------_— _ Ftoor ruc_nac_t• 4•Q0 �E�'aporative Cooler 3 1-fall' Fluor Suspended '_ r 4x00 Range Vent Fan - _ 2. Install Vents On►s _ , 2.00 Ven? System _ _- -_— _ ___ _3 Reaa,r ►t.:et 1. Cnuling _ _ -�_ -�� 4.00 �liuod Commercial 3 Air ConrS unlr�scor Undcr 3 HP 4.00 _ rni� iuorti:�l Oust Sytlem >ir Cora. or Cr,rn;ressor 3 to 15 HP --7.50 INSPEC t CIT F1' lNi:,`.• L rCENSE RE OUIRED FOR ALL CUN 1•RACTORS OR SUB-CONT RAC TORS -.� APr'it:J• I► BY DATE ISSUED BY DATE R E C f it,f 0,:'J - rr 714 1 ;iionature o1 Applica N • 1 I�r hl t v r� i 0O 7 J � 60 cu Lr z I_ c, u y 'u UOI- tA' C. to w r•J C �� 4! fl Q In r, Ci d ..j Z '' ra o chi C) 0 c r. o 41 J C !� tL to .J vI ' \ \ 1 4� C)Q t0 4. �� m U ry O \ - - - u c 0 o h o a r c, o o o ,O Lq v v o n g rA ro ` O ,O ui ci tri ri t i c i u o146 o c CO F_- w r a) (1) C, u, E F" 40 ni 4} - 0 7 3 ap ) U t.. U 7_ . C o c.� r. 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Iris-.0. ..on ' Z- Rt:i!a_r tJ Relocation Addition r..!t!rriiUn 14L Stale_ r,AC'fOR _)?EAN..WA08EM-PLUMBINO C0._ --- - Q►,NER_•_ �_S:.r�/_,9A/ ��'s'S7__`___ _- _--- 3705 S. E. MILWAUKEE AVE. CO S7 N No W6 14 AD•7FFSS____.__._...__PIJWIAWn -( EG0hI 4720Z-_..__._-_.. WORK. ADDRESS��C'e�,r��✓ �y�L'�sl�i--d- ,�'s2��. PHONE _ a �G /5'J- __ A'''L ICANT Oe-AN_ L✓19,�^r'.=�e/ W�(6� ��, _ Hem Input Rating (BTU Per Hour) o;!j',i jecs eda+�_. vt:nt Size r� Flue Size FUEL OIL ❑ GAS T9� FLECT OTHER_.__ ITEM NO. FEE ITEM NO. FEE For Issuance of Permit 3.0_0_ Air Condition Compressor 1510 30 HP N 10.0( o ew Under 100,000 BTU i — - - 4,00 Air Handling 10,000 CFM _ 30, R '• New- 1(10`000 BTU & over --,_� ^-� 5.00 Air Handling Over 10,0n0 CFM'^! -, 5.0: 1 Floor Furnace _ 4.00_ _Evaporative Cooler 3 0( to __ _ y Wall - Floor •Suspended 4._00 Ranp Vent Fan 2.0 Install Vents Only 2.00 Vent System 3.01 Repair - Heat & Cooling 4.00 Hood Commercial _ 3 0( �• ; Air Condition Compess ro Under 3 NF' 4.00 Cornmerciel nut•.'. System 10.0( w -Air Condition Compressor 3 to 15 HP 7.50 J .. ,.�,,�_=�.�..�-_rs-•-=s_�::.sc.:.,.:.-:_-ar m�_ :�-c.:.�.-z-_sx:�_sc:�•_,.._�..x•s-_-sn•�c.:.:scsSte�ts.:_—�-_-_-.. _- _-_-.-..._ INSPECTOR'S C0r4MENT5 ,_ CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CON'tI1AC FORS _ -^ .f8 - APPROVED By---.-------- DATE _:- - _ ISSUED BY __ - DATE ,- RECEIPT NO. 114 Signature of Applicant City o ioC-3 r CC 117mica eVi'liFire Re:r'ace ❑ Relocation LYl Addition Alteration �.i State ,,_ 1OTAL--:L2 = C.^.r:T R ACTOR DEAN WARREN. KUMPJ" q1B: O>•�P:E R L�_,?_w9/n v��s'u.s'! 8705 S. E, MILWAUK49 yam"----- - — 7Z ---- ADORE55 _PORTLAND. 0BM ��j_L_^ _ WORK ADDRESS _ PHONE �� APPLICANT-0, Hea; Input Rating (BTU Per Hour)_ ,,i 2 Vent Size —`_ Flue Size FUEL OIL CJ GAS,,R9- ELECT ❑ OTHER �ity�T /��pft ,r we dl.`' ITEM NO. FEE ITEM NO. F For Issuance of Permit ~1 3.0_0 _Air Conditibn Compressor 15 to 30 HP 10. New - Unde, 10_0,000 BTU 4.00 Air Handling 10,00_0 CFM 3. New- 10G,000 BTU & over 5.00 •-Air Handling Over 10,000 CFM 5. Floor Furnace_V 4.00 Evaporative Cooler 3. Wall - Floor -Suspended 4.00 Range Vent Fan 2. Install Vents Only 2.00_ Vent System 3. Re?air - Heat & Cooling _ I-~ 4.00 Hood Commercial 3 H1 _ _4.0( ercia punt Systr m 10 Air Condition Compressor Lndcr Air Condition Compressor 3 to' 15 HP 7.50 _ --� +i INSPECTOR'S COMMENTS z. CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-C NTRACTORS APPROVED 9Y� DATE _ ISSUED BY DAT RECEIPT NO.----... _---__- -- LIA; 774 rf Signature of Applicant v r c� J I f L �� Llf I �cl1 �� l �r��il:�tlfCl7f Vcrtmt her. I'is ci%:L'a Fe P..3 Un _ =[' I_.l r,CIOCat�pn �_� .;�j7un AllrfatlPn " � State ! (F(.,i'►Ir�U TOTAL DEAN WARREN, PLUMP, G , t C:; i r;=AC iC)R $705 S, ct9--4 _ - - - CV.'N R AD,-)RE S PORT1 0, OREG 18�2pz' lti'OIiY, ADDRESS /'07 _- - PHONE _ A"PL ICANT Heat Input Rating (BTU Per MDUfI_ ooU Lent Size _ '- Flue SizE T FUEL OIL CJ GAS ELECT U OTff R_ ITEM NO. I FEE 17EM NO. F For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP 1 New- Under 100,000 BTU _�� 4.00 Air Handling 10,00.0 CFM N :r ew• 106,000 BTU & o,er 5.00 Air Hand ing Over 10,000 CFM Floor Furnace ,' 4.00 Evaporative Cooler 3 Wall • Floor • Suspended _— � 4.00 Range Vent Fan -- 2 Install Vents Only _ 2.00_ Vent System 3 Renair • Meat & Cooling_ __ 4.00 Hood Commercial 3 - Air Condition Cumpressn• Under 3 HP — 4.00 Cnfnmercjtrl hula Syttcm 10 Air Condition Compressor 3 to 15 HP ~7.50 INSPECTOR'S COMMENTS CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB•�ONTRACTORS APPROVED BY DATE _— ISSUED BY DATE RECEIPT NO.•_ "4 Signature of Applicant I f— a-. J G_ Li I )ILDiNG PERMIT APPLICATION COF TIG"RD DATE_�� / . t9) Np 124 a i UNUE HSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONIlk-*3 S AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF(CATIONS. OWNER PHONE _-e�J LOT NO JOB ADDRESS��7�aA11/_kD 3 +HOME ADDRESS ARCHITECT` ENGINEER ADDRESS DESIGNER RF %EW OREMODEL El ADDITION —CJ REPAIR ❑RENEWAL OFIRE DAMAGE ❑DEMOLITI ' �Nr'F ❑'-()MM ❑EDUCATIONAL ❑GOV'T DREOGIOUSDPATIO ❑CARPORT ❑GARAGE (]STORAGEOSLAB ❑FENCE '7- 'ND ---❑MOVINC _ ❑CONDITIONAL USE �QDLSIGNREVIEW` ❑COUNCIL APPROVED []SIGNS '.CL k .CY L_AN SE ZONE_�_�_-_BLDG.TYPE__ —__FIRE ZONE__ PLAN CHECK BY HEAT -- ------- — ----- fla 99T. _NSA aTQRI S _ARElA NO1B_EQRMMS_ VALUE30,0QL0 - `BLIILDING DWARTMENT SET BACKS FROM- Aran Fc T cinc RIGHT SIDE e:rmlf - THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check � REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE — -- - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub Intal ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --- RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS atN Tax - LICENSE. SEPARATE PE RMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By^ "vL� ---- _ -t�^ APP( ICAN1 OR AGENT Approved - Recelpi No. / G- -- AD[ikE55 — - -- — PHONE a J rr 00 rr CD J _New Addres3es - Commercial - 15910 SW 72nd Ave (WCTM 2.51 12DD, TL 400) Tigard, OR 97224 Note: This is a building shell assignment; unit assignments range from 15910 to 15990 SW 72nd Ave. - Lee's 1 Hour Cleaning 15965 SW 72nd Ave Tigard, OR 97224 Change of Address -- Commercial - _ OLD ADDRESS NEW ADDRESS OBP Building 14 Currently Vacant 16755 SW 72nd Ave 16756 SW 72nd Ave Tigard, OR 97224 Tigard, OR 97224 - OLD ADDRESS NEW ADDRESS OBP Building 16 Currently Vacant 16701 SW 72nd Ave 16700 SW 72nd Ave Tigard, OR 97224 Tigard, OR 97224 Cti H In v F- J CJ U' Il! J