11685 SW PACIFIC HIGHWAY-1 3/8' X 7' LAG @ 24' 0. C.
2 EXISTING BUILDING WAIL.
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CONDITION AT THE BUILDING SITE. �' � �'
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A FOUNDATION TO BE DESIGNED FOR LOADS o o�rn
�,� �� ? v LO of U
DESIGNATED ON PLAN. 3 - 2' X 2' X 96' STG CEILING TIE 92'
2 3 2' X 2' x 96' STG CEILING TIE 38' �+ �� I. c,C�� to
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-- - -- MIN. BTUs @ COOLER: N/A Fr I DO NOT SCALE THIS DRAWING
FLnI]R PFAELS MIN. BTUs @ FREEZER: N/A 1 SCALE 3/16' = 1'-0'
3 �4• __
2 THE MINIMUM BTU'S SHOWN ARE Br SED ON ASF STANDARD 47, ED
� DATE DRAWN: 06/01/01
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SECTICIN 5, PARAGRAPH 5J, REQUIRCMERIS (REF, TABLE 1). "I.-`•- ,• ��j
' N _%. DATE PR.:ITED: 06/25/01
THESE NUMBERS ARE NOT INTENDED TP BE USED FOR SIZING
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Q.FT. OF REFRIGERATION UNITS Fi3R THIS WALK-IN. IMPERIAL MFG DRAWN BY STEVE
RECOMMENDS CONSULTING WITH A j]UALIFIED ENGINEER OR ���! �+,,, __:� " = CFiK'D BY: BRUCE
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11685 SW PAC'FIC HWY
CITY OF T i G A R D eolul0 l ELECTRICAL PERMIT
PERMIT#: ELC2001-00282
' DEVELOPMENT SERVICES , DATE ISSUED: 5/31/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PAR,"Er_• 1S13GCD-00102
SITE ADDRESS: 11685 SW PACIFIC HWY
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Prosect Description: installation of 4 branch circuits.
RESIDENTIAL UNIT TEMP SR_V_CIFEEDER_S MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDF;: 601+.amps - 1000 volts: MINOR LABEL 1101:
SERVICE/FEEDER BRANCH CIRCUITS c
- � ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION.
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR.
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLAN'-,:
601 - 1000 amp: _ PLAN REVIEW SECTION_
1000+ amp/volt. >=4 RES UNITS: > 600 VJL'r NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS: _ _CLASS AREA/SPEC OCC- _
Owner: Contractor:
ROSE CORPORATION
89576 DAY LANE=
EUGENE, OR 97402
Phone: Phone: 741-686-0905
Reg #: LIC 54431
ELE 20-2530
SUP 1568S
_ FEES — Required Inspections
Type By — Date Amount R,,ceip: Elect'I f=inal
PRMT CTR 5/31x01 $68.60 2720010000(
SPOT CTR 5/31/01 $5 49 2720010000(
Total — $74.09
This Perrnit is issued subject to the regulations contained in the TK)ard Municipal roue,Start of OR 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 started within 180 days of issuance,or if work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Not`ication Center Those
rules are set fcJ th in OAR 952-001-OC10 through OAR 952-OC1-0090 You may '1htam copies of these rules ord rect qu 2stions to OUNC at(503)
2465699 or 1-800-332-2344
Permit Signature: Otis ���� �, n0� — Issued By:
_ OWNER INSTALLATION ONLYThe installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE:
CONTRACTOR INSTALLATION ( 1LY
SIGNATURE OF SUPR. ELI-C'N: � y — - DATE:
LICENSE NO: —_ -- - - - --- ---
Call 639-4175 by 7:00pm for an inspection the next business day
CITE' OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: M28/01 00227
DATE ISSUED: 6/28/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-00102
SITE ADDRESS: 11685 SW PACIFIC HWY
SUBDIVISION:
ZONING: C G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WOR:(: REP FLOOR FURN: EVAP CCOLERS:
TYPE OF USE: COM UNIT HEATERS VENT FANS:
OCCUPANCY GRP: VENTS W110APPL: VENT SYSTEMS:
STORIES: __BOILERSICOMPRESSORS _ HOODS:
FUEL TYPES _ 0 .3 HP:� DOS"ES. INCIN:
ELE -- 3 - 15 HP: COMML. INCIN:
MAX t.I!PUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE L.."•MPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: _AIR HANDLING UNITS_ OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS-
10000 cfm:
Remarks: Fire damane - replace walk-in r3frigerator
Owner: _ _ —�— FEES
MILL-AR,TED!_ TRUSTEE Type BW Date Amount Receipt
BY WILLIAM C FLOBERG FRMT CTR 6/28/01 $72.50 272001000C
834 SW ST CLAIR PL.CK CTR 6/28/01 $18.13 272001000C
PORTLAND, OR 97205 ;r'r�T CTR 6/26.01 $3.80 272001000C
Phoma: — -�' Total $9b.43
Contractor:
WILLAMETTE= VALLEY HEATING +
REFRIG'
PO BOX 1126 _ REQUIRED INSPECTIONS _
MCMINNVILLE, OR 97128 Mechanical In;n
Phone: 541-434-5241 Final Inspection
Reg#:LIC 108414
This permit is issued subject to the regiulations contained ire the Tigard Municipal Code, State of Ore
Specialty Codes and all other applicable law-, All work will b_- done in accordance with approved
plans This, permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC/bbyv calling (503)2-A 1.6-9189,
I AL
Issue By:i r'LC ' 1 `_---__a --- Permittee Signature: _�r�Z f _,2,24 /�l
Call (503) 639-4175 by 7:00 P.M. for inspections needed the/next businese day
j�
Mechanical Permit Application
—--- —._
-- mhived: erto�riDate rece
City of t'igard Project/appl.no Expire date
Cit),rtf Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By. Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
x/1) 'T 1 Building permit no.:
Land use approval: _
7UNcwfamily dwelling or accessory U Commercial/industrial 'J Multi-family U Tenant improvement i
construction Id Addition/alteration/replacement J(Aber. _. --- —
KITC I 10 pis I=
Job address: Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no:�OQ � I quite no.: value of all mechaniiccal�mat�ls,equipment,labor,overhead,
Tax map/tax lot/account no.: -_ profit.Value$
Lett: Blrxk: Subdivision: *See checklist for important application information and
jurisdiction's Ice schedule for residential permit fee
Project name: .
I
City/county: ZIP:
MA Evil F1 10111163113 IfI
Description and location o work on premises: t t
1'ee(Va.) 1eNat
Esl.date-of c mpletion/inspection: Ikripti0n lN)• Rrs•rtnly Ntr.only
Tenant improvement or change of use: Air hanuiing unit CFM
Is existing space heated or conditioned?U Yes U No Air conditioning(site plan require )
Is existing space insulated?U Yes U Net Alteration of existing TIVAC system
1 loiter/compressors
Stale boiler permit no.:
Business nam : j zy HP _'tons BTU/11
Address:
�QN�' it smoke amper. uct smo a detectors
, r (i -1_ � — '—
City: State: ZIP: _ [teal pmnp(rite plan required)
r' ! Fax: _ Email: nsta rep ace Iurnace urner_—
Phone: — Inc'udiuF ductwork/vent liner O Yes U No
CCB no.: / _. Irtsta rep scare ocatehealers-suspen ded,
City/metro lie.no.: w all,or floor mounted
Name(please print): r.! or applianceotherthanfurnace
71-ePrTgeiyt on:
Ahsorpuunulri;c _._ BTU/Il
Chdirrs till
Name: '�AIV!C Com.resan.^tts----- — lIP
Address: f t' G v roanIn ex asst ana vent at on:
City: State: ZIP: ]j;Z Appliance:vent
Phone Sf / I',e� E-mail: )ryerex aunt
0 S. ypc res. itc a azmat
hood fire suppression system - —
Name: , .L-� Exhaust fan with single duct(bath fans) —
x tauslsystcm start frnmTeatin o— AC
Mailing address:: " /'C tie p n ng and distribution(up to 4 outlets)
City: State3ylx:— LPG NG Oil
Phone: f Fax: E-mail: Fue &!n ear i addiflonal additionalover 4 outlets _
rt:cesspiping tschemattcrequire --
Number of outlets
Name: othir st app ance or equ pment:
Address: Decoraove I ereplacc --
City: Slate: ZIP: _ —5—seri-type =
stov Ix rt stove
Phone: Fa ' E-nr i1: 0i er.
Applicant's signature: Date. - .•k f' Ot er: ,y
Name (print): — Permit fee...........•.........$
Noe dl judrdiceions mccepe credil cards,piew call juttsrbcelon fin mane infoone•i m Notice:'lie's permit application Minimum fee................$
U Viso U MasterCard exrir:s if a per:mit is not obtained plan revic ••(al — %) $
Credit carr)number —___- - — ipirn within ISO days after it has hien
State surcha.ge(896) •...$ _
--- accepted as �]�I �j
Unite or cardholder eu rhown on credit crud S ` L• 'WOTAL .....I.................$
Cardholder N�rulrrre Amount440-4611(6i1WO'd)
MECHANICAL PERMIT FEEES
COMMERCIAL FEE SCHEDULE: 1 1 & 2 FAMILY DWELLING FEE SCHEDULE:
---- - DescriptionPriceTotal
TOTAL VALUATION: FEE: -- Table 1A Mechanical Code (city (Ea) Amt_
$1.00 to$5,000A0Minimum fee$72.50 _ __ 1) Furnace to 100,000 BTU
$5,001.00 to$10,000.00- $72.50 for the first$5,000.00 and Includina ducts&vents 14 00
$1.52 for eact,additional$100.00 or 2) Furnace 100,000 BTU+
fraction thereof,to and including including ducts&venis 1740
10,0 00. 3) Floor Furnace
$10,OOi no to$25,000.00 $148.50 for the first$10,000.00 and including vent 1400
$1.54 for each additional$100.00 or Suspended heater,wall heater
fraction thereof,to an4i including ) or floor mounted heater t4 00
_ $25,000.00. _ -
$25,001 00 to$50,000.00 $37E.50 for t!.e first$25,000.00 and 5) Vent not included in appliance permit
$1 45 for each additional$100.00 or _ 680
fraction thereof,to and Including 6) Repair units
_ $50,000.00. 1215
$50,001.00 and p _ $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Com
7)<3HP;absorb unit
to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8)3.15 HP;absorb
Value Total unit 100k to 500k BTU 25 e0
Descl d lion d Ea Amount y)15-30 HP;absorb
-p-- 35.00
Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU
ducts&vents _ _ _ -- 10)30-50 HP;absorb
Furnace>100,000 BTU including 1,170 unit 1-1.75 mil RTU 52.20
ducts Z vents 11)>5 P:absorb
Floor furnace includina vent 955 unit>1.75 mil BTU 87.20 _
Suspended heater,wall healer or 955 12)Air handling unit to 10,000 CFM
fl= mounted heater _ 10.00 -
Ve+�t not Included in applicance445 13)Air handl!ng unit 10,000 CFM+
��rmit - 17.20
Repair units 805 14)Non-portable evaporate cooler
<3 t,n;absorb.unit, 955 10.00
to 100k BTU - - 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 6.80
101k to 500k BTU 16)Ventilation system not included In
15-30 hp;absorb.unit,501k to 1 2.310 appliance permit 10.00
mll.BTU 17)Huod served by mechanical exhaust
30-50 hp;absorb.unit, 3,400 10.00
1-1.75 mil.BTU ----- 18)Domestic incinerators
>50 hp;absorb.unit, 5.725 I 17.40
>1.75 mit.BTU 11 i9)Commercial or Industrial type Incinerator
Air handling unit to 101000 cfm 656 69.95
Air handling unit>1(1,000 cfm 1,170 - 20)Other units,including wood stoves
Non- u moble evaporate cooler 656 10.00
'vent fan connected to a single duct _- 446 21)Gas piping one to four outlets
Vbrit system not Included In 656 5.40 -
applian�erm)t _---- 22)More than 4-per outlet(each)
Hood served t,y mechanical exhaust 656 1.00 _
Domestic indnerator 1,170 __-- Minimum Permit Fee$72.50 SUBTOTAL:
Commercial or industrial indnerator- 4,590 _-
Other unit,including wood stoves, 656 8%State Surcharge $
Inserts,etc. _ - --
Gas I In 1-4 outl3ts 360 25%Plan Review Fee(of subtotal) $
Each additional outlet 53I Required for PLL commercial permits only -_-
TOTAL RESIDENTIAL PERMIT FEE: S
TOTAL COMMERCIAL : - �-W -`
VALUATION: _-
--
Other na ection_sna�nd Fees:
1 Inspections out side of normal business hours(minimum charge-two hours)
$72 50 per hou,
2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
$72 50 pet hour
3 Additional plan review reruued by chano-s,additions or revisions to plans(minimum
charge-ons-hall hour)$72 50 per hour
'State Contractor Boller Certification requ'red f,,r units>200k BTU.
**Residential IVC requi es she Ilan showing placement of unit.
i-\dsts'formsUnech-fees.doc 101'1lt.0
SEF, 5MM
RO ..LL.. #20
F- OR.-
OVE R- S ,. ZED
DOCUMENT
- BUILDING PERMIT
CITY OF TIGARD
\ PERMIT#: BUP2001-00204
DEVELOPMENT SERVICES DATE ISSUED: 6/5/01
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S136CD-00102
SITE ADDRESS: 11685 SW PACIFIC HWY
SUBDIV'SION: ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REP FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJEi.r OPENINGS?
TYPE OF CONST: 5N sf W. S E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 110 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
S1 OR: HT: ft GARAL!-: sf OCCU SEP. RATED:
BSMT?: MEZZ?: READ SETBACKS _ __ REQUIRED
LOOR LOAD: psf _LEFT: — ft RGHT: ft FIR SPKL_ SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft F!R ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO TORR: PARKING:
VALUE: $ 10,000.00
Remarks: Repair fire damage at rear of building.
Owner: Contractor:
MILI.AR, TED L TRUSTEE JIM YORK CONSTRUCTION INC
BY WILLIAM C FLOBERG PO 60X 1595
834 SW ST CLAIR S/-,NDY, OR 97055-1595
Pq�TLAeNU, OR 97205 Phone: 668-9050
on
Reg #: LIC 0077050
FEES REQUIRED INSPECTIONS_
Type By Date Amount Receipt Mechanical Parr-nit Require
PRMT CTR 6/5/01 $139.30 27200100000 Electrical Permit Required
Framing Insp
5PCT CTR 615/01 $11.14 27200100000 insulation Insp
Fin.ii Inspection PA� ��
Tota.i $150.44
This permit is issued subject to tho regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable law All work will be done in accordance with apf,roved plans This permit will expire if work Is
not started wi hin 180 days of issuance, or if work is suspended for more than 180 days A fTENTION Oregon law
r-quires you to follow the ru!es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9':2-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344
Permittee C _�
Signature:
l y~
Issued By: -• �' --_— --_---
Call 639417F by 7 p.m. for an inspection the next business day
Building Permit Application
rDatcrtceived:b Permit no.
:'' A
City of Tigard Project/nnpl.no: Expiredate:
Address: 13125 SW Nall Bl d.1 igard,OR 97223
r'irr illi:ri l
Phone: (503)639-4171 Date issued: b Receiptno.:
Fax: (503)598-1960 Case file no,: Payment type:
Land use approval: _. _ _ I&2 family:Simple (.omplex:
U I & ?family dwelling or accessory U Commercial/industrial U Milli,-family U Nev,construction ❑Demolition
U Addition/alteration/replacement U Tenant improvement U I iw .ptm .li r/at.111' U Other:
JORSITEINFORM
Job address: & / bldg.no.: Suite no.:
LAW Block: Sutxlivisiun; - - Tax map/tax lot/accoulw no.:
Project name:
Description and location of work on premises/special conditions:_ -p,4it?/19t' 4 i —
iK - -
a IN 11111 le
5�Nance:
Mailing address: I &2 family dwelling:
City: G�/1 S
State,'�f LI P.
Valuation of work................ ........... ........... $ -----.-- -- -
Phone:/- I?ax: E-mail: No.of bedrooms/baths.................................
Owner's representativc: Total number of floors................................. _
Phone: I ax: li-mail: T New dwelling area(sq.ft.) .......................... --__
Garage/carport area(sq.ft.).........................
Name: rM 5— Covered porch area(sq.ft.) .........................
-- _ Deck area(sq.ft.) .............. ....................... . __ ----
Mailing address: Lt_
Cy: Sd 7.IP: D �� Other structure arca(sq. ft.).....................
City: tate
it 11e; 3. _ Fax: �I jrttil: Commercial/induatriallmultI-family:
Valuation of work....................... ................ $
Existing bldg.area(sq.ft.) ..........................
7r6)
�: New bldg.area(sq.fr.)
Numberof stories.................................. ....
State' _ 7.1 P: OS S- T e ofconstruction yp ....................... .......p s0 Fax: E-mail: Occupancy group(s): Existing: —
CCB no.: 7Zp SO ,i New: _
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
licensed wide the Oregon Construction Contractors Board undrr
Name: provisions of ORS 701 and may be required to be licensed in the
jurisdiction where w,.-k is being performed. If the applicant is
Address__ exempt from licensing,rte following reason applies:
City: ,.. _ State: ZIP:
Contact person: FaPlan no.
-- -- -- --
Phone: x: E-mail: -^-
Name: Contact person: Fees due upon application ........................... $ ---
Address: Date received: _
City: State: 7.IP: Amount received .........................................$
Phone: — Fax: E-mail: I_ Please refer to fee schedule.
hereby certify I have read and examined this application and the N,a all jurisdictions accept credit cards,please rail jurisdiction for more information
attached checklist. All provisions of laws and ordinances governing this a visa U M■stet('ard
_ �---
work will be cam ith, tether specified Credit card nnmbet I. 6n or not. - — —_- -- e,;+ires
Authori si n ' Date: Name of cudholder u shown on credit card -- —s
Print n - `_----cardholder sipsiure Amount
Notice:This it applicatiou.expires if a permit is not obtained within 180 days atter it has been accepted as complete. 440.461.1 tGl MOM)
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan review is dependent upon submittz 1 of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to
request additional plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire R Rescue).
--------------- ---- -
Total # of
TYPE OF SUBMITTAL Plans KEY:
_
Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
B (New, Add or Alt) 1'k B = Building
F (New, Add or Alt) 3** F = Fire Protection System
M (New, Add or Apt) 2 M = Mechanical
P (New, Add or Alt) 2 Fa = Plumbing
--E-('New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
Alt = Alteration to existing
buildi tg
*For over-the-counter commercial tenant improvements, submit 2 sets of plans.
**"New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
I:\dsts\forms\matrxcom doc 10127,00
CITY OF TIC=,APO 24-Hour
Line: (503)639-1175
BUILDING MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP - - - —
Received _ Date Requested_ .3 _ AM PM - _ BUP
1 .i , Suite--._ - - -
Location �' �(v �5� ,��'>✓`�----- -- - MEC _
Contact Person Ph( ) 0 3 PLM -_-_-- -- --
Contractor __ — - Ph( ) _ SWR
BUILDING_ —� Tenant/OwnerFLC
Footing E LC _
Foundation Access:
Ftg Drain ELR
Crawl Drain SIT
Slab Inspection Notes:
Post&Beam
Shear Anchors
Ext Sheath/Shear — -
Int Sheath/Shear n
Framing - _ - -- -------------- — �-- --
Insulation
Drywall Nailing - ----- - ---- -----__ ----
Firewall
Fire Sprinkler - - ---- - � -
Fire Alarm _
Susp'd Ceiling -
Roof
Other: -------_.------------- --
Final
PASS PART FAIL
PLUMBING - --- -- ------ -- -- -
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer -
Rain Drains -
Catch Basin/Manhole _--__--_
Storm Drain
Shower Pan
Other:
Final
PASS PART _FAIL
MECHANICAL
Post& Beam
Rough-In ---
Gas Line
Smoke Dampers ---------__-_--`__-_—
Final _ - -------
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage ----
Fire Alarm
ta
[-1 Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd.
S PART FAIL
Please call for reinspection RE:_ __ E] Unable to inspect-no access
Fire Supcily Line "`�
ADA Date s Infp�Ct _Ext —.
Approach/Sidewalk - � �
Other:
Final DO NOT REMOVE this Inspection record from the)oh• site.
PASS PART FAIL
CITY OF i IGARD 24-Hour
BUILDING Inspection Line: (503) F39-4175
INSPECTION DIVISION Business Line: (503) 659-4171 MS T
BLIP moa D�'G�7
Received -- Date Requested -`> AM_.q• qPM— BLIP
Location - - ( � J- t � Suite...... _ _ - MEC
Contact Person Q6e�z Ph( ) c' - -;Z rs PLM _
Contractor-- ----- - --------- elf - Ph(- ) q3 O SWR
BUILDING Tenant/Owner _ _ ` _._ ELC _
. ell t'
.Footing -
ELC
Foundation ,%ccess:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - - -- --
Firewall
Fire Spriokler - -
Fire Alarm
Susp'd Ceiling -
Rool- I I
---7-
F '
�A PART_ FAIL
PBMING 1
Post&Beam -
Under Slab
Rough-In
Water Service ------------...--
Sanitary Sewer
Rain Drains -- --
Catch Basin/Manhole
Storm Drain -
Showc, Pan 1
Other:
Final
PASS PART FAIL - -
MECHANICAL
Post&Beam --- -- ~�
F ough-In —�
PV
Ga^Line
Smoke Dampers - - ---- --
Final
PASS PART FAIL -
ELECTRICAL --
Service - - --- � -- -
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspertiun fee of$_-__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE __ Please call 64 reinspection RE: _- Unable to inspect-no access
Fire Supply Line
ADA LApproach/Sidewalk Date � lr Inspector �� � Ext
Other:_
rinni DO NOT P,EMOVE this Inspection recon-d fl wm the job site.
PASS PART FAIL
BUILDING- PERMIT
CITYOF TIGARD -PERMIT#-BL)P2002-00037
DEVELOPMENT SERVICES DATE ISSUED: 2/13/02
13125 SW Hall Blvd.,Tiqard, OR 9723 (503) 639-4171 PARCEL: 1S136CD-00102
SITE ADDRESS: 11685 SW PACIFIC HWY ZONING: C-G
SUBDIVISION: JURISDICTION: TIG
BLOCK: LOT
FLOOR AREAS EXTERIOR WALL CON-9
REISSUE:
FIRST: sf N: S: E: _ W:
CLASS OF WORK: FPS SECr,ND. sf _ PROJECT OPENINGS? _
TYPE OF USE: COM sf N: S. E: W:
TYPE OF CONST: 5N
OCCUPANCY GRP: NONE TOTAL AREA: U UU sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA -EP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft REQUIRED
BSMT?: MEZZ?: _ READ SETBACKS
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft PRO CORR: HN PIARKING:
BEDRMS: BATHS: IMP SURFACE:
VALUE: f
Remarks: Remove dry chemical fixed system and replace with wet chemical system.
Contractor:
Owner:
MILLAR,TED L TRUSTEE FIRE EXTINGUISHER SERVICE CTR
PO BOX 1391
BY WILLIAM C FLOBERG BEA`/ERTON, OR 97075
834 SW ST CLAIR
PgTLAND, OR 97205 Phone- 643-3309
one. Reg #: LIC 00069384
_FEES REQUIRED INSPECTIONS____
Date Amount Receipt Mechanicallr�sp
ffRM
BY Finallnspection
CTR 2/8/02 $62.50 27200200000
CTR 2/8/02 Q5A0 27200200000
FIRE CTR 2/8/02 $25.00 27200200000
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Codf, State of OR. Specialty Codes
and all other applicable law. All worn eillobef work is suspein nded forance lth morepthand180 days.'IATTENTIOI3 permit Ill N:expire if OregorWaw ork is
not started within 180 day.. of i3sua
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OA
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-E00-332-2344.
Pe nn Ittee
Signature:
Issued By:
Call 639-4175 by 7 p.m, for an inspection the next business day
Fire Protection Permit Check List
A. U New ❑Addition ❑ Alteration ❑ Repair__
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:
Additional description of work:
Type of System Cc .Mete A, B or C as applicable
A. Sprinkler I b V et ❑ — Dry i.]Standpipes
Additional Hazard Group _—
Information Density _-___
Design_ Area
K. Factor —
_ _ Sprinkler Project Valuation: $
B.)T-ype I - Hood Fire Suppression System
Hood Pr9ject Valuation $ W
------ ____ .rte--
Fire Alarnf-
Submittal shall BE,itsry Calculations _ Yes ❑ ___ `_ _p
Include: Individual Component Yes ❑
Fire Alarm Project Valuation:
Pro ect Valuation Subtotal A B & C):
Permit fee based on valuation see chart): $
8% State SurcharSe_ $
_ FLS Plan Review 40% of Permit: $
--- ._TOTAL: $ -
Plan review requires a completed application and 3 sets of plans at submittal.
Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NIGFT level "3" technicians.
iAdsts\forms\FPScheckiist.doc 11/21101
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The Wet Ch3mical Fire Suppression System GURM
AN F N0771 E MAY BE LOCATED
ANYWHERE WITHIN THE SAID
3-5 Deep Vat Fryer and Griddle 45"(114 G„)
--------- —
MAX DIAGONAL FROM
SHVGLE VAT EEP AF T FRYER W11 DRIP AIM POINT
BOARDS 45"(114 cm)
45"(114 cm) MAX
One F nozzle^.r Plenum nozzle will protect one MAX
Single Vat.Deep Fat Fryer with a,naxtmum hazard
area of 18"x 18" (46 cm x 46 cm)and an appliance
area 18" x 23" (46 cm x 58 cm) for fryers with a drip
board. The nozzle is located at an angle_of 45 degrees MIDPOINT OF
or more from the horizontal. It shall not be more than HAZARD AREA,
45" (114 cm) nor less than 27" (69 cm) from the top Of
t►.-,e: ppliance and aimed at the midpoint of the hazard
area.The nozzle can be outside th-perimeter of the 16" r 23"
appliance. (Hazard Area 18"x 18"(46 cm x 46 cm) - (46 cm) (56 cm)
See Figure 3-7) —_ MAX"
\ DRIP BOARD
16"(46 ,I
MAX.. '---'1
FiguTe 3-7. Single Vat Deep Fat Fryer
Mu
��It;RIDDLE - FLAT cPORLNG SURFACE
1 One ADP nozzle will protect one griddle(with or
without I aised ribs)with a maximum hazard area of
30"x 42 (76 cm x 107 cm).'rbc nozzle fe located at
any poi•it on the pertxneter of the appliance and
ainw(, at a point 3" (7.6 crW from the midpoint of the
nea+u ra,oni hazard area. It shall not be more than 48" (122 cm)
�.
/ 1nor less than 13"(33 cm)above the edge of the app i-
{ Top°1 APONSI» ance pe7imeter.Positicning the nozzle directly over
`—
Nrrr-rRs Wf w11" the appliance is not acceptable. (See
LW ` M1,WM of Kuvd Mn
Figure 3-P. Griddle-Flat Cooking Surface AN F OR PLENUM NOZZLE MAY BE LOCATED
ANYWHERE WITHIN THE GRID
45"
MAX DIAGONAL FROM
AIM POINT
-OPUT VAT DEEP FAT FRYER 45~
45" (114 cm)
One F nozzle or Plenum nozzle Will protect a Split (114 c:_STIMIN
MAX"
Vat Deep Fat Fryer ulth a split vat hazard area maxi- MAX -
mum of 14"x 15" (36 cm x 38 cm)%1thout drip board _
and 14"x 21" (36 cm x 53 cm)with a drip board. The !JM POINT:
nozzle is located at an angle of 45 degrees or more MIDPOINT OF HAZARD
from the horizontal. it shall not be more than 45' / CENTERED ON DNiDER
(114 cm) nor less than 27" (69 cm) from the top of the appliance ar- aimed at the midpoint of the hazard —�2t"(114 unThe nozzle can be outside the perimeter of the ) INTERIOR
appiiance. (Hazard Area 14"x 15"(36 cm x 38 cm) OVERALL.
See figure 3-9)
--- DRIP eOARD -- I
14"(36 an) �1
Figure 3-9. Split Vat Deep Fat Fryer
3.5 Manual Part No.9127100.(9/97)Badger Firs Protecbon
J.L.I. Ex 2458
`!t7et Chemical Instruction Manual
Designing for Plenum Protection
AD-2 Deai i
le ADP norzle(P/N 6120011)will protect a located at one end of tine plenum.Longer plenums may
A sing Plenum with the follow
be similarly protected with a single ADP nL'zzle being
single filter or"V"tUter bank p used for each 10 ft.(3.0 m)of plenum length and each
ingmaximum d(m,!nsions: 4 ft. (1.2 m) of plenum width.
plenum 1,ength 10 Feet(3.0 ADP nozzles may be used to combinations(see
4 Fleet(1.2 m) Figure AD-2).Multiples may be installed facing in the
plenum Width same direction.and/or at the ends of the plenum
When no flltrrs are present,the nozzle protecting pointing in.Each nozzle shall provide z ma-dmum of
the plenum is used to discharge the wet chemical on 10 feet.of coverage•
the underside of the hood.In this case. the hood may lenum
length of 10 ft. (3.0 rn) or a width of 4 ft. ADP nozzles must be centrally located in the p
not exceed a with their discharge directed along the length of the
(1.2 m). plenum and located in rele-Mon to the filters as shown
A plenum wiUi tither a.single fllte�.r bank or' in Figure AD-2.
V"filter
rank and a length of 10 ft, (3.0 M) or less may be All Range Guard syste ure t,ated by
protected by one ADP no.�ie.The mule shall be Note:
UL for use with the exhaust tan elthe•^n
#,•oft when the system is discharged.
4-10 FEE!T-*J I
4 FT.(1.2 M)PLENUM tILTE
WIDTH 10 FT.(3.0 M)PLENUM LENGTH
NOZZLE LOCATED AT EITHER END OF PLENUM LE14GTH AIMED DOWN
LENGTH OF PLENUM
ADP NOZZLE
1 FLOW NUMBER
20 FEET
0--10 FFET-�►{ 10 I 10
10 � 10
4 )
4F
FT I20 FT.
20 FT. � _ lADP
AD NOZNOZZLES
ACCEPTABLE NOZZLE POSITIONS
FOR MULTIPLE NOZZLES
♦ 1n W(.
ADP -----�'_'._..
NOZZLES
H
3
'N"FILTER BANK (� W
COVERAOF SINGLE SMK ALTER
Figure AD-2. Plenum Protection Nozzle P/N B12001'1
Dsosmbsr. 1997
AW-4 j
t 11 1 Ex 2438 rI
J�
Wet Chemical Instruction Manuel
AD-6 De.Qignim g for Larger Duct Protection(continued)
Alternative Method: Ducts 0 to 75 inches NCTE: WHEN A DAMPER IS PRESENT ATTHE HOOD
DUCT OPENINGTHE DUCT NOZZLES ARCTO
In perimeter BE LOCATED ABOVE THE DAMPER AND
Two ADP nozzles can be used in ducts with a SHOULD NOT INTERFERE WITH THE OPERA-
perimeter of 0 up to 75 inches(165.1 to 190.5 cm). TION OFTHE DAMPER.
The ratio of the longest to shortest perimeter sides
shall not exceed 3 to 1. Note: All Range Guard systems are listed by UL for
One of these nozzles is pointed into the duct use with the exhaust tan either on or oft when
and the other is pointed into the plenum. the s)stem is discharged.
The up of the upper nozzle, of the pair of nozzles
required for each duct, shall be positioned in the
center of the duct opening and above the plane of the
hood-duct opening between 1"(2.5 cm)and 24"(61
cm).The duct length is unlimited. (See Figure AD-7).
7T
' DUCT 24"
MAX.
I"MIN.
{4... 1 ,
HOOD
. . 4
Figure AD-7.Optional Duct Nozzle Placement
. 0wgft er, 1997
The Wet Chemical Fire Suppression System rum CAM=
3-21 l 07tzk' SUMMMT
'Table 3-2. Nnzzle Summary
'Perimeter •
zzle
Max; Max. . ( 'Length Flow No.
Dur t 50"(165.1 Cm) 15.91"(39 crit) Unlimited. ADP/1
p-� o0 I.
gln' 23, fi0.cntl;^OniTm
WidthNozzleLengt
Max. max. Filtbrs Flow No.
Plenum 10 (3.0 m) 4'(1.2 m) "V" Bank or
Single ADP/1
Hazard Size Nozzle Height Notes Nozzle/
lnckVMn Inches/cm s
Four•BumerRange 28X23(71 x71) 20to42(52to107) within 9(23)rad.
of mwpiinl. R/1
ADP/1
Fiat Cooldrig Stirtace-Griddle, _•_ •.•;.;,. : - 42 X 30 1070 8).., (33bIn__.- :30!Isot �
Single Vat Deep Fat Fyer(brio Boards 1 to 6(2.510181) 18 X 18;46 x 46) 27to45(69to114) 4501o906 T F,2
Single Vat bee Fat F, erBoards<1° 2:5 w::- 24 x 24(61 x 8�,� 27 5�70)to 4117) within perimeter _ FR ��
Split Vat Deep Fat Fryer 14 x 15(36 x 3x 38) 27(69)to 45(117) 45'10 90° FR
"" 16(41)1027 69j� wttlii,�oerimeter" - ~�OP/��
Soil Val veep Fet Fryer(Low Proxlmity)� 14 x 15(36 x,38) ,. --. _ .
Wok'' . .•: 14 to 28(36 to 71 1)Dia. within 2(5)
3 to 8(8 to 20)Deep 35 to 56(8910 142) of mid point GRW r 1
_'3025 X 34 77 x 86 top 4(10)of bir camp. ADPIt
Upr�t►18roilers(Salamanders)-_. _-_- (_.,_... _..._.__� - _ .-. -
3losedTop Chain Broilers28 X 29(71 x 74) See 3.12 See 3.12 ADP l 1
2Noz�es KOe3-12, /1 en
Dpe^1opChro'n�rdZ�rs, :.� . . .. 28X29(71 x74)..._ ee3. 2 _ �•_._
S
Pum:ce Rock(Lava,Gc,-.r,i,:)Charbroiler 22 X 23(56 x 58) 24(61)to48(122) 450 to 90';
2 Layers of rock F,2 y
NaturalR lesquiteChri:..o�l'�iar`bro�er ~� 24)C24 (131 x Btj� 24�61)l0
6(l 6)Charcoal depth _ __...
ElectricCharbroiler(Gp°r•r+rir') 24 X21(61 x53) 24(61)to48(122) 4501090° C-RWr1
24 X21(61 x53)---' � 24(t31)to48(122)� ' 45'to130' 3PW Will
Gasf'cd an'Charbniile�' _ _ _ _ _ _....... --
Mesquite Charbroilrr(C.nps,Wood,Logs) 30X24(76x61) 24(61)to48(122) `45°
to 90
10(25)Fuel depth DMI 3
Natura Meea�teCliarcoalCharbr'o�er �- 30XA(7 ) 24(61)10481 ) 45"to
6x6190 -
_ _10(25�Fuel depth DM/3
Till Skiiiet and Braising Pan ��. ^�24 x 24(6' x 61; 27 5 n(70 cm)to 46 in(117 cm)
within perimeter F/2
Nozzle
Identificelli° No. Flom No.
ADP(Appliance-Duct-Plenum) 8120011
�GFIW(Gas Radiant-Wok) F 120013
DM(Mesquite) ---- -- - -�_R120015_ 3 _—
U.L.I. Ex 2458 3.21 Manual Pan No 9127100(9197)Badger Fire Protection
/�.
CITY O F 'T I GA R D ELECTRICAL PERMIT
PERMIT#: ELC2002-00085
DEVELOPMENT SERVICES DATE ISSUED: 2/27/02
13125 SW Hall E3lvd.. Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S136CD-00102
SITE ADDRESS: 1168E ;W PACIFIC HWY
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Wire hood in kitchen, and new fire system.
__ RESIDENTIAL UNIT TEMP SRVC/FEEDERS --_ MISCELLANEOUS
10'10 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
S_RVICE/�-EEDER BRANCH CIRCUITS
-- — _ � _ ADD'L INSPECTIONS______
0 2C0 amp: W/SERVICE OR FEEDER PER INSPECTION:
201 400 amp: 1st IN/O SRVC OR FDR: 1 PER HOUR:
-int 600 amp: EA AOD'L BRNCH CIRC: 3 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS_ > 600 VOLT NOMINAL:
�—Reconnect-only: —_ SVC/7^.R >= 2 5 AroPS J CLASS AREA/SPEC OCC:__—__
Owner: Contractor:
MILLAR, TED L TRUSTEE CORPORATE ELECTRIC
BY WILLIAM C FLOBERG 8040 SW BONITA RD
834 SW ST CLAIR TIGARD, OR 97224
PORTLAND. OR 97205
Phone: Phone: 503-997-2081
Reg #: LIC 143114
ELE 34-541C
SUP 4075S
_ FEES — Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 2/27/02 $66.80 2(20020000( RoughFinal Elect'l Final
';PCT CTR 2/27102 $5.35 2720020000(
Total $72.15
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code.State of OF. Specialty Codes and pry^fher applicable laws
All work will be dune in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notificptioir^.enter Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these ruI s ordirect questions to OUNC at(503)
246-66699 or 1.800-332-2344.
Permit Signature: V �L �, „ f _ Issued By:
L!
OWNER INSTALLATIC a ONLY
The installation is being made un property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: -- _-_r DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SPPR ELEC'N:
DATE:---- — ----
LICENSE N O: _ -- ------ - -- -----------------
Call 639.4175 by 7:00pm for an inspection the next business day
FEB-26 2Fin!' t ,+ : _ Ptl (.oPPORATE ELECTRIC LLt' 503 670 8423 11. 02
Electrical Permit AppReation
'" Date rocrlved: :l� /•,� Permit no.;(=Z�X%G,�-—e.�• ,
City of Tigard Project/appl.no, Expire data:
C'iry(of Tiparr/ Address: 13125 SW Nall Hlvcl,Tigard,OR 97223 [gate issued: � By.� Y' Reuel tri.:
Phone: (503) 639-417). ----- p
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval:
`] I & 2 family dwellinlr or acce.awory ommercial/industrial U Multi-family O Tennot improvement
U New t onslriwiion U Addition/alteratlONreplacerttent '-I litho: - U Panni
Joh addivsss 6 WDld ,na. Su►tc nu._ Tax map/tax Ioulaccount no.:
Ia)1: $lock: Subdiyisio
Project n1►me: f Oescrlption and location of work on remises' < trNYr2� t
Jr -
Estimated date of complenonhnuhr-tion, IYY
Job tin: (✓� b } L Fee N182 Ilrnsrl Ileo
�usiflexa name: �p _ it.G4>� �Eta'.�I.t et � _. ,. P uK . ea. Total no.Int
Address: pYaNrwrtrsldrnflal•alnpJenrn+rki•famllyper
d welllr[imil.InehAn attar herl Pfar.
City G State: ZIP. Strvlcelncladhd:
Phone: �(p Fat p. 1',mall: 1000 sq.R.or less 4
"�' 2� Each additional W,)s n ur +ortlrnt tlwtcul -
i'('H no.. /S/ //yC E.lec.bus.lic.no;j I L -- - —•
t� Y S�� limited energy,residential j
C ty/metro lic.no.: -` mitedentally,non-residential 2
r
C e X D Eachmsnuhcturmhome ofModular dwelling
4ipnatum of 9upeevTqIn 1 trlelan re4uired) q service snivel?&P&rr __ 2
Silt elect oameipnno) .1_11 w•nt J,) Set•vlcesorfoodsIa-Inslaiiatioo.
alteration or reloca(inn:
200 ampa or less
Name(print): �� / 1 a _ �j 201 imp+to40oemps 2
,Olar
Mailing atldrexs: npsto600nnpi -- `
601 amps to 1000 amps, 2
v. Over
I 1
City: St11te: zll. Over 1 xt am a or volts -'---'—�
Phone: Fax' AFmail:
Reeomtatunl -
Owt)ci instxllslion:The installation i•;being made un pmileity I own Temporaryeervlcetorfreden
which Is not intende.ri for sale,lea....,rent,or exchange Pccotdinp,to installation,■hrratlon,or rr7.uatic,n
OR S 447,453.479, 070, 701. 200 am t
or Ins _ 2
20! m A to� 2
lwnerrs slpiattre: pate: 401
am,s 2
Smash eirtolty new,sllerallen,
Name; or extension per panel,
A Fee for branch circuits with purchase of
Address: aervlce or feeder ft*,each Manch circuit 2
City. +�- - Stan: ZIP: - - B Fee for branch cirrults without purchase.
Phone: Fax: F-mail orsen ct reedn res.Mttxanch circuit 2
Each miT.onal branch circuit.(Senlct or feeder K41 Included):
Ll Service over 225amoa-rotmmiswial t)Health•coteforllily fiwhpump_ortmaaunnromle
O Service uvet 320 will's tattng of I h 1 J Hazardous location P.ach d n M oa:lInc 11gh11rtg t
timily elwallinp ❑Building over 10Sx10 esptare feet four of Signal elrenit(al o4 a limltsd amrgy panel,
*Syttemever 60tivnitsnominsl more residentlalunits Inone strocture alteration,orestenalon• 2
0 Building over three tforles O Fenders,400 Ern,:m.iron eUeecri tion.
O fkrupsnt load over 99 a -ton, CI Muoufoctutrti stntrrurea or RV park 6ch eddl0onal leape"lon ovrr flus allowable In any of the alreew
J Egirtvhghungplr, U(kter: Per12Uon
Snb1111 — arta of plan with any*(the above. Invrsti aeon fee
'[tie abate we not applicable to teanlenrary construction ti TACe. Other
wx all la"Githcn,aw wm A cmili(cards.please call lurtdr•,.,w fa roar t 74 anon Notice-This permit application l'etTrtit fee.....................S
U MIA U hislatere.ard expires If a permit Is not obtained Plan revie.. rpt - %) $
c rw a ore eun,t.b _ _L_ j within 1 RO days a11er it has been State surcharge(9%.) ... E ___
---
jev
ac:ceptedascurnplete- TOTAL .....
- f _.
ltsae r�anflndder u t ova M ens s cMt -
J___ _
cwscmv4ds ywarst Amount
—. -__ 14144,13 fso",Ok,l