11834 SW PACIFIC HIGHWAY-1 ADDRESS:
i:\recon+s\microflm\targets\bwIding.doc
TUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
V FIRE MARSHALS OFFICE
4R S (503) 526-2469 POSTED:
OCCUPANT - -
CONTRACTOR �(?•Y �C�� _BLDG. PERMIT 0 -
PROJECT NAME y _ PLAN REVIEW 0
LOCATION --
JURISDICTION: 1- Be. 2= Du, 3= K.C. Ti. 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER INAL ' SPECIAL) FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
Framing n� Separation Walls Sprinkler System
Shaft IJ Fire Dampers (Overhead/Underground)
Alarm System Hood' Extng Systems Conference
Spray Booth Ceiling Cover El Other
Dater )� . I l:� ._ .. inspector: _
IN vq�� TUALATIN VALLEY F,,." & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
FIRE NiARSHALS OFFICE
(503) 526-2460 POSTED:
4
FRE
OCCUPANT --
CONTRACTOR BLDG. PERMIT It
PROJECT NA14E / tJI PLAN RR�'IEW Id
—
LOCATION / % {�(-1 O,Q[ i tic
JUR15llICTION: 1= Be. 2= Du, 3= K.C... = Ti. 5= Tu. 6= Sh, 7= Wi . 8= CC 9= WC 0= MC
�---:mac
COVER FINAL '\ SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
El Framing Separation Walls El Sprinkler System
17 Shaft El Fire Dampers (Overhead/Underground)
El Alarm System r� Hood Extng Systems Conference
L__i Spray Booth G Ceiling Cover � Other —
i
Date: �� - ,��- Inspector; �L �,.� � ''(�,� (�� 0 ra
SIGN PERMIT
PERMIT #: SGN91-00CS DATE ISSUED. . . . : 06/14/91.
EXPIRATION DATE: 0 8/lµ/9/
PARCEL. . . . . . . . . : 2SIOIBB-00301
ZONE. . . . . . . . . . . . C—G
BUSINESS NAME. .: TEXACO
SIGN LOCATION— : 11834 SW PACIFIC
APPLICANT/AGENT: TEXACO
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING (X) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONT.0 ( j
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 2 X 8 X 2
TOTAL SIGN AREA. .., . . . : 32 Qq.ft.
WALL AREA. . . . . . . . . . . . . sq.ft.
WALL FACE (DIRECTION) . NA
SIGN HEIGHT. . . . . . . . . . : In ft.
PROJECTION FROM WALI-. : in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
PERMANENT FREESTANDING, ILLUMINATED SIGN. 2 X 8 X 2 = 32 SQ.FT
MATERIP.-LS. . . . . . . . .. .. : ?LEX
EXISTING SIGNS. . . . . . .: 1
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE, EXCEPTIONS. : N/A
c
PERMIT FEE: $ 25.01
APPROVED BY:
DATE: 06/14/91
Permit No. �, �- 6e
CI'T'Y OF TIGARD
SICN PERMIT APPLICATION
The applicant hexeby applies for a permit for the work indicated or as shown in the
accompanyinq plan., and specifications.
SIGN LOCATION ADDRESS: 11g A, F�L ��_ ZONING: —_--
NAME OF BUSINESS: AL-C-D -- -- —
pti3 (Z
APPIscANT/AGENT: PHONE: G3`l 32�2—
The City of Tigard rose, an annual Business Tax which must be kept current on all
persons doing business in the Cite. Do you presently have a current business tax?
YES NO ( ) U.L. Label --
PROPOSED SI,,N: (C hcx-k as many as apply)
PEIa4ANENT FREEN'rANDING FRFKW ( )
TEMPORARY ( ) WAIZ, ( ) ELElC7 RONIC ( )
C7I4iEE2 ( ) BILIDOARD ( ) BAI�'V ( )
SIGN DIMENSIONS: -• ,2 L / Z __ EXPIRATION DATE:
47
TUM. SIGN AREA (L4. Ft.) : —
WALd, AREA (Sq. Ft.) : —
WALD FACE:
HEIQIr (Ft)
PlZaJD TION FROM WALL:
ILLIIMiATION: YES ( NO ( ) TYPE: C)
COPY: /&AWtZ
MATERIALS: —A�G1Mi��.w PLEA -
EXISTING SIGNS:
AC)MMSTRATIVE EXCEPTION: N/A ( ) APPPOVED ( ) HOW
AREA ( ) HEIGHT ( )
PLANN M DEPARTMENT All sign permits must be acx mWnied by a scale
Permit Fee: 25`'� drawing and plot plan. If work authorized under
EggeNo• t� � a sign permit has not been ampl.eted within ninety
� By:Vl4 clays after the issuance of the permit, the permit
_
Date: shall become null and void.
t �ql_____--
ELECIRTC'AL PERMIT I CIIZrIFY THAT I AM IM RECOP..)ED OWNER OF THE
RB:)MP n: YES ( No ( ) pi-Y) Flay-OR AN W.Wr AUINORIZED BY THE OWNEV.
BUILDING PERMIT --
REQUIRED: YES ( ) NO licant*s`Signature
Pct -2S?S7
cp/Bwm4r Address TFIephone
N:\WDRD\03MEV\
A
i H .-PRICE
7.
Regular I I.. ,.
1
Unleaded
00001,01
Super 9 911 6 TUBE
Unleaded 010010
%9 Diesel
0000110
Lh
1163-1 S.E. PACIFIC, 14WY
TIGARD, OR
r
ME�ORO OFFICE:• � nox►;on ' 1 i � � � �
MpOFOCiQ OR 91501•15031779 01;fU .1 �
PORTLAND dFF►CE: O OpX 25357 �r
PORTLAND,OR 97225 (50�)639 32G2 01}i4fT1E*fICO
INSPECTION 'NOTICE
City of Tigard Building Department
P O. Box 237,97
Tigard, Oregoci 97223
Ph,)ne: 639-4175
Type of Inspection ��� �� 0-7
-----
Date me T Requested_ i A.M. P.M.
4 � _
Address
Owner_ , Lot # .__.-
Builder
The following Buil Jing Code deficiencies are required to be corrected:
Presented to —_ 1,�'pproved
— --
Inspector _ -- - --�. Disapproved
Date —
CALL FOR REINSPECTION
D YES 0
INSPECTION NOTICE i LY lzlr2 f
Clay of Tigard Building Department
^, BN Hall Blvd. Tigard, Oregon 97223
Inspection Ll Rec-O-Phone)t 6,39-4175 Busi.ness Phones 639-4171
Inspecc!_on=__
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lino Gyp. Dd. -Mech.
Date P.equesteds (� (` 1 Time: -PH
Addr see s q-7 ��s-C t1C_ «7fl ( X/tCL�Permit i s �-X
Builders Te-��y Z`6-�, L tS
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r y,
Inspector:_ _ Date! / 2 /
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For ReLnsp.
PLUMBING P[--RMiT
CITY OF TIA R PER111"r #. . . . . . . : PL-M91 --0035
CRYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 011100"
13125SWHWI Blvd. P.O.Box 21397,TigsM.Oregm)97223(603)6394175 4t7 DATE ISSUED: 02/08/91
E ADDRESS. I j W
SUBDIVISION. . . . : TI(BARD ROAD 6ARDENS ZONING!, C-43
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
.............
CLASS OF WORK. . ALT 6ARBAGE DISPOSOLS. . 1117PILF HOME SPACES. -
'TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . -
OCCUPANCY GRP. . .-B2 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : WATER HEATERS. . . . . . : CC.TCH BASINS. . . . . . .
FIXTURES------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . .. . .
SINKS. . . . . . . . . . 3 URINALS. . . . . . . . . . . . .. GREASE TRAPS. . . . . . . .
LAV'41"URIEG. . . . . . CITHER F.. I.X I ORES. . . . . :
TUB/SHOWERS. . . . ' SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE fft ) . . . . :
DISHWASHERS. . . . ; RAIN DRAIN (ft ) . . . .
Rpmat-145 : REMOVE SUMP PUMP & FLOOR DRAINS
Owner: FEES
TEXACO type amni.tnt by date r,ec[jt
11634 5W PACIFIC HWY PAYM % 26. 25 JLH 03/08/91
PRMT $ 25. 00
TIGORD OR $ 1. 25
Rhone #:
Contractor:
CONTRACTOR NOT ON FILE
Phone 2'6. 251 TOTAL
REOUIRED INSPECTIONS
This oerb;t is issued sun'ject to the regulations contained in the Final InspectionTigard Municipal Code, State of Ore. Specialty Codes and all other
applicable Jews. All work will be done in accordance with
approved plans. This permit All expire if :Pfork is not started
within 180 days of issuance, or if work is suspended for lore
than 180 days.
Tss,..ted By -
Call for iT1s;L.ie(:tion 639-4175
XXI 'T/`, �� I CITY OF TIGARD I�L�
Gr' 13125 SW HALL BLVD. �J �
PLUM GI NC PERMIT P. O. BOX 23397
Applicants must hold Oregon Iteglstration to ciwWud ik plumbing T I GARD, OR 97223
business or must be property on
wer/operatm not hiring outside help-
- - (503)539--4175
Name of Development
Plumbing,Permit No. _
Address `--
J ORS 614-21-610 t7l1AN. PRICE AMT-
Job Tax Lot Map.No. -
Address FIXTURES
Lot Block Sur,rtivlslon sin7.50
Name or name ss Lavatory --- 7.50 - -
__ Tub or Tub/Shower Comb. 7.50
al whQ�i3r ass Showor Onty - 7.50
--_.-- WaterCbset 7.50
Owner City/state 2 -
Dishwasher 7.50
---- Ptione _ Gadm9e Disposal --
- Name Washing Madrxre - 7.50
Floor Drain 7.50
Wiling X3&ess WaterHeater - ,-- 7.50
Laundry Room Tr.y - 7-50
Occupant City/Stale zip
Urinal _ 7-50
-- name r�ia,e Outer Fbautes(Specify) 7.50
1 10 ve
miaiwv Address P /� 7.50pt-We7 r C1 750—
Contra-or efty/state 11P 7.50
MISCELLANEOUS
City We.Tax No. Sewer 1$1100' 30.00
Sewer-ea.Addit.100 15.00
tote s. FJn-- stnte Pk Ws s. o. - --
(Resklonfial) Water Service 1st IW -_ 20.00
1 hnby oracknowledge drat 1 have read this application,ttul the kdma
orlbn Water Service ea.Addit ' - 15.00
Qiven is correct,tut 1 am repitiered with the State&xldefs Board.and also Storm b Rai,Drain t st_100' 30.00
brie a state PkKWag license that the m o nbers Qiven aro correct that on 15.00
pkxnbi g work will be dome i,wxxwUnce w tth applicable paNwions d Oro- Storn b P.-in Drain Addit.100• -
Qon Rsvised Statutes Chep(ens 447 and 691 and qe codes amtt►at Mobile Home Space 25.00
no help will be employed unless Now"ad under ORS 693.(t exempt from
Stale regisvation.plwate give reruon below). Back Flow Prevention
HOMEOWNERS--1 hereby cyWy that I am the o veer o1 the properly do- � °°f es DeY1OH
ecrtbed above.at wt,ld,k)cA* ,l propose to make a pkxrtbk,p k>steNadan for Any Trap or Waste Not
nvy own,rhe and thh property Is not twokp const r curt Lor 8410.lease Of reel. Connected to s Fxtrxe------ 7.50
Catch Basi, 7.50
kW.of Exist.PkxTi*y _ --- 40.00 Per M. —-
---- --- --
Specialty Requested l^ •40.00Per 4k.._
Aker.of Pkxrt*q w1d*' -
--__.. an Existing 9169 15.00 nrk,.
At/TNORt7FD SIGNATURE -- -- - --- Date New Bldg.or BuM.Addition 26.00 min.
Rain a Bandl
Describe work now❑ addition❑ atterationK repair❑ dell" 15.00
tq be done_ residential I I tion-reek al
6dsunp use o1
txAldktp or property S U Fi-TOTAL
Pimpoeed use _ - - - 5% SURCHARGR �� .
ortxvprxty_ Nair = 25% PLAN REVIEW�_—
NOTICf-
Theo permitbeoornoa null and vold ft work or oonatruation autwrtced Is not com- --- _ TOTAL ,
vywv7ed wlthln 190 days,on M exwvdnx*un or wexk is slApe hrfod a otherxkhmed for
a P-40d d 190 day+of uhy bnw then vo*to rxrhxwt.nrWd-
t" AL-COHO(MNS —
Date ksued —._____ --- by -- --
CITY OF "rICARD RECEIPT OF PPYMUNT RECEIPT NO. :X31-210424
CHECK AMOUNT z ;t.6. ii?5
NAME PERMI f COWULTING SVCS CASH AMOUNT a 0. 00
ADDRESS 122 ESE 27-r►-1 IDA'YMKNT DATE 03/08/91
SUBDIVISION
PORTLAND, OR 97214-- 11834 PACIFIC HWY
PURPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF r-,AYMf---N1° AMOUNT twun
PLUMBING PERM PLM91--0035 215. 00 ST. BUILD PER 1. 25
TEXAG.0 STAT IONri REMOVE-' !-.'ilJMP PUMP, FLOOR DRAINS
TOT(IL AMOUNT PAID c'6. c:5