12725 SW PACIFIC HIGHWAY 12725 SW PACIFIC HIGHWAY
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APPROVEL) Fl
CITY
PERMIT NO-�--- Sl
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MAXIIIII-wi
BUILDING PERMIT APPLIUATION TIGARD DATE „s,. ,.;r^__ _- �g `ti4 4720
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE—___ .
LOT NO._.-_—_ .�—.
OWNER _�j4y1 6er,;rca`: - - JOB ADDRESS - - 12725 SIS Pacific 'Ary.___ ------.___._.
- ARCHITECT
ENGINEER
BUILDER Kati Aergman Concrete CnM_RESS ._ . DESIGNER-___..--__-_
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR - Ci RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE 1�j GOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY y- LAND USE ZONE BLDG.TYPE _— FIRE ZONE _PLAN CHECK BY E.1', HEAT b
uyitl;; in Existiu,ti stricture cr: New €°w.uu atiwl.
SEWERPERMITk kiiuulc uE- tO EXigtin,, ';ewer; Ylajnbirig FendlL Reyuirea. _
OCC.LOAD _ FLOOR LOAD HEIGHT_ NO.STORIES _ AREA NO.BEDROOMS VALUE 4-, ,
_BUILDING DEPARTMENT SET BACKS FRONT REAR /i LEFT SIDERIGHT SIDE I
Permit _ SU. 5l! THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 32• 6,31 WORK W111 BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
"ub•!otal t3• �3 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY US NESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 2.• 0
snc -
Total • j
PDC# AFTL iCANT OR AGENT
By C,,
__.- Receipt No.
L Approved W.'l�J _ ADDRESS Y'PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.3Gy cy_ ��t✓
Rough-in
yF --- — -
Fixture �
��— - r--- - Final
HEATING
Contractor
�'- Permit No.
r
ER
Final
DRIVEWAY T
Final
Storm Drainage - -
(Frain Drain)Final
Sidewalk _-
_ Curb&Street Final
_ APproarh
LLD%. DEPT, FIN; L TI MPORNH_f CE RTIF-ICATE OCCUPANCY
CERTIFICATE OCCUPANry / Final
Lendwaping
Toning Fli,al
1• 1♦ �
BUILDING PERMIT APPLICATION TIGARD DATE /I
v _ ,
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HERE- INDICATED BUILDER PHONEag�L�_OU
ORAS SHOWN ND APPROVED IN THE ACCOMPANYING PLA AND SPECIFICATIONS. OWNER PHONE
/ LOT NO. »_
OWNER OB ADDRESS / .2_ �V r
,(��QQ ARCH ECT
ENGBUILDER B
4�4_DRESeQ� DESI ER
DESIQNER
STRUCTURE ❑ 0 REMODEL ! 1 ADDITION ❑ REPAIR lR RENEWAL O FIRE DAMAGE U DEMOLITION
❑ RESIDENCE COMM ❑ EDUCATIONAL ❑ GOWT Ll RELIGIOUS (,� PATIO Ll CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -ELL-_LAND USE ZONE BLD .TYPE J ` FIRE ZONE' PLAN CHECK SY - HEAT1.4 -
-• _ i --
,6�1�
YIN
--- -- t
SEWER PE
OCC.LOAD FLOOR LOAD RMIT/N .�/-,,� 'Li' •t�.� Q � / -
T\ --—/J" r---
— HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE U
BUILDING DEPARTMENT SETBACKS FP')NT REAR LEFT SIDE RIGHT SIDE
_ ----_��_ -- -fid-t=�.�
Permit �� `'� THIS PERMIT IS ISSUED SUBJECT TO 1HE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRE'_J SHAT THE
Plan Check WORK WILL BE DONE IN AC70RDANCE WITH THE PLAN'S AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN!SS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
��--
SDC—
Total ^
PDC# APPLICANT OR AGENT
By '
Recelp No.
Approved � ADDRESS -- ------- PHONE
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1
2
� � 4-Lr- �
WIN
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MEMORANDUM
November 18, 1983 I
TO: Chief Adams John flagman y`d Walden
Randy Clarno Craig Keyes
Frank Currie Hill Monahan
Joe Gruelich p Liz Newton
FROM: Hamid Pishvai.e /1• ��
Steve Skorney
SUBJECT: Development Meeting
A meeting to discuss development applications on file with the Plajnn
Department has been scheduled for 1 :30 P.M. on Tuesday, November 2
in our office. The following applications will be discussed.
SITE DESIGN REVIEW SDR 15-83 Bergmann's Restaurant NPO #2
A request for an expansion of the parking Lot for Bergmann's Resta
Property is designated on the Comprehensive Pla and is Zoned Commercial General. Located at: 12705 SW Pacific Hi
(Wash. Co. Tax Map 2S1 12BD Lot 500) 211 r
SIGN CODE EXCEPTION SCE 5-83 Chalet Restaurant and Bakery NPO #4
To replace a 9' x 19 ' sign by a 10' x 10' sign. Located at: 11680 S14
Pacific Highway (Wash. Co. Tax Map ISI 36CD Lot 1700)
�,1.r. �_'E �' rte.}. ♦TX�hT'�,i�,;
M{:T5 • 4111'.1
-+•►X00 �"—. ...m .(�I
A
loo1 of cook
S AO• - �} I;o .._ •-LL.KBA9
yoj CANCELLED TAX LOTS
lop, 400,100,800,400,1800 A-1.
1$00
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$ 600 `
AO ��o. AS Av. o
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17;00 d IM
4c. 501
X801 .� ,� � ��t. »'�- •, ,
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!E COR I
U74, 2 (A 10/180 ano/as 8.8N5{E
~ Nee2. 138.1 a
348.5 176.8
2100 SE COR tdul t.;
DOBBINS
IGOAc.
2001 2002
888.40'E
1.004c. �Qc1 . t M yr
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BUILDING PERMIT APPLICATION TIGARD DATE--__nvv!.0!er_j__ _,t®_ � 4570
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE __b31-7Q�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER FIoyde lWstaur.auLJOBADDRESS 12725 Rei Pacific lli9hv!y_ _
ARCHITECT
ENGINEER
BUILDER Setae ADDRESS _ Soule DESIGNER
STRUCTURE _ ❑ NEW ❑ REMODEL ® ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE _ ❑ DEMOLI I n!N
❑ RESIDENCE I-ACOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ C,-';PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY' _._ - _.LAND USE ZONE _-Q —BLDG.TYPE __—FIRE ZONE _ PLAN CHEC<BY `rM_HEAT__--
Add architectual root: to existin =gyp match ezistiasr,_
SEWER PERMITM
OCC.LOAD FLOOR LOAD HEIGHT _ NO.STORIES AREA 14o.BEDROOMS VALUE guU.Llu
BUILDING DEPARTMENTSETBACKS FRONT _REAR LF FT Slul_ RIGHT SIDE
Permit 15.0o THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGUI ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORUANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERM"T DOES NOT WAIVE
Subtotal 1")wlll� _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTPAcross TO HAVE CURRENT CITY BUSINESS
LICENSE..SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax e60
SDC
Total 13960
PDCfl APPLICANT OR AGENT
By CLI
Receipt No. --------� — (--
Approved }; { -ADDREHS PHONE -- -
■
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor -
Permit No.
Rough-in
77-7-T
-- -----�-- Fixture _--
-- -----------
Final
� -- � --- -..-_-- NEATINt3 -
,�._ Contrertor
-- --� �--- - Permit No.
Gas orOil
- - - Roughdn
— -- _---
SEWER
Final--�
�- DRIVEWAY
Final
Storm Drainage
(Rein Drain)Final
y. Sidewalk
Curb&Street Final
Approach --- -
BLDG.DEPT.FINAL —I TEMPORARY C:ER' Ii*iCATC OCCUPANCY Final
CERT IFI CATE OC Cu PA W:Y
- Landscaping
Zoning Final
1 01
BUILDING PERMIT APPLICATION TIGARD DATE_ 2/
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TI;F WORK HEREIN INDICATED BUILDER PHON�
OR AS SHOWN AND APPROVED INJHE,CCOfAPANYING PLANS AND SPECIFICATIONS. OWNER PHONE - _- =
Tevt:fit �� LOTNO."-
OWNER �.,4l OQ JOB ADDRESS
ARC ITECT
EN NEER
ADDRESS DESIGNER -"
STRUCTURE ❑ NEW ❑ REMODEL A001TI0_N_ �7 REPAIR U RENFWAL ❑ FIRE DAMAGE ❑ DEIAOLITION
❑ RESIDENCE R*4-60MM ❑ EDUCATIONAL*0:1�GOV'T ❑ RELIGIOUS C3PATIO U CAR PORT ❑ GARAGE G STORAGE ❑ SLA8❑ FENCE
(] .%iiPANCY _LAND USE ZONE BLDG.TYPE -FIRE ZONE PLAN CHEECK BY HEAT-----
SEWER
EAT-SEWER PERMIT N --- -- —
OCC.LOAD FLOOR LOAD HEIGHT-- NO.STORIES -' AREA NO.BEDROOMS VALU40C,)
BUILOING DEPARTMENT SET BACKS FRONT REAP. LEFT SICE RIGHT SIDE
P^imit _ Iy THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDING CODE, ZOt:II�.'.
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, NNU tT IS HEREBY AGREED THAT THE
P� tan Check "- WORK W;LL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COL!PI.IANC!
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W/AIV:
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY FinlNi:S!
c'• U LICENSE SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
:,tate Tax UJ
SDC
Total ' - --- - - ---
pDC,N APPLICANT OR AGENT
BY _
Receipt No.Approved ADDRESS
PDC -
SEWER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE - S _
BUILDING PERMIT APPLICATION TIGAAD nhT�_ s,�-:1 t9_ __ _ 4653
THE UNDERSIGNED HEREBY APPLIES FOR.' PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE ---
--
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE --
LOT NO. --
OWNER Floyd D .r•--man JOBADDRESS 128&5 & 12655 SU Pacific I3i;il"
ARCHITECT
ENGINEER
BUILDER TRF'I) ADDRESS 114,1 it Ln DESIGNER
STRUCTURE ❑ NEW U REMODEL ❑ ADDITION _U REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMULITION
C1 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE [J STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ _LAND USE ZONE BLDG.TYPE FIRE ZONE—__—_PLAN CHECK BY —__HEAT_.__
'Its olts,� l)u_ilex I}ldr.: All Baer L;itGgda Requircl ignt.0 __--
'oncrGte Poundatioa Lo lie re-ovcd — ies;t r to bar
'i3ilrl i to be take a f f. ta_:. rol.la
S_EWERPERMIT_#OCC.LOAD LOAD FLOOR LOAD HEIGHT_ NO.STORIES AREA NO.BEDROOMS VALUE I Y
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _ _ THIS PERMIT IS ISSUED SUBJECT t0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES ANU ORDINANCES, AND IT IS HEREBY AGREED TN '.t THE.
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub•'otal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARAI E PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stato Tax
_- --- SDC—
Total -- —
PDG# APPLICANT OR AGENT
t
BY Receipt No. PHOW
Approved
DATE INSP. TYPE INSPECT ON RF '4RK6 PLUMBING DATE
01 Contractor
d Permit No,
Roumh-in
0 Fixtwe
— -- -- _L♦�L,fllet
Final
HEATING
Contractor
Perm t No.
Got or Oil
Rough-in
Final
SEWER
Final
"Final DRIVEWAY
Storm Drainage
(Rain Drain)Final
Curb&Street Final
Approst-.1-i--
---fILDG. DJ1EPT. ;F!-:-,P 6R TEMPORARY Y CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
T�-ERTI final
—------
Zoning!-inal
CITY OF TIGARD Plumbing Permit /
Building Departments `y -�•t .�(r�(,� O.
Residential ❑ Commercial
New Installation ❑ Replace ❑ Addition ❑ Alteration Date J ..,•S
Licensed j
Plumber t"_,44 ipr.y;1 t4 .i Ike- -- — Ow ier
Addresst>>� Job Addressll _
lIf 7 t I�L.
Phone Applicant
r
—_ CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM __ NO. FEE TOTAL _ ITEM NO. FEE TOTAL
Fixtures-Traps _ d– 7.50 -7 Sewer.First 100 ft. _ 30.00 _
Dishwasher — 7_50 ddit.1 15.00
Garbage Disposal _ _ 7.50 p — 7.50 �A
Water Heater _ 7.50 _ WPer: st 100 ft. 20.00_
Backflow Preventer _ 7.50 _ c dd t.200 ft. ` 15.00 —_
Storm&Rain Drain:First 100 ft. 30.00
Each Addit.200 ft
Ile Home Space _ 25.00
Other(Specify): o n-Single Fam.Dwelling 15.00
PERMIT FEE 3O, i, Comments:
STATE ! % ISSLIpd By:
Receipt Na cant__�
_ _ Applicant
TOTAL ,� �.. Z fJ g�,�e ,..
-- For Plumbing Inspection Phone 639-4171
Tigard Alle�h�nical Permit ' '
City of Tib
New Installation ❑ Replace ❑ Relocation❑ Addition ❑ Alteration ❑
DATE:
HEATING _ OWNER _— - — -- —
CONTRACTOR
- — --
JOB ADDRES'. -
ADDRESS ---
PHONE — APPLICANT
Heat Input Rating(BTU per Hour) _..-----.----- Vent Size-. --
Flue Size-----
FUEL
ize— -
FUEL Olt.❑ GASFJ ELECT ❑ OTHk R
ITEM �— N FEE ITEM,-----.- NO. FEE
For Issuance of Permit -- BOLO Each Air Handling Unit r Duct System 7.50 _
Commercial Hood Systej.. 7.60
N_ew u to & incL_100.,000 BT i_ 0 -•--- -- - 4 50—
New 100,000 E3UT's & over Other E ui mPnt Each —
4 0 1 ri Inspen 4.5
ctio0
W_oodburnin S� tove --
Wall Floor Suspended 6.0 it Condition Corepressor 6.00
up to& incl.3 H.P. _
Vent�ttem w/Fan— Air Condition Compressor-3.1 to 15.H.P.incl. 11.00
6. — ---
Repair-Heat
CITY BUSINESS LICENS - REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments: —
FEES _,—.__�—-----_—_— ------ __--------
SUB-T07AL---- ---
% STATE Issued By
2596 PLAN CHECK _
TOTAL ___ REC. # __..__— -- --Signature of Applicant
i
I
Address , Permit No. 123
Name of Occupant_ , e4ia&
/! Permit charge
17
-- – . -- — ---- --- Paid by
- --- --------- Date connected /G 3
Type of Bui:ding-`����� Inspection fee
Service Rate J a C Paid by -- Date
Contractor Assessment._ _ Paid__
Size of connection
L '`
We
Address Permit No.
Name of Occupant_ Permit charge
Connection fee
Paid
Date connected
Type of Building Inspection fee---
Service Rate--- C9"o Paid by _ --Date
Contractor ("' 16' Assessment
Size of connection--