14285-14409 SW PACIFIC HIGHWAY-1 1.4285 - 14409 SW PACIFIC HIGHWAY
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CERTIFICATE OF
CITY OF TIFA RD OCCUPANCY
CRYOf TNiD�1D PERMIT 14. . . . . . . I BJP 90 0084
GOMMUNfTY DEVELOPMENT DEPA�iT l OREGON / t:,RJM. c�ERM11 #. s BUI0.00- 0084
13125SW[W1Blvd. P.O.Box233n7,Tfpard,Oregon977 (tO3) 41 s _/ DATE' ISSUEDs 03/09/')o
SITE: ADDRESS. . . s 14285 SW PACIFIC PARCEL% :S1t@AP-H@P.@0
SUBDIVISION. . . . o CANTERPUURY PLACE xUHINOs (.,_0
FALOC:K. . . . . , . . . . s LO'T. . . . a . . . . . . . . 11-3
-------------
CLASS OF WORK. aALT
TYPE CIF" USE. . . ar::0M1
OCCUPANCY URP. a B2
OCCUPANLY LOAD s 2Fi
fKNANT NAME. . . s
Remarks% lei-want Mads add interior partitions, restroom, ete.
OWV)ef a _.__._.__,.. ..._.._____._........_..___._..___
0. C. KOLVE
14357 SW PACIFIC NWY
l I GARD OR 97223
Phone M o
Contractors
CONTRACTOR NOT ON FILE
Phone #i
Reg #. . I
OC' VPanr.,v Of the above reforenc-pd building it; hwreby given, and certifies
the ccmplianue with the State Of Oreg7n i3pocial.ty Codes for t:hm group,
arcctpancy, and uo& L-rder which the refprenced permit was ieeued.
FIRE. DEPARTMENT BUILDINO INSF'�l�
o-'
BUILDING tTFICI -_.._.___ .... ...
POST IN CONSPICUOUS PLACE
INSPECTION NOTICE_
City of Tigard Ruilding Department '
P.O. Box 2.3397
Tigard, O,egon 97223
Phone: 639-4175 I
Type of Inspection
Date Requested_— ,�_ Time ��_ A.M. �-P.M.
�
Address L —S_ i Permit #�11_SCfL�
Owner_ �__ '� _ Lot #. --
Builder_ /�-1LAA- --- — -- -- --
The following Building Code deficiencies are required to be corrected:
Presented to _ _ tA15proved
Inspector ❑ Disapproved
Date —
CALL FOR REINSPECTION
YES E-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722:3
Phone: 639-411J75, -
Type of Inspection
�
—
Date Requested_ — Time _A.M. P.M.
Address _.� _ Permit Owner __ _ Lot
Builder
The following Building Code deficiencies are required to be corrected:
L 4-I&A-A-L a.•:��Lam_-
Presented to __ ] Approved
Inspector �.' _ _ _- _ 'Disapprove+
Date
CALL FO. EINSPECTION
YEe ❑ No
i
INSPECTION NOVICE N
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -
Date Requested Tlme _ M. P.M.
Address lild
Owner �_ Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
4,. Z 4„-4-7'�o---y/`----p�isy l i'i JY
Aa
Presented to _ _ _L pproved
Inspector [) Diseoproved
Date
CALL FOR REINSPECTION
C7 YES EJ No
CTTY OF TIGARD F'FCf-�.112T Of' F"AYMENI" PE-L"FEIPT NO. 3 -7G--•00001 7
ClHE(J. APIOLINI : 5 1*1. '*'CJ
NAMC- c CANTERBURY SQLliVl*r.-* AMOUNT r C-1.00
A 0 D R Ea El : PO SOX 2'139sA PAYMEN1 VATE
I . (14,?,05190
3-L.1 FJ D I VI S I ON I
TIGARD, OR 1?7 2:2 3 141-2'015 SW PAC) FIC H(Of
F-L)F'POSE F)P f-4-OMENT AMOUNT PA I T) PURP05E OF' PAYMENT AMOUNT PIID
Mi.043 MiCHANCFL FIEPMIT I V 00
FiT. BUILD PEPMIT TAX 2. :>C PLAN C-ME(J. FEE 1 1. L)cI
-TOTAL AMOUN V FA[V —0
TUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
4755 S.W. Griffith Drive• P.O. Bix 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538
s
April 2, 1990
G.C. Kolve
14357 S.W. Pacific Hwy.
Tigard, Oregon 97223
Re: Department of Motor Vehicles Testing Center
14285 S.W. Pacific Hwy.
Dear Mr. Kolve:
This is a Fire and Life Safety Plan Review and is based on the 1988
editions of. the Fire and Life Safety Code (UBC , Mechanical Fire and Life
Safety Code (IiMC) , Uniform Fire Code (UFC), and other local ordinances and
regulations.
Plans are conditionally approved subject to the following items:
.1. Exit Door Hardware: All. doors shown on the drawings must be
openable from the inside for immediate exit at all times without
the use of a key, special knowledgc., or effort. ITBC Sec. 3304
2. Exterior Exit Door: Hardware for the exterior doors and key
operated deadlocks nay be permitted where there is a sign Posted
on or over the doer reading, "THIS POOR MUST REMAIN UNLOCKED
DURING BUSINESS HOURS" in letters not less than ane-inch in height
on a contrasting background. Cort; Sec. 3304
3. Fir.estopping: In all wood framed walls and partitions,
firestopping consib`ing of 2-ittch nominally-sized lumber or other
approved materials must be installed at all floor and ceiling
levels. Penetrations in this prescribed firestopping to
accommodate wiring, plumbing, and other similar utility runs must
be packed with noncombustible materials in an approved manner so
as to prevent the passage of flame. UBC Sec. 2516
4. Automatic Sprinkler Plans: Plans referrer' to and examined by this
office contain no provisions for the alteration or installation of
automatic sprinkler system. Not less than three sets of plans for
the installation shall be submitted to this office for approval
prior to installation. UBC 302(b)
Note: If this building is not provided with automatic sp• inkler
protection, please disregard this item.
"H'orking"Smoke Detectors Save Lives
G.C, Ko.lve
April 1990
Page 2
5. Address Required: ThQ tenant space number must be prominently
displayed on the street front where it is readily visible to
drivers and officers of responding fire apparatus and other
emergency vehicles. UFC Sec. 10.208
6. Fire Extinguisher Requirements: Not less than one (1) approved
fire extinguishers with rating of not less than 2AlOB:C shall be
provided for each 1,500 square feet of floor area or fraction
thereof. The travel distance to an extinguisher from any portion
of the building shall not exceed 75 feet. UFC Standard 10-1
7. Approved Plans on Job Site: One set of approved plans bearing the
stan.ps of the building department issuing the construction permit
and this office must be maintained on the project site throughout
all phases of construction and must be made available to building
and fire inspectors for reference during required construction
inspections. UBC Sec. 303
8. Required Occupancy Certificate: Prior to the use and occupancy of
the project (space) , a ccrti.ficate of occupancy or other written
instrument of approval must be obtained from the building
department issuing the construction permit. UBC Sec, 307
If I can be of any further ass.L.,tance to you, please feel free to contact
pie at 526-2502.
Sincerely,
Gene Birchill
Deputy Fire Marshal
GB:kw
cc: Tigard Building Department
I
CATYOFT117A.RD �"°p � BUILDING PERMIT
COMMUNITY DEVELOPMENTDEVELOPMENT r3EPARTMENT (C' �FTNOFTW40 PERMIT• #. . . . . . . i, BUP`�0— 4
\
13125 SW Doll Blvd, P.O.Box 23397,Tipeud,Orepai 9:72aatoo►+ FRIM. HERMIT tt. I BUF'90-00843( i 7
--- ---- �c_-'-- '�r DATE ISSUED-. 03/30/90__
SITE ADDRESS. . . : 1.4285 SIJ PACIFIC PARCEL: 2SI10AB-00200
SUBDIVISION. , . . : C AN'TE.RDJURY PLACE: ZONING: C--G
BL_OCI'. , . » » . , . .. .. . . LOT. . . „ .. ,. .. _ . ,. . .. .
REISSUE. FLOOR AF:E:AS___.._....._....__..._._...... EXTERIOR WALL CONSTRUCTION--
CLASS OF WORK.—.ALT FIRST. . . . -.3120 sf Fla Sa Ea Wa
•TYPE OF USE. . . .COM SECOND» » . c sif PROTECT
TYPE. OF CONST. .-5N THIRD. . . » z sf N-. S-. E: W-.
J U C U P 0 N C Y 6RF-*1.. :B2 TOTAL -_ _._.._..a 3120 sf ROOF CONST: FIRE RET' '.-
OCCUPANCY LOAD:28 BASEMENT. : sf AREA SEP. RATED:
STOR» a 1 HT. : 16 ft GARAGh.'. » » : sf OCCU SEP. RATED-.
BSMT” -.N MI•7•7..1':'-.N REUD 5L'TBAC:N.a__..__.._..__._ .. REQUIRED .._._._.__..,__ ._..__ .___.._._....
FLOOR LOAD. . . . .-50 psf LEFT: ft RGHTa ft FIR SPKLaN SMOK DET. . sN
UWEI.A.ING UNITS: F'RNT: ft REAR-. ft FIR ALRMsN HNDICP ACCaY
BEDRMS: OATHS: IMF' SURFACE: PRO CORR:N PARKING-.
VALUE. $a 25000
RemarP.sa 'Te1'ia1•it I*Iad. acid :irlte•vici•(, Part i.tican , res,trrac�m, 1-!tc.
C)w ri to r: _._.._..__.._._..._........__..__.__....._....__...._.....__.____._.._....._......... ..._._._.._.___..._ __....__..._.. FEES ••_.._.__.__..__._....__..__.._._.
(:3. C. KOL.VE: type amOL111t by date 'recpt
1.435.7 SW PACIFIC HWY PAYM $ 1.79. 33 JL.H 03/20/90 107131.0
PRM T `>; 170.50
TIGARD OR 9?223 PLCK $ 110.!33
Pflarie IMa VIRE' 9i 68. 20
5PCI $ 8. 53
C:Oiit'ractc.1•r aPA�M $ 1.79.03 JL.H 03/,-30/90
CONTRACTOR NOT ON FILE:
................ ........._.... ......_.._._..._.....__..._..._............ .
1='hOrie )ia $ 3:)8. 0(:, TOTAL.
Reg q. .. .
REQUIRED INSPECTIONS ..__.__....
This fermit is issued subject to the regulations contained in the Slab l vis p
Tigard Municipal Code, State of Ore. Specialty Codes And all other F-ramirig Irisp __-•___•-__."._._...__._— ._.__. __
applicable laws. All work will be done in accordance with .II1SUlatiOil Insp
approved plans. This permit will expire if wcrk is not started Gyp Bc),a•rd In«sp
within 188 days of issuance, or it work is suspended for rare SLtlsp Ceil.rig I11sp
than 188 days. Firial :IrlSPe�c!tiOrt
I e.rnlittee ..."t "lei ccY t :
CaII ft•.ir• ii' SPPCtioll 639-••4175
I�
MECHANICAL.
CITYOF T'FARD (GI'iYQF'i16.4RD P E*R M 1. 1
COMMUNITY DEVELOPMENT DEPARTMENT MOON PERMIT 04. MEC:30_.0063
13126 SW HN11 Blvd. P...Bax 2339.'.Tiqatt,Oregon 97223(603)6394175 ,/ PRIM. PE-RMIJ* NL)1-190 0(rl84
I
f:,3`3-� 71 DATE TRE11 EDI! W-4/313192--
SITE ADDRES;;-, 1.4285 SW PACIFIC PARCEL.: PS110AP-00200
SUPPIVISION. . . . .. C. ANTERRIJURY PLACE ZONING: C--G
BL.U-6—
.. . . . . . . . . . . . .
............—
CLASS OF' WORK. . :ALT FL.0OR F'URN. . . . a EVAP COOLERS:
TYPE OF USE. . . . :CUM UNIT HEATERS. . N VENT FANS. . . : 1
OCCUPANCY GRP. . .-P2 VENTS W/O APPL.- VENT SYSTEMS:
STORIES. . . . . . . . C1 BOILERS/COMPRESSORS HOODS. . . . . . . .
F-UEI... 0-3 HP. DOMES. INCIN:
N 3-15 Hl' , COMML. INCIN-.
MAX INPUT: BTU 15 30 Hl---'. .. ., ,. REPAIR UNI*1Fc1
F IRE DAMPERS?. . aN 30-50 HP. WOODSTOVES. . c
GAS F)RESSIJRE. . . 50+ HP. . . . CLO DRYERS., g
NO. OF' UNI*TS------------------- AIR HANDLING UNITS OTHER UNITS. :
FURN < 1.0011\ 1.(TU.- <= 10000 efto GAS OUTLETS. n
FURN �=IOPJK EiTU-. > 1,0000 efrn:
Renia-rlf.s.-. Tevii-.kvit Mc)dr add irite-ri.wv pAvtitj.c)iii.,, -i,est-(,oc)ni, etc.
Owrls.-ru- ..- -.... -..--———————.....-.. F E E S .............——
(.-). C. KOI-VE type amourit by date recpt
1.435 1 SW PACIFIC HWY PRMT 1 19.00
PLX,K 1; 4.
TIGARD OR 97P23 JPCT $ 0. 95
P 1-)0)-1 e H: P A Y III $ 24. 791 JLH 03/30/90
('A)i-itrac!to-rP
0 & IR HE A T1 NG
DIPI.. ONF OLE.- 1-101-DING
1.491.5 SW 7t?ND
TIGARD OR 97224
Ptiorie Oc 503-684-3355 $ 24. 70 TOTAI-
Reg #. . : 3:1339
K E0 U I R E D INSPECTIONS
this permit is issued subject to the requiations contained in the MechaviicAl 11-1sp
Tigard Municipal Code, State of Ora. Spe,:iaity Codes and all other DL%1--t 11-)S )eCti0t)
applicable laws. All work will be done in accorda.ice w,:h Final Ivisper_tityre .........
approved plans. This permit will expire if work is not started
within V@ days of issuance, or if wor:� is suspended for GOT@ ........
than 180 days.
..........
P e ni i 1 g 11 A t t t i
...........
Iy ..................................................... ............................
Call. f,.j,r iiispectiori 639-4175
CITYOFTIFARD PLUMBING PE.RMI T'
CIYYOFTI6ARD F'E'RMIT N. . . . . . . : FILP190 0047
COMMUNITY DEVE-LOFMENT DEPARTMENT OREGON
13126 SW Ball Blvd. P O.Box 23397,TlWrd.Onpon 97223 t603>639-4176 PRIM. PERMIT #. : B U P9 0•-0 013 4
DATE" 1.g-QULn. a 430421A —
fS1..'fE ADDRES6. . . : 14285 SW PAC1VIC PARCEL: 2S110AB-00200
SUBDIVISION. . . . : CANTERBUURY PLACE ZUNING: C--G
F<I._(1CK. . . . . . . . . . . LOT. . . . . . . . . . . . . 91--3
CLASS UF' WC"::K. . :ALT GARBAGE DISPOSALS— PIUBILF HOME SPACES. :
TYPE: OF' USE . . . . :COM WASHING 11ACH. . . . ., . . : BACKFLOW F'REVNTRS. . :
OCCUPANCY GRP. . :H2 FLOOR DRAINS. . . .. .. . . : TRAPS. . . . . . . . . . . . . . .
STOR1:E6 . . . . . . . : ]. WATER HEATERS. .. . . . . . CATCH BASINS. . . . . . ::
F IX1 URES... __.._.__.__._....._ ...._ LAUNDRY TRAYS. . . .. .. IiF RAIN DRAINS. . . . .,
SINKS. . . . . . . . . . : 1. URINALS. . . . . . . . .. . . . . 3RI.'mASE TRAPS. . . . . . ,. ..
LAVATORIES. . . .. . c J. UTHE:R FIXTURES. . . . .
TUB/SHOWF_'RS. . . . : :SEWER LINE
WA'TE'R CLOSET'S. . : 1 WATER LINE: (ft) . . . . .
DISHWASHERS. . . . - RAIN DRAIN ( ft) . . . . :
Re:nlca•rks>: ler1a1.1t Mad : Adel :irltertar r•ra•rtita.al•1%, rest•raanl, eta.
Uw1.1e•r: _...._....___.__._.__.._.__.____ __.____.._.___._...
G. C. KOLVE: type amclurlt by date -recpt;
14357 SW PACIFIC; HWY PRMT $ 25. 00
PLCK $ 6. 25
TIGARD OR 9722:3 5PCT '.k 1.. 2
F'haiie N: PAYM $ ..32. :`:i0 JL_H 03/30/90
Cant•ractu•r: _...__..._...._...._....___.__..__..._.___.._,._.__._..._._..__.
C;ONT'RPCTUR NOT ON FILE:
F'Ftclrle If: 32. 50 TOTAL.
REQUIRED INSPECT TUNS - -__.._._....
This pr-it is issued subject to the regulations contained in the Rough--•i1.1 Ins p _ _ „ _ __...........
1;ga1. inicipai. Code, State of Ore. Speciaity Codes and all other Tap--Rut InSp
applicable laws. All work will be done in accordance with Final I17spectiori
approved plans. This permit will expire if work is not started
within 180 Mays of issuance, or if work is suspended for more
than 180 days.
f .........._.._................_.. _._._.____.....
........._. ....... ..._..`___ _ __ .___-___.._.__...__ _...... _......._._._........._...........
_._. _.__._.....
I s;s u e d B y
Call tar in-,rle,ctian 639-41'75
CITY Or-' TIGARE r-i-CF1PT OF PAYMENT ;LC NOr C1010F4126
CHFCM. t-trIOUNT t 1 03
NAME t CPWERBUR� SQUARE CASH AMOUNT cia
ADURESSa P0 BOx 21960 PAYMENT DATE
TTGARD, W 974227 BLOCI, NO/AI)DFN't
14285 SW PACIFIC HWY
F*URPOSE (W PAYMENT AIIOUNI PAID !:*UPP-nl;'C- OF PAYMENT AMOUNT PAID
LA)ILD11413 PERMIT i90-0084) 17/0.50 STA"IF. BUILD PEPMIT lAW,
TOTAL AMOUNT Pidf) 0
CITY OF TWA` RV
ctrvornGARt PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT cw« / PLAN C-11ECK P j
»>2sSw.lianni.e_r.o.Box n397.T+ya�i.oRyon9rm.(503)wa4ns �/ PERMIT N �
Q D(1T.L I st!6
J08 ADDRESS:
PIA .S /AG',IGG f/�✓cf TAX MAP/LOT
SUB: LOT: LAND USE: _— -_--,
VALUAfLON: _ ��� __.
OWNER SPECIAL NOTES
VAMC: ^ ,p _ REISSUE OF: —
ADDRESS: 1._ c-- � � AST REISSUE=: T —
Q _ FLOOD PLAIN/
SEWITIVE LAND
PHONE. 7 7 11Z• I � � ��
APPROVALS RE REU
CONTRACTOR _._..._ PLANNING: 2�
NAME: ��� ENGINEERING: _
ADDRESS: ___ FIRE DEPT
OTHER:
PHONE: _ _ ITEMS REQUIRED
BUILDERS BOARD 0: EXP DATE: LIST/SUBCONTRACTORS:
— BC; TAX:
ARCH/ENGT.NEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: __ _ OTHER:
PHONE:
WtVEN TS:
� —
SUBCONTRACTORS: PLUMB: I) v - - MECH: Z
PERMIT b ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. VUE
10-432 00 Building Permit Fees ;V1 so r L1 ('l
y� 10-431 00 Plumbing Permit Fee:; v�'
t 10-431 01 Mechanical Permit Fees
M � 10-230 01 State Building Tax (5%) �§ -77- 79
Building '
Plumbing
Mech
10-433 00 Plans Check Fee
Buildir,3 _
Plumbing
Mech
sU-202 00 Sewer Connection
30-444 00 Sewer Inspection ----
51-448 00 Street System Dev Charge (SDC) -
52-449 (%0 Parks System Dev Charge (PDC) _
31-450 00 Storm Drainage Syst Dev Chrg (SSOC) --—
10-230 06 Fire —__..-- & U
' TOTAL
-+ REC N
APPLICANT SIGNATURE
Received By: Date Received:
fn/3587P/18P ,
CITY OF TIGARD RECEIPT OF PAYMENT pl-C J)tjt C1010741!5
CHE0 AMOUNT c 11111.00
G.C. )<OL')E CASH AMOUNT o't'
0 DRESS 14757 SW NCTFIC HWY rAYMENT ElAlf." 0"T,-:'11-'+0
TIGARD, OR P72"! PLMV NO/AN)P:
14285 '514 PACIFIC HWY
PLO,+f iF IF PAYME'.14T AMOUNT PAT 1) PURI OSE: OF PAYMENT AMOUNr PAM
FUitJ CHECY FE:. 7- `V4 C TIjALATIN VAL.L.Y FilvE < NPRCLI
TOTAL. AMOONT PHIL,
CITY OF TIGARD d39•4171DATE
BUILDING PERMIT
TAX MAP t—LUAB _LOT NO. &Q.._-_ SUBDIVISION
OWNER .:4rr iwlve(Cauterbury aquare) _ JOBADDRESS 1426:-14409 S6 PrtciL1C uwy.
BUILDERW;�tslOkI STATE Rtu,NO. _- -_ EXP.DATE
BUILDER'S PHONE 35.1-3301
ARCHITECT PHONE OTHER
STRUCTURE NEW jf] REMODEL ADDITION REPAIR MOVE OTHER DEMOLITION
RESIDENCE COMM ❑ EDUCATION IND [ 1 RELIGIOUS ACCESSORY GARAGE OTHER i FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE � FIRE ZONE Pt.AN CHECK BY � �HEAT
-.- ium&j_mxintin[ nyEr—haligthillrtrm siLit1_i__ra1L. sLoj j;r%'Ll SQ.ALIA
wvey „u' .
SEWER PERMIT H
OCC.LOAD FLOOR LOAD HEI(,HT NO STORIES _ _ AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT RFnR I EFT SIDE RIGHT SIDE
Permit _ �U.S(j _ THIS PERMIT IS ISSUED SUBJECT TO rHE RFGUI.ATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Pian 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
PI.Ck.FireRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRArT09S TO HAVE CURRENT CITY BIISINESS
TAX PERMITS.SEPARATE PERMITS REOUIRED FON SEWER,PLUMBING AND HEA NG.
State Tax /
Total SDG �...% --- L. �l,L
I1 PDCA APPLICANrORAGENT
—��
----- ----- -- - —� �— +.? Iff
�'*� Receipt No. "i!`; ADDRESS
8a1.Due
Issued By
., ..,,... - . .:., .:... ....mau..._:.. ,...�,•.. .•.. ..-_ny-._.,ka,..,,.......,.,..,, •. ...,,,.e;_--..ou....,,.,�.,,, r... .o.►.....,......, ..,.... ..:wr..w.,......si......r....Y¢.•.•alrillil�irl�gii+r•,+aba:.�
DATE INSP. TYPE INSPECTION _ 11 Ey A 5KS PLUMBiNGGj� DATE
Contractor
s 7 /
f — Permit
Rough in
Fixture
Final
— -- —`----�� --_-- T HEATING
Contractor --
Permit No.
---_' — -- Gas or Oil
- ---'_- ----- Rough-in
Final
SEWER
--- -- -- --------.__ -- -----• DRIVEWAY _
lFinal
Storm Drainage
-- ___ - ---- ----__--� ---- (Rain Drai,.)Final
Sidewalk
--- ----------^ ---------- -- -------- Curbs Street Final
pnroach
BLDG.DEPT.FINAL _ TEMPORARY CERTIFICATE OCCUPANCY F"al
( RTFICATF OCCUPANCY
Landscaping
Zuning Final
13125 SW HALL BLVD.
PLUMBING PERMIT P. o. Box 23397
R ISUation to conduc' a plumbing 'i I GA.-RD, OR 97,?-23
twsincarlts must hold p&tyaOregon e8 atornothiringoctside(help. (503)639-4175 Fl.,�l(fie, —CY.-4-7
business or must be property ovvh>er�ot -`—�
Plumbing Pr.nil PJ. ��
---
1 Desaipt*C PRICE T
ORS O14-21-61C QUAN.
lob Tax LotMap.No.
Address FIXTURES %
_ a.50
Lot U1oc1u Srbdvlslon Sink -_-- —
7.50
---------- lavatory -----.
ame ct Mme stress 7.50
1 - - Tub or TutlJShowerCarlb.
i.50
ass Shower OnlyWater -
7 50
--_'-_--_ 7.50
Owner City/State Dishwasher --- -
- --a GarbageDi`�osa'`- --- _ -
7.50
Washing Ma�h�e --
- 7.50
-- Name AFloor Crain ^--- _-
-— 7.50
—Pie Water Healer
ass 7.50
LAundr p Hoorah Tray -
zip — ---7_50
Occupa'.i City/Stave Uriret ---
7.50
—�tore Other F;¢tures(Specify_- )—_-...
1l - ,
--_ —.__ ---- -- - 7.50
(',on —
Pnale
7 50
trector CITY%S'tate ----.---_.—.�-_____--- ----
750
MISCELLANEOUS
Oue.Tau Wo r 30.00
--- -- City Sewer Ist IMY --- -- --
- 15.00
Sewer-ea.Addit.100_ _ ---
$tate tele _
- S 1� W etcx Service t st 100' -- 10.00
(Res+de rtiall -- --
_-------- -- Water Service ea--�it�r -- — 15.00
ation.that the information 30.00
I f1eT�,y acfahpwledge that 1 ham end this,+pf> .c Board.and also Stchrm 6 Rein Drain 1St-100_ ---- --'
yi ron is aired.Chet 1 am regie(ered wi'h the State Binder that ell --15.00 have a State Pkxvt*v fioertse that then of Ore- Stam S P r1 Drain Arldil.100'
our"birq worlr wrlf he done in accordance vrttll 7.5_00 -_--
arc 447 6rd 693 and appticcbb"Os and that Mobile Ha:. •SF
vi �
gon Revised Statdes Chapt oder ORS 693 Ill exemcx from
no help wo be employed unless WA0111ed B"Flow Pew bort 7.50 _
State registration.please gim reason below)- Devioe a Ar*-. ,talion Device --
f10ME.OVYNEftS-1 thereby c34lrfy Intl 1 am the Owner of the Pmt" 7.50
de-
!above.ed wthkih kx orlon 1 propose w make a pkvt>t*v kwakedw kx Arty Trap or W 6810 Not --
so oonstn,cted Mx cab.lease rx erht Connecied to•Fixtu m
my owl,use and Cls property b not bekh4 catch Basin _^ - 7,_50 -
--- 40.00 Per W.
k
- ap.of 6de1.Pk+r�rrhg—-_ - -
-- —
gpecially Reque,fed In>p�oru 40.00 Per r.
d Pkrrv'g within - - 15.00 min.
--- - --- an f xle"Bldg
Adr>111o�h 25.00 nun.
OeM New Bldg.or BuIW. -__ ---- --
AUT110RiRD SIONATi1Pr -
_ 15.00
Ifo W(),* eddr0
k rhgw(� ticxl( ) etMratK)n
Merxif �IyIy''J repair 1� c3�11 ittj_J
rnsldoaddi non-reekf�9tiel
6dstfrlg use u1 SUB--TOTAL .45.
btAkilrljrx x t 1 tXort Y —.___. ---- -- 5$ SURCHARGE G�
-
nnvead u4e rrl - ,�. +� PLAN REVIEW /•2
III'%4N rx tw-q W ty �
--- — -- `— TOTAL .r SC-
NOT1Ct - --
TIda par r,&b000nvos txM arxl vold 41work or orxh6tIAxj _01c.,dinod M rwl CO,.•
nhar toad within 1�)rtryw nor M rxrhslrhK.'NU^
or work b Nlatwvl@,j rx etwuior vd lot
•parioA CAfo).lays at ally on"/fW work IS rxxhxrra•%
Iq'YCIAL_GON NY"4s_ - Oate 6Heur•d by
� A
I
CITY OF TIGARD MECHANICAL PERMIT Receipt# C7
13125 SW HALL B1,VD. Permit #�C 94 -00(0 5
P. O. BOX 23397 Description
TZGARD, OR 97 3 Table 9A Mechanical Code QTY PRICE AMT_
(503)639-4175 1) Permit Fee -0- -0- 10.00
Name of Development 2) Supplemental Permit 3.00
'lot) Address , 11 Furnace to 100,000 BTU 6.00
/ incl.d_ucls 8 vents
Addre',r. �2 L -Furnace 100,000 BTU +
Tax Lot Map / 2) 7.50
incl.duct:.8 vents
lot Block subdivision - — --
- ---- --- - Floor Furnace
Name(or name of business) 3) 6.00
/CO /Ve - incl.
C _ - T
- Suspended heater,wall heater 6.00
MailingMlderB �7 r'hOfa ) or Coor mounted heater
Owner ; 7 f ,//Cr e l -` - -- --
City/State lip 5) Ver not inc:.in 3.00
apt, iance permit _
-- --- ----- Repair of heating,retr ig.,
e o
Namr name of buvines ► g) - 6.00 C V&
(� lJ cooling,absorption unit
Mailing Address Phone Boiler of comp to 3 HP 6.00
Occupant ) absorp.unit tc 100,000 BTU
,ity/state Z,, 9) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU -
Name 9) Boiler or comp '5-3011P 15.00
absorp_unit'h 1 million _ _
--'- �� Boiler or comp to 30-50 HP `-
I tailingAddres9 Phone 10) absorp.unit 1 -1.75 million 22.50 —
(.r,nlracinr - Boiler or comp to 50 HP
City/state 71p 1-1� 31.50
absorp unit 1,750 000 BTU
State Registration No. City Bus.Tax No. 1", Air handling unit to 4.50
10,00)CFM
Air handling unit 7.50
I 'wreby acknowledge that I have read this applic ition that the information given is 13) 10,000 CFM +
correct,,mt I am the owner or atnhor-�-y-nt of thr owner,that plans submitted ar�in --- -- —
oompliance with State laws,that I ani registered with the Slate Builders'Boo rA.thct.he 14) Non portable 4.50
number given Is orinect.(II exempt I-om Stale registratien plear r give reason below). _ evaporate cooler
__ --- -.--.-.--------.---- 15) Vent fan connected / 3.00
_ to a single duct
----- --- ----- -- -- 1 C) Ventilation system not 4.50
included in appliance permit
- - ------- 17) Hood served by --- -- - 4.50
_ mechanical exhaust _
Signature(owner or agent) --— -- Da,eDomestic type 7.50
18)
Describe tnork addition O alteration ❑ repair [1 �_-incinerator -- -- --
to be done residential Cl--_ non-residential 0 19) Commercial or industrial 3C.00
itype incinerator - --- _ —
Existing u:•e of -
building or properly _. 20) Other i.e.,wuodstove,water 4.50
heater,solar,clothes dryers,etc..
Proposed use of -- -' - --- - - -
building or property --------- -- 21) Gas piping one to four outlets 2.00
Type of fuel- oil H natut^: gas H LPG H electric Cl u- -
-- - - - ---- 22) More than 4-per outlet
NOTICE - - SUB-TOTAL /—
U
THIS PERMIT BECOMES NULL_ AND VOID :r WORK OR CON- '----
59/a SURCHARGE <
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 10
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Oil PLAN REVIEW 25%OF SUB-TOTAL. 75
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --
WORK IS COMMENCED. — TOTAL _ �4J,7,!
Special Conditions
-- Date issued-- -- by----- -- - --
. P g
Cop� _
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ki d E4x
cl,c C:
� , � .. � + r :.i .•� --- . /'1 �: yr r,�• ,-; - .. .-... � / I
CITY T'`ARU
ti
c. U4 (.� { �= 1�,a�.ti ► , ,= � t ,�� ,_,,, l�Y � �, , .� i � , �•r , r�r
Approved .,,... . .........I... ...............
CondittonAIlY A00roverl ....... PUG (j�l/i,S )( '
.......:............. ...„�: ill
For only the wor;s,as- up sei•bed in: ' ' �
PF?MiT NO. . ..41(4 e 90 �-
See letter to: Foi o'w ...... „ ..I...0.......I. ............
•.•..•n•.•...../.1•.1.1•.•..•........• I LS71
1
1
Job Addre��: 3 C GvL --+�4----�
1
1 /r
7-DJ 7LST /ipl 611
LUgP� 1 .�
J#14 M. U.Y CRE MARSHAL OFFICE T
V . . . . . . . . . . . . . . . . . . . [=7
EONDITIONALLY APPHOVED . . . . . . . `
j (
UA I APPROVAL OF PL NIS 1$ NOT AN APPROVAL OF -
DW1310NS OR OVERSIGHT& ._
SUEATT i t�= -T EIS . . . . . i? /
I ! 1
TT TS TyFI i62 �10E r1
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-- ---- — --- - l QST s/v�' L;,�. . , 7"iGi,���..D ���,�r;o/L
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1
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rrr .
_
� � I I I 1 I ! I .?I I � •
NOTE : IF THIS MICROFILMED 2 3 4 5 6 7 $ 9
DRAAWING IS LESS CLEAR THAN
TH:S NOTICE-;--IT IS DUE TO
TI-E -QUALITY OF THE ORIGINAL
DRAWING. OE 62 92 LZ 92 SZ *Z EZ 22 Iz 0a 61 X31 LI 91 51 b1 IF I al I 1 01 6 a L A S b E Z I
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MAY 7 1992
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