14315 SW PACIFIC HIGHWAY w ,
AQQRESO:
-j�
31 a
a
�..4vike_r bur -P0etcc J u4 r<..
i:\records\microflm\ta rgets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb,
Post/Beam Mech. Shear/Sheath Framing -Mech.
PIbg.Und/Flr/Sla'. Plbg.Top Out Insulation Efect�
Post%Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ---
Date: e ] — A.M. ----P.M. %ntry: _
Address:
— 3
Terant: Ste: MST:
BLIP:
Con/Own: G ___ ME
i PLM:
�G34 5��T ELC: ,;1
THE FOLLOWING CORRECTI NS ARE REQ'))IRED: ELR: _
G
Ins pector:l� �' bate:
APPROVED -,_DIt APPRC%/ED/CALL FOR REINSP. 5C )
CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Pho,e: 639-4171
Inspection: ( " AA'0d-Lc.,`1c
Footing Susp. Ceilin Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-In FINAL:
Post/Beam Mech. San, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wa Gyp. Bd. Elect.'
Date Requested: L'_ r Time:___,_AM „_,__PM
I r
Address:
Builder: Permit #: CSL_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
et
� t �
c�rLCr
Inspector:/\ e_ �f a {J / k ��� Date:
_,APPROVED _DISAPPR VED —APPROVED SUBJECT TO ABOVE
Call For Reinsp. �,� /
Fir, NOW— --"Oq
I r�i I it� L L t,9G 141
CITY OF T IGARD L) I C- 1'Z-:)S U E-15 7- 751 72,77—775_i)
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
SITE
SUBDIVISION. . . . : LONTERb_ *ONIAG:C--&
Pr-oject Desere ipticn: UV4= RHDIM:, !'U I-ENANT SPACE AT 14315 SW
PIC-41CIFIC HWy
ONE FEEDER iEOO AMPS OR' L.E
--RU9 I Dr-^N T IFIL_ Ul'i I I—
.160 SF UR LESS. . . . aulp. . . . . . . . I R R I Gra I ON.
iGilii L 5005%'. - - 400 arrip. . . . . . .. . 0 5 311,i/ClUT LINE:
.11ITED ENERGY. . . . . : 0 401 600 amp. 0 SIGNAL_/PlANEL. . . . . . . : 0
INF. HM/ SVC/FDR. . : 0 ",014-ampci -100101 vel, . - ' 0 MINOR LABEL : 10) . . . : 0
-BRANCH CIRCUIT;::- --ADD' L INSPLCTIONG-
00 amp. W "J.
'" -RVICE OR F-EEIA'_R: 0 PER INSPEC T I ON
400 amp. . . . . . . 0 1st W/O ERVC OR FDR.: 0 PER HOUR. . . . . . . . . . . : 0
amp. .. . . . . : vi t 11 i-IOD- - L%,<NCH 0 IN .. . . . . . . . . . . :
-J-:'LrAN REVIEW SECT 1
I iO00 amp. . . . . .
100-i- 'Limp/ :Olt. . . . .. : 0 R:'. 'JH1'T5. GOO VOi._T NO11INA1_.
,COTITIeCt Only. VN [;VC/FDR CLASS AREA/SPEC OCC.
Vier. FEES
IN I ERBURY SQUARC type :;%moil.int by date recE
�]W PALIFIL r-jW'y ,-0. 00 Jmvi
2'
-. 00 JMH O4'/ :6/96 96- IGS a
-
T IGARD OR 1)7214
'hone #j 503--234--6,L64
URDWOY ELEC1_RiL:/,'1.00:HRHhi ilii., :3. 00 TOTC4L
0 LAOX 33524
REQUIRED INSPECTIO.NS
fITTLE WA 9GJ3.L i rig Lovpv- Elect' 1 'Sev-vicp
one (.,tiver,
3 07125/4'2"'
.s, permit is issued sv'jject t; the regulations contained in the
"J1 -
Bard Municipal Lou@, State of Ore. Specialty Codes and all other t t e e i gnat e
ulicable laws. A!: work will be done in accordance with
L,roved plans. This permit will exp?re if work is not started YL
,,hir !W days of issuance, V If PlUk is suspended for more
an 180 days, I s it--11.ed By
ONLY
to installation j -i btllTif4 MAUC? 0T'j property I c)64n which i , T 1 o t intended for
Ale, lease, or rent .
,INEPIS SIGNATURt-, Jq/ -_ _ _-.--. _ __.1__1.___._ D A TE
11 T
INSTAL-1-Al TON ONLY------
GNOJURE (11' Sif: 1- 0r)TF - C)2 z
I'Ll iAL N(J. 3 P?
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. /1 /
Tigard, OR 97223 Planck/Rec. #
Permit # i-L
Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 issued by Y•
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: (:�AKMflc 1 (,( , 4. Complete Fee Schedule Below:
keV
QName of Development ��! r f Number of Inspections per permit allowed
Address /,4 '' hs `Vlri/1i� HltJl/ Service included Items Cost(ea) Sum
City/State/Z.ip_t_4LjZL1y (t fZ- 43 7-Z./U 4a. Residential• per unit 4
lnno nq tt or lees $11000
I I ,,s E.,ch addilional 500 sq It or
Name (or name of business) V11/J� V J portion thereof $2500
Commerc.al R1 Resential 13 /�- / Each Energy __ $2500 _
' idEach Manuf d Home or Modu6�r � 2
/7 Ov
���� Dwelling Service or Feeder $88 00
2a. Contractor installation only: 4b.Services or Feeders
Installation alteration,or ralocehon 2
Electrical Contractor�1 .Lyres Z'�j C"L / Ley h[eil 200 amps or lege �_ Ern oo ''c�` 2
201 amps to 400 amps $80 00 2
Address le-21,i % /f&u -� 2
—T� 401 amps to 800 amps 5120 00
City ..,Y1e�v(L State_ &' a Zip ; '7"If 601 amps to 1000 amps $18000 2
Phone No. Over 1000 amps or volts -_ $94000
Contractor's License No. '? ���� Rer.onned only _^ $5000 _
Contractor's Boarc' Reg. No-_ -y 7- Y _ 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Elec'n _1—�.'«--' �►^'�?L 200 amps or lees $5000
2
201 amps to 400 amps $75 00
License No. ?i K - _ Phone No._ 401 amps to 600 amps $10000
Over(100 amps to 1000 volts
2b. For owner installations: ew V above
4d.Branch Circuits
Print Owner's Name ______ New,e'lerauon or extension per panel
A) the fee for branch circuits with
Address — --- purchase of eervke or hodw he.
City State Zip Each branch circuit $500
Phone No. _ b)The lee for branch arcuils without
The installation is being made on property I own which is purchase of servico or fled«res.
riBl branch circuit
not intended for sale, lea:a or rent. Each addAonal branch circuit $500
Owner's Signature------- _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Flan Review section (if required): Each pump or irrigation circle $40.00 2
Each s;g i or outline lighting $4000
Signal eimuit(s)or a limimI energy 2
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000
_ 4 or more residential units in one structure Amor I.shale Ito) $10000
Service and feeder 225 amps or more
41. Each additional inspe a an over
System over 600 volts nominal the allowable in any of the
Classified aria or structure containing special occupancy above
as described in N.E.0 Chapter 5 PatPer hour 0" $6600
Per hour $56 00
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. S. Fees:
5a. Enter total of above fees $
NOTICE 5%Surcharge(.05 X totsf fees) $
PERMITS BEC7ME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account# $
Balance Due $ _
.arnnrr,a.v,�i,rm ar
� t _ L 97223 ZIP COD
STREET, \`I X7224 ZIP CODE ..
O o O Q p O lau7o p O
X0 10 M n t0 p 0 0
M
0 O
o M� O Oi
14 I
LAJ
V :D (4 u 7 u I ~ i ---- I u1 O
- — I U s 1
a I» 14010 140.:0
14 1351413 U I
• a 1403
,rJ
14175
I 14�i 10 ((./
14'22 5 1 4.-2 0 14100 I
* y3 /4 ?S
141J5 I•�rz0 tau o - I Jy� ' 3*� s
�— -
1426L' 14 215 1 "�'` ♦ I /ifJ& -tl—
ul 1 / `plb
N 4265 142r7 142U014202,, 43
w r� ss
14 2 6&1 14 2 45 > IN.
f A
- :421154 es
42H5 14305 1 142112 I 1422014218 /9 +0* /*J °+ /as
r43
/� )�• r P
I14 211 5 i �` r"3
4335 � 14325 141:440I14aoo '�
r 14305
43L- 14490
r ' " 1
.43EN
5 I Iy31B
El OD
I4425 I 14420 I 14325 � p
--- - - - - — F-- II 1 o
" 0 m
14466 14460
I m '► __ m
I Irl: U_
M >
In
14600
�- 14610
N
I -- --
a v I
In '
I AI,I BLDG 1 1-4 103 10 1-1175 v
t + 2 • 14707 r 1 147//
` I 3- 1471 , 14 fellp1
j 4- A 7!'i ltj 14 r'H°
i
i
. � . �
r
Address /S J� Permit Noo_� �,,�_�
Permit charge
Owners Connection fee ftQ, _
Paid by�
Type of building O .' Date connected ,- G_ak
t Inspection fee
Service rate ._,._
Contractor _ _ Paid by Date
Size of connectionAssessment _Pa,i.d—�._,
Ze%-_• c<-r 426tL-
C�
CITY OF TIGARD 1C 3i3 V,
APPLICATION FOR SIGN PERMIT
c)wNrp'7-'j (:-,mkb PP1iizn,%1vL y No 7c QATE/Z'.,4,. 7V
ADDRESS /.4 ,3 ij-S ti./ P17 C
T. E —2ERMIT FEEIZL�X- -
TEL. N01
MANUFACTURER -S13 MO
ADDRESS
INSPECTIONS REC�IITIRED
E REf"POR SITE
AD I:afaE_-_ FOnTTNG
--TZa---,UQ- FINAL
HEREOY_BA�.�L�PPTJCATTON TO
L'R C i SPECIAL INFORMATION
ALTER
REPAIR
MOVE
TVPP rir�-
_EZa— --- PLOT PLAN
POLE COMBINATION-- SHOW SIGN LOCATION
GROUND MARQUEL,
FITIE'(19IRTC
WALL ITEMPORARY
lU-'l-cdU--T Q 2
T—
qc) PT-
PROJL�-VION Ale FT. 1
--aukpQILT---
FIBL' ZONP
ST ,N TO 13E PASTFNED AND qEC'17Rr.D FAY
--A2kRQ3LLD SjJj2.p.ORTS1�j IT TS HERFRY.
ACMERD THAT IP TIITq APPT.T�'ATTOM TS
APPROVV.1) T141' SIC;N WTI-1. ('0MPQr)M-T N1
F V P R Y D FT LLLM-j T H -THF- ITPEMJ'UT-' ()p
P. Vol., iM R V. llilrp- 1 (-)6,z
FDT'f'TC)N
ANI]_TUE_0RDTNAN(-T;',S- OE TUR CTTY,
TIGARD
j2EM4-�Trrnp
L
tiv
APPROVED CHIEF BUILRING OFFICIAL
BY
� O
� U W
a
LL ,
ci ( �,
Q a
, I
� I
J �
e,�