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i Arecords\microflm\ta rgets\building.doc
SIGN PERMIT
PERMIT (): SGN93-0029 DATE ISSUED. . . . : 06/25/93
EXPIRATIOM DATE: 06/10/94
PARCEL. . . . . . . . . : 2S110AB-00200
ZONE. . . . . . . . C-G
BUSINESS NAME. . : MINUTEMAN PRESS
SIGN LOCATION. . ; 14285 SW PACIFIC HWY
APPLICANT/AGENT: BOB DAVIDSON
BUSIN' SS TAX NO:
SIGN:
PERMANENT (X) FREECTANDING ( ) FREEWAY ( )
TEMPOPARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BhLLO0N ( )
SIGN DIMENSIONS. . . . . . : 2.5 X 18
TOTAL SIGN AREA. . . . . . : 45 sq.ft.
WALL AREA. . . . . . . . . . . . . 500 sq.ft.
WALL FACE (DIRECTI:ON) : E
SIGN HEIGET. . . . . . . . . . : ft.
PR0JECII0N FROM WALL. : 9 in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTTON OF SIGN:
Permanent illuminated ::all sign. 2.5 X 1.8 45 square feet.
MATERIALS. . . . . . . . . . . . . PLEX.
Y:XIST=NG SIGNS. . . . . . . : 1
ELECTRICAL PERr:T_T REQUIRED: YES
BUJ'aDING PERMIT REQUIRED. . : AO
ADMINISTRATIVE EXCEPT-'ONS. : N/A
PERMIT FEE: $ 21j.00
APPRU."RD BY: _.—
DATE: 06/25/93
I
Permit No. 9'3
CITY OF TIGARL
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit fur the work indicated or as shorn in the
aac:ampanying plans and specifications.
P�sFstT- ��'t-r4rT tiV 90,7.?f S S ' 131f/s s.w. o,4c(Frc N.-J'1 17 74A 3
NF•-cv SIGN LOCATION ADDRESS: AldLo 6- S,CJ. 04<-y-tc 7Tod X 4 zoNiN3•
NAME OF BUSINESS: (/V L t_F,414,+( /°�S"S 2 S! 1 C) ).g" .2-cra
APP1.,1M'r/AGENT:/`)�rj 0A4dSVyV COMPANY: 41(NUr-6g4M PRE,',' PHONE: <_
The City of Tigard imposes an annual Business Tax which must be kept current on all
persons doing husiness in the City. Do you presently have a current business tax?
YES Z><�_. NO ( ) U.L. Label #
PROPOSED SIGN: (Check as many as apply)
PERKANENT FTANDIW, ( ) FREEWAY ( )
TEMPORARY ( ) WALL EL37RONIC �
CTI'IME ( ) BIL 30ARD ( ) B1-%TLOON ( )
SIGN DIMENSIONS: vZ Co e X � 0' EXPIRATION DATE.
TOTAL SIGN AREA (Sq. Ft.):
WATT AREA (Sq. Ft.) : CJV±- �-
WAIL FACE: _
BRIGHT (Ft)
P'ROTECT'ION FROM WALL:
ILLUMINATION: YES bI NO ( ) 'TYPE: _4 (�L -s
COPY:
MATERIALS: P 1,4ST7c S/G ilr
EXIS'I'ING SIGNS: �F.c i�2��g,Y� Eklsl7.�c cTlGryJ' fkv�i /; J.S_yLC c^cJ/� eu. 7Z� r5'` _
,_ -('MvLAQ q7- c1'Cs4(7oW .TV A4 C6 OyEA(S'%i,VG 0 L'd S/C-v
At- IVC-tt) 1-QC4?ZAV
ADMI1,ISTRA= EXCEPTION: N/A APPROVFL) ( ) HOW MUCH $
AREA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPARTe&NT All sign permits mu,t be acaLvpanied by a scale
Permit Fee: drawing and plot p"-an. If work authorized under
Reeeirt I o:Za sign permit has not been ocupleted within ninety
ftp"royed By: days after the is..vance of the permit, the permit
Date: _ _ shall become null and void.
F.IBCI'RICAL PFR4IT �- I CERTIFY THAT I FM THE RECCRDED OWNER OF THE
REQUIRED: YES (kf NO ( PMPEIUY,OR AN AGENT- LTIIOI:;ZED BY THE OWNER.
� JJ
BUIIDIN(; PERMIT 11 11A _
REQUIRED: YES ( ) NO Applicant's Signature
777 61W, O2 -71;4-A3
cp/131 ?'EOMI' Address Telephone
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SIGN PERMIT
PERMIT #: SGN93-0030 DATE ISSUED. . . . : 06/25/93
EXPTAATION DATE: / /
PARCEL. . . . . . . . . : 2SI10AB-00200
ZONE. . . . . . . . . . . . C-G
BUSINCSS NAME. . : MINUTEMAN PRESS
SIGN LOCATION. . : 14285 SW PACIFIC HWY
APPLICANT/AGENT: BOB DAVIDSON
BUSINESS TAX NO:
SIGN:
PERMANENT (Y.) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 2.5 X 18
TOTAL SIGN AREA. . . . . . : 45 sq.f.t.
WALL AREA. . . . . . . . . . . . . 500 sq.ft.
WALL FACE (DIRECTION) : N
SIGN HEIGHT. . . . . . . . . . . ft.
PROJECTION FROM WALL. : 9 in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
Permanent illuminated wall sign. 2.5 X 18 = 45 square feet.
MATERIALS. . . . . . . . . . . . . PLEX.
EXISTING SIGNS. . . . . . . : ].
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. s N/A
PERMIT FEL: $ 25.00
APPROVED BY: cry
DATE: 06/25/93
Permit IIQ.
CITY OF TIGARD
SIGN PERMIT APPLICATION
fhe applicant hereby applies for a permit for, the work indicated or as shown in the
aacafpanyina plans and q :�ifications.
Al Fug SIGN LDCNTION ADDRESS: /` Ap S,w, P,9c//=/c am ,t 71- A4 ZOt UC: -(c;'?•���C"
NAME OF BUSTNF .S: M//Vice1-?F1-1,q,1V i°2ESS _ l U_,.j 8- a m
APPLICANr/AGEvr:i7,:►j �J/�l li�5c �l! _ COMPANY: i'!�rJU��°i�^� %'��` r PHONE:
The City of Tigard imposes an annual Business Tax which must: be kept current on all
persons doing business in the City. Do you presently have a current business tax?
YES NO ( ) U.L. babel #
PROPOSED SIr-V: (rhecJr as many as apply)
PERMA= F REESrANDTNG ( ) FREEWAY ( )
TEMPORARY ( ) WALE ( !J 11BCIRONIC (y
(MHPR ( ) BILIBOOARD ( ) FiAT_SIJON ( )
SIGN DIMENSIONS: �_ EXPIRATION DATE:
TUTAL SIGN ARFA (Sq. Ft.)
WILL AREA (Sq. Ft_.) : dam
WALT, FACE: t -�----�
HEIGH (Ft) :
PRLIJ=0N FROM WALL.:
ILIJJA'LINATTON: 'IES (f=) NO ( ) TYPE:
COPY: riir,/ui`F��i/i►v fi,�c rs _ --
MATFRTUS: .S/C./If /'7tr1Il /jC'X _
EXISTING SIGNS: /rS i,�� vG XlSi7.uG Slc,. ur ik •' i;�`t�=yi c-�r�t/7��, �z 'f. —
Z-a 1"1-4 f-kc i 47- 1 (1r Cot e7,,, Orf, ek t r7,VC.. C L.; Ii C,✓
-47-
i�lcc.` G.CC,li7�LV
AD IINISTRATIVE EYCI1'I'ION: N/A ( ) APPROVED ( ) HOW MUCH _%
AREA ( ) HEIGHT ( )
COrII=S:
PLANNING DEPARTMENT All sign permits must be aer-cnpuded by a scale
Permit Fee: _ drawing and plot plan. It work authorized under
Re .ipt No_U 6.5 6 a sign permit has not been ocm>pleted within ninety
A ro�xd
By. days after the issuance of the permit, the permit
Date: shall become- nuand void.
EZI)CTRICAL PE k%= I CER'T'IFY TfiAT I AM THE RE OORDED O ER OF THE
REgiJIRrD: Y-ES ( ,!r' NO ( ) PROP OR AN AGFMT, ALTIHOKZED BY THE OWNER.
BUILDING PUIZMIT ,/ _ -
RBQt RID: �'ES ( ) NO (t APP l icant's Signature
/,fi e/S- S. Lu i;+C 1 ArC lrl� 1, fl-6/i
cp/BKMPFR^Ir Address Telephone
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CITY( OF TIGARD
OREGON
June 3, 1993
Mr. Bob Davidson
Minuteman Press
14285 SW Pacific Highway
Tigard, OR 91223
Dear Mr. Davidson:
I am writing in reference to two sign permits which you applied for
In February, 1993. These two perwit applications are referred to
as SGN 93-•0029 and SGN 93-0030.
I had called you office some time ago and informed your company
that the wrong permit fees had been charged for you applications.
Minuteman Press was charged a fee of $10.00 for each application
instead of the required fee of $25.00 per application. Therefore,
your wall mounted exterior signs do not as of yet have City of
Tiga.-d vign permits and are currently illegal. The balance due of
$30.00 oras to be mailed to the City so that your permits may Lie
issued. As of the writing of this letter, this amount due has not
yet been received.
Please provide this $30.00 payment as soon as possible. Your two
sign permit applications are approvable and shall be issued as soon
as this balance is cleared.
If you have any questions or comments, please contact the City of
Tigard Planning Department at 639-4171.
Sincerely,
Ron Pomeroy
Assietant Planner
13125 SAN Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 - - ----- — -
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CITY OF T I SARD - RECEIPT CSF PAYMENT RECE I V T NO. :93-241683
CHECK AMOUNT lio, 00
NAME : M I N01 F.MAN PRF:zih CASH AMOUNT 0. IAO
FIDDRE SC— 14285 ,W t'ACC I F I C [-AWY PAYMENT DATE : 06/2'5/93
TIGARD, OR SUBDIVISION
97224—
!PURPOSE.
7'224--!PURPOSE. OF PAYMEN-C AMOUN'C PAID PURPOSF OF PAYMENT AMOUNT PAID
B113N PERMIT F S(,N9:3--,4)P9 55. 00 ClIGN PERMIT F SGN9:3-_030 x'5. 00
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SIGN PERMIT
PERMIT #: SGN90-0034 DATE ISSUED.. . . : 05/01/90
EXPIRATION DATE: / /
PARCEL. . . . . . . . .: 2S110AB-00200
ZONE. . . . . . . .. . . : C-G
BUSINESS NAME. . : COMMERCIAL DRIVER'S LICENSE OFFICE OF DMV
SIGN LOCATION. . : 14285 SW PACIFIC
APPLICANT/AGENT: SIGN CRAFT
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( 1
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 2.66' X 8'
TOTAL SIGN AREA. . . . . . : 2.1 sq.ft.
WALL AREA. . . . . . . . . . . . 700 sq.ft.
WALL FACE (DIRECTION) : S
SIGN HEIGdT. . . . . . . . . . . ft.
PROJECTION FROM WALL. : irk.
ILLUMINATION. . . . . . . . . : EXT
DESCRIPTION OF SIGN:
Permanent wall sign, 23 sq. ft. in size (218" x 81 ) , on a south facing wall 700 sq. ft. in
size, direct neon illumination, sheet metal and plastic.
MATERIALS. . . . . . . . . . . . : SHT MTL, PLX
EXISTING i>IGN3. . . . . . . .
ELECTRICAL PERMIT PE'.1UIRED: YES
BUILDING PERMI► REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
COMMENTS:
PERMIT FEF.: $ 10.00
1
APPROVED BY:
DATE: 05/01/90
Permit No.,S('A) 90--may
CITY OF TTr=ARD /
SIGN PEXMT A, -ICATION
The applicant hereby applies for a permit for the work indicated o- as shown in the
ac oupanying plans and tions.
SIGN LOCATION ADDRESS: � c�,W� ` SIM: L --
NAME OF BUSINESS: rbmmi�!�ck(—..
APPLICANT/AGEh�': Q2 t C'��-g 0CWANY: PHONE: L�
IYte City of tigard inTx): s an mural Business Tax which must be kept current on all
persons doing business in the City. Do prese'tl hive a current business tax?
YES O� NO ( ) U.L. IAbel F ,q r U Z7
PROPOSED SIGN: (CI-eck as many as apply) Z S L [ OA 9 Z-00
PERMANENT (7) EM=VJDD G ( ) FREEWAY ( )
TEMPORARY ( ) WAIS, (, ) FIB=RONIC ( )
G"I4ER ( ) BIT1130ARD ( ) BALI MN ( )
SIGN DIMENSIONS: Z_ -A EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.) : 2! -
WALL AREA (Sq. Ft : _ 70o TI
WALL FACE: _5�_U-T _ e —
[�
HEIGHT (Ft) : l
PRaJBCTION FROM W,L: �O" APR 2 p !
ILI.LJMDMTION: YES (x ) NO ( ) TYPE: ' ' M CSA) w N�Tt �9
c.YTY
U/-
COPY: C, t--- PLANNIAI^ 1UAhu
MATERIALS:S: C_- pT
EXISTING SIGNS:
ADMINISTPA'"?."E EXMF-'PION: N/A ( ) APPROVED ( ) HOW MJCi %
AREA ( ) HEIGHT ( )
PLANNING DEPARTMENT _ All sign permits must be accompanied by a scale
Permit Fee. —_ drawing and plot plan. If work authorized under
Receipt No: a sign permit has not been completed within ninety
Appmred By: days after the issuance of the permit, the permit
Date: -- shall become null and void.
ELECTRICAL PERMIT / I CERTIFY THAT L AM RECORDED O!M*R OF THE
REQUIRED: YES (4 NO ( ) XROPZLITY OR AN AGW ZED BY THE OWNER.
BUILDING PERMIT —
REQUIRED: YES ( j NO A[) is1 e
-
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cp/BIQrIPPERMT Addie phone
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CITY OF TIGAAD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Bi.siness Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath f gaming -Mech.
Plbg.Und/Flr/S1ab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
an, Sewe Gas Line Appr/Sdwlk Reins.
Other:
Date: �� `�— A.M. P.M._X_ Entry: --
Address: _ `# � - —
Tenant: Ste: MST: —
BUP:
Cori/Own:-�Z �f _��J`� MEC:
PLM: .
ELC:THE FOLLOWING CORRE:;TIONS ARE REQUIRED: ELR:
Inspector: -- - Date.
V--APPROVED —DISAPPROVED/CALL FOR PF_INSP. CF CO
Construction Inspection &Related Tests
Carlson Testing, Inc. Geoterhnical Consulting
REPORT OF' 1-2 G0NCRF T[ _ T EST_ SPECIMENS P.O. Box 23814
Tigard,Oregon 97281
Test Methods: r1S TM Ct?4/('1 :%] ,'C:�'J/C:3I/C 1 UG4/C 14:� Phone(503)684-3460
FAX N 684-0954
Date Molded:
U4/i. 19 Job No. r, .1 _ Permit No:
-.- -
Client: _ LIO(II)R RN CONS]'RUCT101'd (.Cl
Project-
Address:
wra .l�:r.r"Ir,T(7N r t:.r,r..r;al_ ,•;nv:rr,lc:,:, s L. ,N - _
I '•.t<'.I'I `,I,1 I '(1( 1. 1•l. I1W I I:fllr�l l
— - —
Contractor: t"Jin;t1:)(.11.)R N (70 1,4,!,F R1 1C 'r :r()1"I — Sub Contractor: -.--- --- - -
I`1r:1R`4" RRC)r i iER< - --Ticket No. �_'j( `-'r'•0<:I -
Concrete Supplier: _-__ Truck No. _ _.._—
Cast By: __ r: . r lrJl.ir,.li: -----Cu.Yds. -_ __ _Load No. --
�r
_ - 1
I I I'J Y __Temp.High: ----_ Tema.Low
Weather: __._.._._ -- --- ------- --- ----
,i
Location ofrracement: -------- -- - ----
--Test Time: ------Concrete Temp:
i
Strength Requirement: - - ------- ----PSI @ ---.------days Slump.I-_i ' __.-__Cement Type
Mix No./No.Sacks --Air Content — — Max.Agoregate - -
h' I l F r i;l I Admix.Amount: Brand: —
Admix.Amount: __ _._—Brand• --
Set Test@ Register Date Date Total AUnit Report4LB5y�_
d
No. Days Number RecdArea Test Load - PSI No.
I iI '-,i1;7 (lci r
Remarks ----. ��
cc CITY OF TIGARD
-� BENCHMARK ARCHITECTURAL SERVICES_ - GARY � --
LABORATORY MANAGER
- — - - --
Reviewed lay -- _
_G.rr_ repot is r-ertain to -the materia
fnfnrmatlon rontainori hemin is no,to be reproduced,except in full,without prior authorization from this office.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing FRainDr ' Cove•/Service F;�Foundation Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/F!r/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San, Sewer as Line1 Appr/Sdo.lk Reins.
Other: —_
Date: A.M. P.M.:— Entry:
Address: 5 �T �-- _ 7
Tenant: Ste:._— MST:
BUP: -
Con/Own:. MEC:
PLM: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: _ Date:
_ ROVED `_DISAPPROVED/CALF FOR REINSP. CF CO
• ` Constructidn Inspection &Related Tests
Carlson Testing, Inc. Geotechnical Const<<ttn9
P.O. Box 23814
JOH NO. 96-5181 Tigard, Oregon 97281
Apr 15 , 1`496 Phone (503)684-3460
REPORT OF IN-PLACE DENSITY TESTS FAX (503)684-0954
Client wonnRI1RN rnNSTRIIf'TTnN n_
BUF-195-0516
Project WASHTNGTON FFnFRAI SAVTNr;�, R_ I-C)AI,]
15444 SW PACIFIC HWY TIGARD , OR
Material Description 3/4"-0 Rnt'K FRpMTrr,APD Sg,NI-) R rRAVF1
Max. Dry Density 1 78_F, —lbs./cu.ft. Optimum Moisture 1 -1 7 % Method of Test
Serial k ,GQ 33-k3 N1 f- 3440
ADJ. FIELD IN-PLACE DENSITY
DATE OF TEST TEST LOCATION COARSE MAX. ELEV. MOISTURE (L8S./CIJ.FL) %
TEST NO PARTICLES DENS. FT. % WET DRY COMPACTION
SF SLAB ON GRADE
7 SOUTHEAST CORNER
4-10 4 . 7 127 .3 121 .6 95
SF SL_AB ON GRADE
8 SQUTHWEST CORNER 4-]U 4 .0 l :j7 .3 131 .0 100+
SF ISI-AB ON GRADE
9 NORTHWEST CORNER
4-] 0 4132 .8 127 . 1 99
SF SLAB ON GRADE
10 NORTHEAST CORNER
4-10 11 133 .6 127 6 r9
SF SLAB ON GRADE
11 CENTER
4 -1.0 4 . ? 1.3 -
Remarks: 95% COMPACTION REQUIRED
cc: CITY OF TIGARD
BENCHMARK ARCHITECTURAL SERVICES - GARY
T . VANN /C W Rev i ewed ' C
_ HNICAL DIRECTOR
T&Wdbgeports �erto�_]_ to test ed/inspected on1> CARL-Soil TESTING INC.
Infortnatiun contained herein is not to be reproduced, except in [Lill, without prior authorization irotn this office.
N -
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 Mach. Shear/Sheath Framing -Mach.
Ibg.Un_ d/Fl,AbS ) Plbg.Top Out Insulation -Elect.
Post/Bean Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Otho.;: —_ —_—
Date: A.M. P.M,i Entry:_—
Address: V !
Tenant:- _— Ste: MST:
BLIP:
Con/Own: MEC: _
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: . _4_ ____. Date:
�IAPPROVED __DISAPPROVED/CALL FOR REINSP. CF CU
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
ootinT Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas LineC Appr/Sdwlk Reins.
Other:
Date: _�' C .. A.M. P.M. Entry:_
Address: �� .— ---
Tenant: ____ _____^— Ste: _ MST:
fon/Own: (� BLIP:== �(_ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: !_ Date: '
__APPROVE DISAPPROVED/CALL FOR REINSR CF CO
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WE ARE BENDING YOU VIA:_ ❑ Meaeengm UrernlpMafyilller C7 1,14 Mall
❑ Shop L'rawlnp ❑ Prinm I❑ Plane Cl Samples ❑ Spoctfloations
❑ Cepy of letter ❑ Change order ❑ " ''
covtea a►Te Nti.� —-- &EACIRIIPTlo11 — —— _—
_..
I
THESE ARE TRANSMITTED as ohecked below:
❑ For approval ❑ Approved as submltted ❑ Resubmit copies for approval
❑ For your use (I Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Rmurri"ad for Corrections ❑ Return correoten prints
❑ For review and comment ❑ _ - —— -- ---
❑ FOR SIDS DUE , to— __. ❑ PRINTS RETURNED AFTER LOAN TO US
AEMARIZC -
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Testing,
Construction Inspection & Related Tests
T
Carlson esting, Inc. Geotechnical Consulting
3EPORT OF+ X1 CONCRETE FEST SPECIMENS P.O. Box 23814
Tigard,Oregon 97281
restMethods: C]J / . 2- 1 .ir�Gir:;11/"1 a�i[�_i1 _ __ Phone(503)684-3460
FAX#684-0954
Data Molded: 04/00 _ 19 96 Job No. Permit No:
WOODBURN_-CQIy;iTRL1CTTON CL2
'roject: .—WASHINGTON EEDERAI 13AVINC5—X L:�ALI---_._-�
kddress: —15,44A514- PAS-_1F_70-._t1.41.Y_ TIGARD , JR —____-___—_—_—__ -_- --- -----.-..---_----
.on,ractor: iZQL�ISSZ Sub Contractor.
concrete Supplier. -MDRSE RRO1 HE RS _Truck No. ____--2Db __—_Ticket No. _ .46-5606
'.ast By: — C KASTEI ___ ._ _Cu.Yds. 1 n Load Nod
Neather: _ SUNNY-OVERCAST _. _Temp.High: 74 Temp.Low: 46 _
_ocationotPlacement: STEM WAILS , SPREAD FOOTINGS IN NORTH FRONT FIND EAST SIDE
DRIVE THROUGH
--_ _ Test Time:9 0 5 _--___ _._.Concrete Temp: 70 i
r
Strength Requirement: n______.___-__-__ ___ _--__ PSI a 2$ _ days Slump i_ - ___Cement Type
Vtix No./No.Sacks _ 30-FI ,Alf content _ ___ Max.Aggregate 3/4
4dmix.Amount: Brand: -- Admix.Amount Brand:
Set Test Register Date Dat? Total Unit Report Tested
No. Days Number Rec'd I Test Load Area PSI No. By
7 1249 04/0.9 04/15 64 ,764 28 .30 2290 AS
28 1249 04/09 05/06 92 ,746 28 .32 3280 AS
28 1249 04/09 05/06 95 ,218 28 .32 3360 AS
28 1249 04/09 05/06 95 ,515 28.32- - 3370 AS
Semarks
CC: CITY OF TIGARD
--- - --- ENCHMARK_ARstiT TECLURAL_ SERVICES - GARY
MANAME
Reviewed By
p-e3r_t.a.i_n_to-the--mater-ial- tested/inspected-otUy _
Information contained herein is not to be reproduced,exrept in full,withora prior authorization from this office. _
Construction Inspection (r' gelated Tests
Carlson Testing, Inc. Geotechnical Consulting
arPORI OFe1X12 CONCRETE _ TEST SPECIMENS P.O. Box 23814
Tigard,Oregon 97281
(est Methods: A$TM _>z72/C 12'31/(, 39/C-31/tC 1 43/C23 1 - _— Phone(503)684-3460
FAX N 684-0954
),rte Molded: — 04/UF'-- , 19 96 ,lob No. 96-5181 Permit No:
aient _ WQOD LJf.N CONSTRU(J 12 t=U -
Project: WASH N(-jTC1N ELDLEAL ISAVINc; LOAN _- - -
Address: __ 1E-444 SW F'r)r.11F 1C 114J1' f J:GAR;11 , t:If _, - ---- - - --- - -
contractor: __ __ WOOUC3URN C:ONS I*RI-ICT JUN CU .__Srrb Contractor:
concrete Supplier: MORSE•. BRO THE_R: Truck No. —Ticket No. 465606
(: , 1�ri`.: FEL Cu.Yds. 1�_ Load No.1 r
mast By: -
� INLAY-CIVER(."AS T74 46
Weather: __ -- Temp.High: _ Temp.Low:
-ocation of Placement: Tf M 4AL.L."� , SPREAD f-00 T..NGS LN NORTH FRONT ANC) EAST 5:CUE_ —
Toot Time: a-0!' -Concrete Temp. U�_ _
51rengthRayuiremenC . ___—P81® ---2 ---days Slump 3--- - -Cement Type -- ----.
sU F 1. _- Air Content - _ Max.Aggregate I —
Mix No./No.Sacks ---- —
Admix.Amount: — Brand: —_ —Admix.Amount: --_ ______[hand:
Set Test® Register Date Date Total Area Unit Report Tested
No. Days Number Rec'd Test Luad PSI No. By
7 1 e:4'a 04/09 04/1 a 64 ,764 28 .30 290 A5
I
28 1.249 04/00 05/06 -- —
2t3 1.?ora 104/09 05/0:
MILD 1 :-.'49 04/09
Remarks-
CC '
emarks CC' CITY OF TIGARD
-- BENCHMARK ARCHITECTUFAL. SERVICES- --GARY --
LABORATORY MANAGER----
Reviewed By T
Our reports pertain to t.Ile mat >t_t � 3i/i_nsp���nsLszttl�---- ----
Informntion contained herein Is not to be reproduced,except in full,without prior authorization from this office.
C11 Y OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
1f:nntino Hain Drain Cover/Sarvice FINAL:
ounda� ) Water Line Ceiling -Plumb.
Post/Beam Mesh. Shear/Sheath Framing -Mech.
Plbg Und/Flr/Slab Plbg. Top Out Insulation -Elect.
PosVBeam Struct, Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk ReinE.
Other:
Date: Li ( _ A.M. P.M Entry:
Address: VfT
Tenant: Ll—_ Ste: MST:
t 6BUP: C-A
ConiOwn: -.� MEC:
— - ------ PLM: _
ELC:
THE FOLLOWING CORRECTION'ARE REQUIRED ELR:
Inspector::
Date,X4- e
_�frPPFiOVED DISAPPROVED/CALL FOR Rc-INSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-41?1
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Unders!ab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Tori Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lire -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ��_,i ^ , Time. AM P A
Address: c, �� c r c
Builder: Lf Permit #:.L I �
THE FOLLOWING CORRECTIONS ARE REOL' ,,
Inspector: L C� r _ Date:
XAPPROVFD __DISAPPROVED —_APPROVED SUBJECT TG-APOVE
Call For Reinsp. r.
r
-.� Consh action Inspectwn &Related Tests
Carlson Testing, Inc. r Geotechnical Consulting
NEPORTOF' I :' TEST SPECIMENS
P.O. Box 23814
Tigard,Oregon 97281
Test Methods: r°+�,lM G171/Cl�al.ii:: i`�/L31/C10r>4/C.J4� Phone(503)684-3460
FAX»684-0954
04/0,--'_ ':16-5181 BUP'=)5--051(
DateMolded. - , 19-2-6— Job No. Permit No: - -------
Client: WOODBURIJ ION C.O _ -- -----.- --_
Project: WoSHINGTON FEDERAL SAVINGS R LOAN
Address: 1`,444 SW F'',' CFTC: HWY 1TGORD . OR --
Contractor: WOODBURN COWTRUC:TION CU cub Contractor: — — -
Concrete Supplier: r•1C1F sE gRoTHERS Truck No. 2'07 Ticket No. _ 46E,47�'
[ Eil_1`�Cf- Cu.Yds. ._ L O - Load No.1
Cast By: --- --— -- -
SUNNY
Weather. ------ .--Temp.High: —_--__—__.--Tenni.Low: — ----_
..ovation o1 Placement:
2: 1.`., c
Test Time: _.-Concrete Temp:
��000 �f3 I
Strength Requirement: ---- — ---------psi® days Slump --{ ��_-__ Cement Type
",,,I
Mix NoNo./No. 1d0030-F1 o.Sacks —
Air%,untenl Max.Aggregate -------
Admix.Amount: — Brand: Admix.Amount: __.___ Brand:
Set Test® Register Date Date Total Area Unit Report I Tested
No. Days Number Recd Test - Load PSI No. By
.1 7 1 .1.04 0/t/0.' 04/Cj'4 75 ,047 ;'rt ,ate. ,`,n A':=,
28 1104 U4,, 03 04/ 'U 108 ,070 28 .30 3820 AS
2t3 1. t0%4 04/03 04/30 112 ,320 't3 .30 :3970 A'`
-
2F, 1104 04/03 04/ 0 110 ,640 "'8 .30 3910 A$
Remarks-
cc :
emarkscc : CITY OF T'lGARU
BENCHMARK ARCHITECTURAL SERVIC;FS - GARY
LABORATORY MANAGER
-- - - - ---- --- Reviewed By
Our reports pertain t41�_t[1c�te�is�L_t��tA�l/in���cted only - _ ^_
�z_
Co?,-1ruction Inspection & Related Te;ts
Carlson Testing, Inc. GeoteAtlical Consulting
REPORTQF6X12 CONCRETETEST SPECIMENS
_ P.O. Box 23H 1 '
- Tigard,Oregon 972b
Test Methods: ASTMC172/C1231/C39;C31/C1064/C143_ _ Phone(503)694-3460
FAX k 694-0954
Date Melded: — 04/02 19 96 Job No. 26--5181 Permit No: BUP95 '0516
Client: WOODBURN CONSTRJCT I ON CO ---
Project: WASHINGTON FEDERAL SAVING c,- & LOAN --- --
Address: 15444 SW PACIFIC HWY TIGARD , OR
Contractor. WOODBURN CONSTRUCTION CO___ Sub Contractor: - - —
Concrete Supplier: . MORSE BROTHERS _ Truck No. Ticket No. 465475
Cast By:
E . BUSCH Cu.Yds. _ 10/20 Load No.1_---
__� —---- _. _._.
SUNNY ___Temp.High: E'3 - -- ---Temp.low:
Location of Placement: 46
Weather: ----
r'OOTINGS --_- -.-
-- - — ----
Test Time: - - Concrete Temp-
'a'8 --- ---
3000 iI 3/4 " I
Strength Requirement: - ------ - -----PSI a -- -- days Slump Cement Type -----.--
140030-F1
Mix NoJNo.Sacks —Air Content ------- Max.Aggregate - ---
Admix.Amount: —Brand: -------Admix.Amoum. _._ _ Brand: _-_—
Set Test® ReglMer Date Date Total Area unit I Report Tested
No, Days Numoer Recd Test Load PSI No. By
I 7 1104 04/03 04/075 ,047 28 .35 2650 AS
28 1104 04/03 04/3
28 1104 04/03 043 _
HOLD 1104 04/03
i
Remarks-
CC'. CITY OF r'LGARO
BENCHMARK ARCHITECTURAL SERVICES_- GARY___
Of
LABORATORY MANA(UR --
---- — Reviewed By -- ---
our re orts peertain to the material teste-d/_iu,s2eclQdo_.11ly,
Information contained herein Is not to be reproduced,except In full,without prior authorization f;om this office.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
otin Rain Drain Cover/Service FIN
Foundation Water L ne Ceiling -Plumb.
Post/Beam Mech. Shear/Sieath Framing -Mach.
Plbg.Und/Flr/Slab Plbg Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sew( Gas Line � A pr/Sdwlk Reins.
Other: —
Date: __—._ A.M. P.M. Entry:.
Address: L/ _�
Tenant:_ St :__ MST: —
BUP.
Con/Own: =,45–z2 � MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Pf
1
0e_ L
Inspector _ ----- Date%_--
6PIYOVED —DISAPPROVEG.ICALL FGR REINSP. CF CO
Construction Inspection &.Related Tests
Carlson Testing, Inc. GeotectintcalConsut.mg
P.O. Box 23814
.,Uu Nn. 1(�._ La1ri.J. Tigard, Oregon 97281
M;l I f. Phone (503)684-3460
REPORT OF IN-PLACE DENSITY TESTS FAX (503)684-0954
Client _J�C oQRt1RN CDNsTRl J(:T TON
BLIF'95-0516
Project I,IASH'rN(-,Tnm EEDERAI --SAVINGS R L OAN
15444 SW PACIFIC HWY TIGARD , OR
Material Description /a"—n TT(;ARrj SANf) R (;RAVFI _—
Max. Dry Density 1 2-9; 2 —lbs./cu.ft. Optimum Moisture 12 -11 % Method of'rest fiAtiHTU _T_-99 _.
1 Serial ti _ 2099B _
:WE OF TEST q ADJ. ELEV. FIELD IN-PLACE DENSITY %
TEST LOCATION COARSE MAX. MOISTURE LBSJCU.FT.
TEST NO PARTICLES DENS. `T % WET DRY COMPACTION
SF EAST FOOTING LIN[: 0
I NORTH END
3-27 4 .4 1.2.3 .8 118 .6
SF EAST FOOTING LIN[..-
2
IN[2_ SOUtH END
327 4 .6 124 .3 11.8 .8 j5
SF SOUTH FOOTING LINE _ 0 '
CENTER
3-27 1 1 1 3 .6 124 .4 120 .1 'a t.,
ISF WEST FOOTING LINE 0 '
4 SOUTH END
3-27 4 .1 1 127 .8 122 .8 9P
SF WEST FOOTING LINE 0 '
5 NORTH END
3-27 4 .0 125 .2 120 .4 '-4�,.
SF NORTH FOOTING, LINE o '
6 CENTER
327 4 .U 12 .9 J .' 0 1 + ,
I
Remarks: `11% COMPACTION REQUIRED
cc : CITY OF TIGARD
BENCHMARK ARCHITECTURAL SERVICES - GARY
/TECHNICAL DIRECTOR
T . VAI`IN /CW Reviewe( _ INC.
Toed bgeur:��a
asr_t.ai.ni_t a he mater s�1 tested/inspected only . CARLS-JN TESTING
Information contained herein is not to be reproduced, except in full, without prior authorization from this office
CITY OF TIGARD
COMMUNITY DEVELC"3MENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Or@ 97223*8199 (503)838-4171
r1A c P "^A-4 n
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Bivd.
Tigard, OR 97223 Permit # — —
Date Issued
Phone (503) 539-4171
FAX (503) 684-7297
CITY OF TIOARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: ) L 4. Complete Fee Schedule Below:
', i{J(<'�l r rf` Number of Inspections per permit allowed
Name of Developmen
Address / � Ll_ cC'/. .�'!� Service included Iterns Cost(ea) Sum
1 ` 4a. Residential -per unit
City/State/Zip / ' ,.. 7 — _. 4
1000 sq It or less $11000
Name (or name of business) Ea additional f sq fl or $2500 —
poo rtion lhereol $2500 1
Commercial Residential I.imited Energy
Each Manufd Home or Modular 2
Dwelling Service or Feeder $6800
2a. Contractor installation only:
db. Services or Feeders
(--- - rf"" Installation,alteration.or relocation $60 DO 2
Electrical Co pTCtor_ � L �L 200 amrs or less Y—
Addres; I 201 P.nps to 400 amps $80 2
— 40'amps to 600 amps $120 000 0
City_ Stat Zip -} 601 amps to 1000 amps �— $18000 2
Phone No.— ` .) Over 1000 amps or Vons $340 00 _ 2
- 550 oa
,lob NO. Recons ct only ---
contractor's license N�---Xct 4c. Temporary Services or Feeders
COntrEictor'S Board Reg. No. ,"- ` i-e installation,alteration or relocation / �/
Signal,tre of S r Elec_n 0" 11-t Y� 20U amps or less — —_�Z1-- 2
t Phone No. < 201 amps to 400 amps $5U 00
1 ircxnSr' N0. �Z� — 401 amps to 600 amps $7500 2
Over 600 amps to 1000 VOHS $10000 --
2b. For owner installations: see..b..above
4d. Branch Circuits
Print Owner's Name__ ___ ___, _ __.__ Need,alteration or extension per pane
AddreSS _ a)The fee for branch circuits Nlfh
-- — purchase of.service or feeder fee 2
City _ State___.__ Zlp ._..._-_- Each branch circuit - 21 S500
Phone No. _ b)Thr fee for branch circuits without
purchase of sen'Ice or feeder fee. 2
The installation is being made on property I own which is First branch circuit $3500 2
riot intended for sale, lease jr rent Each additional branch circuit $500
Owner's Signature— ._ __� 4e. Miscellaneous
(Service or feeder not included) 2
Each pump or Irrigation circle $40 00 2
3. Plan Review section (if required): Each siUn or outline lighting _— $4000 _
Signal rircuit(s)or a limited energy -� 2
Pleaso check appropriate item and enter fee in section 5B. panel,alteration or extension __— $4000
I or more residential snits in one structure Minor Labels(10) _— 5100 00
— Service and feeder 22; amps or more 4f. Each additional inspection over
System over 600 volts nominal
_ Classified area or structure containing special occupancy the allowable in any of the bove
as described in N.E.0 Chapter 5 Per hour Insp
ion $35 00
Per hE55 00 _
In Plant $5500
5,1birlit 2 sets of plans with application where any of the above
pply. Not required for temporary construction services. 5. Fees:
5a. Ente, total of above fees /�(f 1=x
NOTICE $
5%Surcharge (Ori X total fees)
Subtotal $ ;
PERMITS BECOME VOID IF WORK OR CONSTRUC?'ON 5b. Enter 25%of line A for
AUTHORIZED IS NOT CON MENCED WITHIN 180 DAY':, uR IF Plan Review if required (Sec.3)
CONSTRUCTION OR WO tK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED Trust Account#
$
Balance Duea i
i
i-1 I IIS 1 II,11111� I I:I 11' I 111 11i ,hp f`II Itl I r II' 1 I.hl. :'its i'l1,�iE1
1 I.(1 I.I, 10,11 11 11,11 t
hJfthll-. 1LIb1ltit I.i,i 1-1 rJ. Ili11 Ih•U.
F11)I)kF F t�l I kit,I:'. f'a..�.� (if
W 1 L.'il_1NV 1L.L.h:. 1ltt aI Irll)I I) 1'. I l ild
4 10/0 .
L'1 Illi'11+it III I!nYMI N I 1-Wit.It IN I I I 1�l1Ht'1 11 1 4tIAO
41 II II''I I 1't I J it f
L L F I,TRIC /11. limj I f,w. 00
I
t I.C96--0I ?C.
Ifll �ll ttt•11ItIN1 I '1111� i �� 41ti
CITY OF TIGARD BUILDING#. . . . . F'CF2i%F1 z
P�RMI , �. . . . . . . . ,_Li��� 0�:
77
COMMUNITY DEVELOPMENT CIEPARTMENT DATE i aSUED.
13125 CW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171
Pn^r_Ct_ 1138;, .0141702
15444 JW F''ncIr Ir: I-IWY
ZONING:C--G PD
_. .. . . . . . LC7. . . . . . . . . . . . . .
CXTERI0R WDLL COH TRUCTION
C'_'113S OF WORK. :NCW F-1 RST. . . , 2030 sf N: 5: E: W:
1
0 :;.r PROTECT Orr-NINE^n . _..._
T'.r'E Or CONST. :CN . . . . .Z s f N. C: E7:. W
^--CLIrANCY Grt''. :C2: IF ROOF' CONST. F'1riE ^CT7 .
�`-CIU'"'ANCY LOADS CC! BASEMENT. 0 '_f AREA CCC'. RATED;
'TCR. :, 0 WT. ti ft GAr;"ICC. . . : r.l F OCCU SE-l"'. Rn=.
'IT n; MEZZ7 . REQD CETBACKC
OCR L.C'11D. . . . . 0 F',s'F Lr—T: 1T ft ^CIT'' ; 0 r t RIR CC'f!L:N 'SMOI; DCT.
`LLIPJG utJITC: 0 FRNT. �� ft F«AF:. 4: ft F-IR ALRM.N 1INDICI 71-C
Fl ,T1';^ : IM'' r1_RFnCE : 0 f''RO C01'^:N PnR1'.IIVC : k
li3`
a 1;> : Sr 5t1 ::CtlOil Of a nevi . ,, 1'f30 sq. 't. :: :c 631L story br ar•ch barking facila
--ngle dr'i ,- thr-i,t 1,ikne. 113 loq. ft. _ ' drive th-u and entry e3anop:y.
._ _... _. rEC ___..__.....
I :Ih:GTON F"CLErZnL SAVINGS type ZAmOurrt Ly ;:ate ret:pt
' W -LLCW'9RT1.1 T. PL.CF, t 'SO4. 08 D 1 `1!O6 70
TIRE 310. Z10 D 1E/06, 91 95L731,O-
7.r,!•i'; CR `37::.x:1 PRM- ,1 77':°. ',l;I Cora `� '0"'.p")C ?C', ;'-,7L
ane #: 541 -167 7574 rr'CT t 38. 73 73 DON 0 :,/171 S 0 ,. 27675
CRO^ t 80. 00 SOf,: 02/477 ^G 9C Z7C,7'-`5
-- -.____. ,.__-_... -1:Rt-'C t• CCl. E:0 EON 03/07 96..47E715,
CONCTt,SJCTION CO E''t'C !, -'tl. 60 L'7^, 0;3,!0'; . 36 C767rC
1Cc0. 00 LEON 03/07,9C, 96 '276-, `S
7R 070-11
1309;3. '76 T07'nL
- RCQU I RED I NSPECT I CN3
FV-alt s issued subje:it tc the regulations .-ontained in the f"c) t!rO .1nJ Inu1a
Code, State of :re. Specialty Codes and all ather
laws. All wo-k will be done in accordance with Ma:'Onry Insp �-
r C;E� pians. Thi., permt will expire if work :5 not stirted r, ,li'l1T IT1aF
'.hin 130 this of issuance, or if work is suspended for tore 'r1%,1.1 :-,t ; ori I n s p
rr :t? days, o 1, Wi.i 1 1 I n W
F:) C c i l n'3 I n s p
Inst' _ —
_J
L.-' 4 '�LLTION
CITY OF TIGARD . ..F-1EMIT 41. . . . .
rATI: 17SUED; 03/137/r'C
COMMUNITY DEVELOPMENT DEPARTMENT
1 A25 SW Hall Blvd.Tigard,Oregon 97223o-8199 (503)839-41111 Pr)RCCL: 2'SII0DB-- 0070L
nl*,1DrZEST-. . . ; 1'5-'1114 OW ! ;WY
1 V I S I ON. . . . r BONING: C u r1D
77"nNT NPME. . . . . r W()GH' NG TON 1-T.'DL-AL S'71V'V"1C'j
'�1 rr NO. . . . . , . . . . F"I XrURE L11"I'L Tr-'. 20
.'Lnr,,T) or- wom� Nr-w DWELLING UNIT.P. . : I
,,ryr,E Op USE. . . . . :COM NC. OF BUILDINGS: Qi
r)LL TYPE. . . . :LTr,GWrN 0
Constructiao of a new
Wit", single drive-thr-.i lane.
Wr)C.! !INGTON FEM7PAL SrIVING7 type A in o -t bj cNk t e t-ecpt
300 SW 7-LOWORTH C'. PRMT t 2-200. 00 BON 03/07/96 6 27
t 00 SON 0-
--R '?737-211
V . 541-967 - 7'J14
.-,--t
`-,1T-1'nCTCR NOT ON FILE
e It: CC35. 00 TOTOL
11
REQUIREI. INI.'.r,[-C7 TONS
r;r::icart al-em to ccoply with all the and regulations
I T nFn r-,c t rt
t�e jr.ified, Sewage Agency. he pervit el IN days fros
Late -issued, The total o2ount paid will be forfeited if the
alt expires. The Agency does not guarantee the accuracy 31 the
.e s^,-er laterals. if the sewer is not located at Re aea iresent
E-i, the installer shall prospect. 3 feet ir. all direction; frci
distance giv,-,. F not so Incatedl the installer shall p has
lip ard Sid? Sewer" Pervit and :'Ir '-,c. -.�fnst-- late.
7A
MV
.......... ........
G 30
.5 417S
M
/'�° 0 A1 F'-;h'AN I CAL. PERMIT
CIT Y OF TIGA Yn r l,'MIT N0. : ME(3 'f1122
CITYOF TI6"ARD
COMMUNITY DEVELOPMENT DEPARTMENT O11eO�Nr11/1.1/87
DATE: IS,aIIEi): _
13125 S.W.Hall Blvd.,P.O.Dox 23397,Tigard.Oregon 97223,(503)639-4175 PR I M.PMT.Nf).
TOL+ ADDRESS: 14297SW PACIFIC HWY'
TAX MAP/LOT SUE(: LT: Rk
LAND USED
LOT SIZE:
ITEM: NO: NO:
WORK CLASS o AL.•I F_'RAT I ON FURNACE AIF' HANDI...R <' 10
USE TYPE: COMMEPC i )L F URNOCE 1(X+"'++"'+ AIR HANDLR 101",
CONST. TYP!:ij VN FLOOR FLIRNFCE EVAP.COOLED
OCCUP. GRP. : B 2. HEATER VENT" FAN
VENT VENT. SYSTEM
BLP/COMP •"3HP HOOD
NO. STOP I ES: I BLP/COMP 7---15HP I NC I VERA I DR(DOM
DWELL...I_IN I T'S: BLR/COME' 15- "I:IHF' I Nf I NF BATOR(COM
F I_IEL TY'F'E PI-R/COME' 3()-•-5(:)HF' REPAIR UNITS
MAX . INPUT HLF /COME' 50+HP OTHER
F'IF'E DMPPS`' (3AS PIPING OUTLETS
1.1I0H PRESS
=ep'It-atF permit
O FEES:
W restit.lr,ant PERMIT
N FLAN F'F V I EW
E �.
R FIYTURES
FTATE TAY >p• 75
_� — ---- ---
OTHER
C
o WOLFS CE.NNIS
N W IL.SONV I LLE. PLl_lME-1I NG
R
24755SIO 65TH
C tl_1e1.atin or 97(;)62
T
O PHONE (5.03) 6:38-8291
R REGISTRATION NO. 32222 TOTAL v $17j. -15
RECEIPT NO. 6RQ4
This permit Is issued subject to the regulatio-s contained in Title 14 ______.--•_,____..___..____._.
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and oedinances, and it is hereby REOU I PE E) I NS'PECT I ONS
agreed that the work will be d;m•; m accordance with the plans and (SAS L I NE
specifications and in r,inpliance with all applicable codes and F I NAL
ordinances The ;ssuance of this permit does not wdive restrictive
covenants Contractur and subco.itractors shall have current city
business tax permits. This permit will expire and become null and
vold if work is n.)t started within 180 days,or if�!vork is suspended or
abandoned for a period of 180 days any time after work has
commenced.It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
Pe Signatu 7
Issued By: -- --- —�—_ -
CALL FOR INSPECTION 6'X4•-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r-11-UMPING PERM I T Z,
PEPM) T NO. - Frl L 8 7 121 1
CITY OF �'��RD X
COMMUNITY DEVELOPMENT DEPARTMENT C17Y OF TWARD DATE P.3SUED- I I I '.'8?
13125 R.W.Hall Bivd-P.O.Box 209' Agard,Oregon 77223.(503)639-4175 PPIM. PMT .NCI.
14297SW PACIFIC HWY
SUB: L T'- i4i
i AND US;E-.
I.0V SIZE.
I'I'0�M- NOi NO-
WORK CL.AS1-",- ALTC�PATION WATE.F", LLOSE1 TRAP
?ISE TYF-`Ei GOMMERCIAL UR I NAL Bk FLOW PRVNr'r-'
(:ONST. *TYPEs VN LAVORATORY 'TRAP PR I MFF'
ICCUP. GRP. - &2 TUE SHOWED GREASE TPAPS
DISHWASHER I
GARBAGE DISPCSAL i
110. STOR I ES: 1, WASHING MACHINE
DWELL.UN I I'S s LAUNDRY TRAY BLID13. 11PAIN (OT;-'t
rLooF, r)riAxtq
5 11 1 SEWER (FT )
WATEl"! HF l::i T F I-,, I STORM/WAIN iF-T
OTHER
REQ MARKS t
qeparates mechAnir---il pet-mit- t-c-9d.
FEE S:1:
O
w de angejo 's t-eSt;kt-lrant RE F-'M I'T
N
E
F I YTl,F,E.':)'
T()TE T A X
0 T HFF,
0 wol.,0( DENNIS
N
T WTLSONVILLE PLUMBING
R 65TH
A
(I I tuelatin ct•- 97062
T PHUNE (503) 638-8291
0
R PE6TSPRAT ION NO. 12222 TOTAL- $7S 1 .!r)(,:)
RECEIPT NO. 26894
This permit is issued subject to the regulations curtained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
a-,' all other applicable codes and ordinances, and It is hereby REQUJRED INSPECT JONS;
agreed that the work will be dude in accordance with the plans and PL8.UNDER SLAP
specifications and in compliance with all applicable codes and POST & BEAM
ordinances. The issuance of this permit does not waive restrictive WATER LINE
covenants. Contractor and subcontractors shall have current city F'LS. TOPOUT
business tax permits.This permit wall expire and necome null and
void if work Is not started within 180 days,or If work is suspended or RAIN DRAINS
abandoned for a period of 180 days any time Rftet work has FINAL
commenced.It 3hall be the re,,poimibility of We permittee to assure
all required Inspections are roquested and approved
C?--,-S '
itl�e Signa i
tu
Issued By:
S/PARATE PERMITS REQUIRED FOR WORK OTHER THAN DE-SCRIBED ABOVE
CITY til , TIGARD PLUNINN6 1 :WHah WVi-
1ig3rd CIS 97M
Applicants must hoki Oregon Registration to conduct r plumbing PERMIT 639-4175
business or must be properly owner/operatoi not hiring outside help.
N.srrne of DewloprrisrM / -
PlumbinK Permit No. 5 J G
Addeo" Il! / DesrAption
/rl Z 5 5 �3-W V-�- �' .A'61 ORS 814-21-010 CH AN. PRICE At,-
Job
r.-
Job Tac grit Map.No. -lAddrsisio
FIXTURES
tJOt Block
ams lw nw"" t'e
sus! lavatory ......- .7.50
Tub or TuWStvYwer Comb 7.50
SNYworOkily — - - 7.su
Water Close( -
- 7.50
OA nor City/ tele ---- To
f Dishwasher 750
Lame
Phoe Garbage Disposal 7_50
Washing Mach-ie 7750
Floor Drain 7.50
ns --— Phone Wale(Heater - - 7.50
Laundry Poom Tray - 110
L
- opens City/S►ate ZIP 7.50
Urinal _- _
tme� Other Fixtures(Specify) 7.51'`
ass PtKxne - - 750 - -
--- 7.50
Contractor Gty/State Z1p ---
_ MISCELLANEOUS
No Sewer181 100 - 3000 --
talers is o _Sewer-ea_Addit 100' -
-- -( tiara _ W11erSefvioe13t100' __ -_ _ -- 20.E
1 hereby *nm*WV#ow I hew reed tries applicallon,ttuN Ir►o kilormrtkx, water .ervioe u.Add8.2x1' _ 15.00
a
•vwen is oc rrock ow 1 am regWored with On State Bidders Board.and also Storm S Rain Drain 41.100' 30.00
have a Slate Pkmnbkq boons*that to rwxnbws ghwn ars oonvd,that eh
;iurribing work twill be done in accorderm wMh epp"_. 9 provisions of Ore Slum&P yn Drain Addis 100' -- 15.00
rxi Revised SUMA"ChVW*447 and t..J and applicable oodes"the, t1Ar'A016 4ome Spero
rio'wip will be oir07yed union Scorned under ORS 80.(11 exehipl from - — - -
.ita to repldration.pieaee Wye reason below). dock Flo it Prevention
W-A4E(YWWRS-I hereby cor fry tt o I am to owner of see property do- Derioe ur Mp-PdhAbn Device_ 7.50eat»d above.N wl dd.lor*ft 1 propose Io matte a pkmtbkng kidaNadw 4< Any Trap or Weals Not
M own use and lib property M root bokng oortetirucled for Nis.Naae n rsrA I Con ocied io a FL*" _ 7.50
COW Oaekt 7.50
Pkmibing 40.00 Per He
---- --- �-- ---- -- - SpedaN�Requested pnpeCaons - - 40.00 Per He
o Nor.ol Pkmibkq wtdAn
an Exioling Bldg 15`00 min -
_ i
AU QED S E C/ Om irew Bldg.or&did.Addtoon J 16.00 man
" Flaill QagD,.qjrq1e faml
Doaaibe wok new❑ addition❑ aMenitlonn repwr h dwell15.00
be dors reskiential 1 -r on_.. -moldential ---
EidsWV use of �....
W*kV or property , _ suF1'om Z O
of
U" �� 4%MA10tNNM1! _
�ar TOT" - �C. 'ev
NOTICE --
TW PwR Q1t0 mn INA wwl staid N wa*or aorlaffs106on iia. ted is n01 COI1
rsgrseed"Oft ft4ibaalelN r,eerlMrlatAON a aOrkM elApMtded or sbarrkaned kx
a rWW at M ftl 91 WN Mn OW work M owrawmd
fasria Meted _.y%/?�1L�.7� by
N 1' �a1 A' •.
.�i.U.M •._UJI
"- ' CITY OF TIGARD PLUMBING n�CR 972,3 �"
A?Okax.must hold CkMm Realstration to conduct a plumbinR PERMIT 6,'9-4175
b"ness or must bre pKV"owns/open ator not hiring outt►We het .
Nar owpw9wd - z o
f Plumbing Permit No.
Men••A /1 F> p;»plplbn .._
5 ! 6r � 1 OAS 814-21-410
DUAN. PRICE AMT.
Job Tax Lot Man No. —�
Address FIXTURES--
Lot
IXTURES _L t tslodt Subdiivlslon Sink - T_ - - 7.50
erns to nrvrw of bualness Lavatory -- ----7.50 _
1( 4 � /U(f -- --- Tuba Tr;Shower Cumb - - 7.50 _
y(' j�Xd�i•ts Shower Or*r 250
Water cSosel _ 1.50
Owner }y/ (e -mak --- — — — - —
—_ Dishwasher — -- 7 SO
P1e Garbage Disposal I11 I
Name WasNng Machine i.50
Floor Drain - 150
MadkV Address - MOM-i- Water Neater - � 7.50
Laundry Room Tray, 1 50
Occupant City/Stale rip - - --U 7 liuUrinal
- — Other Fixtures(Spocity)--- 750
/ !
ass507.50
� e�d LIK ✓a� ~__ _ - - -
/r 750
h
Clontrackw 14
W,--,Qa.1)n IY�SK �f�`�� MiSCELL_ANEOUS
Clly&M Tax Wr S4~11111.100'Sta1P Didip.Board NO state PCM-754"-(kis Lk No 30.00 _.
S&Vm-ea.Addis too t S
INes Nan WSW S•rAo•I st 100 -- � 0.00
1 hem,y. .a&MAg•earl I have read Iib application,to ow irAormsdkvt WaMr Swviw•a_Addlt.2W 15.00 G D-
ytven is olm, eW 1 ant ngleje, *Mt et•SUM Builders Bowd.and also Slone S RaM1 Drain I at 100 -- 30.00
tw•a SMI•Pkantrlrtg eo•rww soli Ma n+xrtbsrs yh en are alar cy tlnI as
ptumit"work will be don•in s000rdsnce with app4at"MOV101 ru d Ore SI--m S Atin Dran iVW 100' 15.00
yon PAM W •d Sr-.,iu:.•s Chapters 447 end 893 ane applicable-in Wild VW Mobile Horne Space 25.00_
m two will os anploy d u im Ilo•rn•d under ORS 003 (e am, from — -
State regl+tra"j,Osage"reason b xt 1. Back Flow Nev ntia:
"WElOV NIM-t*#sty r„yraly OW am Owl ourlsr d 7n property de- Devloe a Arse Pt>NUQion U•+nrA -
+atD•dalso».M bold ilt:am*m 1 prop a--so mals apkatrit"k wislOkm lar Any Tulp or Wasibe Not
MY avert we and Mtts propatgr Is not bOV conskuded for sets.lana Or rem Oorneebd b_•Faro" 1-50 -
(;e Bask) 7 50
".d ._
c. bFidel.PUT" _ 40 0c Per Nr
—----- ------ ;r r"Per w
RequeeLd kwpeoMou -- _ J
_ 4d --- AIMr,of Pk I)hIQ wM+n
an Fid•w+p BIdG t 5.00 rtw,
AUTI 8' DW New Bldg.or Build.Adatton 16100 fon
BgLLUAln
ONc+be work rew❑ a ddtior (7) Www"ori[-7 13reulF9 _ 15.00 —
E+Idetlrty urea of +.•
haft or pqm"Y MI! n—
t M g MIIAt1�Orlil-w V Oh-tsfd�orNoO lm
��� r.*��weMt�M��ll 11•
WA3fliNGTON COUNTY
ALIMINISTRATION BUILDING — 150 N. FIRST AVENUE
HILLSBORO, OREGON 97124
BOARD OF COMMIF31ONERS DEPT.OF PUBLIC HEALTH
WES MYLLENBECK, Chairman . ROOM L-6
(503'.0488881
BONNIE L. HAYS, Vice Chairman
EVA M. KILLPACK
JOHN E. MEEK
LUCILLE WARREN
January 11, 1985
Cary Kolve
P.O. Box 42'98
Portland, Oregon 97272
RE: Rebuilding or Remodeling
of Molly's Fried Chicken and
Donut Shop located at
14297 S.W. Pacific Highway
r
Dear Mr. Rolve:
The Washington County Department of Public Health understands
that you may be constructing a donut shop at the above refer-
enced location. A plan review of restaurant construction is
required by the Washl,*igton County Department of Public Health.
information on this procedure has been enclosed for your r`r,I1—
venience.
Should you have any questions, please contact me at 648-8613
or 639-8856, extension 613.
Very truly yours,
WASHIINGTON COUNTY DEPARTMENT OF PUBLIC HEALTH
Mary C. Sorenson, Director
j16c", k •
Toby Harri3, R.S.
Environmental Health and Sanitation
TH:aat
Enc:
IT: Ed Walden, City of Tigard
Lohenz Brunne Co. , Attn: John Reidl
an equal opportunity employer
LORENTZ BRUUN CO.. INC.
General Contractor Since 1946
Lit 3636 S.E. 20th Ave.
P.O. Box 42188
n�rE fur No
Portland, Oregon 97242 19, 19888
503/232-7106 rTTENT nN
TO ---City of Tigard -----____- 1`'411X_'_8 Donut Shop
12755 S.W. Ash ---
GENTLEMEN:
— WE ARE SENDING YOU IX Attached I Under separate cover via_ _—_the following items:
I I Shop drawings 11 Prints I I Flans I I Samples L Specifications
I Copy of letter I I Ctange order I
COPIES DATE NO. DESCRIPTION
tet__ �__ __ _T_homas G. `%adnalA letter dated December 12, 19.84.
THESE ARE TRANSMITTED as checked below:
❑ For approval LI Approved as submitted I I Resubmit copies for approval
Ej For ynur use LI Approved as noted I I Submit copies for distribution
C] As requested LJ Returned for corrections I I Return_ corrected prints
0 For review and comment I I
El FOR BIDS DUE ___. _19_ ___ [7 PRINTS RETURNED AFTER LOAN TO US
REMARKS____------
------
COPY TO -
SIGNED:t L �l
If en.9osures are not as noted, kindly notify us a?L e.
THOMAS G. VADNAIS A R C HI T E C T
2 0 • 1 • W 3 e T N • V K N V K • K V L I N [ • U I L O 1 N G P O N T L A N O. O M C G O N • 7 A f 1
RECEIVED
December 1P, 1984flEC 0 1984
Mpr.
Kolve Co.
P. 0. Box 1270
Gresham, Oregon 97030
Re: Donut. Shop at 14297 S. W. Pacific Highway, Tigard, Oregon
Dear Mr. Kolve:
The plans for the above mentioned job may be used for permit applications.
I put the following note on the plane on October 2, 1984:
These drawings were used in 1970 for construction of
the donut shop located it 14297 S. W. Pacific Hwy.,
Tigard, Oregon, and srE being issued as a matter of
convenience for the owner and builder in rebuilding
the structure. These drawings do not necesscrily
reflect the conditions of the building at the time
of the fire in 1984 nor do these drawings necessarily
comply with current codes and requirements. The
contractor and owner shall be respons'ble for revis-
ing the building as required to meet current codes
and requirements.
Sincerely,
Thomas G. Vadnais
gv
c: Lorentz Brunn
Attention: F.andy Robillard
LORENTZ BRUUN CO.. INC. 2 �6)/� (�,�r� /�f1
General Contractcr Since 1946 [L[EUMEM TU T UU BAUUYUz1
3636 S.E. 20t, Avc.
P.O. Box 42188 No
-- --
Portland, Oregon 97242 �A.lovember. 13, 19841 4848
Ll 603/232-7106 ATTENTION
RE ---__
TO --ULy—of-Tigard
-
12755 S.W. Ash
Tigard, Oregon
I
GENTLEMEN
— WE ARE SENDING YOU Attached i ! Under separate cover via _ the following items:
1 I Shop drawings GSC Prints I I Plans I Samples I I Specifications
IM Copy of letter Change order I 1
COPIES DATE No DESCRIPTION
Blueprints for Molly's__L)onut-._Shop, Cant erbury_34uare__—.__
3_ l3r_eed1o_vv_.-McCQnne11 Engineers letter,_._d terl July_3,_1984. --
THESE ARE TRANSMITTED as checked below:
El For approval I I Apprnved as submitt^d t i Resubmit -copies for approval
0 For your use i I Approved as noted U Submit copies for distribution
EJ As req,ested I I Returned for corrections [J Return ___. . corrected prints
For review and comment XX Plan check anc_ue �i.Y• __.___-
El FOR BIDS DUE 19� U PRINTS RETURNED AFTER LOAN TO U3
REMARKS.._
COPY TO f
SICNED: y
If enclosures are riot as noted, kindly notify u
�o
July 3, 1984
BREEMOVE- Western Claims Service
McCONNELL Post Ot fice Box 7750
ENGINEERS, Salem, Oregon 97303
Attention: Mr. Rick Stearns
Subject: Molly's Donut Shop
14297 S. W. Pacific Hiway
19 N.W. % Ave. Tigard, Oregon
Portland, Oregon Gentlemen:
97209
(503) 225616 On ,lune 28, 1984, we made an inspection of the above bui iding to
review the condition of the brick walls and note any damage resulting
from the recent fire on these premises.
The following are the comments lin the brick walls condition:
A. Exterior Surfac3s; There was smoke Jiscoloratiun on. same areas,
particularly near the roof line. Otherwise, *here was no damage
to the exterior surfaces. Cleaning of the exterior surface is
all that would be required to return these walls to their condition
prior to the fire.
B. Interior Surfaces:
I . Kitchen Area: Wells completely smoke blackened but r,o evtueoce
of structural damage.
2. Stock Room: Some smoke discoloration but no other damdge.
3. Dining Room: Some smoke discoloration but no other damage to
Erick wales or Lite Irick l ;ntels over openings.
In conclusion, the only thing that these brick walls require to return
them to pre-fire condition is a good cleanup and some patching of
walled lintel corners. There were no signs of structural distress i►'
either the walls or the brick lintels. The mortar was solid and tight,
and no cracks evidenced in the walls that might be attributed to fire
damage.
If you have any further questions please contact our office.
Very truly yours,
BREEDLOVE - McCONNELL ENGINEERS, INC.
2244 Judson S.E. By�..
elmar L. McCoy, err
Salom, Oregon
97302 DLM/ch
(503) 399-1399 ,
I
MUNICIPAL CODE VIOLATION NOTICE
ISSUE TO:.__ E /1 3 ::3q e 1 L i
Z
ADDRESS:
CIIYOF TIONO
TELEPHONE NO : �r�5 .__--_ DATE: ��c/ J,---•-k3
VIOLATION OFTIG.ARDMUNICIPAL CODE-CHAPTER SECTION(S): QArb
TITLE DEALING WITH:
NATURE OF VIOLATION: .
LOCATION OF VIOLATION: Com'
SPE0IFIED TIME FOR VIOLATION CORRECTION:
THIS IS A W A R N I N G !! IF THIS VIOLATION IS NOT CORRECTED WITHIN THE TIME SPECIFIED ABOVE,
THE CITY WILL INITIATE LEGAL ACTION
REMARKS:
---------- -----
PRESENTEDT0: -- --------------- - ------ BY;
'CODE ENFORCEMENT OFFICER
12755 SW ASH AVENUE, TIG 4RD,OREGON 97223 (503-639-4171)
WHITE: BUILDING DEPARTMENT YELLOW: RECIPIENT PINK: FILE
AL
C:iW OF T11FA RD
VASHINGTON COUNTY,OREGON
January 4, 1982
G. C. Kolve Company
1750 SW Skyline Blvd. - Srite 230
Portland, Oregon 97221
Dear Mr. Kolve:
Mr.fBob Veahman, owner of "Sleep-N-Den", 14375 SW Pacific Hwy.
.questioned this department regarding insulhtion on. 12-21-81 .
The 'rental _pace in-.which his business is now located wascompletely destroyed by fire in the early part of 1980. A
permit :was issued on 5-29-80 to reconstruct the building, re-
quiringconformance with the Building Code in effect at that
time,. (1976 Edition) . Chapter 53 required ceiling insulation
of R. Ominimum.
.�� .-^ �/_ n"` � a r.♦ .t =z-.� /, ..rn a. -r.-,' . .ice�
An inspection of- the. premises :-evealed no evidence of any
ceiling insulation"Installed during re-construction. Regardless
of the amount of -time that has past firm the final inspection,
the requirements for insulation must st.'_11 be satisfied.
Mr. Veahman is carrying the burd.pn of this oversight at this
time in high fuel bills. Your expedience in rectifying this
problem would be greatly appreciated.
Sincerely,
Brad C. Roast
Building Dept.
BCR/pl
ti
12420 S.W. MAIN P.O. FOX 23397 TIGARD, OREGON 97223 PH: 6394171 ---
INSPECTION NOTICE
City of Tigard E'uilding Department
124211 S.V1, Main St.
Tigard,Oregon 97223
Phone: 6394171
Type of Inspection —
Date Requested,-'" Z —_ Time __— A.M.y ___P.M.
Address --1ti 7 ___— cs��.�- _��_ Permit
Owner__ __---_ Lot
Builder -----
The following Building Code deficiencies are required to be corrected:
- --------------------
2z - - 3syy---
Presented to [] Approved
Inspector [ Disapprover)
Date - --- —
CALL FOR REINSPECTION
17 YES Cl NO
3 S ' 7 �3 4- BUILDING DEPARTMENT, TIGARD NO 21918
rI"l� PLUMBING PERMIT
r �— _, holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contracors. ^ /
Job
Owner �'"G.n I U� C AW. iA Addr.�is
/ i_ �1 1�� c I tC. Date
NUMBEh OF TOTAL
TVFE uF PERMIT ITEMS F►_t ON EACH AMOUNT
Single Family-11 hath--each _ 25_00
Duplex Each 1 bath unit �— —_ 25.00 _
Additional bathrooms-each __ 10.00
Mobile dome Specs-each 15.00 —�
INDIVIDUAL FIXTURES C0�1�1EfICIA __
1 to 50 Fixtures in 1 buildinM--aach 3.00
�51 to 100 Fixtures in-Lb ding-each �— 2.50
101 to 200 Fixtu•es in 1 building-each Z_00_�
201 or more Fixtures in 1 building-each — _ 1.50
MISCELLANEOUS .
Sewer-each additional 100 ft. 10.00 _
Water Service to building 5.00'
Other S ecifyl: ---�-�--
PERIV ITr� » For Plumbing Inspection Phone 6394171
4 S'ate Plumbing Contractor By L j vYv1 1
TOTA: b,L' RECEIPT NO. Issued By �'"�'
INSPECTION NOTICE J
Citv of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
DEte Requested—� --�—
Time -_-_ A.M. 3 UU P•M-
Address _�1 f -�}= �/ Permit #
Owner_ Lot #
Builder
The following Building Code deficiencies a required to be corrected:
Present _ [ Approved
Inspector — �---
❑ Disapproved
Date 4 __ —
CALL FOR REINSPECTION
YES FJ- NO
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I
SIGN PERMIT APPLICATION COF TI G AR D Date 19 No. *z�!_
The apolicant hereby applies for a permit for the work indicated or as shown in the accompanying plans end
specie it.gtions.
SIGN LOCATION ADDRESS: 14375 sw r.1c:ific Hwy.
APPLICANT: Owner Lessee ...r Authorized Representative
NAME/COMPANY _ , �n�_ .c ..i.qn ..��.� Tel.
PROPOSED SIGN: Freestanding _ _ Wall x Projecting Other
SIGN DIMENSIONS L ' , AREA •5 S-q- pr 4 HEIGHT _ WALL AREA 20U su, ft. i
PROPERTY A FRp NTAQGE COST 'x`00.9 0 ZONING DISI RIOT __ILLUMINATION 220 MA
"Z"" P`ac.e aiPta.- a�r.net ;,ltae- ACOVI j
MATERI — COLOR __
COPY eep N Dr_n _ DRB =
EXISTING SIGNS: Freestanding Wal! Projecting _ Other
COMMENTS: L�i.ruut-utv •,liel -- Cant�ri� �*1 Sc7IIr,r94
All sign permits mus he accompanied by a sca'e drawing and plot
plan. If work authors I under a sign permit has not been completed
within ni,,ecy days aft. ► the issuance of the pb-mit, :he perrnit shall
PLANNING DEPARTMENT _ becrine null and void.
Permit Fee
Approved \ Applicant's Signatur•
Receipt No.
Renewal Date__ Addressele�phone
c c c c c c c t c r It c c c
S1(-.NPERMITAPPLICAIION COF TIGARD Date m2.2 _, 19t"_,L. No. 01 No.
The applicant hereby applies for a permit for the work indicated or as shown in ti,o arcompanying plans and
spe_iricatio:,s.
SIGN LOCATION ADDRESS:
A'PPt ICANT: Owne,t__. Levee Authorized Representative L' _
NAME/GOIVMPANY - = ,�•,. _ _a_ _ Tel.
PROPOSED SIGN: Freestanding _ Wall k Projecting .Other
SIGN DIMENSIONS Y /7 AREA .0 ' HEIGHT _ WALL /,REA c�G`�Q .0
PROPERTY FRONTAGE COSTyZONING DISTRICT
1.L .1 JJ�1 qT 0 N �2Q_I1L
MATER IAL ice` ti,.o� �, /
�C.:�i1���- _ COLOR � 1i
COPY _DFAI �� -V _ — — DRB
EXISTING SIGNS: Fr estanding Waller Projecting Other
COMMENTS. _LL r?•
All sign permits .rust be accompanied by a scale drawing and plot
plan. If wo.� authorized under a sign permit has not been completed
within ninety days after the issuance of the permit, the permit sha!1
PLANNING DEPARTMENT become nulj and vnid.
ermit Fee
proved _ Applicant's Signature
Renewal Date . Address .7` 17 7 2 Telephone
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�,�r.tlanc! Oregon 97202 `
CLAN +;.. rLUMr,1N(; rn. BUILDING DEPARTMENT, TIGARD
3rc�. F.. : NO.
PORTLAND, UREGUN 97707PLUMBING PERMIT'
hoiuer of a valla aiurnbing contractors license is hereat'
authorized to cause plumbing work as herein noted to tie ins:a-ea i l accoraance with the piumbin; code o`
Tigard. Such instaiiations require inspection by the City Inspector who s�ia.j be notified not less than four
14; hours prior to the time the installations a;e ready for inspection. City of Tigard Business License required
for a.i contractors and sub-contract xs.
'w^ -S'fJN7a ✓ '�,S4u�2i:=stP��vc �t� Addrens...,./5�3Pti
NUMBEP OF TO'rA PERMIT NO.'S
TYPE _. IERMIT ITEMS FEE ON EACH AMOUNT I IUffic• Use Only)
r7rSD S I �
S, Flo -r.mily-1 both–each 25.000
.,1-,.x–each 1 both unit 25.00
_ Ar.cl.;,ona, bathrooms–each 10.00
_V;,u.e r ome Space–each _ _,16•x — ----i
;NoIV;DUAL FIXTURE FEES
.:0 Fixtures in 1 building–eochN� � 3.00 71!
'o ',CO Fixtures ir. 1 building–each 2.50
i
o :00 Fixtures in 1 building–each _ 2.00
1.50
Z•i' a: •rore ;fixtures in 1 buildir2–each I _
Io•evar–lst_50 ft. _ 10.00
rwy reach additional 100 ft. 10.00
W :e Se-vice to building _ 6 00
Ir.vi.:c-.Yate stems–_ -h 00 rt. 10.00
7 �n° or Plumbing inspectiorr Phone 63.?J f a 1
- 34 r 7 Plumbing Contractor By
"�"A, 13t- aLCEIPT NO. Itwed By
ivatntw 11ullnl 1mE 1lrcillrnclN tm�luttl NOTICE OF PLA"�o REVIEW
PO UOX 117 rIIALAIIN ON 9!06714J�'
(THIS IS NOT A f3U1LpING f'EIiMIT) �
NHONr o(n) tia7.7rim V, .v
Building Ca�c te�bu -S�uaxs _ y►�Tig$rd___ ` No. ---...
9UILUIN i Art I)riESS
CountyWashingtun Occupancy_._ __BZ Const FMZP9 t oto
ArchlteCiThmnas_-G,_Vadnaia— _.f New Bldg 0 Addition ❑ Alteration!] Date Received 5-30-80_.-
Owner Address __-^____.____-- Date Returnet"-
Stories__I_____Arr.;61O0__ / Attic __ye.&- iui>1isFite Walls _$,_ —Exits_?--- /701 oiMft'
MAIN II n ii/�ti[Mk NI v' ��
Stairs-nls_ /vert ShalHnLiIL . _�i/LSpnnklers.6X__ /._.__, Alarm_. �.R IN1,,/ size / -E>
r1OSLD 111 1.11)5111 NO YEb iNiA(iv[)
Fxt 2AIOHC .-n/$--- '---- s 'n1�F> � Floor V T•Ceiling.__-_gMRooh-it—"u�Str. Memberswood
Ll
ASS +
Wall covergla�-o1blk; gyp/blkitr inn encl _ 111 9_.._type f lux _-n/A_- I ypc Htg. System_—n 1-8 .Fuet. -n/a
Exl IN
The submitted plans have been reviewed for conformity with fire protection statutes and regulations of C.regon rid niniste•ed by
this office. Items No,
checked on the enclosed list are applicable These items and any specially noted provisions must be incorporated into the project
to meet current fire protection reglulatir i. Approv„I of ^ubmittecl plans is not an approval of omissions or oversights by thi
office or of noncompliance with any a, )licable regulations of local government. _
REMARKS
I
Due to occupant load 2 exits are required. Exits may pass through intervening !
rooms or adjoining rooms provided they do not pass through kitchens, storerooms,
restrooms, closets or spaces used for similar purposes.
Class in doors and store fronts shall comply with Sec. 5406 Oregcn State Uniform
Bldg. Code.
I
I
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[EXAMINED (3YCop `_'✓ -- _�_ _ -- ------- _-_---
1 TRFPD 2 Tigard Bldg. Dept. 1 Inspection Book
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- ,,itpr,'fut•�19Chr,±tY!�+�1'pN¢N+c,^:-•„'rrk'+ass-,a±r_Y;iunpK�!a�r�r,,.••h+Far•;'"b!r"b'I�ILMPN'�OIMMNIIM�A'Q6Y�'�IM!!
BUILDING P`RMI APPLICATION TIGARD DATE— 31
THE UNDERS'GNED HER Effy APPLIES AOR A PERMIT FOR TrIE WORK HEREIN INCICATED BUILDER PHONE L z,s!^- 12
OR AS SHt''JVN AND/\7PRO`/(=D iN THE,ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
11 LOT NO.
OWNED, �� i_�.�`�� JOBADDRESS ---
�i ARCHITECT
ENGINEER
BUILDER—;., .)olt31_ runs0.
'tr. CO, ADDRESS 701 F)[ IJ00ward, Ptl: DESIGNER zar.osinski—Tatar.6
STRUCTURE 1:1 NEW EX REMODEL ❑ ADDITION Ll REPAIR ❑ RENEWAL LAS FIRE DAMAGE ❑ DEMOLITION
[I RESIDENCE In COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS L7 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ] SLAB❑ FENCE
OC-,UPANCY �''1_ LAND USE ZONE [ "' BLDG.TYPE 'r L`) FIRE ZONE -PLAN CHECK BY E U'BLDG. -
t ,wild building all pe_r plane and r;ude.
jundstiong uxistinL is aupruyed.
11schanical and Pl imbing PEi Init.s reyui roc'.
SEWER PERMIT#
OCC.LOAD FLOOR LOAD_ HEIGHT_— NO.STORIES AREA _ _ NO.BEDROOMS_ VALUE— -•
BUILDING DEPARTMENT _ SET BACKS FRONt' I �!•fl t' NEAR_ LEFT SIDE RIGHT SIDE
Permit 1374. _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
-' REGULATIONS AND AL! APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plari Check 1kl 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 . AIVE
Sub-total -"'1. 7"'j _ RESTPICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARA I E PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax '� �lr• 96
SDC
Total i . , .'
-
PDC# AVLICANT OR AGENT
BY
-- it H�•, T Heceipt No.
Approved ------- -- ---
ADDRESS PHONE
Y
DATE Ik3P. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
i' Mop
1•I.�"�'!►q � NrMt.I��i�'I�.��. �� _ Permit No. —_
Rough-in
Fixture
_ f
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
— Storm Drainage
(Rain Drain)Final
Sidevwlk
— Curb✓!t Street Final
Approach ---
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCY F,nel
CERTIFICATE OCCUPANCY 17-
�- L-ndccaping
Zoninq Final
BUILDING PERMIT APPLICATION TIGA ,:) FE
DAT /y�(/ � `� ,1992*%
THE UNDERSIGNED HEP?ERY APPLIES FOR A PERMIT FOR Tt.E�'vORK HEREIN INDICATEDBUILDER PHON^ 29 X'312-1.
OR AS SHOWN AND APPROVED IN THE ACCONIPANvING PLAC13 AND SPECIFICATIONS. OWNER PHOPIE
I - �_ _e �A t ' X LOT P10. --
OWNER�J JOBAD_DHE5S J R>�Ci__ w�_�—.-�,,_._.__
3UILDER �OM�?_• go•- ADS
_0REC�O�.7 �Q LI`�•__-ENGI Qf'OS�f�p�R1�OM�
STRUCTURE NEW ❑ REMODEL r AOOITION _—_1 REPAIR ❑ RENOWAL FIRE CAb1AGE ❑ DEMOLITION
❑ RESIDENCEComm ❑ ED",ATIONAL ❑ GOVT ❑ RELIGIOUS ❑ PATIO C CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAE-C FENCE
OCCUPANCY 1_LAND USE ZO N S -C-Lfa-BLDG.TYPE _ FIRE ZONE 1 PLAN CHECK BY ,,�_HEAT
�� t !L�LJaf.S.iGV.1'L'1[�S � �L •' '�-C I't Q ._.._...._
It
SEVIERPEarnITN --
(,CC.LOAC FLOOR L AOv —_-+tEtPt11 --NO.ST,1fttE5 --- AREA NO.BEDROOMS VALUE��QOr)
L BUILuING DEFAR?MfcNTSET BACKS FRONT '?-I
, °` IEA�i - `L(tFTSIDE �- RIGHT 510E
-mit 7 •S'✓ (THIS PERh11T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED 1%4 THF EU)LDING CODEC, ZON'Nu
EP^—�— - --
Q REGULATIONS AND ALL APPLICABLE r'ODES AND OPOINh`7CE5, AND 17 15 HFRcBY AGREED TrO.T THE
�PlanChec- p - �:h WCRK WILL BE DONE IN ACCORCANCE WITH THE PLANS AND SPECIFICATIONS A%D IN C0,4PL1ANCE
•- WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS °:.RPA.T DOES N01 VJAIVc
Sub total ,�( i7 I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB C'ON T RACTCRS TO HAVE CURRENT CITY BUSINFSZ,
r_ LICENSE.SEPARATE PERMITS REOUlREi7 FOR SEWER,PI UMEIING AND HEATING,State T'ax i 419's
Total _ G,7 SDC —
PDCq APPLICANT CR AGENT
BY
-- Receipt NO.
ADDR —_------------------ �._��__�
Approved ESS P14ONE
IZA-
SDC —
PpC
CONNcCT10 $
I iFR INSPECTIUM
zr7F1JER SURCHARGE _
S�•2'8
�► C� ��T �ic J
,IDP ---- .
' ZAROSINSKI-TATONE ENGINEERS, INC.
3737 S.E. 8th Avenue 'MEET NO -- __-06N -- OF
a PORTLAND, OR 97202 CALCULATED BY d • -. U-14 f
• 15n3) 235-8795 DATE—&U-14
CHECKED BY _ OATE
SCALE
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FORM 104 AvwMblthom[NWA VINO town.nnA,MISS 01470
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JOB------- -
ZAROSINSKI-TATONE ENGINEERS INC. SHEET NO
oF
3737 SE 8th Avenue -- � -
PORTLAND, OREGON 97202 CALCULATED 8 e �' _ DATE-.
(503) 235-8795
CHECKED BV__. - DATE --- ��
SCALE
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JOB--- - ----�� /�-- -- -
ZAROSINSKI TATONE ENGINEERS INC.
3737 SE 8th Avenue SHEET NO. uF—� - ---/—,-44 /�--
PORTLAND, OREGON 47202 CALCULATED BYr-,0 ��-- __ DATE—/b, MAW
(503) 235-8745
CHECKED BY —_ -_ - ---- DATE ----
SCALE
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JOB �L� •� � �
ZAROSINSKI-TATONE ENGINEERS, INC.
3737 S.E. 8th Avenue SHEET NO.__•.__1.__ _____— OF—_ /PORILAND, OR 97202 CALCULATED BY_— —_ DATE_L�+1L�(11Y��D
(503) 235.8795 /
CHECKED BY—_-_ __ _-__—. DATE----
SCALE--
NOT
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lY i rJ �ir�FFA ��tii -- h�t.-:�:��.. __ ��.� �=�rf: (U�ri�u�.:• :������ _ /�' �
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L ORM 204 Available hom��SWINC Townsend.Mass 01470 `
d1Yr.r17l.it! )hL�•OL1��M�1►�.�LIu'�lftrWP,iMJ:.',v..d1: 'r u1l�'�av5ui�if.11.tlirt.ltrYrd-_`.. — - n-'"`�i�''��m..
ZAROSINSI(I TATONE ENGINEERS INC. JOB -` —42f�� h-_5�_— ---- -
3737 SE 8th Avenue SHEETNO— _ of
PORTLAND, OREGON 97202 k� G
(503) 235-8795 CALCULATED Br` _—1 __ oA,F_
CHECKED BY�__ _____ DATE
SCALE-_-__
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FORM?M-I Areueaie horn Lrorr!o Inr.,Gwon,Maes 01450
Jr b 1
JOB An
ZAROSIDN'SK, /�
TATONE ENGINEERS, INC. �r^y
3737 S.E. 8th Aver,ue SHEET NO
PORTLAND. OR 07202 CALCULATED b _ DATE
(503) 235.8795 --
CHECKED BY _-_._�__.-._.._.� DATE_
_ SCALE. - - ------ —---—
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ronM 204 AVedeble from C/yUjis/IN(' town-nn,Mnee o+no
BUILDING PERMIT APPLII�'ATION TIGARD DATE----___,19_ 3127
THE UNDERSIGNED HEREBY APPI.': FOR A PERMIT FOR THE WORK HcREIN INDICATED BUILDER PHONE
OR AS SH)WN AND A.PFROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO._
Oval?IE rc • '-01'L' JOB ADDRESS
ARCHITECT
ENGINEER
BUILDER t' Co: 9tz+artica ADDRESS— -_ ' __--- —A__—DESIGNER —�--
STRUCTURE El NEW ❑ REMODEL ❑ ADDi rfON Ll REPAIR ❑ RENEWAL 13 FIRE DAMAGE (D. DEMOLITION
r� RESIDENCE ❑ COMM Li EDUCATIONAL 0 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT Cl GAAACL Cl STORAGE ❑ SLAB❑ FENCE
Or,CUcANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY _ HEA7
-er, it ;crr r.! oval o' r,11 r---- ,. 1. t ------ — —
SEWERPERMITN "'M<I ' P1 1'7
OCC.LOAD _ FLOOR LOAF.) HEIGH- NO.STORIES AREA NO.BEDROOMS _ VALUE _
BUILDING DEPARTMENT SET BACKS "RONT REAR LEFT SIDE RIGHT SIDE
Permit THIO PERN'o w 9JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONIN'3
REGULATI PNS AND ALL Af ILICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN o CORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE Cr/]F-S AND ORDINANCES. THE 13SUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ 9ESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
^� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HE!+TING.
State Tax
SDC
Total
Prc# APPL GA470RA0ENT
By ;
li Receipt No
i Aoproved _ ` AbDRESS - �^ v PHONE
a.+'haa btti,NI v..:n6q.,x»,. _o..... .: -t:._'<'.r.A;r,a.,,;•, .,..
DATE �1!%SP. TYPE INSPECTrON REMARKS I PLUMBING I DATE •—r
Contractor —
c
n,L4 ,�Q Jr Permit No. 19-.21�7 36, 7
Rough-in
i
/NA` Fixture
G n
Fina ---
--— 'te,a.� GOA ��i�•�r�.(/ �.t�r�C�,�� l
HEATING
Contractor
Permit No.
Get or 011
Rough-in —
Final
SEWER — -----
— Final --
- DRIVEWAY
Ftrlel —
_ Storm Drainage
(Rain Draln;Final
— Sidewalk
Curb&Street Final
--- --------� _..�_ Approach
9.DG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPAM�Y Final
CERTIFICATEOr•CUPANCY /D r/ _ GD i �f ) ---- --
6 ��(✓, ' La.itcaping
Zonh q Final
,G ?� .2
DATE 19 1:0
BUILDING PERMIT APPLICATION ID-1-3 My HEREIN BUILDERPHONF_`-�4734-�
THE UNDERSIGNED HEREBY APPLIES FOR APER,M11 FOR THE WORK S OWNER PHONE__
IT A§S q�D�/EQ IN THE ACCOMPANYING PLANS AND SPECIFIC A710N� LOT NO -------•••
NNER: --- — -..�_. JOEL ADURE59 .�_._--- `ARCM ZT
.—
ENvi'+ntR
,l ,, ADDpE55 (Z�_ I�
JILOER�`_ �1.L J ----- - — L
n ❑FIRE DAMAGE DEMOLi'Ic�N
rRUCTL'RE i-4EW _ _ORF'!NnDEL ❑ADDITION IJ REPAIR C�_REN - -- _..— - rr--11 -
- - aGE n5TGPAG,FUSLAB l r.NLE
FtESIp�NCE C)�1M ❑EDUCATIONAL T�.,OV T CJ�7FLI�;IU�S�'PATIO ❑CAR PUHT C
PLAN Cwt.Cr'. BY
HE.At^
CCUPANCvn �4ND USE LONE__ :. .BLDG TYPE _,n_..FI _E 2UN/E _.
e� _/ -
i1.�4•l.CY
-- n-1 S f O R� AREA .,E G 00 S— ___ ALU
CC, LQAQ - FL�JOF LCA "LLL'
RIGHi ;IDS
BUIL6.NGDEVA, IVEN � =—
F'2rmit L l ^__
THIS PERMIT IS ISSUED SURJECT TO THE REGULATIONS C -cS NED INT E BUIL DIN¢ COOS �:!' '�
dlon C:ht-^k , GULATIONS AND ALL APPLICABLE CODES AND ORDINAN °5 AND IT I$ HEREBY AGREED THAI THE
WORK WILL BE DONE IN ACLORDANCE WITH THE PLANS AND SPECIFICATIONS AN[',IN LOSS NO C2 WITH
Sub total At L APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT `NAIVE
_ RLSTRICTIVE CCVENANTS. CONTRACTOR AND SUB CONTRACIGRS tO HAVE CUP
f1ENT CITY BUSINESS
-
5'ditl Tax t.ICENSE SEPARATE PL HMITS HEOUIRED FOR SFWL•R. PLU!'IsING AND HEATING.
u .. _ LSDC —
Total ( 0 LDDC#
9V I APPL"E4'4 OR J GE'4'
Approved .. I Receipt No�53,;2j
SDC.-.-
PDC
DC -PDC S-- J1
SFWER CONNF CT ION
SEWER INSPECTION $
SEWER SURCHARGE $
Comments: — -- -
-,...a.. . ...r -�.m-....-.-,».-. ._..............� i.-,-+w-.v...._.w...ww+w..�r^ii►�+r"w�l�lMP'"'wr'..iniw.* ww*w
SIGN PERMIT APPLICATION CITYOFTI G AR D Date 19 No.
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 14375 S.W. PmoiPtn IitghwPty, Tt, irtl, orP.ctnn
APPLICANT: Owner _ Lessee —_T_. Authorized Representative _—
NAME/COMPANY ________._.____ Tel.
PROPOSED SIGN: Freestanding — Wei!! Projecting Other - —
SIGN DIMENSIONS AREA HEIGHT _ WALL AREA
PROPERTY FRONTAGE _ _._r COST ZONING DISTRICT _ILLUMINATION3,01) boo
MATERIAL COLOR — .-- — —
COPY —_ DRB _
EXISTICJG SIGNS: Freestanding V!' ,. _ Projecting __ — Other
COMMENTS: _--
All sign permits must be accornpanied by a scale drawing and plot
plan. If wore authorized under a sign permit has nit been completed
within ninety clays after tl,e issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and k-iid.
Perm t Fee _
Appriwed _ Applicant's Signature
Receipt No.
Renewal Date _ Address ~� Telephone
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SIGN PERMIT APPLICATION SOF TIDARD Date __ . 19— No.
The applicant hereby applies for s permit for th- work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 1 t11' `' TI T'Flr'j !'1 TTxcTlati,r=__
APPLICANT: Owner Leasee _ Authorized Representative
NAME/COMPANY J, Tel.
PROPOSED SIGN: Freestanding . Wall Projecting Other
SIGN DIMENSIONS __— AREA __ HEIGVT _ WALL AREA _
PROPERTY FRONTAGE — COST._..---_ ZONING DISTRICT ILLUMINATION I trnc ilj:
MATERIAL COLOR .
COPY — ____ __ _ DRB._
EXISTING STUNS: Freestanding Wall _—__.._ Projecting Other
COMMENTS: _ -- — ---_All sign permits must be accompanied by a scale drawiny and plot
plan. if work authorized udder a sign permit has not been completed
within ninety days after t'ae issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
Permit Fee__
Approved _ ApplicAnt's Signature
R ece t I o.
Patiewel Date Address Telephone
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CITY OF TIGARD
APPLICATION FOR SIGN PERMIT'
PLgMTT N, DATE
ADDRESS .3 Ll T.JJE
—.I' FEE
L�TEL. NO,
ADDRESS A
ij
----INS ECTIONS REQUIR
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rREC PQR. SITE
ADDRESS
--HF-,REBY MAKES APPT.T('ATTnN Tn
LME T ' __ I c;T)P.OTAT. INE RMATTM–__
ALTLR__.
-REPAIR
1poLE I?gn.jprTTNr- PLOT PLAN
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GROUND COMBINATION SHOW SIGN LOCATION
Or)p _____ElT,PcT,PTc u+c4
VIEW A EL I ITEMPORARY
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HETMIT-TOP /,/ 7
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lirla, T-nnT,vc)m f j LT--AREA �t 00, c -------
so. PT
PROJECTION FT.
PQRT
—FT_PR 7.0NP_ 21
TO BE FASTENED
—AN---)—S EC-11 R ED TlY
SUPPORTS ANU IT
API!ROVED TS
AGREED THAj, TP Tim; App_Lrc,A,rTc)N r-q
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I APPR .)Ul;lln IfIllp qTll,.N lirl.l. (-nNPORM Tb]
EVERY n TAIT, WTT14 THE Eth'C)llTPFTAVlJlrF,
TdEU"__LQU_,_ lLQjU�M W4 IIR('o 1967
-.—En''I'TON _AXU_ TfjF. (MI)INANCE
,S QP_ T�l r-TTV
_.-OF TIjGARD ,
SIGNATURE1 QP PERMITTRE
By
APPROVPD CillEi-DUILDING, OFFICIAL
BY
-7
CITY OF TIGARD
APPLICATION FOR SIGN PERMIT
--nl,jmr.R A11 Pr., TT 7C.- 5-t- -DA R
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SLUE V)D R E S S ix .t A a a k ILj %w
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ADDRESS ES 3
IN PECTMNS RE011TREE)
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AUBRPSS Eo ()IPTN(;----
-TEL- NO, FINAL
IIERE13Y MAKES A PT.TCATTnN Tn
ER E CT qPEC-TAJ.- TNLE TTQN
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RE12AIR
mn-Vpi
IPVD17' QV , STCN
-V-T _--Ogn.:[P-cTTNr,. PLOT PLAN
4� POLE CnMBTmATjnm
GROUND SHOW SIGN LOCATION
--'I gn(-)p (::! /a I- 'r ,'. R $uL -T LA rk pL,j. W T IL IL
-—LW-AL—L TLMPQRARY
Alt_zlr_.
HT,-T�n,mpnm I * y'r
AREA
PROJECTION --ET---,-.
pTgp znNi.,
STGN TO R FASTENED ANI) SECHREM BY
APPROVED SUPPORTS AND TS IS HEREBY
AGRELD THAT IE T11T. P21.1CA111TOM TR
V.11 py DETAIL WITH THE REQUIREMENTS (1F._
T11L _SIGN- COD-G, VQI.11Ml-% V, 1113C , 1967
--Y,DIILICIU-AND--T-LiL-J)RF)TNANcL-!� nF Tt4r,�, cT!Ey A1111D RAMO 3HACK
TlfARD--
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S T G UPT,. i'nr\PT,:RWTTTEF.
APPROve,rDl. CHIEF BUILDING 0 F F I(!bl
BY
PERMIT TO CONNECT ✓
Tigard Sanitary District L
PERMIT V1 11365 DATE/
PERMIT IS GIVEN• O 5,1 yr•'t•'l� 0 "i t i �I�'-____ �__�_ ---
I S
TO CONNECT A — ----
TO THE SYSTEM OFTIGARD SANITARY DISTRICT
AT/I.d I -2 •J^' 3.J--/r J'-.5',J ' 4 .1 J §J_ S h, r�� ., �✓
THfk, PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID .•r:•�•L•'�"�••••TIGARD SAWT�m DISTRICT
.t ,CC rlc.fMr..
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CONNECTION INSPECTED AND APPROVED 1�
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inten ent h�
-44-4-2-- Sup r
Date e
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Address 14305 S.W. Pacific hwY� Permit No. 1365
Permit charge_
Owner Koin-Op Laundromat Connection fee 12,8 0.00
Paid by�
Type of building .• Date connected
Service rate Inspection fee
Contractor Westwood Const. Paid by______ Date
Size of connection Assessment Paid
AW `�CLlc.*t5 /d d�t „ecce Peetly
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JP
Address 51�� `f���� �� Permit No.
Permit charge
Owner`-7c2 o.A� .ti ' /�L 4 ��c-s-- __ Connection feeDc'. L)C o Lc3'L—d
Paid by_--4 ,
Type of building >x x7. _ Date connected
Ins ection fee
Service rate p —
Contractor Paid by__,_ Date
Size of connection elI Assessment_ Paid_
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Address 14385 S.W. Pacific }iwy. Permit No . 1565 :N
Permit charge_________
Owner Hokies Pi« Connection fee 129820.00
Paid by ---
Type of building Restaurant Date connected
Service rate Inspection fee
Paid by Date
Contractor WP�tLwnnd cznat_ �._ ---��—• -
1
Size of connection_ _� Assessment—Paid__.._
I
y �.E.dllc.nq /�'�•y�c�n�. — cs� ��teFtr� ec�cc Ie
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Addressc Permit No.—
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Permit charge
Owner_ cc c�� 1�v1� � __� Connection fee O LQ, �t I iJ�l1i°�
_ Paid by_
Type of building_��- L P Date connected ': , �
Service rate_,,, �_ __ Inspection fee
Contractor _r_ Paid by Date
Size of connection AssessmentPaid
i
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to,- inspection:: call 639-4175
PERMIT
CITY OF TIGARD u39-4 171 DATE —��----
BUILDING P�RMITP.O. Box 2
l 397, Tigard OR 97223 TAX MAP -L"Afp"*6LOT No. �`' SUDDIVISION _.
OWNER -� G ,/ K �c �! . '_Lir k . J00
ADDRESS 1`g2`ti
BUILDER -j 1- \ >/I � p-,AIL STATE REG.NO. _,EXP.DATE
BUILDER'S PHONE 3=M-
ARCHITECT—
=M-ARCHITECT
-5.f5- PdONE OTHER
STROCTURF. ❑ NEW OREMOOEL - ❑ ADDIYION ❑ REPAIR ❑ MOVE ❑ OTHER C] DEMOLITICNN
❑ RESIOENC.E 9'COMM ❑ EDOCATIvN ❑ INO ❑ RELIGIOUS. ❑'ACCESSORY G GARAGE ❑ OTHER ❑ FENCE
OCCUPANCY 1�__ LANG USE ZONE---, C, BLDG.TYPE FIRE HONE^,_PLAN CHECK BY _HEAT
6%f'1/ —
� 1
SEWER PERMIT
NO.STORIES .AREA NO 13EDROOMS VM_UE/ !:
OCC.LOAD FLOOR LOAD __ NEIGHY _- -�—T--'
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT 51OE
Pvrmll S4� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED 17'THEE d QIND CODE.ZONING
RE(3ULATN)NS AMO ALL APPLICABLE CODES,AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Wan CNetk - 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
PL CIL F" RESTRICTIVE COVENANTS,CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMTTS.SEPARATF.PERMITS REOUIRED FOR SEINER PLUMBING AND HEATING-
Stale Tax SSVO�c.
<-7 /tel SDC-
TOlal c 7 —� Af'PtIGANTORAGENT
Prepd. _ _�«--- ----- - - --
t) e1P1 ADDRESS
Bal.Due c� 3
Issued fly___�__,___/►PProved BT__.
SSMC --- $
SOC — RECEIPT #
POC — DATE PD.
SCIJER CONNECTION S __� AMOUNT PD. - --"--
SE'JE R INSPECTION S __ T
SEIJf.R SURCHARGE S
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