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N W N a .Q a c � o o c aC N >, N c c m ii cC c� d ¢ Q. ❑ a) Q O N Col > U U Ci U U co Q J JJ J J J a a a a0- a r 2 \ kG $8 0 E z ¥-J \ $ 2 7 $ 7 $ i� j m \m m _ \\ _ � o j \ � 3 m = CT) in 0 3 m \0 \ \ ) k @ � o .� fco 2 % « / 7 k 2 \ B | ) \ O k ?L 0 5 LU f ƒ k { ) k 2 c \ ° < E 6 3 / @ 9 BSkb G \ /\\ k \ \ }\ U) V) m m C'O"'F'lTY GF T I GA R D -COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 OCCUPANCY PERMIT #. . . . . . . I BUP96-01216," DATE ISSUED: 05J02/96 PARCEL..: 1St 260C.- O 1 107 :CTE: HDDRESS. . . : 09493 SW WASH INC3TON SQUARE RD ,UBD1 V I OION. . . . : ZONING-C. C, :�L OC'K. . . . . . . . . . I I_OT. . . . . . . . . . . . . I CLAG17i OF WORR. :ALT TYPE OF USE. . . :COM )CCUPANC:Y GRP. :5N OCCUPON%Y LOAD: 4-2 E.NANI NAME'. . . I ZLlMIFZ Hemavks : letl#arl2 imp►"©vpment Owner : : _..._.._._.. _ __._......._._. .. WINMAR PACIFIC 700 FIFTH l AVE STC,= ::600 C;EA T I LE WA 98104-5026 -5026 Rhone #1 :t1►G-223-•-4''500 ( ROWNOVi: R CONSTRUCTION CO INC ►'O Lour. 553526 I{ELLH:.VLJL WA 9800 V,horle #: Reg #. . : '31911 ' his C'ertifit~atP grants; occLtpancy cif' the above referenced building or poetic, hereof and confirms that ti-ie bt.,tilding has been insper..ted for compliance e wits, ! hp w;tate of Oryon CipecialtY C:0cle5 for the yr•oup, 'At:upAnr_y, and use under chic-h the 1,pferenc ed pet mit was issued. i l.1IL_GI4INSPE;CTOP BUILDING Or`rIL:1FiL POr-T IN CONSP I CUOC.I1:-n PLACIL U.- u s, h J C7 w J 1 10 R CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiligg -Plumb. Post/Beam Mach. Shear/Sheath Framing > Plbg.Und/Flr/Slab Pibg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. - Idg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date: _�� — A.M. P.M.I, Entry: Address: _ Tenant:_ ` Ste:.__ MST- BLIP: i��1 BUP: Con/Own: I MEC. PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: N Ll. It } rti ISI 1'�^1 V W J Inspect r. __ __ Date:-� Z�4 /APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO BUILDING PERMIT PERMIT #. . . . . . . . DUP196-014C CITY OF T IGAi RD DATE ISSUED: 05/01/96 COMMUNITY DEVELOPMENT DEPARTMENT PA9CEL: 151260C­01101 S I TPETNM, SG)UARE RD SUBDIVISION. . . . : ZONING:C-­G BLOCK. . . . . . . . . . : LOI . . . . . . . . . . . . L. ----------------------------- - REISSUE: FLOOR AREAS-­- E-XTERIT_ WALL CONSTRUCTION CLASS OF WORK. :ALT FIRST. . . . : 0 5 f N: S: E. W TYPE OF USE. . . :COM SECOND. . . : 0 Sf PROTECT OPENI 'TYPE OF CONST. .5N 0 Sf N. S: E: W: OCCUPANCY GRP. :132 'TOTAL------*-: 'A S ROOF CONST. FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 Sf AREA SEP. RATED: STOR. : 0 HT: 0 ft C5 A R A G E. . . : 0 S-f OCCU 'SEP. RATED: BSMT? : ME Z Z? : REUD SETBnci/,s--­--­--- REOU I RED------------------------ FLOOR LOAD. . . . : 0 p 1: LEFT : 0 ft RGHT: 0 -Ft FIR SP,KL:Y SMOK DEI-. . :N DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP1 ACC:Y BIEDRMS: 0 BATHS- 0 IMP SURFACE: 0 PRO CURR:Y PARKING: 0 VOLUE. $ : 1600 Remarks : Fire s1_tppv,,?7.sj.on System Owner-.: FEES WINMAR PACIFIC type amol_tnt by date V,ecpt 700 FIFTH AVE STE c-600 PRMT $ 26. 50 DON 03/22/96 96-277331 FIRE $ 10. 60 BON 03/22/96 96••-277331. SEATTLE WA 96104-5026 5PCI t, 1. 33 BON 03/22/96 96-277331 P111c)ne #: Lontr-actur: WYATT TIRL PIROTECTIDN INC. 9095 S. W. BURNHAM TIBARD OR 97233 ------------------------------------------ Phone #: 664 -2132B $ 38. 43 TOTAL Reg #. . : 64077 ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the SLISP UEilng InSp Tigard Municipal Code, State of Ore. Specialty Codes and all other Spi-inkler, Final applicable laws. All work will be done in accordance with Mis(_. Inspection approved plans. This permit will expire if wnrk is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 180 days. Si Iss;'..ked By : Call for inspection 639-/)1"1?5 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 -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insulation lect Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: 57 IfC A�.MI. P.M. Entry- Address: Zvi 1• .5 �t Tenant: t_1L ^_ Ste:___ MST: 3UP. Con/Own: MEC: _ PLM: ELC: �L' �9 THE FOLLOWING CORRECTIONS ARE REQUIREDi ELR: t p cc L3 w — — — — Inspector: Z9 Date: ` �XAPPROVEQ _DISAPPR VEQ/CALL FOR REINSP. CFS GO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL. Foundation Water Line Ceiling Post/Beam Mech. Shear/Sheath Framing ec . Plbg.Und/Flr/Slab Pibg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Pd. -613g. San. Sewer Gas Line Apprr//S+dwwlk Reins, Other: _ 4j L " �-1 -- - Date: cU c� A.M. —P.M. Entry: Address: Tenant: Ste: MST: _ O BUP: Con/Own: �. �1 7 _ MEC: -00 PLM: 94 le, — ELC: /THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: W [����� ate•-e-+_d---_ 5` --- - i J W Inspector: -- yc -- - Date: Yfxo- _4-k0PROVED _,DISAPPROVED/CALL FOR RFINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling (: m> Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: y,s CN ` `�� A.M.vP.M._— Entry: Address: y9.,� Tenant: Ste. MST: L-11 BLIP: Con/Own: Z T 7 � _ MEC: PLM: r� ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 00 a cc r r� J r J Inspector:G%�� ,�/�_ Date: APPROVED ------DISAPPROVED/CALL FOR REINSP, CF CO i PLUME-4iNU PEHMI I F #. . . . . . . I-'LM9'b-006 L CITY OF TIGARD i)' TE ISSUED: 04/29/96 COMMUNITY DEVELOPMENT DEPARTMENT P,ARCEL: IS1260C.-01107 ,!d �igprdVQ , R722r�, S I TE' . kP,"5TI 5QUARI': RD ZONING: C-G SUBDIVISION. . . . : BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . CLASS OF WORT:. . :ALT bAR8A(-,E D1SP,O(':^3ALS. : 0 MOBILE HOME SPACES. : 0 TYPIE OF USE. . . . :CUM WASHINU MACH. . . . . . : 0 BACKFLOW F'REVNIRS­ : 0 OCCIJf-*IANCY GRP1. . :13;!_� F:LOOR DRAINS. . . . . . : 0 i RAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : WATEP HEATERS. . . . . : 0 CATCH DASINS. . . . . . . : 0 FIX-I'Lil"*"i----------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 1/1 SINKf . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREAS1E TRAPS. . . . . . . . 0 L A V AT L IES. . . . . . I OTHER FIXTURES. . . . : 0 1'U13/SF1OWERS. . . . : 0 SEWER LINE (f t ) - - - 0 WATER CLOSETS. . : I WATER LINE. (ft ) . . . 0 DISHIASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Tenant impi-,OvPment FEES WINMAR FDACIFIG- type afnOlAnt by date t-ecpt 700 FIFTH AVE GTE 2600 P,RMT $ 2-. 00 JSD Q74/E.9/96 96-278710 5PIC 1 $ 1. 25 J51) 04/29/ )6 96­278711A EAT fLE WA 98104--50."'6 Phone #: 206---223 4500 (ArItt-actor— WLSTERN PLUMBING )/Ac,o SW TIGARD STREET T'IGARD OR 97223 Phone #: 50;x•-•639-5296 $ 26. x'_; TOTAL ijeq #. 002439 REQUIRED '-)FIECI IONS 'his perrt is issued subject to the r,gulatiDns contained in the Ton--out I r)S P Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws, All work will Fe done ;n accordance with approved plans. This permit will expli-? if work is not started within 180 days of issuance, or if wor!; is suspended 'or more than 180 days, v-m 1e t a S i gneat Lir LL 11.s s u ed By Call for n s p e c t i r)n 639--4175 co Uj LA-k((� City of-Tigard PLUMBING PEPMIT APPLICATION Planck/Rec. # 13125 SW Hail Blvd. Permit # OV\ Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE N.- d•" 4" I New Single Famtj_Reeldenres On•k ti ••• , � � '/Jf� �� I LZ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 ,� 17 3..ATH HOUSE$225.00 Address cMpata. -- ap Fee lnci;.dIis all plumbing fixt!Pres in the dwelling and the first 100 feet if water service, sanitary sewer and storm sewer. Sea fees below. "•^• ^ ^•^••�a.n...t Fl/TURES - QTY PRICE AMT U/ S h 9.00 M.s+a Ad&••• Ph- Lavatory 9.00 ,ev Owner �f3TT7�� Tut, or Tub/Shower Comb. 9.00 cer,91.0 ao Shoff ar Only 9.00 Water Closet 9.00 .U� wm•i�^•m•^� ^„•� Dishwasher 9.00 Garbage Disposal 9.00 Occupant MN^y Ad&- Ph•o. Washing Machine 9.00 Floor Drain 9.00 Gpffi.i. Lo Water Heater 9.00 Laundry Room Tray 9.00 N.- Urinal 9.00 Other Fixtures (Specify) 9.01 `n^./•..^tOf Wn u o Ad&- � Ph- / 9.00 � �4�� 9.00 ap 9.00 Sewer 1st 100' 30.00 S'•t•R•o tl.ftn"^. ah 0.T'•W Sewer-ea. Addit. 100' 25.00 I�/J13 9�•,3/�5 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water CcrvicP ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in rompllance with State laws, that Storm &Rain Drain 1st 100' 30,00 1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If exe pt from State recistration, please give reason ^ Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 9.00 -ugn•h••Jn . 091,;1FD"• Any Trap Of Waste Not Connected to a Fixture 9.00 Describe work new Q addition Q alteration WJI repair Catch Basin 9.00 to be done residential Q non-rr,sidential O Lisp. of Exist Plumbing 40.00/hr Specialty Requested Inspections 40.00/hr Existing use c,.' �l building or nroperty Rain Drain, single family dwelling 30.00 r Residential backflow prevention devices 15.00 Proposed use of JI building or property _ '(Except residential barktlow - prevention devices) J NOTICE "Minimum Fee $25.00 SUBTOTAL 2�pe t,u PERMITS BECOME VOID IF WORK OR CONSTRUCTION S J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE I'?- CONSTRUE nON OR WORK IS SUSPENDED OR ABANDONEDFOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 250,16 OF SUBTOTAL TOTAL !O' Special Conditions _ Date Issued _ by ` Qe(? 1 4--/* ;? _ �` (� ELECTR CITY OF T PERMIT #: ELC96IO2 30 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/15/96 13125 SW Hall Blvd.Tigard,Or*pon 97223•b199 (503)E:39-4171 PARCEL: 1 S 1 i C-OC-01 10 7 SITE ADDRESS. . . : 09493 SW WASHIN3TON SGIUARE RD SUBDIVISION. . . . : ZONI NCS:C- BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . Pro.j-r'., Description : ONE SIGN OR OUTLINE LIGHTING OUTLE.I ---RESIDENTIAL 11NIl-.---- ---TEMP ERVC/FEEDERS -_..___. ____.._--MISCEL1_ANEOUS_-.....-._..-_.. 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGA'f ION. . . . : 0 EACH ADD' L 5005F. . . : 0 "201 - 400 amp. . . . , . . : 0 SIGN/OUT LINE LTG. . I LIMITED ENERGY. . . . . : 0 401 - fW amp. . . . . . . : 0 SIGNAL/PANE.L. . . . . . . : 0 MANE. HM/ C3VC/FDR. . : 0 601 +-amps-104110 volts. : 0 MIN-0,1Z LABEL ( 10) . . . 0 __.-..._ .-SEF:VIC,E/FEEDER-.._...._._ CIRCUITS--..--.__ -- -ADD' l_ INSPECTIONS -._.__. 0 - ;_'0111 a.Amp. . . . . . : 0 W/SERVICE. OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 41111 - 600 <alnp. . . . . . : 16 EA ADW L. BRNCH CIRC: 0 IN PLANI . . . . . . . . . . . .. 0 601 - 1000 amp. . . . . : 0 ---._______.___._.__.-.--FLAN n[::VIEW SECT ION-..-_---._.____.___._.__ 1000+ amp/volt. „ . . . : 0 > =4 RES UNITS. . . . . . . . . ) 61210 VOL1 NOMI NAI._. . Rer.onnect only. . . . . : 0 SVC/FDR > = 2'25 AMPS. . : CLASS AREA/SPEC OCC. . Owners _.__._.__..__..___.___.---__._-_________..____.._______.__._._.__.__._._.____ i-E:ES BLALG: SIGNS type amrnuInt ►)y date recpt P O BOX 25357 DROIT $ 40. 00 J*F-' 04/15/96 96-278189 5PCT $ 2. 00 J*►1 04/15/96 96--278189 TIGARD OR 97;--23 Phone #: 503-•639--32='62 Contractor,: CONTRACTOR NOT ON FILE 41:'i. 00 TOTAL REQUIRE" T IJ1:;PECT,QNS Phone it: Reg r._ This permit is issued subject to the regulations contained in the (, �� Tigard Municipal Code, State of Ore. Specialty Codes and all other er m i ,tee Si gnat l-Ire applicable laws. All work wlli be done in accordance with approved plans. This permit All expire if wo,k is not started withir 180 days of issuance, nr if work is susper,jed for more thar. 180 days. sited By _-_---OWNER INSTALI_AT I( The installat4on is being made on property I own which is not intended for- sale, orsale, lease, or rent. OWNLR' S SIGNATURE: INSTALLOT I ON J SIGNATURE OF SUPR. CLEC' N: - DATE: LICENSE NO: Call for inspection - 639--4175 r • Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. ,A Tigard, OR 97223 Planck/Rec. # _ Permit # Phone (503) 639-4171 Date Issued CITY OF TIGAVOFAX (503) 684-7297 Issued by TDD No. (503) 684-27/2 Inspection (503) 639-4175 I. Job Address: 4. Complete Fee Schedule Below: Name of D@ TTent—L 1 -��t��� N-mber of Inspections per permit allowed Address w t� ,�� � Service lncludrxd Items Cost(ea) Sum City/State/Zip L4114"AOL 4a. Residential-per unit 4 1000 49 It or lose $11000 Name (or names of business)� Each eddoorW 500&q It or portion thereof $2500 1 Commercial[ Residential❑ ` r Limited Energy $2500 Each Manul'd Home or Modular 2 Dwelling Service or Feeder sm 00 2a. Contractor installation only: 4b.Services or Feeders Installation,aMerahon,or raloc.,anion 2 Electrical Contra tor� i/ X of 200 amps or less $en 00 2 ss Addre ( owl 201 amps to 400 amps S6000 2 City Statet_ Zip- 7,0 401 amps to 10o amps $120 00 2 601 amps l0 100 amps :180 00 2 Phone No. — ,2 Over 1000 amps or volts `` $34000 _ 2 Contractor's Lcense No. �L,- RDz� Reconnect only $5000 _ Contractor's Board Reg. No. 2 4c. Temporary Servicer or Feeders __— Installation,alteration,or relocation 2 Signature of Su r. Elec'n _y" ~� 200 amps or bas �_ $5000 `_` 2 License No. S Pone No.� - (G2 201 amps 10 400 amps $7500 401 amps to 800 amps $100 00 Over 800 amps to 1000 volts --- 2b. Fir owner Installations: see•b-above 4d. Branch Circuits Print Owner's Name �__ New,alteration or extension per panel Address a)The Ise for branch arcugs Mth City State Zip pumheee or awYlles or beldn Ase. 2 Each branch ararA $5 00 Phone No. b)The rest for Manch arcurts without The installation is being made on property I own which is pumltsse of eervke or bedw we. 2 First Manch armif $95 00 not intended for sale, lease or rent. Ewii additional Mang,uranA $5 oo ------ Owner's Signature 4e. Miscellaneous (Seivica or feeder not included) 2 3. Plan /review section (if required): Each pump or irrigation arae $4000 2 Each sign or outline lighting ✓' $4000 Signal cimuif(s)or a Im4ed enargy 2 Please check appropriate item and enter tee In section 58. panel,alteration or extension $40 o0 4 or more resiuential units in one structure Minor Labels(10) $10000 –_Service and feeder 225 amps or more _ System over 600 volts nominal 41l. Each additional inspection over Classif`;,o area or structure containing special occupancy the allowable In any of the above Fes– as described in N E C. Chapter 5 Per inspection $3500 Per hour $5500 Submit 2 sets of lens with In Plant $5500 v p application where any of the above '— �� apply. Not required for temporary construction services. 5. Fees: � So. Enter total of above foes NOTICE $ 5%Surcha go(05 X too?( lees) w PERMITS BECOME VOID IF WORK OR C014STRUCTION Subtotrd $ J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 21i%of iine A for CONSTRUCTION OR WORM; IS SUPPENDED OR ABANDONED FOR Plan Review It recttiired(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account 9 $ IBalance Due $ ei 2` `J I 'i CITY OF TIGAR® BUILDING PL;,,,, r�'RMIT #. . . : CUP96--zin"-, COMMUNITY DEVELOPMENT DEPARTMENT MTE ISSUED: 04/03/96 13126 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)639-4171 r, r, 1'11ZSO�'. 1,1110 - !'%"1131%,.,N. 7nN T NG s j Z T Or" WDR!4. M.T FIRC-T. . 1``05 F N: OF U"" . 70111 S2 r-1� 0 h 2-03 9 f r110T,'7.r_T C"7'r",NIT]07; 0 S'r N: E:; 7-4 W. y a rkr "7 1, P007 RE '17' zur.,I)Ncy LorJ). 1,121 BASEMENT. 0 s f ARC SEP. RnMj. R. IT, 17 7 SAR(WLI. 0 f cj!:r. rul".D. I E AZ Z 7 REDD GETBACKS—­ ­­­ REGUI RED-- - -- L011n. . . . Q71 I f LEI-T. 0 f+ P I 0'h I T% 0 4"11- r-I R Cr:'L ; Y 3MO12 DMT. . .N 0 FRNT: 0 ft REAR: 0 ft rIR nLRM:Y HNDICP ?c)CL;Y 01 IMP 7unrAcc, 0 P0 co,'r"H ING: lb i. V v u,t FEES 1,4 to'l P P C 7r r I C P C., F. `5 1. 4 DON 01/31 /OG '7j G-- 7'-;': P L C 1'. $ 2, T 7LE 'X,7) PRMT 1, 4-33. 00 BON 04/0.31 9 C, 9C11- ,. S 01'4 04 "TZ LE Wf, r 0'� REOUTRED INSPECT'_2W t'e vejulatigns contiimd in the -_Aulil;u s Matt �'4 'cipal Codeof Ore. Specialty.1'. 1. des an' all other Cyp Bueu-J 1­,�.ijj 'Ns. Pll i%vk- Will to done in accordance riitll., Susi) C F. i. 1 T I S p plans, 1,11As ;vriW Kill C-):pire if worw is rit started if is suspended fD;- 301'e L CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT . . . . . . . . ["'.E E 9 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 PARCEL; InI26M.C-01107 W WSHINGTON SQUARE RV ZONING: C-G LCT. . . . . . . . . . . . . OF' r,,L.,T rLDOR FURN. . . . EVAP COOLERW 0 2F USE. . . . 1COM UNIT HEnTIRF. . : 0 VENT FANG. . . : 0, CPP. cn YENTS W/O APPL; 0 VENT WCTIMS; 17, BOILERS/COMPRESBORS HOODS. . . . . . » : M, 0 :3 c) r.%'-'M[-*Tj. INICIN: 0 0 COMML. IINCIN. 13 TL! !7c' IWOODS)TOVES. I.I-0 L C;m ;4 1 7i i ING LJNTTS 07HER UNTTS. 0 K 10000 "M I N ) WOR BTU; C k tr. VLLA tjpc Ly 'We re, "IFTH qW7 7-7- •LOP` _T;. 7','r DON 04/03/96 9C, 1" 'TLE WA SaI04-5026 SPIET DON 04/03/1)r,, 96_.C; �'Irif=lr, 'NCT 'MI FILE ve M. ZO TOM- R-, 011IRED I N�'T'ECT TrN7� crruiied in the Mechanical Insip give 1,1Lmcip:,1 not c' I, >JQ Nba ad all Ahr rbs Vampw Inap ,,.Ode W P:l ti Fin& inspection plan„ Th.. Hermit if h--iA i t LL 16- V) LIJ 77 Commerci I BuOdtna Permit Application City of Tigard TO _;,—,F 13125 SW Hall Blvd. Tigard, Tigard, OR 97223 �S q (503) 639-4171 `� t Jobsite Address: / l J IA.1 r r 11 r,��tA -_i l ���� 7-20 Tenant: _, �„��� Suite Otilce Use Only Valuation: (!5-' Planck/Rec # Permit # Owner: rni e-?_ Map & TL # - r ell nC — n /C>4- Address: - -"� Approvals Regu;red 1, Planning " Phone: Engineerng Other_ /VD i' f IAS - Contractor: Address: /Z 7 1:5- :5-- - ' 7� / Type of const: 1 C Phone: �,�J � v Q Occupancy class: — ___ ~ Contractor's License # , , r Sprinklered? CYes No -zi (attach co0y of current Oregon license) Sq. ft. of project:�� Contact name & phone: ����Ur ( � �7 -9` .Mtory 1st, nd, etc.) . Proposed use' C Architect/Engineer: / / '/" /' t �- Previous use: , Address: z �r ]� � �-� //QG�'a O Note: Plumbing & mechanical plans must be submitted at time of building permit application. n Phone: E Pi JOB DESCRIPTION: _.1-- /7 �„-� , �t�;i7 Applicant Si ure & Phone number l ,�ceived by: � _ Date Received: ��Z .i�(c Ct E)TFA�_i�ll i ti�Ft� fmcq \/EP it fED Permit 0 Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mach. Permit (MECN) State Tax (TAX) Bldg: _ Plumb: Mech: Plan Check (PLANCK) Let( Bldg: Plumb: Mach: Sewer Connection (SWUSA) _ Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass TransP TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) AA L Office TIF (TIF-0) Vv Water Ouality (WQUAL) VL Water Quantity (WQUANT) 1 C� Fire Life Safety (FLS) A -�-- � ) ''ff Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPL.AN) w Erosion Plaoick/COT (EROSN) TOTALS: i ity of Tigard MECHANICAL PERMIT Planck/Rec. # 13,125 SW Hall Blvd. A7 ION Permit # 10 Tigard, OR 97223 •�o (503) 639-4171 _ r •"'•° _ _ Zlescnp ion Table 3A Mechanical Code QTY PRICE AMT Job i) Permit Fee 0- -0- 10.00 Address — 2) Supplemental Permit 3.00 '� '"• ""7""° "" Furnace to 100,000 BTU 1) incl. ducts &vents 6.00..] ••• u--F rnaace? + -- Owner ��%'� S ��� S 0 2) nct. ducts &vents 7.50 "• Floor Furnance 3) incl. vent 6.00 -� "•'"^'"•° •"'• Suspended heater, wall •iea er vt� 4) or floor mounted heater 6.00 Occupant / ent not inc.'T—in - 5) 5) appliance permit 3.00 •• Repair of heating, re ng. _ 6) coaling, absorption unit 6.00 Boiler or comp, heat pump, air cond. At 1/�T r � / / y` 7) to - HP; absorp unit to 100K BTU 6.00 �, "•9 •" °^• Bn1er or comp, heat pump, air coni— ` 8) 3-15 HP; absorp unit to 500K BTU 11.00 Contractor — offer or comp, heat pump, air cond. 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 Boiler or comp, heat pump, air cond. 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 ere y ac now a ge that I have read this application, that the Doileii or comp, 5eat purnp, air cond. information given is correct, that I am the owner or authorized 11) >50 1-IP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted ate in compliance with Air handling unit to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct. (If exempt from State fir nanink g unit registration, please Sive reason below.) 13) 10,000 CTM + 750 on porta is 14) evaporate cooler 450 Vent fan connected 15) to a single duct 3.00 Ventilation system not 16) included in appliance permit 4,50 "Nf!1°M1M°f!9lfl " Hood serve y 17) rrichanical exhaust 4.50 escn e work new ad8ition aeration repair ( ommercia or in ustria co be done residential Q non-residential 18) type incinerator 30.00 Existing use o // 7Ferie, woo stove, water budding or property 19) heater, solar, clothes dryers, etc. 4.50 V Proposed use of 20) Gas piping one to four outlets 2.00 '- building or property Type of fuel -oil natural gas C7 LPG Q electric Q 21) More than 4-per outlet (each) 2.00 r NOTICE t-- C Zia, Minimum Fee .,25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION W AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE -J IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANCONED FOR A PERIOD OF 160 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. -- TOTAL ��70 Special Conditions ��- 1 Date issued by +woaiMasTtwecwwr 7-) I 1� PULNCK# `r I C I '� 3- ? 2 `'16 APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM BUILDING DIVISION, CITY OF TIGARD 639-4171 Date: 2 2 1-61 Lam' l� '-PERMIT M (j)Pik- Valuation. 46,00 Amt. Paid: 1 Ij / Permit Fee: �J' I 5% State Tax: Balance Due: 40`�b FLS: C . hG Plans must be submitted to the Building Division before installation. Three sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Installation: Addition: Repair: Alteration: Complete: Partial: Exitway: Basement: Hood & Vent: Spray Booth: IN EXISTING BUILDING:__ IN NEW BUILDING: NUMBER & STREET: c4 j 3 ;,LA). WAS L-, cl iJA.ME OF BUILDING or BUSINESS: ���e- "In"r.--' NO. OF STORIES:,__SIZE OF BUILDING:, OCCUPIED AS: TYPE OF SYSTEMS: Wet: Dry: Combination: STANDPIPES: OCC.HA7.ARD: Light ORD.GRP.HAZARD 1.4C 2`3—4—Extra DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2 SPRINKLER ORIFICE SIZE:_ "K" FACTOR S, � TEMP. RATING` 0`tN'NER: ADDRESS: CONTRACTOR: L(-) -JLI=l�N ID J(- — PLANS DRAWN BY: ADDRESS: _ c()`l5 S.uJ I. t"zN -W� REMARKS: L. > APPROVED permits includes only work described above and/or on plans and speci kation bearing the - same permit number and will comply with all applicable codes and ordinances of the City of Tigard. s SPRINKLER COi`IP. �r: �yl� I T_ B ZX= PHONE: 6,�'J `-ZW6 w -� SIGNATURE OF APPLICANT: BUILDING DIVISION: PERMIT VALID FOR, 180 DAYS word�Comdor�Qr000rm CLECTRICA',- VERMIT r ITY OF TIGARf� COMMUNITY DEVELOPMENT DEPARTMENT DATE ICISUED: 13126 SIN Hall Blvd.Tigard,Oregon 97223*8199 (603)639-4171 14o :7HJTINOTON 0 U A P 17 P,D 3PI VISION. . . 7ON ING.C- G LOT. . . . . . . . . . . . TL*-tlP pvc/rccDcR-) '-=-JIDENTIAL UPIT 00 S7 OR LCC.;. 800 amp. . . . . . . . 0 r,,JMF,/IRRIGATION. . . 0 DDI 1 104 A '01 400 amp. . . . . . . r;IGN/OUT LINr LTC, S I GNAL/PANC-L. . . . . 0 MITED ENCRGY. , 401 c"00 amp. 0 N7 ') volts. 0 Nf . HM/ 0 C.0 1 t.a m p r. 00,', MINOR L(W.-L ( 1121) ERV ICE/r,"LEEDER-1—- CIRCUITO - .--_--ADD' E_ INS)"PECTIONS- !ECT ION. .-00 amp. . 0 W/sERVICE on r0l'"Or-R: Y7PER 1,1'7 - 400 amp. . - -, ; 0 15t W/O 7,RVC OR rDR, I rltp HOUR. . . . . . . . [:170 amp, . . . -, . 13 11-n ADDIL nMICH ClRr-. 0 IN r-'LANT. . . . . . . . . 0 ill - 1000 amp. . . . . . 0 PL nN nC'V-1 EW SECT I ON '!;ZtZ4, 0 :.4 Rr7u . . . . . . . . ', 1,,00 VOLT canna only. 0 '4'V C FD R A i I P 3- CLASS ARFA/SPCr' 1111 ES type afli')WIt by date V'E?L�, j 0 C J0 4)7:1 ;:011)6 1)6 OW WW'31-IINCTION '53 C Ru PRMT $ 115. 10 !SPC'T $ 6. 75 CJS 03/":0/96 0' ,,,,!tLr,n 11.1-4.TRIC CO. 1 141. 7`1 TOTAL. C. W. GREC"NPL.!PW PCOUIREV I t,4-,PE CT I ON L WIZ 1) 0R 9 7""1 21 71 ce I illy f} :`7 Wa 1 1 cove-f- clect, I Final 374 1 .i per4it it iss�id to the rej�!ations cDntai.ned it the U?;jcipSl C:.JF, Stnte j lh-P. Specialty 'offs azd all 3the, Pc -mittee c5i - .,at d1j:-4le laws, All cork will Ue donin ikcc-.r&mcf with Pflo�ed plans. This ,ill if hark it oot started it !,Se uayi s ii,--spendlid for sore ,7 ISO ays. iT)StallatiLr, oA.) h is, nut ir-itended fci- C.LrSt',NDATE: cc 0 t-1 T rN A C-1 I ri T 0 r,j OtIl y rp-r-. a(.'-.MATURE Or TAMP. 171-J, __,Jjc.e� NOt ...... __j Call fol 0- 11 , Community Develol)ment ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 PlanclJRec. # — Pei•mit # EZ47 Phone (503) 639-4171 Date ISSLIed 3- 1 o� V6 FAX (503) 684-7297 Issued by ITY OF TIGARD TDU N '503) 684-2772 Inspect (503) 639-4175 4. Complete Fee Schedule Below: 1. Job Address: w . o . fl 897 Name of Development_ ZUMIES - WASH . S Q U A R E Number of Inspections per permit allowed W . W E1 S Il I N G T O N SQ . ROAD Service included: Items Cost(ea) Sum Address`19 3 S • _ City/State/Zip T I G A R D OREGON 9 7 2 2 3 4s. Residential-per unit ° 1000 sq It or Irss $11000 Each adddronal 500 sq It or 1 Z U i4 I E S Name (or name of business) portion thereof $2500 Limited Energy $2600 2 Commercial Residential❑ Each Manul'd Home or Modular Dwelling Service or Feeder $6800 _ 2a. Con;ractor installation only: 4b.Services or Feeders 2 Installation,alteration cr relocation 2 200 amps or less $6000 Electrical Contractor F R A I I L E R E L E C I R I 201 amps to 400 amps $80 00 2 Address 1 1 8 6 0 Slit G R F.X113)I R G R O A Dpe 10 600 amps 2 401 am $120 00 2 CityT I G A R C] State_(Ig— Zip q 7)7 3_ 601 amps to 1000 amps $18000 _ — 2 C)ier 1000 amps or volts $34000 Phone No.___6_iA 4 i 7 Reconned only $5000 Contractor's License No, 3 4 - 1 3C Contractor's Board Reg. No._ 3 74 10 4c. Temporary Services or Feeders 2 1 l ` installal on,alteration,or relocation 2 11111111 ^1 1 200 amus or less $50 00 Signature of Supr. Elec'nt✓, ///� F. 777LLL 201 amps to 400 amps $7500 2 License No. L 81 6 Phone No. 6 3 9-4 6 2 7 401 amps to 600 amps $10000 Cher 600 amps to 1000 volts 2b. For owner installations: see b above RETURN APPucaTiaH_ lid. Branch Circuits print Owner's Name New,alteration or ndension per panel e)The tee for brnrrh crr^nits with 2 Address purchase or service or Moder fee. CItY_ _ rj zip Each branch circuit - $500 Phone No. b)The fee for branch circuits without 2 The installation is being made on property I own which is furchase of servko a Moder fee. 3 I.ire,branch circuit 1 $3500 ) (] 2 not intended for sale, lease or rent. Each additional branch arcud $5 oo 1 Owner's Signature__,------ 4e. Miscellaneous (Service or feeder not in 2 Each pump or irrigation circle $4000 2 .�. Plan Review section (if required): Each sign ar online lighting $4000 _ 2 Signal ctrcud(s)or a limited energy Please check appropriate item and anter fee in section 513. Minor pnn6l. alteraets tion on or extension _ $100 00 _4 or more residential units in orle structure Service and feeder 225 amps or more 4f. Each additional Inspection over System over 600 volts nominal the allowable in any of the above Classified area or structure containing special occupancy per inspection $3500 C as described o N E.C. Chapter 5 t,,,,,, $5500 cc n Plant $55 00 — Hr � Submit 2 sets of plans with application where any of the above > apply. Not required for temporary construction services 5. Fees: �- 5s. Enter total of above fees $ 1 3 5 . 00 NOTICE 5%Surcharge(.05 X total fees) $ �5 Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for LU AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec 3) $ CONSTRUCTION UP.WORK IS SUSPENDED OR ABANDONED FOR Subtnlel $ A PERIOD OF 180 DAYS A ANYTIME AFTER WORK IS D Tr,tst Account M COMMENCED. $ Balance Due $ `} ' r.eid`ave.rMNMKi�m APV FOR OVERSIZED DOCUMENTS SEE 35 mni ROLL FILM .• ' � � �;'.1 � '.1 �'�� 1 ...Y � .. � .. .. .' � \ ' � ,. , . i � A .\' � '.M ... ' ' � �. �, . �iy • � .. .. 1 .- .. � / • , �j_:e. 1 �.: Y((:��'. 7't �,: � � {i '. r� , . ,, �; �, f::: ,, - ^ r M � �� j � � �